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Payroll Expense Tax Form ET 1 2024
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WV 2848 Authorization Of Power Of Attorney
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University COVID Travel Policy
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Policy requiring pre-authorization for all Wake Forest-sponsored travel during the COVID-19 pandemic to protect campus community health and university financial interests.
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Flexible Spending Account Enrollment Form
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Initial Interview Form
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Direct DepositInformation And Instructions
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Request For Payments To Trust TrusteeS Acknowledgment
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LDSS 3151 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CHANGE REPORT FORM
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Administrative Procedure 323 SEPARATION
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Pension Application Form
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Student Parent Guardian Extracurricular Activities Drug Testing Consent Form
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Title 38 United States Code Section 3679(E) School Compliance Form
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DSS Form 37113 Contribution Form
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XML Data Format Compliance Form
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Background Check Consent Form
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Third Party Authorization Form
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Third Party Credit Card Pre Authorization Form
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The 3 RS To Retirement
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Plan Exchange Authorization Form
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Waiver Of Service Period For Retirement Plan Participation
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Media Release Policy
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Procedure 410 19 Employee Volunteer And Education Leave
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Foreign National Access Request Form
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Confidential Tax Information Authorization
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Medical Service Request Form
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Employee Benefit Plan Enrollment
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Utah Retirement System Defined Contribution Service Agreement Form
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Direct Deposit Request Form
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HealthFlex Mandatory Premium And Coverage Waiver Form
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Form 4669
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DWS ESD 475 Change Report Form
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SI 2047 Your Disability Benefit Claim
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AP 3C3A(B) Claim For AbsenceTravel Reimbursement
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Data Assurances Agreement
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Authorization To Disclose Confidential Information
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Research Authorization Form
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LDSS 5067 NYS OTDA State Supplement Program Direct Deposit Cancellation Form
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Minnesota State Colleges And Universities System Procedures Travel Management
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Arbitration Award In Dane County (Public Health) Labor Dispute
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Program Participant Contact Form
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Maryland Form 548 Power Of Attorney
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Official state document for establishing legal power of attorney in Maryland, providing guidelines for delegation of legal authority.
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Leave Program Procedures
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Household Report Form
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Written Authorization To Enroll Into School Age Program
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WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
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Authorization For Direct Deposit (Form 6186)
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Iowa Statutory Power Of Attorney Form
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TD Bank Direct Deposit Authorization Form
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Tier 2 Retirement Checklist
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Application For Group Insurance CHEIBA Trust
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Tax Information Disclosure Authorization (Form R 7004)
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Authorization For Release Of Health Information
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Notice of virtualization of health information management services and patient medical record release process for UC Davis Health.
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Cardiac Rehabilitation Pre Authorization Form
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Union Dues Payroll Deduction Form
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MIAMI DADE COUNTY PUBLIC SCHOOLS MEDIA RELEASE PARENTAL CONSENT FORM
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Limited Power Of Attorney
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Summary Plan Description Bargained Cash Balanced Program 2 Of The ATT Pension Benefit Plan
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GROUP PLANS ENROLLMENT FORM
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Comprehensive form for employees to select and enroll in group insurance and benefit plans covering life, disability, medical, and supplemental insurance options.
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Pyxis Access Request Form
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Form for healthcare professionals to request access to Pyxis medication management system in specific work areas.
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Security Incident Report
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Official form for documenting security incidents at the Mississippi State Department of Health's Office of Health Informatics.
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Employer Affidavit Of Income And Benefits
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Form 941 For 2020
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Quarterly tax form for employers to report wages, tips, and federal tax withholdings to the Internal Revenue Service.
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Direct Deposit Authorization Form
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Form 941 Filing Requirements
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Comprehensive instructions for churches and employers on completing the Employer's Quarterly Federal Tax Return (Form 941)
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Group Benefits EnrolmentChange Form
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Advancing Access Patient Information Form
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Authorization For The Release Of InformationPrivacy Act Notice To The U.S. Department Of Housing And
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Benefits Administration Letter 99 101
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Security Clearance Form
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Official security clearance form for attending the Precision Strike Technology Symposium in October 2018 at Johns Hopkins Applied Physics Laboratory
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Halina Pelczar V. Board Of Review, Department Of Labor, And AE Clothing Corporation
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Judicial opinion regarding unemployment benefits appeal involving an employee's voluntary job separation
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A 777A My Tax Account Authorization
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Medication Administration Authorization Form For Youth Camps In Maryland
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Data Assessment Form
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Veterans Administration Aid And Attendance Claim Checklist
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Comprehensive checklist of required documentation for filing a Veterans Administration Aid and Attendance benefit claim, including personal, financial, and military records.
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Direct Deposit Authorization Form
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Timesheet Portal User Guide For Temps
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AB13 (VACA) Affidavit For Eligible Veterans Dependents
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Alberta Accident Benefits Initial Claims Process
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COVID 19 TEMPORARY CATERING AUTHORIZATION APPLICATION
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Application for temporary catering authorization for alcohol service during COVID-19 pandemic for California licensees.
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MY BENEFIT PLAN BOOKLET
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Comprehensive benefit plan booklet providing counseling and life skills support services for plan members and their dependent children.
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PA ABLE Savings Program Workplace Guide
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Alternate Benefits Program Mandatory Contributions 401(A) Voluntary 403(B) Loan Authorizations
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Consumer Authorization Form
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Marketplace Consent Form
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Training Authorization Letter
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Authorization document for students to participate in firefighting and rescue training courses, including medical clearance and parental consent.
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Treatment Service Request Form
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Group Insurance Accelerated Benefit Option Claim Form
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NNSA Facility Access Identification Requirements
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Detailed document outlining acceptable forms of personal identification for accessing NNSA facilities for U.S. citizens.
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Key Electronic Access Request Form
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ERAIDER REQUEST FORM
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Access To Medications By Underserved Populations Recommendations For Process Improvement
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Accident Waiver And Release Of Liability Form
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Accident Wellness Benefit Claim Form
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Account Authorization Form
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Tax Information Authorization
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MEDICAL RELEASE FORM
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Waiver Form
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Waiver Form
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A form granting the US Department of Health and Human Services permission to use an individual's photograph, likeness, artwork, profile, or story in various media formats.
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ACH AUTHORIZATION AGREEMENT FORM
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Form for authorizing electronic fund transfers between financial accounts at F&A Federal Credit Union and other financial institutions.
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ACH PAYMENT AUTHORIZATION FORM
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A form for authorizing electronic payments via Automated Clearing House (ACH) with banking details and vendor information.
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Vendor ACHDirect Deposit Authorization Form
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Authorization Agreement For Automatic Deposits (ACH Credits)
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Request For Automatic Loan ACH Payment
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A form for authorizing automatic monthly loan payments via ACH transfer from a bank account to Heritage Grove Federal Credit Union.
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ACH Enrollment Form
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Form for businesses to set up electronic funds transfer through ACH for invoice settlement with University of California San Francisco.
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ACH Pre Authorization Form
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A form authorizing automatic payment deductions for medical consultations and services from a bank account.
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ACH Auto Draft Contribution Pre Authorization Form
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Automated Clearing House (ACH) Request Form
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Acquisition Matrix
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A matrix detailing procurement methods and approval requirements for various types of purchases at an educational institution.
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Acute Inpatient Hospital Assessment Form
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Form for requesting authorization for hospital admissions and stay extensions for Blue Cross and Blue Care Network commercial plans
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Americans With Disabilities Act Accommodation Request Assessment Form
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LOCAL 22 HEALTH PLAN DEPENDENT FORM
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Form for adding a spouse or dependent to the Local 22 Health Plan, requiring personal information and supporting documentation.
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AdditionalOutside Employment During Leave Request Form
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Form for faculty to request additional or outside employment during an approved leave period
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UWS B1242 Accidental Death Dismemberment Insurance
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Comprehensive employer manual for Accidental Death and Dismemberment insurance policy for University of Wisconsin System employees.
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Change Of Address Form
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Official form for changing address for New Jersey state pension system members and retirees
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PSC CUNY Welfare Fund Adjunct Enrollment Form
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Health benefits enrollment form for adjunct faculty members at CUNY with dental and health plan options
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Administrative Waiver How To Request Waiver For An Overpayment Under 1000
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Instructions for requesting an administrative waiver for Social Security overpayments less than $1,000.
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Information Exchange Authorization
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A form allowing authorized individuals to request and exchange adoption-related information through the Illinois Department of Public Health's Vital Records Division.
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Adoption Assistance Reimbursement Form
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Form for employees to request reimbursement for qualified adoption expenses through the university's adoption assistance program.
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MINOR PARTICIPANT EMERGENCY CONTACT AND MEDICAL RELEASE FORM
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A comprehensive form for collecting emergency contact, medical information, and release authorization for a minor participant.
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Girl Scouts Of Greater Los Angeles Adult Emergency Information And Authorization For Treatment
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Emergency contact and medical authorization form for Girl Scouts of Greater Los Angeles adult participants
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Emergency Medical Form ADULT
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Comprehensive medical authorization and emergency contact form for adult participants in MUMC trips.
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Advance Authorization For Directly Sponsored Event
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Internal form for requesting and documenting approval for business-related events and associated expenses
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Advanced Illness Benefit Application Form
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Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by BEMAS medical aid scheme.
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Advanced Illness Benefit Application Form
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Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
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Host ClubConsent Form
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A form used to grant permission for multiple clubs to hold events on the same date and site, detailing event types and hosting rights.
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Customer Letter Of Authorization To Release Information And Conduct Account Activity
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A form allowing customers to delegate account access and information release rights to authorized parties for American Electric Power services.
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Army Emergency Relief Application For Financial Assistance
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Comprehensive application form for military personnel seeking emergency financial support from Army Emergency Relief (AER)
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Alaska Employer Registration Form
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A registration form for employers in Alaska to register with the Department of Labor and Workforce Development for Employment Security Tax purposes.
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WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
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Residency verification form for children and spouses of veterans seeking Wisconsin GI Bill educational benefits based on veteran's 5-year state residency.
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Caregiver Permission To Contact Form
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A form allowing kinship caregivers to provide contact information and preferences for communication with the Kinship Program services.
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Initial Disability Claim Form
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Comprehensive form for filing a disability insurance claim covering various types of disability including accidents, sickness, pregnancy, and cancer.
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AFSCME LOCAL 1550 ENROLLMENT AUTHORIZATION FORM
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Form for employees to join AFSCME Local 1550 union and authorize dues deduction
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AFSCME Local 127 PPO Benefits Matrix
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Comprehensive dental insurance plan detailing coverage levels for various dental treatments and services.
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92NY Afterschool Emergency Contacts And Permissions Form
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A form for parents/guardians to provide emergency contact information and permissions for children in the 92nd Street Y Afterschool Program.
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Agency Account Approval Form
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Form for authorizing student organization representatives to request checks and manage organizational funds.
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EmployerAgency Billing Form
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A form authorizing employer or agency billing for student tuition and educational expenses, with student consent for account information release.
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FedRAMP Package Access Request Form
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Form for federal employees and contractors to request access to FedRAMP security packages for review and authorization.
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Benefits Committee Meeting Agenda
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Agenda for a Benefits Committee meeting discussing various benefits-related topics and goals for 2018/2019.
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Benefits Committee Meeting Agenda
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Agenda for Benefits Committee meeting detailing review of minutes, old and new business items related to employee benefits.
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Agent Authorization Form
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A form authorizing an agent to act on behalf of an applicant for property tax assessment appeals in Alameda County, California.
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Agent Authorization Form
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A form allowing landowners to authorize an agent to submit development applications on their behalf.
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Agent Authorization Form For Projects Located In Winter Park, Florida
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A legal document authorizing an agent to represent property owners in municipal applications and proceedings in Winter Park, Florida.
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Author License Agreement Form
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A licensing agreement for authors publishing in American Institute for Conservation specialty group publications, granting publication rights to the publisher.
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Global Direct Deposit And Payroll Distribution Authorization
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A form for employees to authorize payroll distribution to multiple credit union accounts with specific allocation instructions.
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Alabama Durable Power Of Attorney Form
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A legal document that allows an individual to appoint an agent to make property-related decisions on their behalf, without granting healthcare decision-making authority.
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Alabama EWIC Vendor Kickoff Meeting
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Presentation explaining the electronic WIC benefits system for vendors in Alabama, detailing transaction processing and program benefits.
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Medical Records Release Form
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Form authorizing the release of confidential medical records from Allegheny College to a specified recipient.
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Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
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Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
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Accident Coverage Claim Form
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Insurance claim form for reporting accidental injuries and seeking coverage benefits from American Heritage Life Insurance Company.
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ALSPAC DATA ACCESS AGREEMENT
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A formal agreement for accessing research datasets from the Avon Longitudinal Study of Parents and Children (ALSPAC)
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Blue Cross Medical Travel Benefit Claim
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A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
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Enrollment Form
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A comprehensive enrollment form for dental and vision insurance coverage through an employer's benefit plan.
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Enrollment Form
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A comprehensive form for enrolling in dental insurance coverage, including subscriber and dependent information, coverage options, and coordination of benefits.
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ENROLLMENT FORM VISION ONLY
PDF template
A comprehensive enrollment form for vision insurance coverage, allowing employees to add or modify vision insurance benefits.
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EBook Agreement Amendment
PDF template
A contract between an author and Wasteland Press outlining terms for digital book publication and royalty distribution.
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Direct Deposit Form
PDF template
Form for authorizing direct deposit of flexible spending account reimbursements into an employee's checking account.
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Enrollment Change Waiver Group Insurance Form
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Insurance form for enrolling, changing, or waiving group dental insurance coverage for employees and their dependents.
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Hearing Insurance Enrollment Form
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A comprehensive form for employees to enroll in or modify hearing insurance coverage for themselves and dependents.
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Criminal Records Background Check Consent Form For Volunteers
PDF template
Consent form for criminal background checks required for Washington State Department of Natural Resources volunteers with potential access to sensitive environments or populations.
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AMS Simons Travel Grant Program Mentor Pre Authorization Form
PDF template
Form for mentors to pre-authorize travel expenses for AMS-Simons grant recipients
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Anaplan Data Processing Addendum
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A legal document outlining data processing terms and conditions between Anaplan and its client regarding the processing of personal data.
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MEDIA RELEASE FORM PHOTOGRAPHS ANDOR VIDEO
PDF template
Legal document granting Andrew College permission to use an individual's photographs or video for various purposes
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I.B.E.W. LOCAL UNION 363 MONEY PURCHASE PENSION PLAN Annuity Benefit Application Form
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A comprehensive form for members of I.B.E.W. Local Union #363 to apply for pension or annuity benefits, collecting personal, marital, and employment information.
