University of illinois at chicago online
[PDF File]Application for Social Security Card
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Form SS-5 (08-2011) ef (08-2011) Destroy Prior Editions. Page 1. Application for a Social Security Card. Applying for a Social Security Card is . free! USE THIS APPLICATION TO: Apply for …
[PDF File]Form W-9 (Rev. October 2018)
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Form W-9 (Rev. 10-2018) Page . 2 By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
[PDF File]Disability Parking Placard Application
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I certify the person listed above is eligible for a disability placard as provided in Public Act 300 of 1949. I also understand that making a false statement to obtain a disability parking placard is a misdemeanor and may result in fines, imprisonment, or both.
[PDF File]Windfall Elimination Provision
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Printed on recycled paper. The Windfall Elimination Provision doesn’t apply to survivors benefits. We may reduce spouses, widows, or widowers benefits because of another law.
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …
[PDF File]STOP-BANG Sleep Apnea Questionnaire
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STOP-BANG Sleep Apnea Questionnaire Chung F et al Anesthesiology 2008 and BJA 2012 STOP Do you SNORE loudly (louder than talking or loud enough to be heard through closed doors)? Yes No Do you often feel TIRED, fatigued, or sleepy during daytime? Yes No Has anyone OBSERVED you stop breathing during your sleep? Yes No
[PDF File]Saving Energy and Making Work Simple
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Saving Energy and Making Work Simple Pace yourself to save energy 1. Get at least 6 to 8 hours of sleep each night. 2. Rest for 20 to 30 minutes at least twice a day. If you get tired, stop and rest for 15 minutes whether you have finished the task or not. 3. Alternate easy tasks with hard tasks or spread a task out over the day. 4.
[PDF File]Form I-693, Report of Medical Examination and Vaccination ...
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USCIS Online Account Number (if any) Part 2. Applicant's Statement, Contact Information, Certification, and Signature. NOTE: Read the . Penalties . section of the Form I-693 Instructions before completing this section. You must submit Form I-693 in a sealed envelope to USCIS as directed in the Form I …
[PDF File]Protect Your Family From Lead In Your Home
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Protect Your Family From Lead In Your Home United States Environmental Protection Agency United States Consumer Product Safety Commission U.S. EPA Washington DC 20460 EPA747-K-99-001 U.S. CPSC Washington DC 20207 September 2001 U.S. HUD Washington DC 20410 United States Department of Housing and Urban Development
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