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Anthem Blue Cross Enrollment Form
PDF template
Comprehensive enrollment form for selecting medical and dental insurance coverage through Anthem Blue Cross for employers and employees.
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PPO Dental Blue Complete
PDF template
Comprehensive dental insurance plan offering flexible network options and preventive care coverage for active and retired police association members.
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Short Term Disability Claim Form
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A form for employees to file a claim for short-term disability benefits with insurance details and authorization.
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Out Of Network Vision Services Claim Form
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A claim form for submitting vision care expenses to Blue View Vision when receiving services from out-of-network providers.
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Authorization Agreement For Direct Deposit
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A form for setting up direct deposit for expense reimbursements at Samford University with banking details and compliance acknowledgment.
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Medical Information Release Form
PDF template
A form allowing parents or legal guardians to specify who can receive medical information about their child from Angelina Pediatrics, PLLC.
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Moving And Relocation Pre Authorization
PDF template
Form for obtaining presidential approval for moving and relocation expenses with exceptions to standard procedures.
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APPENDIX 23A FIREARM AUTHORIZATION FORMS
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Document containing authorization forms related to firearm possession, discharge, and storage.
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FIREARM AUTHORIZATION FORM
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A form for obtaining permission to possess and discharge firearms on a natural reserve, requiring safety training documentation and firearm details.
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Disclosure And Authorization Form
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A legal document outlining the intent to obtain consumer reports and investigative consumer reports for employment purposes in compliance with the Fair Credit Reporting Act.
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Consent To Reference And Background Check Form
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Legal authorization form allowing an employer to conduct background checks and reference verifications on a potential or current employee.
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Phased Retirement Application And Reemployment Agreement
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A voluntary program allowing faculty to transition to half-time employment while beginning retirement benefits and maintaining institutional connection.
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Application For Member Survivor Allowance
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Form for survivors to apply for allowance benefits under Massachusetts General Laws, Chapter 32, Section 12A, pending approval of accidental death benefits.
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Application Form For Extra Increase Single Pensioners
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A form for single pensioners in the Caribbean Netherlands to apply for an additional pension increase based on specific eligibility criteria.
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Pension Application Form
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Comprehensive form for individuals applying for pension benefits, collecting personal, marital, and employment information.
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PROJECT APPLICATION FORM
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A comprehensive project application form for church-based mission projects, requiring financial review and construction details.
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Service Request Form
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A form for submitting and tracking information technology service requests within an organization.
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How To Apply For An SVF Plan Retirement Benefit Or Survivor Benefit
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Detailed instructions for volunteer firefighters applying for retirement or survivor benefits through the PERA Statewide Volunteer Firefighter Plan.
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APPLICATIONS Service Request Form
PDF template
Internal form for requesting IT service and system modifications within an organization's technology infrastructure.
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APTA Technology Terms And Conditions White Paper
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A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
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Timesheet Portal Day Rater User Guide
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A comprehensive guide for submitting and managing timesheets through the Timesheet Portal platform for agency workers.
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ARCHERY CLUB EMERGENCY CONTACT RECORD
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A detailed emergency contact and medical information form for participants in the Wilton Family Y Archery Club.
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ARMS User License Agreement
PDF template
Legal agreement governing the use of the Archaeological Resources Management System (ARMS) by researchers and users.
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Alexandria Soccer Association Medical Release Form
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A medical authorization form allowing team officials to obtain medical attention for a child during soccer activities.
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ASB REIMBURSEMENT REQUEST FORM
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A form for students to request reimbursement for school-related expenses with itemized receipts and signatures.
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Saco River Area Ascertainment Report
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A comprehensive report examining telecommunications infrastructure and cable access needs for six rural towns in the Saco River area of Maine.
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Alabama State Port Authority Truck Control Terminal
PDF template
A form for truck drivers to provide required information for delivering cargo at an Alabama port terminal.
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MEDICALVISION CLAIM FORM
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A comprehensive claim form for submitting medical and vision insurance claims, requiring detailed employee and patient information.
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ASTRA SECURITY AUTHORIZATION FORM
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A document outlining security and confidentiality requirements for accessing student data and university systems
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ATHLETIC CLEARANCE PACKET PAYMENT FORM
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A comprehensive form for high school athletes to obtain clearance for sports participation, including health information, parental permission, and fee details.
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WCGS Athletics Travel Permission Form 2022 2023
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A consent form for parents of student athletes allowing transportation and medical authorization for off-campus sports events
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Athletic Camp Medical Release Form
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A medical release and photo consent form for children participating in athletic camps at Southern Illinois University Carbondale.
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Accessible Technology Purchase Form
PDF template
Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
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General Release Form For PhotographyVideographyAudio Recording
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A legal document granting A.T. Still University permission to use an individual's likeness, voice, and personal information for educational and promotional purposes.
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Transportation Billing Form Example
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A billing authorization document for transportation services in the Illinois Early Intervention program, detailing billing requirements and parental rights.
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Fund Eligibility And Membership
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Document detailing eligibility requirements, enrollment procedures, and membership conditions for a health benefits fund.
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Bishop Canevin Attendance Notice
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Official school document for recording student absences, tardiness, early dismissals, and medical appointments.
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MINOR YOUTH EMERGENCY MEDICAL CONTACT, HEALTH HISTORY AND TREATMENT AUTHORIZATION
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A comprehensive medical contact and health authorization form for minors participating in a program, collecting emergency contacts, health information, and parental consent for medical treatment.
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DIAMOND TOOTH GERTIES VISUAL MEDIA RELEASE AUTHORIZATION
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A release form for obtaining authorization to film or photograph at Diamond Tooth Gerties Gambling Hall operated by the Klondike Visitors Association.
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CONSENT FOR AUTHORIZATION FOR USERELEASE OF HEALTH INFORMATION
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A consent form allowing the release of protected health information to a specified recipient with specific conditions and understanding of potential sensitive data disclosure.
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Authorization Form For Insurance Complaint
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A form authorizing a representative to discuss and access medical information related to an insurance complaint or appeal.
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Authorization For The Release Of InformationPrivacy Act Notice
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A consent form authorizing HUD to verify income, employment, and financial information for housing assistance programs.
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Authorization To Invoice Form
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Form for students to authorize sponsorship of tuition and related fees by a third-party organization
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Authorization To Give Medication At School
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A form allowing parents to authorize school staff to administer medication to students during school hours with specific guidelines and liability provisions.
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AuthorS Declaration Form
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A form for authors to declare originality and transfer copyright for a manuscript submitted to a music research journal.
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AUTHORITY To TRAVEL FORM
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A comprehensive form for documenting and obtaining approval for official university travel, including trip details and financial information.
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Authorization And Driving History Form
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A form documenting employee driving authorization, vehicle operation details, and liability requirements for state vehicle use.
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Authorization To Disclose Protected Health Information
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Legal form allowing disclosure of an individual's protected health information under HIPAA and Texas Medical Privacy Act guidelines.
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Authorization For The Administration Of Medication By School, Child Care, And Youth Camp Personnel
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A form authorizing medication administration for children in schools, child care centers, and youth camps, including prescriber and parent/guardian details.
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Authorization For Direct Deposit Form Upload
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A form for authorizing direct deposit of disbursement payments to a bank account for the Foundation for Indiana University of Pennsylvania.
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AUTHORIZATION FOR DIRECT DEPOSIT
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Form for employees to set up direct deposit of wages with their employer using their bank account details.
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Authorization For Direct Deposit Via ACH
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A form authorizing the Queen Anne's County Board of Education to electronically deposit wages into one or two bank accounts.
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Authorization For Mail Ballot Pick Up
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A form allowing voters to authorize a representative to pick up their mail ballot on their behalf in Sacramento County.
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Postal Services Authorization Form
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A form for departments to request and document postal mailing services for batches over 200 pieces.
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Authorization Form
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A form authorizing specific individuals to make medical decisions and perform actions related to a pet's care and treatment.
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Authorization Form For Payroll Check(S) To Be Mailed
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A form allowing employees of Bronx Community College to authorize mailing of their payroll checks to a specified address.
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Authorization Form For The Use And Disclosure Of Patient Health Information For Research Purposes
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A consent form allowing researchers to use and disclose patient health information for a specific research study at the University of Wisconsin - Milwaukee.
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Williamson County Schools Medication Authorization Form
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A form allowing schools to administer medication to students with parental and physician consent, in compliance with Tennessee regulations.
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Authorization Form
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A document allowing property owners to authorize an agent to apply for various municipal permits on their behalf.
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Authorization Form To Release Visa Documents Or Information
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A form allowing students to authorize a family member or friend to handle their visa-related documents and information.
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Williamson County Schools Procedure Authorization Form
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A form for authorizing medical procedures to be administered to a student during school hours, requiring physician and parental consent.
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Customer Consent Form Other Than CeUD
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A form allowing customers to authorize one-time release of specific personal information to third parties by Xcel Energy.
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HIV Related Information Release Authorization Form
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Legal form authorizing release of medical and HIV-related information under New York State confidentiality laws
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AUTHORIZATION TO RELEASEOBTAIN PROTECTED HEALTH INFORMATION
PDF template
A form for authorizing the release or obtaining of patient medical records from Children's Healthcare of Atlanta
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Authorization For The Administration Of Medication By Child Day Care Personnel
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A form for parents/guardians to authorize child day care personnel to administer medication to children, with prescriber and medication details.
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Authorization Form For Use Or Disclosure Of Protected Health Information
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A form allowing authorization for use or disclosure of an individual's protected health information by Sedgwick County.
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Permit Authorization Form
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A form that certifies an authorized agent's permission to obtain permits on behalf of a property owner for construction or installation projects.
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HUD 9886 A Authorization For The Release Of InformationPrivacy Act Notice
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Official HUD form authorizing release of personal and financial information for housing assistance programs.
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Specialty Referral Preservice Authorization Form
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Instructions for specialty referrals and preservice authorization process for healthcare providers, detailing requirements for medical service requests.
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RWR Authorization Form To Add Person To Account
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A form to add an authorized person to a water service account for Rockdale Water Resources
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Authorized Agent Form
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A form allowing business owners to designate authorized agents for submitting permit applications within the City of Austin's corporate limits.
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Authorized Service Provider Agreement
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A legal document outlining terms and conditions for authorized service providers to deliver services under specific contractual arrangements.
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Authorization For Release Of Patient Health Information
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A document authorizing the California State Board of Optometry to access and review patient health records for investigation purposes.
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Information Release Authorization Form
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A form allowing St. Cloud State University international students to authorize release of their personal and academic information to specified contacts.
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Direct Deposit Authorization
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A form to authorize direct deposit of funds from various sources into a First Federal Community Bank account.
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Automatic Bank Draft Cancellation Form
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Form to cancel automatic bank draft for utility service account with St. Lucie West Services District
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Automatic Withdrawal Payment Agreement
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Authorization form for parents to set up automatic tuition payments for Canton Montessori School via bank account withdrawal.
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Auto Pay Agreement Form
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A form authorizing automatic monthly withdrawals for payment to the City of Bowling Green from a personal bank account.
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AV800 NMR Use Approval Form
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A form granting permission for research group members to use the Chemistry department's AV800 NMR spectrometer with specific usage precautions.
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Award Agreement (Agreement To Pay Benefits)
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Official form documenting workers' compensation benefits agreement between an injured worker and employer/insurance carrier.
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Premium And Billing Change Request
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A form for changing insurance premium payment methods, including pre-authorized check plan and billing modifications for American Heritage Life Insurance Company policies.
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Credit Application
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A credit application form for business credit with Atlantic Window & Door, outlining credit terms, payment conditions, and authorization for credit investigation.
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Patient Authorization Form
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A form authorizing AstraZeneca to use and share patient health information for support services and coordination of care.
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Background Check Consent Form
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A consent form allowing an employer to conduct background investigations and consumer reports on a potential or current employee.
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Chesapeake Public Schools ParentGuardian Media Release Form For Students
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A form granting permission for students to be photographed, recorded, or videotaped for school-related media purposes.
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Benefit Application Form (BA1)
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Application form for members of the New Zealand Firefighters Welfare Society to claim benefits and reimbursements.
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OP 95 5 02 Backward Deferred Retirement Option Plan (Back DROP)
PDF template
Operational policy detailing the process for Fire and Police Pension Plan members to apply for retirement using the Backward Deferred Retirement Option Plan.
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Background Check Consent Form
PDF template
Consent form for background checks for volunteers and employees at Archbold United Methodist Church.
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AUTHORIZATION FOR TDPS BACKGROUND CHECK CONSUMER REPORT
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A consent form authorizing Collin County Community College District to obtain criminal background and consumer reports from Texas Department of Public Safety and ChoicePoint WorkPlace Solutions Inc.
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Employee Consumer Authorization And Consent Release
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A document authorizing Undercroft Montessori School and Gallant Background Checks LLC to conduct a comprehensive background investigation for employment purposes.
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CIAC Background Check Consent Form
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Consent form for high school sports officials in Connecticut requiring a criminal background check for officiating authorization.
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National Background Screening Consent Form
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A consent form allowing an organization to conduct comprehensive background checks on an applicant, including criminal records, sex offender registries, and identity verification.
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National Background Screening Consent Form
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Consent form for comprehensive background screening covering criminal records, sex offender registries, and personal information verification.
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National Background Screening Consent Form
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A consent form allowing an organization to conduct comprehensive background checks on an applicant including criminal records, sex offender registries, and address verification.
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Background Inquiry Release
PDF template
A bilingual document authorizing a comprehensive background investigation for employment or residency purposes.
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Background Check Consent Form
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A consent form allowing South Haven Baptist Church to conduct background investigations for volunteers and employees.
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Background Check Consent Form
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A consent form allowing criminal history record disclosure for a non-profit organization's application process.
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Criminal Background Check Waiver Form
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A form authorizing Michigan Tech Department of Public Safety and Police Services to conduct a criminal history background check for volunteer programs involving minors.
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Informed Consent (123B.03) Volunteer Form
PDF template
Consent form for volunteers at Heartland Christian Academy allowing criminal background check and record disclosure.
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Authorization For Release Of Information Background Check Consent Form
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A consent form authorizing First Advantage to conduct a comprehensive background investigation for employment purposes.
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My Choice Wisconsin BadgerCare Plus Authorization Form
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A comprehensive form for requesting healthcare service authorizations under the BadgerCare Plus program in Wisconsin.
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Chronic Appliance Benefit Application Form
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Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
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Bank Withdrawal Pre Authorization Form
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Form for authorizing monthly bank draft for premium payment to Farm Bureau Advantage HMO health plan
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Banner System Access Request Form
PDF template
A form for employees or individuals requesting new or modified access to the Banner system with specific access level details.
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for requesting access to Banner and Unix system modules for Texas Southern University employees
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BANNER DATA REQUEST PROPOSAL FORM
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A form used to request additions, deletions, or changes to data elements in the Banner system at Texas A&M University-Kingsville.
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Baseball Medical Release Form
PDF template
A medical authorization and consent form for baseball participants, allowing medical treatment and acknowledging potential risks of participation.
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BASIC PENSION APPLICATION
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A comprehensive pension application form for members of the Southern California Pipe Trades Retirement Fund seeking to apply for retirement benefits.
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Basic Procurement
PDF template
Comprehensive guide outlining procurement methods, purchase authorization, and purchasing processes for university departments.
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UCF Counseling Psychological Services Billing Form
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A billing and authorization form for counseling services at University of Central Florida, used to document service verification and release of confidential information.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
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SNFAcute IPR Assessment Form
PDF template
Prior authorization form for skilled nursing facility and inpatient rehabilitation services for Blue Cross Blue Shield of Michigan and Blue Care Network providers.
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My Benefit Plan Summary
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Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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Border County Program (BCP) Bank Affidavit Form
PDF template
A form for authorizing release of bank account information for the Border County Program at UTSA
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LCA RA Procedures For Conducting Research And Surveys In City Schools And Obtaining Data
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Administrative regulation detailing procedures for vendors and researchers to request student and personnel data from City Schools, ensuring compliance with FERPA guidelines.
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BCS Fellow (FBCS) Application Guidance For OMs
PDF template
Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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LANDOWNER CONSENT FORM
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A form granting permission for authorized personnel to access private property to address public health and safety risks from beaver or muskrat populations.
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Authorization To Access Plan Information
PDF template
A form for plan sponsors to authorize third-party firms to access institutional plan information at TIAA.
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BENEFIT APPLICATION FORM
PDF template
Application form for pension fund withdrawal with personal and employment details
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Benefit Application Form
PDF template
A form for youth members of the Sipekne'katik First Nation to apply for benefits from their trust.
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Direct Deposit Form
PDF template
Form for employees to set up direct deposit for benefits reimbursements with bank account details and authorization.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
PDF template
Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
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Benefits Billing Form
PDF template
A form for employees to elect benefits continuation options during FMLA or general leave of absence
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Benefits Cancellation Form
PDF template
Form used to remove dependents from an employee's benefits plan and modify coverage options.
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Benefits Cancellation Form
PDF template
Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Dental Insurance Plan
PDF template
Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
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Benefits Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
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ENERGY BENEFIT TRANSFER REQUEST FORM
PDF template
A form for transferring energy benefits between utility vendors and documenting account changes.
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Butterfly Club Opportunity Drawing Ticket Deduction Form
PDF template
Employee authorization form for purchasing Butterfly Club event tickets via payroll deduction
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Benefits 2 Work Enrollment Form
PDF template
A comprehensive form for San Francisco residents seeking employment benefits and counseling, particularly targeting seniors, disabled individuals, and those with limited employment prospects.
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Authorization Form Consumer Report
PDF template
Document authorizing an organization to obtain a consumer report for employment purposes, with personal information collection fields.
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Post DocTrainee Billing Form
PDF template
A form for managing billing and payment details for post-doctoral trainees and their associated departments at the University of Utah.
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We CanT Wait Act Of 2023
PDF template
A bill to allow disabled individuals to elect to receive disability insurance benefits during the mandatory waiting period.
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We CanT Wait Act Of 2024
PDF template
A bill to permit disabled individuals to elect to receive disability insurance benefits during the waiting period.
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Biometric Identifier Collection Authorization Form
PDF template
Authorization form for collecting and using fingerprint data for facility access control at Northwestern University.
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Credit Card Pre Authorization Form
PDF template
A form authorizing The Viva Center to charge credit card for services with pre-approved billing parameters.
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Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for employees to authorize automatic payroll deductions into their health savings account (HSA)
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BOARD OF DIRECTORS TRAVEL FORM Board Meetings Authorization And Advance Request
PDF template
A form for NAESP board members to request travel authorization, advance funds, and provide trip details for board meetings.
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Exhibitor Appointed Contractor Form
PDF template
A form authorizing a non-official contractor to design, set up, and/or dismantle an exhibit at a trade show event with specific insurance requirements.
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Exhibitor Appointed Contractor Form
PDF template
Form authorizing a non-official contractor to design, set up, or dismantle an exhibit at BOMA 2022 trade show event.
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Bond Agreement Between Employee And Employer
PDF template
A legal document outlining the terms of employment, including potential financial obligations and restrictions for employees.
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BostonSight (HIPAA) MEDICAL RECORDS RELEASE FORM
PDF template
A form that allows patients to grant permission for BostonSight to share their medical information with specified individuals or organizations.
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Unemployment Insurance Benefit Payment Guidance
PDF template
Instructions for employers on preventing improper unemployment insurance benefit payments and reducing potential tax impacts.
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License Authorization Form
PDF template
A form for medical facilities to authorize product ordering and certify licensing for prescription drugs, medical devices, and controlled substances.
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Pension Plan Benefit Application Form
PDF template
A comprehensive form for union members to apply for pension benefits, covering member information, reason for benefit request, and required certifications.
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Accessing Breast Pumps For L.A. Care Members
PDF template
Guidance for L.A. Care members on obtaining pre-authorized breast pumps through the healthcare provider's utilization management process.
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BSA Approved Facilities Use Agreement Form
PDF template
A legal agreement between a Diocese/Parish/School, Boy Scouts of America, and a Scouting Unit for facility usage and permissions.
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BSA Approved Facilities Use Agreement Form
PDF template
Agreement between an organization, BSA, and a Scouting Unit for facility usage and terms of use for Scouting activities.
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Informed Consent, Release Agreement, And Authorization
PDF template
A comprehensive consent and medical authorization document for participating in Scouting activities, covering emergency medical treatment and risk acknowledgment.
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Credit Card Pre Authorization Form
PDF template
A form for setting up recurring monthly donations to Back to the Bible Canada via credit card.
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ORIGINALNEW BUDGET
PDF template
A form for establishing original or newly awarded budgets across multiple expense categories with multiple signature approvals.
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Bursar Payroll Deduction Authorization
PDF template
A form allowing employees to authorize or cancel payroll deductions for their bursar account at Xavier University.
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Campus Key Orders And Control
PDF template
Procedure defining key authorization and distribution for County College of Morris campus facilities and buildings.
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Form SSA 634 Request For Change In Overpayment Recovery Rate
PDF template
A form for individuals to request adjustment of Social Security overpayment recovery based on financial hardship and inability to meet necessary living expenses.
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Utah Code 26B 8 514 Standard Health Record Access Form
PDF template
A standardized form for patients or their representatives to request access to medical records in compliance with HIPAA regulations.
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Limited Power Of Attorney And Tax Information Authorization (Business, Estate Or Trust)
PDF template
A form allowing businesses to appoint an agent to handle unemployment insurance tax and benefit-related matters with the Vermont Department of Labor.
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Petition Of AGS, LLC For Gaming Business Continuation
PDF template
Official document from New Jersey Division of Gaming Enforcement reviewing AGS, LLC's authorization to continue gaming-related business transactions with multiple casino entities.
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Opinion Of Trustees ROD Case No. CA 0097
PDF template
A legal opinion addressing a dispute over prescription pre-authorization requirements for Viagra benefits under the Coal Industry Retiree Benefit Act.
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Domestic Travel Request Form
PDF template
A form for requesting and documenting domestic travel arrangements, expenses, and approvals for institutional travel.
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Civil Air Patrol Cadet Activity Permission Slip
PDF template
Permission slip for Civil Air Patrol cadet activities, documenting parental consent and activity details.
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Payroll Check Direct Deposit Authorization
PDF template
A form for employees to authorize electronic transfer of payroll funds to one or multiple bank accounts.
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California Durable Power Of Attorney
PDF template
A legal document allowing an individual to appoint an agent to act on their behalf for various financial and personal transactions.
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FORM B Permission Medical Release
PDF template
Official conduct policy and medical release form for California FBLA student activities and conferences for 2022-2023.
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Statutory Form Power Of Attorney
PDF template
A legal document granting broad powers to an appointed agent to act on behalf of the principal in various financial and personal matters.
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CalPERS 1008 Direct Payment Authorization
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Special Power Of Attorney
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Camp Dina Medical Form PhysicianS Page
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Medical form for physician documentation required for camp enrollment and health tracking.
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Payroll Deduction Authorization
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Booking Form Letter Of Authorization To Charge Credit Card
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Canada Manitoba Housing Benefit Homelessness Stream Application
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Application for financial housing support for individuals at risk of or experiencing homelessness in Manitoba.
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Request To Cancel Coverage Form
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A form detailing reasons and documentation required for canceling health insurance coverage with specific qualifying events.
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Miscellaneous Deductions And Insurances Cancellation Form
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Form for cancelling optional insurance plans and miscellaneous deductions not subject to pre-tax restrictions.
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CLAIM FORM AND INSTRUCTIONS
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Authorization For Nomination Document Filing
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Authorization For Equipment Cannibalization
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CAP Radio Travel Request
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Release Of Information Authorization Form
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Cardinal Financials Access Request Form
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CaregiverS Authorization Affidavit
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Home Health Care Authorization Request Form
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Form for requesting authorization of home health care services with patient and medical details.
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Direct Deposit Form
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Cash Contract Data Field Definitions
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Sales Order Form
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CAU Filming Request Inquiry Form
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Harford Mutual Insurance Group Agency Portal Terms Of Use
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Legal terms governing access and use of Harford Mutual Insurance Group's agency web portal for agents and users.
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Community Benefit Application Form
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An annual application process for community facilities and small businesses to receive support for community development projects from Sennit Construction.
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CarerS Credit Application Form
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CCAC Dual Enrollment ParentGuardian Authorization Form
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Authorization form for high school students to enroll in Community College of Allegheny County courses with parental consent and financial responsibility agreement.
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CCAP 5 Direct Deposit Form
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Credit Card Authorization Form For Film Costs
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Credit Card Authorization Form
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Authorization Form
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Client Credit Card Pre Authorization Form
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Client Credit Card Pre Authorization Form
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One Time Credit Card Payment Authorization Form
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CCB 1149 Depository Institution Authorization Form
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Credit Card Request Form
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Form for requesting and authorizing a corporate credit card with transaction and spending limits.
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Emergency InformationUpdate Form
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Authorization To Disclose Application Assistance Information To Authorized Individuals
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College Credit Plus Course Authorization Form
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Authorization form for students to enroll in college courses while in high school through the College Credit Plus program.
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Covered California For Small Business Change Request Form For Employers
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A form for employers to request changes to their Covered California small business health insurance coverage, including ownership, address, and plan modifications.
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Cottonwood Crossing Summer Institute Health Information Form
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Authorization For Release Of Information
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Consumer Directed Supports (CDS) Notice Of Authorization And Alternate Billing
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Exhibitor Appointed Contractor Form
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CEM Employee Travel Authorization Form
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APPLICATION FOR DISABILITY BENEFIT
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Application form for disability benefits from the Central States, Southeast and Southwest Areas Pension Fund for eligible participants.
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Central States Pension Fund Retirement Declaration
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A document for declaring retirement date, employment status, and receiving pension benefits from the Central States Pension Fund.
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MEDICAL RELEASE FORM
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California Employers Retiree Benefit Trust Sub Account Contribution Form
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CERS Access Request Form
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Form for providing access to an existing business or organization in the California Environmental Reporting System (CERS) when the Lead User cannot do so.
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Certificated Employee Resignation Form
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CERTIFICATION AGREEMENT
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Faculty Travel Form
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GWA SUPERVISOR ENROLLMENT FORM
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Form for establishing or revoking supervisor designation for accessing CARS and GTAS applications in Treasury systems.
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FacultyStaff Payroll Deduction Gift Authorization (UFF R)
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Consent For Release Of Information
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Coast Guard Mutual Assistance Pre Authorization Mutual Assistance Form
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WV Income Maintenance Manual Chapter 2
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Guidelines for reporting changes and maintaining SNAP (Supplemental Nutrition Assistance Program) case eligibility in West Virginia.
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Change Direct Deposit
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Instructions for changing direct deposit payment method by completing and uploading a form to the Benefits Portal.
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STANDARD CHANGE FORM
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Change Of Address Form
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Form for updating personal contact information for 1199SEIU Benefit Funds members.
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NEW ADDRESS CHECKLIST (ACTIVE RETIRED)
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Guide for active and retired members of the Uniformed Firefighters Association to update their contact information and address.
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Approved Authority For Change Order Requests
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University form authorizing specific individuals to sign change order request forms for a department with cash control guidelines.
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VA Form 22 1990 Application For VA Education Benefits
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Official application form for veterans seeking educational assistance benefits through VA programs like Montgomery GI Bill.
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2024 FSA Enrollment Form
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Annual enrollment form for flexible spending accounts covering healthcare, limited healthcare, and dependent daycare expenses for the 2024 plan year.
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Charter License Agreement
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A licensing document for charter boat operators using Port of Newport recreational marina facilities, detailing vessel and operator information.
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Credit Card PolicyPre Authorization Form
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Retirement Checklist
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Comprehensive checklist for teachers preparing to retire, detailing required documentation and steps to complete before retirement.
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Checklist To Enroll In Retiree Health Insurance
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Step-by-step instructions for Dutchess County employees enrolling in retiree health insurance and Medicare
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COPERS Change Of Address Form
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A form for retired city employees to update their contact information with the City of Phoenix Employees' Retirement System.
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Enrollment Into Chiesi Total Care
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Authorization form for patients to enroll in Chiesi's support program for medication and patient services.
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Form OEL FRHCW, Child Care Application And Authorization Form, Declaration Of Emergency Response
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A form for first responders and essential healthcare workers to apply for child care authorization during emergency response periods.
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Child Care Medication Authorization Form
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Child Care Payment Agreement
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Registration and payment agreement for child care services with pre-authorized credit card payment terms and conditions.
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Academic Student Employee (ASE) And Graduate Student Researcher (GSR) Childcare Reimbursement
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Form for UAW-represented student employees to request reimbursement of eligible childcare expenses at the University of California.
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Child Comprehensive Medical Release Permission Form
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Medical release and permission form for children participating in parish or diocesan activities, capturing health information, emergency contacts, and medical history.
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ChildrenS HCBS Authorization And Care Manager Notification Form
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A form for providers to request and document authorization for home and community-based services for children under Medicaid waiver programs.
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Calvary Baptist Church ChildrenS Ministry Participant Permission Medical Release
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A comprehensive permission and medical release form for children participating in Calvary Baptist Church ministry activities during 2024.
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Chronic Illness Benefit Application Form
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An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
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Student Loan Repayment Program
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Official instruction establishing Coast Guard policy for student loan repayment benefits for civilian employees.
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CICP 2 Authorization For Disclosure Of Health Information
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A form authorizing the disclosure of medical records for determining eligibility for benefits from the U.S. Department of Health Resources and Services Administration's Countermeasures Injury Compensation Program.
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Countermeasures Injury Compensation Program Request For Benefits Form
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Form for individuals seeking medical and employment benefits after experiencing a serious injury from a covered countermeasure such as vaccines or medical equipment.
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Enrollment Change Form (Consolidated)
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A comprehensive form for employees to enroll or change health insurance and related benefits with multiple coverage options.
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CIMERLI Solutions Enrollment Form
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Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
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Volunteer Application
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A comprehensive form for individuals seeking to volunteer in Cleveland County Schools, requiring criminal background check authorization and personal details.
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Personnel Security Clearance Form And User Agreement
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A form for requesting security access and clearance for personnel within the Department of Public Safety
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Military Connected New Student Checklist
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A comprehensive guide for military-connected students transitioning to Northern Arizona University (NAU), covering benefit applications and campus resources.
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Virginia Workers Compensation Commission Claim Form
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Official form for filing a workers' compensation claim in Virginia, documenting workplace injury details and requesting benefits.
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Client Authorization Form
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Form for authorizing faculty and staff to access off-site records for specific departments at Emory University.
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Client Insurance Form
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Insurance form for collecting client insurance information and authorizing claims submission and payment
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Account Holder Authorization And Consent Form
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A consent form allowing the Department of Community Services and Development to share utility account information for energy assistance program evaluation.
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ClubTeam Roster Authorization Form
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A form allowing students to authorize release of their information for club or team rosters, in compliance with FERPA guidelines.
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XML Data Format Compliance Form
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A form specifying requirements for XML data file submissions to the Louisiana Court Management Information Systems (CMIS) Office.
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Form CMS 10106 Authorization To Disclose Personal Health Information Release Form
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A form allowing Medicare beneficiaries to authorize the sharing of their personal health information with designated individuals.
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HEALTH INSURANCE CLAIM FORM
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Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
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Health Insurance Claim Form
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Official form for submitting medical insurance claims and capturing patient and insured party information.
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Medicare Redetermination Request Form 1st Level Of Appeal
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Official form for Medicare beneficiaries to request a first-level appeal of a Medicare claim determination.
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Medicare Reconsideration Request Form 2nd Level Of Appeal
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A form for Medicare beneficiaries or providers to request a second-level appeal of a Medicare claim determination.
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Privacy Impact Assessment Benefits Coordination And Recovery Center
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Privacy impact assessment documenting the data collection and processing system for Medicare benefits coordination and recovery processes.
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CMSP 215 Supplemental Application
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Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
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Authorization For Utilities Billing Form
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A form granting permission and financial responsibility for utility billing and services for the City of Columbia.
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COBRADirect Billing Participant Use ONLY ACH Agreement Form
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Form for authorizing automatic health insurance premium payments via bank account deduction.
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Academic Conference Travel Approval Form
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Form for obtaining institutional approval and funding for academic conference travel with detailed expense tracking.
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COG Stipend Authorization Form
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A form for requesting and authorizing employee stipends, detailing payment terms, responsibilities, and associated costs.
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Employee Flexible Spending Account (FSA) Enrollment Form
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Form for employees to enroll in Flexible Spending Account (FSA) options for healthcare and dependent care expenses.
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Camp Medical Form, College Tennis Exposure Camp
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Medical form for participants of a college tennis exposure camp, capturing health history and emergency contact information.
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Account Information Tax Advantage Wellness Programs
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Form for establishing a new account for Tax Advantage Wellness Programs with Colonial Life insurance services.
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Insurance Claim Processing Instructions
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Instructions for submitting an insurance claim, including required documentation and processing details for Colonial Life & Accident Insurance Company.
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System Access Request Form
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Form for requesting system access to the Contract Management System Portal through Secure Access Washington (SAW)
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AUTHORIZATION TO USE AND EXCHANGE INFORMATION
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A multi-agency authorization form allowing specified information sharing among various social service, health, and government agencies in Virginia.
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Community Grants School Pre Authorization Form
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A form for applicants collaborating with school districts to apply for community grants through CFNIL.
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UOFM COMPANY AUTHORIZATION DIRECT BILLING FORM
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A form allowing employees or students to have their employer billed for alternative academic credits through exam or experiential learning.
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UOFM COMPANY AUTHORIZATION DIRECT BILLING FORM
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Form allowing employers to directly bill tuition and fees for employees pursuing higher education at the University of Memphis.
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Company Reimbursement Form
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A form for students with employer tuition reimbursement allowing deferred payment of educational expenses with specific conditions.
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Emergency Contact Form
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A form for students to provide emergency contact details and medical authorization for University of Detroit Mercy.
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COQUILLE SCHOOL DIST. COMPENSATION PRE AUTHORIZATION
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A form for employees to request and receive pre-authorization for extra work hours and compensation
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Media Release Form
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A consent form allowing Central Ohio Music Therapy to use participant interviews, quotes, photographs, and media for non-profit purposes.
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Authorization For Examination Or Treatment
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A medical authorization form for workplace-related medical examinations, testing, and treatment with comprehensive patient and service details.
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Emergency Contact Form
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A comprehensive form for collecting student emergency contact information, medical details, and parental consent for Continuing Education programs.
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Authorization Form For Aggregated Energy Consumption Data
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A form allowing customers to authorize Con Edison to share aggregated energy consumption data with an authorized representative for compliance with local energy laws.
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Authorization Form For Aggregated Energy Consumption Data
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Form authorizing Con Edison to provide aggregated energy consumption data to an authorized representative for specific service addresses.
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CONSENT INSURANCE FORM
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A comprehensive form for collecting medical insurance and consent information for a cadet or applicant, including parent/guardian details and insurance policy information.
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BACKGROUND CHECK CONSENT FORM
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Consent form authorizing the U.S. Air Force to conduct background checks for installation access eligibility.
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Consent For The Release Of Police Information And Disclosure Of Personal Information
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A comprehensive form allowing consent for multiple types of personal information searches, including criminal records, driver records, and background checks.
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Consent Form Arabic
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A form for obtaining consent to share personal information about an individual with another party.
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Community Partner Assistance Consent Form
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Consent form authorizing a community partner organization to assist with health coverage application and enrollment process.
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Consent Form For Travelling Abroad With A Minor
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Official form documenting parental/guardian consent for a minor to travel internationally, including travel and identification details.
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Vermont Secondary College Student ConsentAgreement Form
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Multi-section consent form covering local excursions, image usage, technology use, and digital platform access for students at Vermont Secondary College.
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Volunteer Criminal Background Check Consent Form
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Authorization form allowing Fulton County School District to conduct criminal history background checks for volunteer applicants.
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Consent For Publication Form
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A form granting permission for personal information or medical details to be published in a journal or article while acknowledging potential public exposure.
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Consent To Treat Form
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Parental consent form for chiropractic evaluation and treatment of a child, with specific limitations on diagnostic scope.
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Authorization For Medical Treatment Of Child
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A form allowing school representatives to consent to medical treatment for a student when parents cannot be reached during an emergency.
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Providence Mountain Emergency Services Consent To Treat Form
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Medical release and emergency treatment authorization form for participants in Providence Mountain program from December to May.
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Consent To Treat Release Form
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A form authorizing Woodward School to secure medical treatment for a student in emergency situations when parents cannot be immediately contacted.
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ParentGuardian Authorization For Regular Extracurricular Travel And Consent To Emergency Treatment O
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A school district form authorizing student participation in extracurricular activities and providing emergency medical consent.
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Authorization Informed Consent
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Consent form for behavioral health services covering patient authorization, medical record release, and payment agreements.
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Consentimiento Para Recibir Tratamiento, Cesin De Beneficios Y Garanta De Pago
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A Spanish-language medical consent and insurance benefits assignment form for Northwell Health Dental Medicine patients.
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CONSENT TO TREAT MINOR CHILDREN
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A legal form allowing parents or guardians to provide medical treatment consent for a minor child when the parent is not immediately available.
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Medical Release Form (For Students Under The Age Of 18)
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A consent form allowing medical treatment for students under 18 when parents/guardians cannot be immediately contacted.
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FERPA Authorization And Waiver Form
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A form allowing students to authorize disclosure of their educational records under FERPA regulations at Oklahoma State University.
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Construction Project Authorization Form
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A form used to initiate and document the approval process for construction projects at an organization.
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INDOT Permit Section Consent Form
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A consent form allowing an applicant to authorize a representative to submit documents for obtaining a right of way permit from the Indiana Department of Transportation.
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Federal RetireeS Master Contact List
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Comprehensive contact list for federal retirees to manage benefits, services, and important resources.
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Grants And Sponsored Research Development Contract Authorization Form
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A form used to summarize internal contract details for research and sponsored projects, requiring review and authorization before project commencement.
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City Of Oakland One Stop Permit Center Contractor User Agreement
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An agreement for contractors to register and use the City of Oakland's Online Permit Center for electronic permit submissions and processing.
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Contract Details Register
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Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
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CONTRIBUTORY PENSIONGRATUITY APPLICATION FORM
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An official form for individuals applying for contributory pension benefits in Bermuda, to be submitted within 13 weeks of eligibility.
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Authorized User Requisition Form
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A form for authorized investigators to request controlled substances for research purposes, requiring approvals from institutional committees.
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Request For Group Life Conversion Materials
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Form for obtaining individual life insurance policy after group coverage cessation or reduction
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ING Premier Disability Cancellation Form
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A form for employees to cancel their ING Premier Short Term Disability insurance policy and associated payroll premium deduction.
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Wahluke Jr. High ASB Single Purchase Form
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A form for requesting single purchases using Associated Student Body (ASB) funds for extracurricular activities at Wahluke Jr. High School.
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Copyright Verification And Compliance Form
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Form for verifying copyright permissions for musical selections used in solo and ensemble performances.
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University Of Illinois Library Courtesy Card ApplicationRenewal Form
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Application form for obtaining a library courtesy card at the University of Illinois, requiring specific identification and in-person submission.
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Medical And Photographic Image Release Form
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Combined medical consent and photographic release form for students participating in university training programs
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Things To Think About From A Benefits Perspective During The COVID 19 Pandemic
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A document outlining COVID-19 test reimbursement, free test kit options, and virtual care services for MUSC Health Plan members.
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COVID 19 Domestic Travel Form
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A form for documenting and obtaining approval for domestic travel during the COVID-19 pandemic for Texas A&M AgriLife Research personnel.
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Request For COVID 19 Employer Paid Leave Of Absence
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A form for employees to request paid leave related to COVID-19 circumstances including personal illness, vaccination, or childcare needs.
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Vaccine Recipient Information And Consent Form
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A medical consent form for receiving COVID-19 vaccines, capturing patient information and legal authorization for vaccination services.
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Criminal Trespass Affidavit
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Legal document granting Chicago Police Department authority to enforce trespassing laws on a specific property
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CPT Application Form
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An application form for students seeking Curricular Practical Training authorization at Trine University.
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Direct Deposit Request
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A form for employees to set up or cancel direct deposit banking information for payroll purposes.
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Payroll Deduction Authorization Zia Credit Union
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Authorization form for employees to set up, change, or cancel payroll deductions to Zia Credit Union
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Credential Request Authorization Form
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A form authorizing the release of academic credentials from one institution to another organization or company.
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Credit Application Form
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A comprehensive credit application form for businesses seeking credit from Dimensions Foundation/Nature Explore.
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Credit Balance Authorization Form
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A form allowing students to authorize Curry College to manage credit balances from federal student aid funds and miscellaneous charges.
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Credit Card Authorization Form
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A form authorizing Envoi Networks to charge credit card for setup, subscription, and usage fees.
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Credit Card Pre Authorization Form
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A form authorizing Bearden Behavioral Health to charge a patient's credit card for services, missed appointments, and remaining balances.
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Credit Card Payment Authorization Form
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A form for donors to authorize one-time or recurring credit card payments for charitable contributions
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CreditDebit Card Payment Authorization Form
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A form that allows individuals to authorize credit or debit card payments for services provided by the Alameda County Planning Department.
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Credit Card Authorization Form
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A form allowing Tranquility Psychiatry and Counseling Services to keep a credit card on file for service payments and outstanding balances.
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Credit Card Authorization
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A form for authorizing credit card charges for permit fees with the Fulton County Department of Public Works.
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Credit Card Authorization Form
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A form for authorizing credit card payments with cardholder details and transaction information.
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Credit Card Authorization Form
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Official form for submitting credit card payments to the Michigan Department of Licensing and Regulatory Affairs for various license and permit fees.
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Credit Card Authorization
PDF template
A form authorizing payment via credit card for goods or services, typically used for travel or vendor expenses.
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Credit Card Pre Authorization Form
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A form authorizing Creekside Counseling + Wellness to charge client's credit card for services, copayments, and fees.
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Credit Card Authorization Form
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Form for authorizing credit card payments for Palm Beach County Public Safety Department Consumer Affairs.
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Credit Card Payment Authorization Form
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A form authorizing a one-time credit card charge for permit fees at the Westchester County Department of Health.
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Pre Authorized Payment Health Care Form
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A form authorizing healthcare providers to charge credit card for medical services and insurance balances.
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Credit Card Preauthorization Form
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A form allowing patients to authorize automatic credit card payments for dental services and account balances.
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Credit Card Pre Authorization Form
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Form authorizing Valleycare Gastroenterology Medical Group to charge credit card for patient balances and medical services
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Criminal Background Check Consent Form
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Consent form allowing Hereford Faith & Life Church to obtain a criminal background report for employment or volunteer purposes.
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Criminal Background Check Consent Form
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A consent form for criminal background checks for employment or volunteer positions at Hereford United Methodist Church.
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Criminal Background Check Consent Form
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A consent form authorizing criminal history record information retrieval for employment or school-related purposes in the Calhoun City School System.
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Criminal Background Check Waiver Release Form
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A form for housing applicants to authorize a criminal background check and provide necessary documentation for Texas State Technical College housing application.
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Criminal Background Check Waiver Release Form
PDF template
A form for housing applicants to authorize a criminal background check and release liability for Texas State Technical College.
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Name Based Criminal History Record Information ConsentInquiry Form
PDF template
A form authorizing a criminal history background check for various employment and personal purposes in Georgia.
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Request For Authorization Form (Use For Department Of Music Classes Only)
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Form for undergraduate students seeking authorization for music classes, lessons, and ensembles requiring department consent for Spring 2025.
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Schwab Health Savings Brokerage Account (HSBA) Limited Power Of Attorney (LPOA) Agreement
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A form allowing account holders to authorize an investment advisor to trade assets in their Health Savings Brokerage Account with Charles Schwab.
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Membership Form
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Form for individuals seeking membership to the NDSU Wellness Center, including sponsorship and personal information sections.
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Medical Record Release Authorization Form
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A form allowing patients to authorize the release or obtaining of medical records from Columbia St. Mary's Hospital facilities.
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2012 CIRP CSS SHIPPING FORM
PDF template
Detailed instructions for shipping completed survey questionnaires to the HERI Processing Center
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SHORT TERM DISABILITY CLAIM FORM
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Form for employees to file a claim for short-term disability benefits, including personal and employment details.
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Dependent Care Reimbursement Form
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Form for submitting out-of-pocket dependent care expenses for reimbursement through Peak1 benefits program.
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Customer Information Request Order Form
PDF template
Official form for requesting voter file data and extracts from Ventura County Elections Division
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CVS Caremark Prescription Benefits Guide
PDF template
A guide providing six strategies for saving money and time on prescription medications through CVS Caremark's pharmacy benefits program.
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Unemployment Insurance Benefits Referral Form
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A California state form requiring individuals to apply for Unemployment Insurance Benefits before becoming eligible for CalWORKs.
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Consent For The Medical Treatment Of A Minor
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A consent form authorizing medical treatment for a minor student at Sam Houston State University Health Center with payment responsibility details.
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Travel Request
PDF template
A form for Rotary exchange students to request approval for travel within or outside their host district, documenting travel details and required permissions.
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STATE OF LOUISIANA DRIVER AUTHORIZATION FORM
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Official form for authorizing state employees to drive vehicles on state business and documenting driving credentials and insurance compliance.
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Daily Wager Pre Authorization Form
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A form for documenting and approving daily wage worker activities and pre-authorization details.
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Contractor Authorization Construction General Permit
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A form required for contractors performing earthwork or stormwater control activities in South Dakota, documenting project and contractor details.
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GIS Data License Agreement
PDF template
Step-by-step guide for completing a GIS data license agreement for accessing geospatial datasets from the Coeur d'Alene Tribe.
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Data Privacy High Volume Consent Form Areas Checklist
PDF template
A comprehensive checklist for identifying potential high-volume consent form areas within an institutional setting.
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Data Request Form
PDF template
A form for requesting data from the Minnesota Department of Natural Resources, allowing individuals to request data inspection or copies.
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Data Transfer Agent (DTA) Authorization Form
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A form authorizing an individual to perform secure data transfers between classified and unclassified environments with specific security protocols.
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Data Use And Confidentiality Agreement
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Agreement between The Audience Agency and a client for data sharing and confidentiality in the Audience Answers service.
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HR Records Administration Data Verification Request Form
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A form for collecting comprehensive personal and organizational information for HR record-keeping at the University of Alabama at Birmingham.
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Direct Reimbursement Claim Form
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A form for requesting reimbursement from Davis Vision for out-of-network vision services and eyewear expenses.
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Compensation Policy
PDF template
A comprehensive policy outlining compensation principles, employment classifications, and contractor relationship criteria.
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DB 450 Notice And Proof Of Claim For Disability Benefits
PDF template
Instructions for filing a disability benefits claim in New York State, detailing submission requirements and process for employees and recently unemployed individuals.
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New York State Disability Benefits Rights Statement
PDF template
Informational document outlining disability benefits rights for employees in New York State under Section 229 of the Disability and Paid Family Leave Benefits Law.
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Emergency Consent Form
PDF template
A medical consent form that allows parents or guardians to provide advance authorization for emergency medical treatment of a child.
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Dauphin County Library System Requisition Form
PDF template
A procurement document used by the Dauphin County Library System to request and authorize purchases from vendors.
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Emergency Medical Release
PDF template
A comprehensive medical release form for participants, collecting emergency contact, health, and treatment authorization information for minors.
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DD FORM 2656
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A military form for establishing retired pay accounts, beneficiary designations, and Survivor Benefit Plan elections for military personnel.
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Authorization For Disclosure Of Medical Or Dental Information
PDF template
A form authorizing the release of an individual's protected health information to specified parties for various purposes.
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VA Fiduciary Hub Financial Institution Information Form
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A document for veterans' fiduciaries to establish or update direct deposit and account titling with the Department of Veterans Affairs.
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Affidavit To Request Replacement Of SNAP Benefits
PDF template
Form for requesting replacement of SNAP benefits lost due to household misfortune or electronic benefit theft in Oregon.
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Claim For Disability Insurance (DI) Benefits
PDF template
Authorization form for releasing medical information to process a disability insurance claim with the California Employment Development Department (EDD).
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DEATH BENEFIT APPLICATION FORM
PDF template
A form for processing retirement and terminal benefits for deceased retirement savings account (RSA) holders and their next of kin.
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DECA ICDC 2023 Registration Guide
PDF template
Official registration and permission form for DECA conference attendance, including medical authorization and conduct agreement.
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Declaration Of Ownership And Authorization Form
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Form for property owners to declare ownership and authorize payment details for rental property participation in housing assistance program.
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Declaration Of U.S. Citizenship, Or Non Citizenship With Eligible Immigration Status, And Authorizat
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A form for declaring U.S. citizenship or eligible immigration status for housing assistance purposes.
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Decrease Election Form For Supplemental Life Insurance
PDF template
A form for active state employees to reduce their supplemental life insurance coverage in prescribed increments.
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Payroll Deduction Cancellation Form
PDF template
Form for employees to cancel various payroll deductions for insurance, benefits, and voluntary contributions.
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Deduction Change Form
PDF template
Form for employees to modify payroll deductions, canceling or changing existing deductions.
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DEFINED BENEFIT PLAN CHANGE OF ADDRESS FORM
PDF template
A form for SERS members to update their mailing address for retirement benefits communication.
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Degree Verification Authorization
PDF template
Authorization form allowing verification of academic credentials from multiple educational institutions
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Designated Eligible Individual (DEI) Enrollment Form 2024
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Form for Michigan Tech employees to enroll a non-spouse individual for health coverage under specific eligibility criteria.
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Agency Form
PDF template
Form allowing a customer to designate an agent to perform specific responsibilities related to gas pipeline and energy service agreements.
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Delta Dental EnrollmentChange Form
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage with Delta Dental plans
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Delta Dental Of Minnesota Membership Enrollment Form
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Membership enrollment form for Delta Dental insurance coverage, allowing employees to select dental plan options and enroll dependents.
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UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS PRESTON LEE DENT V. ROBERT A. MCDONALD
PDF template
Legal document detailing an appeal regarding the overpayment of non-service-connected pension benefits and the effective dates of benefit reduction.
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ADA Dental Claim Form Instructions
PDF template
Comprehensive instructions for completing the ADA Dental Claim Form, including general instructions, coordination of benefits, and National Provider Identifier requirements.
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Delta Dental Of Wisconsin EnrollmentChangeWaiver Form Dental
PDF template
A form for enrolling in, changing, or waiving dental insurance coverage through an employer's group plan with Delta Dental of Wisconsin.
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COBRA Dental Insurance EnrollmentWaiver Form
PDF template
A form for employees to enroll in or waive dental insurance coverage, with options for adding or dropping dependent coverage under COBRA.
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Dental Insurance EnrollmentWaiver Form
PDF template
A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
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Employee Enrollment Form
PDF template
Comprehensive form for employee insurance enrollment with personal information and coverage details.
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Dental Insurance EnrollmentChange Form
PDF template
A form for employees to enroll in or modify dental insurance coverage, including dependent information and policy details.
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Dental Waiver Form
PDF template
A form allowing civil service staff to waive enrollment in Genesee Community College's group dental insurance plan.
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Dental Medical Release Form Template
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A template form for patients to authorize medical information release and consent for dental treatment.
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DentalVision Enrollment Form
PDF template
Detailed guide for completing a dental and vision insurance enrollment form with step-by-step instructions.
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LEAVE REQUEST FORM
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A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
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LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
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Health Insurance Enrollment Form
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A comprehensive form for active employees to enroll in health insurance plans, select medical providers, and manage flexible spending accounts.
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DependantS Pension Application Form
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A form for Nestl European Pension Fund members to nominate a financial dependent to receive pension benefits in the event of the member's death.
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DEPENDENT CHILD CERTIFICATION
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Form for certifying dependent child eligibility for Texas Employees Group Benefits Program, with multiple certification options based on child relationship and tax claiming status.
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Department Authorization Form
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Form for authorizing departmental personnel to operate university or state-owned vehicles with specific driver requirements and responsibilities.
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Departmental Software Order Form
PDF template
A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
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DHA Form 131, TRICARE Prime Travel BenefitCombat Related Disability Travel Patient Information Works
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Form for documenting specialty care and non-medical attendant travel requirements for TRICARE Prime enrollees.
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DHS 2240 Change Report
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A form used to report changes in household composition, income, and other key life events within 10 days of occurrence.
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NWU2014 04 01 Participant Contact Form Data Dictionary
PDF template
A data dictionary for documenting participant contact form variables and metadata for a research study.
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MDA2014 04 01 Specimen Shipping Form Tissue Data Dictionary
PDF template
A comprehensive data dictionary for tracking and recording specimen shipping information for tissue samples across multiple medical institutions.
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CCGISC Data Policy
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A license agreement for accessing and using digital geographic information system (GIS) data from the Champaign County GIS Consortium.
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Digital Signature Delivery Form
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Official form for architects, engineers, and surveyors to submit digital signatures for initial verification in the Orlando permitting process.
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UDENYCA Solutions Enrollment Form
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Enrollment form for patients seeking information about UDENYCA medication and insurance verification services.
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Veterans Certification Request (VCR)
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A form for veterans and military-affiliated students to request educational benefits and certification at Southeastern Louisiana University
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EmployerS Authorization To Make Purchases On Behalf Of An Exempt Governmental Or Nonprofit Organizat
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A form enabling exempt governmental or nonprofit organizations to make purchases or rental arrangements with authorization from an authorized representative.
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Authorization For Direct Debit (ACH Debits)
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A form authorizing Preucil School of Music to initiate automatic monthly debits for tuition and other charges from a bank account.
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Jackson State University FacultyStaff AUTHORIZATION FOR DIRECT DELIVERY OR PICK UP
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A form for documenting and authorizing delivery or pick-up of purchased items for university departments
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Jackson State University FacultyStaff Authorization For Direct Delivery Or Pick Up
PDF template
A form authorizing pick-up or direct delivery of items purchased under a specific purchase order at Jackson State University.
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Direct Deposit Authorization And Cancellation Form
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A form for employees to set up, change, or cancel direct deposit banking information with Kaleida Health.
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ACH Direct Deposit Of Payroll Authorization Agreement
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A form authorizing an employer to make direct deposit of payroll into one or two bank accounts.
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Payroll Direct Deposit Form
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Form for employees to set up or modify direct deposit payroll payments at Hope College.
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M NCPPC Direct Deposit Form
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A form for Maryland-National Capital Park and Planning Commission employees to set up or modify direct deposit banking information for payroll.
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Direct Deposit Agreement Form
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A form authorizing Proline Management Ltd. to deposit funds directly into a specified bank account for rental property payments.
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Direct Deposit Authorization Form
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Form authorizing automatic deposits and withdrawals to an employee's bank account by The University of the South.
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Direct Deposit AgreementDeclination Form
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A form for authorizing or declining direct deposit payments from the Early Learning Coalition of Brevard County, Inc.
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DIRECT DEPOSIT AUTHORIZATION FORM FOR STUDENTS
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A form allowing Colgate University students to set up direct deposit for payments or refunds.
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Authorization For Direct Deposit Via ACH
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A form for employees to authorize electronic wage deposits into one or two bank accounts by the Queen Anne's County Board of Education.
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Direct Deposit Authorization Manual Claim Reimbursement
PDF template
A form allowing employees to authorize direct deposit of claim reimbursements into a checking or savings account.
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Direct Deposit Form
PDF template
A form for employees to set up, modify, or cancel direct deposit of their payroll earnings with their financial institution.
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Caltech Direct Deposit Authorization
PDF template
Form for Caltech individuals to enroll, update, or cancel direct deposit payments from Payment Services.
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Direct Deposit (EFT) Authorization Form
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A form for Health Sciences Association of BC members to authorize electronic direct deposit of payments to their bank account.
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Direct Deposit Authorization Form
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A form allowing employees to authorize direct deposit of their paycheck into one or more bank accounts.
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TD Canada Trust Direct Deposit Form
PDF template
A form for setting up direct deposit of payroll, benefits, pension, or other payments with TD Canada Trust.
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DIRECT DEPOSIT AUTHORIZATION AND INPUT FORM
PDF template
Official form for state employees to set up or modify direct deposit banking information for payroll services.
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Payroll Direct Deposit Form
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Form authorizing direct deposit of employee payroll payments for West Virginia University employees
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Direct Deposit Authorization Form
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A form authorizing electronic transmission of payroll funds to an employee's bank account at Widener University.
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Authorization For Direct Deposit Of Retirement Payment
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Form for setting up direct deposit of retirement payments from the City of Cincinnati Retirement System
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Hollins UniversityADP Direct Deposit Authorization Form
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A form for Hollins University employees and students to set up or modify direct deposit banking information for payroll and reimbursements.
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Direct Deposit Form
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A form for setting up automatic direct deposit of payroll or other funds into a Bank of Hawaii account
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Vanderbilt University Direct Deposit Authorization Form
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A form authorizing Vanderbilt University to deposit payroll funds into specified bank accounts
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Direct Deposit Form
PDF template
Form for employees to authorize direct deposit of flexible spending reimbursements through Auxiant.
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City Of Austin Employees Retirement System Direct Deposit Form
PDF template
Form for retired City of Austin employees to set up electronic monthly annuity payments to a chosen financial institution.
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SBCERS Direct Deposit Authorization
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Form for authorizing direct deposit of retirement allowance with Santa Barbara County Employees' Retirement System
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Direct Deposit Form
PDF template
A form for employees to set up direct deposit of payroll checks with their employer and financial institution.
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STATE OF MARYLAND PAYROLL DIRECT DEPOSIT AUTHORIZATION
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Official form for Maryland state employees to establish, change, or discontinue direct deposit of their salary.
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Direct Deposit Authorization Form
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Form for authorizing direct deposit of wages by an employer into an employee's bank account.
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Direct Deposit Authorization Form
PDF template
Form for employees to provide banking details for payroll direct deposit at Blue Ridge Community College.
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Direct Deposit Employee Authorization Form
PDF template
A form for employees to authorize automatic payroll deposits into bank accounts, including options for new, changed, or additional deposits.
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DIRECT DEPOSIT ENROLLMENT AUTHORIZATION (DEDUCTIONS)
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State of California form for authorizing direct deposit of organizational deductions and specifying banking details.
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INFORMATION AND AUTHORIZATION REGARDING DIRECT DEPOSIT
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A form for employees and students to set up or modify direct deposit payment information for payroll and accounts payable purposes.
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Direct Deposit Authorization Form
PDF template
A form for employees, students, or vendors to provide bank details for direct deposit of funds by the organization.
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Finance Business Services Direct Deposit Authorization Form
PDF template
A form for employees, students, or vendors to provide bank account details for direct deposit payments.
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Authorization Agreement For Direct Deposits
PDF template
A form allowing employees to set up direct deposit of their paycheck with bank account details and authorization.
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DIRECT DEPOSIT REQUEST FORM
PDF template
Form for employees to authorize direct deposit of paycheck into a bank account.
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CommuteSmart Direct Deposit Authorization Form
PDF template
A form allowing students to set up, change, or stop direct deposit for tuition refunds and payments at Palo Alto University.
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Employer Authorization Direct Deposit Form
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A form allowing employees to authorize direct deposit of their payroll into a bank account at Webster Bank.
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Direct Deposit Form
PDF template
Form for setting up direct deposit of payments from Kansas Payment Center to a personal bank account.
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Direct Deposit Form
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A form for employees to set up, change, or cancel direct deposit of their paycheck into a financial institution account.
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Direct Deposit Authorization For Automated Deposits (ACH Credits)
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A form authorizing Trinity University to make direct deposits into a specified bank account and enabling reimbursements, vendor payments, or student payments.
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Direct Deposit Authorization
PDF template
A form for employees to set up, modify, or cancel direct deposit banking information for payroll purposes.
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Direct Deposit Enrollment Form
PDF template
A form allowing employees to set up direct deposit of their paycheck into bank accounts with authorization and account details.
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Authorization For Direct Deposit
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A form for setting up direct deposit payments with Family Partnerships of Central Florida, detailing account and authorization information.
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Authorization For Direct Deposit
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A form for enrolling in direct deposit reimbursement with Family Partnerships of Central Florida, providing banking details for automatic payments.
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Authorization Agreement For Direct Deposit
PDF template
A form for employees to authorize direct deposit of their paycheck into one or more bank accounts.
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Payroll Direct Deposit Authorization Form
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A form for employees to set up or modify direct deposit banking information for payroll at Coquille School District
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Electronic Direct Deposit Authorization Agreement For Pre Authorized CreditsDebits
PDF template
A form for employees to authorize electronic direct deposit of payroll funds into their bank account(s)
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Direct Deposit Authorization Form
PDF template
A form for employees to authorize electronic paycheck direct deposit into one or more bank accounts.
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Payroll Direct Deposit Authorization Form
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Form for University System of New Hampshire employees to authorize electronic direct deposit of fixed amounts from their paycheck.
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Direct Deposit Form For Related Entity Employees
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A form for employees to provide bank account details for receiving salary payments via direct deposit.
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Direct Deposit Authorization
PDF template
Form for setting up or modifying direct deposit banking information for employee payroll
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Employee Direct Deposit Authorization Instructions
PDF template
Form for employees to set up automatic paycheck deposits into one or two bank accounts with verification requirements.
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Form 61 (Rev July 2021) UNITED ASSOCIATION NATIONAL PENSION FUND DIRECT DEPOSIT AUTHORIZATION FORM
PDF template
Form for authorizing direct deposit of pension fund benefits and providing bank account details for benefit payments.
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Direct Deposit Authorization Agreement
PDF template
A form for employees of Natomas Unified School District to set up electronic paycheck deposits into a bank account.
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Wheaton College Authorization For Direct Deposit
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A form for employees or students to set up or modify direct deposit payment information for payroll and accounts payable transactions.
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EP CU Direct Deposit Authorization Agreement
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A form authorizing automatic deposits and withdrawals with a financial institution, specifically for EP Federal Credit Union.
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Direct Deposit Authorization Form
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A form for employees to authorize direct deposit of wages to a bank account, with options to start, stop, or change existing direct deposit arrangements.
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Direct Deposit Sign UpAuthorization Form
PDF template
Form for employees to set up direct deposit for paycheck with options for primary and secondary bank accounts.
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Direct Deposit Authorization Form
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A form to authorize employer direct deposit of funds into a Rogue Credit Union account.
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Direct Deposit Authorization Form For RETIREES
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A form for retirees to authorize direct deposit of their retirement payments into one or two financial institutions.
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Direct Deposit Authorization Form
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Form for authorizing direct deposit of retirement benefits for Alameda County Employees' Retirement Association members.
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Authorization Agreement For Direct Deposit
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A form for School District of Philadelphia employees to set up or change direct deposit banking information for payroll.
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STD. 699
PDF template
California state employee form for authorizing direct deposit of wages and salaries
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Direct Deposit Form To Employer
PDF template
A form allowing employees to set up or modify direct deposit banking information with their employer
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Direct Deposit Enrollment Request Form
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A form for enrolling in or changing direct deposit information for electronic fund transfers with Metro Housing|Boston.
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Direct Deposit Authorization
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A form for employees to authorize direct deposit of paycheck into a bank account at SkyOne Federal Credit Union.
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AUTHORIZATION FOR AUTOMATIC PAYROLL DEPOSIT
PDF template
A form authorizing Pendleton School District to deposit payroll directly into an employee's bank account.
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Direct Deposit Form
PDF template
A form used to authorize direct deposit of funds into a personal bank account
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Direct Deposit Authorization For Brokers
PDF template
Form for California Dental Network Producers to set up electronic commission payments via direct deposit into their bank account.
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Parkside Credit Union Direct Deposit Form
PDF template
A form for employees to authorize direct deposit of wages into a Parkside Credit Union account.
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AUTHORIZATION AGREEMENT FOR ACCOUNTS PAYABLE ACH DIRECT DEPOSIT
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Form for authorizing electronic direct deposit payments to a financial institution account by Utah County Government.
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Direct Deposit Authorization
PDF template
A form for authorizing direct deposit of support payments by the Michigan Department of Health and Human Services.
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Request For Direct Deposit Form
PDF template
A form for employees to set up direct deposit of their payroll funds with Haverhill Public Schools.
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Direct Deposit Form Direct Deposit Switch Kit Form
PDF template
A form to authorize direct deposit of payroll or credits into an employee's Abbey Credit Union account
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ACHform 2022
PDF template
A form for pension plan members to set up or modify direct deposit banking information for retirement benefits.
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Direct Deposit Authorization Payroll Deduction
PDF template
A form authorizing an employer to deduct salary amounts and deposit funds into a credit union account
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Child Support Direct Deposit Authorization
PDF template
Form for authorizing direct deposit of child support payments by Maryland Child Support Enforcement Administration
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Columbus County Direct Deposit Form
PDF template
Form for employees to authorize direct deposit of payroll funds into their bank accounts.
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DOTM FORM DAL Request Form
PDF template
A form for employees to request COVID-19-related leave under the Department of Military's Directors Authorized Leave policy.
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DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
PDF template
A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
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Disability Allowance To Service Retirement Application
PDF template
A form for CalSTRS members transitioning from disability allowance to service retirement, providing instructions for benefit conversion.
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Disability Benefit Application Form
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Official government form for applying for disability benefits in Bermuda, detailing eligibility requirements for contributory and non-contributory disability benefits.
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PSOB Disability Benefits Program Checklist
PDF template
A comprehensive checklist for filing disability claims for public safety officers with the U.S. Department of Justice's PSOB Office.
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SUPPLEMENTAL DISABILITY CLAIM FORM
PDF template
Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
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Group Disability Claim Filing Instructions
PDF template
Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
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DISABILITY HEALTH WELFARE HOURS CLAIM FORM
PDF template
A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
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Disability Coverage Claim Form
PDF template
Insurance claim form for filing a disability coverage claim with American Heritage Life Insurance Company.
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Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Delta Pilots Mutual Aid Disability Claim Form
PDF template
Disability claim form for Delta pilots to request benefits and authorize medical information release and payment processing.
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Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
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Disability Claim Form Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
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New York State NOTICE AND PROOF OF CLAIM FOR DISABILITY BENEFITS
PDF template
Official New York State form for filing a disability benefits claim, to be used by employees who became disabled while employed or within four weeks of employment termination.
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MetLife Disability Insurance Guide
PDF template
A comprehensive guide for reporting disability claims and absence procedures through MetLife insurance.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim with the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
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Supplementary Disability Claim Form
PDF template
A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
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Disability Support Pension Application Form
PDF template
A comprehensive form for individuals seeking financial support due to disability, covering eligibility, evidence requirements, and application process.
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SI 11268 Your Disability Benefit Claim
PDF template
Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
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How To File A Claim For Weekly Disability Benefits
PDF template
Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
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Payroll Deduction Authorization Form
PDF template
A form allowing FIU employees to authorize payroll deductions for summer camp registration expenses.
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Retirement Scheme Divorce Benefit Information Form
PDF template
A form collecting member details for potential benefit distribution in the event of a divorce order affecting a retirement fund
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Retirement Scheme Divorce Benefit Information Form
PDF template
A form for collecting member information related to potential benefit distribution in the context of a divorce order
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DMA 5044 Consent For Release Of Information
PDF template
A form allowing an individual to authorize the release of personal information to a County Department of Social Services for eligibility determination.
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SAD AnnualPersonal Day Leave Request Form
PDF template
A form for service members to request annual or personal leave, documenting leave balances and obtaining approval from command.
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Media Release Form
PDF template
Official form granting the State of Alaska permission to use an individual's photographic, video, or verbal content for public communication purposes.
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MelRoeS School Of Dance Competition Team Parent Permission Student Commitment Form
PDF template
Form for dance students to obtain parental permission and commit to regional and national dance competitions.
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DOCUMENT RETURN FORM
PDF template
A form allowing applicants to specify their preference for document return or destruction after placement on a Qualification List.
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Authorization For The Release Of Health Information And Confidential HIV Related Information DOH 255
PDF template
A form for releasing general health and HIV-related information to single or multiple healthcare providers with specific guidelines for usage.
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Authorization For Use Or Disclosure Of Protected Health Information (PHI)
PDF template
A legal form allowing authorized use and disclosure of an individual's protected health information by the Hawaii State Department of Health.
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Travel Policy
PDF template
Comprehensive policy for standardizing travel authorization, justification, and reimbursement procedures for Department of Health staff, contractors, and volunteers.
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Good Fit Domestic Partner Affidavit
PDF template
A form for active and retired employees to add or terminate domestic partner and dependent coverage for various insurance plans.
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Authorization For Student Domestic Travel Form
PDF template
Official form for authorizing and documenting student travel at the University of Texas Rio Grande Valley.
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Donor Leave Request Form
PDF template
A form for employees to request leave for organ, blood, or other donation activities under the Kansas State Donor Program.
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Sample Authorization For Direct Payment Via ACH (ACH Debit)
PDF template
A consumer authorization form for electronic fund transfers via ACH debits from a bank account.
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Oklahoma Department Of Public Safety Driver Data Information Request
PDF template
A form for requesting driver information from the Oklahoma Department of Public Safety for various authorized purposes such as insurance claims, employment, and other permitted uses.
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Disability Benefit Application Instructions
PDF template
Comprehensive instructions for submitting a disability benefit application, including eligibility requirements and submission guidelines.
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STATE OF LOUISIANA DRIVER AUTHORIZATION FORM
PDF template
Annual form for authorizing state employees to drive vehicles on state business and verifying driving credentials
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New Drivers Of University Vehicles
PDF template
Form for collecting driver information and authorization for new drivers of university vehicles, specifically for golf carts or low-speed electric vehicles.
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Driveway Inspection Form
PDF template
Official form for documenting driveway specifications and compliance with local regulations for construction and access.
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DROP Enrollment Form New Participant
PDF template
A form for qualifying members to enroll in the Municipal Fire and Police Retirement System of Iowa's Deferred Retirement Option Plan.
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PHARMACY AGREEMENT
PDF template
Working agreement between the North Carolina Division of Services for the Blind and participating pharmacies for pharmaceutical services to consumers.
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Credit Card Authorization Form
PDF template
A form for processing one-time credit card payments for various city services, requiring detailed information and submission guidelines.
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Direct Deposit Enrollment Authorization Form
PDF template
Authorization form for electronic benefit payments through direct deposit for Social Services programs in North Carolina.
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DTCC Data Repository (U.S.) LLC SEC Exhibit U
PDF template
Compilation of contract documents governing security-based swap data repository services and user agreements for DTCC data repositories.
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Dual Credit Authorization Form
PDF template
A form for high school students to participate in dual credit courses at the University of Texas Rio Grande Valley
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Cerritos College Dual Enrollment Authorization Form
PDF template
Form for TK-12 institutions to authorize representatives for dual enrollment participation at Cerritos College.
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APPLICATION FOR USE OF SCHOOL FACILITIES (BUILDINGSALL FIELDS)
PDF template
Application form for organizations seeking to use Duanesburg Central School facilities, outlining usage terms and responsibilities.
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Durable Power Of Attorney
PDF template
A form allowing employees to designate an attorney-in-fact to conduct insurance-related transactions with the Employees Group Insurance Division (EGID).
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Richmond Retirement System Durable Power Of Attorney Fact Sheet
PDF template
A legal document explaining how Richmond Retirement System members can designate an agent to manage their retirement benefits under specific conditions.
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Direct Deposit Authorization Form
PDF template
Form authorizing electronic deposit of compensation to a specified bank account by Daniel & Yeager, LLC and Regions Bank.
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Credit Card Pre Authorization Form
PDF template
Form for customers to set up automatic credit card payment processing for Dynacare services.
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Employee Benefit Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and vision benefit plans.
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Employee Academic Tuition Waiver Request Form
PDF template
A form for Cameron University employees to request tuition waivers for themselves or their dependents for academic courses.
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EagleOne Payroll Deduction Form
PDF template
Form for employees to request payroll deductions for their EagleOne account with specified amount options.
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DENTAL APPLICATION AND POLICY CHANGE
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage, including options for new employees, open enrollment, COBRA, and membership changes.
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BuilderSub Contractor Form
PDF template
A form for recording builder and sub-contractor details for new home construction in a community association
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Direct Deposit Authorization GenWell
PDF template
Authorization form for tribal members to set up or modify direct deposit banking information for payments
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Legal Brief For Freelance Writers
PDF template
A comprehensive legal guide covering copyright, contracts, libel, and privacy issues for freelance writers.
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Comprehensive Examination Form Permission Results
PDF template
A form for graduate students in the College of Education and Behavioral Sciences to document comprehensive exam permission and results.
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Claims Submission Form
PDF template
A form authorizing healthcare providers to submit and exchange personal information for insurance claims processing and benefits administration.
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Electronic Transmission Authorization And Consent Form
PDF template
A form authorizing electronic submission and exchange of personal health information for insurance claims processing and administration.
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ECM Authorization Information And Checklist (Form A)
PDF template
Guidance for ECM providers on submitting authorization requests and required documentation for CenCal Health's Enhanced Care Management program.
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DIRECT DEPOSIT FORM
PDF template
Form for employees to specify bank account details for paycheck direct deposit distribution across up to three accounts.
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Direct Deposit Request
PDF template
A form for employees to authorize direct deposit of paycheck or other payments into a specific bank account.
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Montana Conduent EDI Provider Enrollment Form
PDF template
A form for healthcare providers to enroll in electronic data exchange and authorize billing agent/clearinghouse transactions in Montana.
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Direct Deposit Form
PDF template
A form for authorizing direct deposit of payments to a checking or savings account at Tri-County Technical College.
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Foundation Contribution Payroll Deduction Form
PDF template
A form allowing GRCC employees to authorize payroll deductions for foundation scholarships and contributions.
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Education Verification Consent Form
PDF template
A form that allows students to provide consent for releasing their educational records and verification of enrollment information.
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Direct Deposit Authorization Form
PDF template
Form for employees to authorize electronic deposit of benefit reimbursements to a bank account
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New York Council Of Nonprofits, Inc. Enrollment Form
PDF template
Enrollment form for Health Care and Dependent Care Flexible Spending Accounts with options for salary reduction and reimbursement methods
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Security Clearance Instructions For Construction
PDF template
Detailed instructions for obtaining security clearance and access for construction work at Southwest Corporate Center.
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HSA Enrollment Form
PDF template
A form for enrolling in a Health Savings Account through an employer, allowing employees to set up contributions.
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Power Of Attorney (POA)
PDF template
A form allowing participants or beneficiaries to designate an agent to act on their behalf with the Pension Benefit Guaranty Corporation (PBGC).
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EFT 1 Authorization Agreement For Certain Electronic Payments
PDF template
Form for authorizing electronic tax payment methods with the Illinois Department of Revenue for various tax types.
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Automated Payment Authorization Form Instructions For PNC Mortgage And Home Equity Accounts
PDF template
Instructions for setting up automated mortgage and home equity account payments with PNC Bank, including payment options and processing details.
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Automated Payment Authorization Form For PNC Mortgages
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A form allowing PNC mortgage borrowers to set up automatic payments for their mortgage loan with options for payment amount and transfer delay.
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Guide To Employing Staff
PDF template
A comprehensive guide for employers on recruitment, employment agreements, and hiring processes in New Zealand.
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Extended Health Care Claim Form
PDF template
A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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Disclosure To Employment Applicant Regarding Procurement Of A Consumer Report
PDF template
A document authorizing Epiphany Lutheran Church to obtain consumer reports and background information for employment or volunteer screening purposes.
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EZ Retirement Plan Enrollment Form
PDF template
Enrollment form for Florida Retirement System employees to choose between Investment and Pension Plan options.
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General Retirement Plan Enrollment Form
PDF template
Enrollment form for new employees to choose between retirement plan options in the Florida Retirement System for Regular, Special Risk, and Special Risk Administrative Support Class Employees.
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Authorization To Receive Customer Information Or Act Upon A CustomerS Behalf
PDF template
A legally binding form that allows a customer to appoint a third party to act as their agent for specific utility accounts.
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Electronic Billing Authorization Form
PDF template
Authorization form for residents to opt into electronic utility billing with the City of Primghar.
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Consent Form For Electronic Distribution Of Benefit Materials And Notices
PDF template
A consent form allowing employees to receive electronic copies of benefit materials and notices from Michigan State University.
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Authorization Agreement For Electronic Funds Transfer (EFT)
PDF template
Instructions for healthcare providers to set up or modify electronic funds transfer payment methods with Washington State Health Care Authority.
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Electronic Payment Authorization Form
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Form for enrolling in electronic payment methods for child support payments via Way2Go Card or direct deposit
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Electronic Payment Authorization Agreement Form
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A form for employers to set up electronic payment methods for various California State Teachers' Retirement System contributions and payments.
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Electronic Payment Authorization Agreement Form
PDF template
Form for setting up electronic payment methods for California State Teachers' Retirement System contributions and payments
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Direct Deposit Authorization Form
PDF template
A form for setting up or modifying direct deposit banking information for payroll or expense reimbursement.
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Data Assessment Form Route Elevations
PDF template
Assessment of route elevation data derived from 2017 Asset Data Collection, focusing on median elevation information for state routes.
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Active Directory And Email Access Request Form
PDF template
Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
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Emergency Contact Changes
PDF template
A form for updating emergency contact information for a child's care center, including parental and emergency contact details.
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EMERGENCY CARE AND CONTACT FORM
PDF template
A school form for collecting student medical information, emergency contacts, and parental authorization for medical care.
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Emergency Contact Health Form
PDF template
Health and emergency contact form for participants in Lake County Forest Preserve programs, including medical information and treatment authorization.
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Emergency Contact Parental Consent Form
PDF template
A comprehensive form for collecting emergency contact, medical, and consent information for children in care.
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Main Line Art Center Emergency Contact Form
PDF template
A required form for parents to provide student and emergency contact information for art center classes or camps.
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ACA After School Day Care Emergency Contact Form
PDF template
A form for collecting emergency contact and medical information for children attending after-school care program
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Emergency Contact Form
PDF template
Form for students to provide emergency contact details for use in life-threatening situations or emergencies.
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American Christian Academy Day Care Emergency Contact Form
PDF template
A form for collecting emergency contact information and medical details for children attending American Christian Academy day care.
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Consent To Use Name, Photography, And Film Voice
PDF template
Permission form for media use of children's images and emergency contact information for Sloan Museum and Longway Planetarium activities
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Kids Kitchen Camp Emergency Contact Form
PDF template
Emergency contact and media authorization form for children participating in culinary camp program at UCF Rosen College.
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Hickory Hill Member Family Emergency Contact Form
PDF template
A form for collecting emergency contact information and medical authorization for family members at a club or organization.
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Emergency Contact Form
PDF template
A form for collecting emergency contact details and authorization for a child's guardians and emergency contacts.
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Business And Organization Emergency Contact Information
PDF template
A form for businesses to provide emergency contact details and authorization to police for premises enforcement
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PADRE PIO ACADEMY EMERGENCY MEDICAL FORM
PDF template
A medical form for collecting student emergency contact and treatment authorization information for Padre Pio Academy.
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EmergencyMedical Release Authorization Form
PDF template
A form authorizing school staff to seek medical treatment for a child in case of emergency and acknowledging parental responsibility for medical expenses.
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EmergencyMedical Release Authorization Form
PDF template
Authorization form allowing school staff to seek medical treatment for a child in emergency situations with parental consent.
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Emergency Medical Release Form
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A form granting permission for emergency medical treatment for a minor at Pats Peak Ski Area, authorizing medical care in case of illness or injury.
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Emergency Purchase Form
PDF template
A document used to justify and document emergency procurement processes when standard bidding procedures cannot be followed.
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DUTCHESS COMMUNITY COLLEGE EMERGENCY MEDICAL FORM
PDF template
A consent form allowing medical treatment for a child during a summer program, with parental emergency contact authorization.
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EmergencyMedical Authorization Waiver Form For Minor Participants
PDF template
A form authorizing emergency medical treatment and waiving liability for minor participants in a Ferris State University camp or program.
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Reimbursement Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through multiple methods including Rx debit card, online portal, and paper submission.
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Emeriti Retirement Health Solutions Personal Contribution Form
PDF template
A form for making personal contributions to an employer-sponsored retirement health plan managed by TIAA-CREF.
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Emeriti Reimbursement Benefit Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
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EMERGENCY MEDICAL FORM
PDF template
A form for parents to authorize emergency medical treatment for students and provide critical medical contact and health information.
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Investigative Consumer Report, Consumer Report Disclosure, And Consent Form
PDF template
A consent form allowing background investigation and consumer report collection for employment purposes with the Diocese of New Ulm.
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Employee Course Registration Form
PDF template
Form for Gustavus employees to register for courses with tuition benefits, requiring HR and supervisor approvals.
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Employee Data Request Form
PDF template
A form for collecting comprehensive employee information to support the electronic appointment process in an organization's human resources workflow.
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NHRDeparture Employee Departure Information Sheet
PDF template
A comprehensive guide for faculty and staff leaving their position at the University of Wisconsin Madison, covering benefits, computer access, leave balances, and other departure-related information.
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EXTERN EMERGENCY CONTACT FORM
PDF template
Form for collecting emergency contact details for external personnel or employees at a veterinary organization.
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ENROLLMENT, CHANGE, CANCELLATION, OR OPT OUT EMPLOYEES ONLY HEALTH AND WELFARE PLANS
PDF template
A form for Lawrence Livermore National Security employees to enroll, change, cancel, or opt out of health and welfare benefit plans.
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ENROLLMENT FORM FOR GROUP INSURANCE
PDF template
A comprehensive form for enrolling in group insurance benefits, capturing employee and dependent information, coverage selections, and authorization.
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Employee Exit Checklist
PDF template
Comprehensive form documenting employee departure procedures, including credential return, benefits termination, and administrative tasks.
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Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for Health Savings Account contributions with annual contribution limits and details.
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Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for their Health Savings Account contributions with contribution limit details.
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Virginia Tech Employee Software Sales Order Form
PDF template
Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
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EMPLOYEE PAYMENT AGREEMENT FORM
PDF template
A form for documenting an employee's payment schedule and financial obligations to an organization.
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Employee Profile And Travel Form
PDF template
A comprehensive form for employees to update personal information, marital status, and travel privileges for family members.
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Employee Purchase Form
PDF template
A form allowing employees to purchase items and choose payment methods, including payroll deduction and credit card options.
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Employee Retirement Contribution Form
PDF template
Form for employees to start, change, or suspend retirement plan contributions at Mountainland Technical College.
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M NCPPC Benefits EnrollmentChange Form
PDF template
Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
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Employee Self Service Guide
PDF template
Comprehensive guide for navigating the Employee Self Service (ESS) portal and accessing various employee-related resources and information.
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Employee Services FAQ Contact List
PDF template
A comprehensive contact reference for employees covering various HR topics, benefits, and service inquiries.
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Employee And Dependent Tuition WaiverReimbursement Form
PDF template
Form for employees to request tuition waiver or reimbursement for themselves or dependents at SSU.
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Eye Care Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify eye care insurance coverage for themselves and dependents.
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Health Coverage Waiver Form
PDF template
A document allowing employees to waive health insurance coverage offered by their employer with options for alternative coverage.
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Direct Deposit Request
PDF template
A form used to set up direct deposit of payments into a bank account by authorizing electronic fund transfers.
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Employer Error Institution Process
PDF template
Guidelines for handling employer errors in employee insurance enrollment, detailing steps for institutions and employees to correct coverage issues.
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Small Business Health Options Program (SHOP) Application For Employers
PDF template
Application for small businesses in California to offer health insurance to employees through Covered California's SHOP program.
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Employer Refund Request Form
PDF template
A form for employers to request tax refunds due to overpayment, error, or other reasons from the Lancaster County Tax Collection Bureau.
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2023 2024 Employer Reimbursement Form
PDF template
A form for students receiving employer tuition reimbursement, detailing financial responsibilities and payment terms at Walsh University.
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Windfall Elimination Provision
PDF template
Explanation of how Social Security retirement or disability benefits may be reduced for workers with pensions from employers not withholding Social Security taxes.
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How To File A Disability Appeal Online
PDF template
Step-by-step instructions for filing a disability appeal online with the Social Security Administration
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Adult Disability Starter Kit
PDF template
A comprehensive checklist to help applicants prepare for filing a Social Security disability benefits claim by organizing personal, medical, and employment information.
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Authorization And Consent To Treatment
PDF template
A comprehensive document outlining patient consent for medical treatment, insurance benefits assignment, and payment responsibilities.
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Enhanced Dental Benefits Enrollment Form
PDF template
A self-enrollment form for additional dental coverage for members with specific medical conditions through Blue Cross Blue Shield of Massachusetts.
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Authorization For Disclosure Of Protected Health Information
PDF template
A form authorizing Blue Cross and Blue Shield of Alabama to disclose an individual's protected health information to specified parties.
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Continuing Consent To Treatment And Authorization To Release Information
PDF template
A consent form allowing medical treatment for a minor student and authorizing release of medical information to insurance services.
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Northern California Carpenter Funds Enrollment Form
PDF template
Form for enrolling or updating records with the Northern California Carpenter Funds, including health plan selection and participant information.
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Vision Service Plan EnrollmentChange Form
PDF template
Form for employees of Fallbrook Elementary School District to enroll or modify vision insurance coverage for themselves and dependents.
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Superior Dental Care Employee Enrollment Form
PDF template
Form for employees to enroll in dental and vision insurance benefits through Superior Dental Care.
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ENROLLMENT FORM GL.2017.010
PDF template
A comprehensive employee insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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NEA Membership Enrollment Form CCA
PDF template
Enrollment form for teachers to join the National Education Association, California Teachers Association, and local education unions.
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Emergency Contact Parental Consent Form
PDF template
A comprehensive form for collecting child care emergency contact information, medical details, and parental permissions for activities and transportation.
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Enrollment Verification Authorization Form
PDF template
A form allowing students to authorize the release of their academic information to specified recipients via mail or email.
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California State University, Sacramento Benefit Enrollment Worksheet
PDF template
A form for employees to complete transactions affecting health, dental, vision, and FlexCash coverage at California State University, Sacramento.
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ENROLLMENT FORM NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS
PDF template
An enrollment form for employees of the National Elevator Industry to enroll in benefit plans and update personal and dependent information.
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Non Federal Direct Deposit Enrollment Request Form
PDF template
A form for authorizing automatic direct deposit of funds into one or multiple bank accounts by an employer or company.
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EOP STUDENT PARENTAL CONSENT FORM
PDF template
A consent form for parents/guardians to authorize medical treatment for students attending the Binghamton Enrichment Program during summer 2023.
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Nomination And Declaration Form For Unexempted Exempted Establishments
PDF template
A form for employees to nominate beneficiaries for provident fund and pension scheme benefits in case of death.
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Employer Pension Guide
PDF template
Comprehensive guide for rejoining employees about pension scheme options and eligibility criteria in the Principal Civil Service Pension Scheme (PCSPS).
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Authorization Agreement For Direct Deposits (ACH Credits)
PDF template
A form allowing landowners to set up direct deposit for natural gas and/or oil interest payments from EQT Production Company.
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Equipment Use Authorization Form
PDF template
Form for authorizing university equipment removal from campus for official use with tracking and return requirements.
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ERaf Request Form
PDF template
A form used by specialists to request an electronic Request for Authorization Form (eRAF) from Primary Care Providers for specialty care.
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College Of The Siskiyous Emergency Contact Form
PDF template
A form for collecting employee emergency contact information and contact preferences for information release.
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ERFC Durable Power Of Attorney (Designation Of Agent For ERFC Matters)
PDF template
A legal document allowing a member to designate an agent to make retirement system-related decisions on their behalf.
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Retirement Checklist
PDF template
A comprehensive checklist for members preparing to retire, outlining key steps and document requirements one year before retirement.
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Employer Reimbursement Payment Agreement
PDF template
An agreement allowing students to defer tuition payment based on anticipated employer reimbursement for educational expenses.
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ElectricianS Retirement Fund Benefit Application Packet
PDF template
An application packet for pension benefits from the Electrician's Retirement Fund, providing instructions for submitting retirement documentation.
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RETIREE INSURANCE ENROLLMENT FORM
PDF template
A form for Texas Employees Retirement System retirees to enroll in insurance and provide Medicare information
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ESA 1126A FORFFA Cancellation Of Direct Deposit
PDF template
Official form for cancelling direct deposit for unemployment insurance benefits in Arizona
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TRAVEL AUTHORIZATION FORM
PDF template
A form for obtaining pre-approval and funding for travel expenses for students, with specific submission timeline requirements based on travel type.
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ETFS Access Request Form
PDF template
A form for requesting access to the Developmental Disabilities Endowment Trust Fund system through Secure Access Washington (SAW)
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Authorization To Release Or Request ConfidentialHealth Information
PDF template
A form authorizing East Texas Lighthouse/Horizon Industries to release or receive confidential health information with specific conditions and limitations.
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Event Expense Reimbursement Form
PDF template
Form for reimbursing event expenses for approved sporting events at fire stations, with a $500 annual benefit maximum.
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Essential Travel Request Form
PDF template
A form for requesting essential travel by university faculty, staff, and students, with COVID-19 considerations and approval process.
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Procurement Registry Access Portal Agency Registration Form
PDF template
Registration form for authorized organ procurement organizations to access the state donor registry database.
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Emergency Contact Form
PDF template
A comprehensive form for collecting emergency contact, health, and authorization information for children at a learning center.
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Example Of Simple Revocable License Agreement
PDF template
A template document outlining terms for a revocable license agreement with details about usage rights and licensing conditions.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
PDF template
A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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Incidental Expenses RequestApproval Form
PDF template
A form for requesting and approving funding for client services and incidental expenses through a social service agency.
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EXIT INTERVIEW FORM
PDF template
A comprehensive form tracking an employee's departure process, including benefits, equipment return, and final payroll details.
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Expert Service Authorization Procedure
PDF template
A form for attorneys to request and authorize expert services for legal representation in Washington State.
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Payroll Deduction Authorization Form
PDF template
Form for Florida International University (FIU) employees to authorize payroll deductions for summer camp registration and related services.
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Express Benefit Report
PDF template
A form used to report accumulated unused sick leave balances and employment termination information for CalSTRS retirement benefits.
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External Research Request Application
PDF template
Application form for conducting research within the Halton Catholic District School Board's schools and facilities.
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Eyeglass Reimbursement Form
PDF template
A form for employees to request reimbursement for eyeglass purchases through the school district's benefits program.
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EnrollmentChange Form
PDF template
Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
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Employer Health Insurance Verification Individual Follow Up Health Insurance Information
PDF template
A form for employers to verify health insurance benefits offered to employees and their families for BadgerCare Plus applicants.
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Change Of Address Form Benefit Recipient
PDF template
A form for benefit recipients to update their mailing address with the Massachusetts Teachers' Retirement System (MTRS)
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Change Of Address Form
PDF template
A form for members to update their mailing address for various trust fund communications and services.
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Wisconsin Medicaid Services Application
PDF template
Wisconsin state application form for Medicaid services, including applicant and spouse information, income details, and eligibility questions.
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Medicaid Asset Assessment
PDF template
A form to evaluate the total assets owned by a Medicaid applicant and their spouse to determine eligibility for Medicaid benefits.
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Authorization To Access TIAA Accounts
PDF template
A form for authorizing a person or organization to access and discuss TIAA account information on behalf of the account holder.
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WAIVER FORM REQUEST FOR SEPARATION RECORDS
PDF template
A form authorizing the release of law enforcement employment separation records to a prospective employer or the officer themselves.
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Puget Sound Benefits Trust Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a short-term disability claim, requiring details from the employee, employer, and attending physician.
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Form 2624 Consent For Third Party Contact
PDF template
A form allowing taxpayers to authorize the IRS to contact a third party regarding tax information or to revoke such authorization.
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Form 2848 Power Of Attorney And Declaration Of Representative
PDF template
Official IRS form for designating a representative to act on behalf of a taxpayer for specific tax matters and communications with the Internal Revenue Service.
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Power Of Attorney
PDF template
A document authorizing an agent to represent an employer before Iowa Workforce Development in unemployment insurance tax matters.
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NW Plumbers Pipefitters Health Fund Change Of Address Form
PDF template
A form for updating personal contact information for members of the NW Plumbers & Pipefitters Health Fund
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Medical Dental Vision Prescription Weekly Disability Claim Form
PDF template
Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
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Enrollment Form F33
PDF template
Comprehensive enrollment form for employees to register dependents and update personal information for benefit plans
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SIGNATURE AUTHORIZATION FORM
PDF template
A form authorizing specific employees to sign requisitions for purchasing within the university's procurement system.
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Disability Claim Form
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Claim For Dismemberment Benefits
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Health Benefits Claim Form
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Authorization To Release Education Records
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AUTHORIZATION OF DISCLOSURE CONSENT FORM
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Reference Request Consent Form
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FERPA Release Authorization Form
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FERPA RELEASE AUTHORIZATION FORM
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Student Information Release Authorization
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FERPA Waiver Form
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Printing Approval Form
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FIELD TRIP EMERGENCY CONTACT FORM
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Media Release Form
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UHC WTIA (EnrollCancelWaiverChanges)
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Authorization For Automatic Payments
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Change Of Address Notice
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Credit Card Authorization Form
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Consent Form
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Employee Handbook
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Official LFCS Media Release Form
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2024 25 PermissionWaiver Emergency Information Form Minor
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OVER THE COUNTER MEDICATION CONSENT FORM
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Consent To Publish PicturesTestimonialsRecordingsVideo
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Emergency Contact Parental Consent Form
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Accounts Payable Vendor ACH Authorization Form
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Youth Permission Agreement Media Release Form
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Finance Forum Notes
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Finance Forum Notes
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Financial Aid Authorization Form
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Authorization For Release Of Financial Information
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Financial Policies
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Faculty Information System Project Form
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Employee Voluntary Payroll Deduction Authorization For Fitness Center Usage Fee
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Voluntary authorization form for employees to have fitness center usage fee deducted from their paycheck
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Payroll Deduction For Fitness Center Membership
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Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
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2024 Fitness Reimbursement Program
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Authorized Release Of Medical Records
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PF 132 (10 18) SUNY Reimbursement Accounts Enrollment Form
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Direct Deposit Authorization
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Reimbursement Form For Flexible Spending Account (FSA)
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Form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
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BESTflex Plan Election Form
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DIRECT DEPOSIT AUTHORIZATION
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Whitmore Parking Garage Change Authorization Form
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FM EXP TravelAuthorizationForm 001
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FNS 415 Interviewing
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Food And Nutrition Services Certification Applications FNS 415 Interviewing
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Guidelines for conducting interviews for Food and Nutrition Services benefits application process, detailing interview requirements and interviewer responsibilities.
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Food Delivery Checklist
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Application For Foreign Travel (TAPP 3 03)
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International Travel Waiver Form
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United States Army Garrison Ansbach Foreign Travel Form
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Official form for U.S. Army personnel documenting international travel details, requirements, and traveler certifications.
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Termination Refund Application
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PBGC Form 10 Post Event Notice Of Reportable Events
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Change Of Address Form RetireesBenefit Recipients
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Individual Unemployability (IU Or TDIU) Intake Form
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Registration Form 4047
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Form 4 (032018) EMS Report Request
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Background Security Clearance Civilian Employees And Volunteers
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Dependency And Indemnity Compensation (DIC) Intake Form
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Instructions For Form 940
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Official IRS guidance for completing the annual federal unemployment tax return for employers
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Form 941 For 2021
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Quarterly tax form for employers to report wages, tax withholdings, and social security/Medicare taxes to the Internal Revenue Service.
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Energy Assistance Program Change Of Address Form
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Policy 4.15 Background Check Disclosure And Authorization Form
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Credit Card Pre Authorization ACH Pre Authorization Form
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SEIU Michigan Health And Welfare Fund MemberS Change Of Address Form
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FORM D 1 PARENTGUARDIAN PERMISSION SLIP FOR STUDENT TO BE TRANSPORTED BY A PRIVATE VEHICLE
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TRA Data Request Form For Members Of The Public
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ETHYLGRAIN ALCOHOL PURCHASE FORM
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FMLA LEAVE REQUEST FORM
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Permanent Mailing Address Form
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Form I 765 Application For Employment Authorization
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Employer Sponsored Program How To File A Claim For Approval
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Medication Administration Authorization Form
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Peer Support Authorization RequestDischarge Form
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Form 21 002 13 POWER OF ATTORNEY AND DECLARATION OF REPRESENTATION
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IBEW LOCAL NO. 461 VARIABLE PENSION PLAN REQUEST FOR APPLICATION FORM
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Plumbers And Pipefitters Local 333 Pension Fund Request For Application Form
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Prescription Drug Reimbursement Coordination Of Benefits Claim Form
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Substance Use Disorder IOP Program Prior Authorization RequestDischarge Form
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In Processing Forms Checklist
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Comprehensive checklist for new federal employees joining the Federal Retirement Thrift Investment Board (FRTIB) to complete required employment and benefits documentation.
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Change Address
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Guide for employees to update personal information and manage insurance-related documentation
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Arizona Form 285 I Individual Income Tax DisclosureRepresentation Authorization Form
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OBSTETRICAL Service Request Form
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Medical service request and authorization form for obstetrical services, used for processing healthcare claims and approvals
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PRESCRIPTION ORDER FORM
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A form for obtaining physician authorization for reimbursement of healthcare products and services requiring medical prescription.
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Documentation Of The Bundesbank Online Panel Pilot Survey Of Firms
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Technical documentation for Wave 2 of the Bundesbank's online panel survey of firms, detailing survey methodology and coding procedures.
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Frequently Asked Questions For Tuition Benefit
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Enrollment Form
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Comprehensive enrollment form for fringe benefits including health care, life insurance, and retirement plans for carpenters in Western Washington.
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Consent For COVID 19 Immunization
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Consent Form
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Legal consent document for authors to grant publication rights and acknowledge privacy implications of manuscript publication.
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Public Safety Officers Benefits (PSOB) Program History
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Document detailing the history and purpose of the Public Safety Officers' Benefits Act, which supports law enforcement and firefighter recruitment and retention.
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Section 125 Flexible Benefit Plan Direct Deposit Form
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A form for employees to authorize direct deposit of flexible benefit plan funds to a designated bank account.
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Direct Deposit Authorization Request
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Form for authorizing direct deposit of funds into a checking or savings account for FSA (Flexible Spending Account) reimbursements.
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FSA Authorization Cancellation Form
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Form for students or parents to rescind previously given authorizations for financial aid fund disbursements at Washington Adventist University.
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FSA Authorization Cancellation Form
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A form for students or parent borrowers to rescind previous authorizations for financial aid fund disbursements at Washington Adventist University.
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FSA Dependent Care Reimbursement Form
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A form for submitting dependent care expenses for reimbursement through a flexible spending account.
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Flexible Spending Accounts (FSA) Program EnrollmentChange Form
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Form for enrolling in or changing Health Care Flexible Spending Account (HCFSA) or Dependent Care Assistance Program (DeCAP) for Plan Year 2023
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2024 Flexible Spending Account EnrollmentChange Form
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Enrollment Form Flexible Spending Account(S)
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Recurring Claim Form
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FACULTYSTAFF I.D. CARD AUTHORIZATION
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A form for university faculty and staff to obtain or replace their university identification card with door access privileges.
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Media Release Authorization
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Virginia Tech Employee Software Sales Order Form
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Fiscal Service PKI Support Nomination
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Forest Service Research Data Archive Submission Form A
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One Time General Agency Agreement (GAA)
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UNIVERSAL PATIENT AUTHORIZATION FORM FOR FULL DISCLOSURE OF HEALTH INFORMATION FOR TREATMENT AND QUA
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A form allowing patients to authorize healthcare providers to access and use their complete health information for treatment and quality of care purposes.
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PENSION BENEFIT APPLICATION FORM
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A comprehensive pension benefit application form for members to provide personal, marital, and employment information to determine benefit entitlement.
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Fund Eligibility And Membership Section
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Document outlining eligibility requirements, enrollment procedures, and membership terms for a health insurance fund covering active and retired employees.
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Funeral Benefit Application Form
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Application form for claiming funeral benefits through the JLT (CSI Member Benefits) Discretionary Trust
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FUNfitness Media Release Form
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A consent form allowing photography, video recording, and voice recording for media projects related to physical therapy.
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ORGANIZATION OF STAFF ANALYSTS FURLOUGH SURVEY FORM
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Survey form for staff members to indicate interest in taking a voluntary leave of absence with potential health benefit considerations.
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FURLOUGH SURVEY FORM
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Survey form for staff analysts to indicate interest in taking a leave of absence with health benefit conditions.
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Form W 3
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Official IRS form for transmitting wage and tax information for employees to the Social Security Administration
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FY13 Annual Report Form
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Annual report documenting University Information Services (UIS) activities, accomplishments, and strategic alignment for fiscal year 2013.
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Organizational Membership Form
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Form for organizations to become members of MAPS with different membership levels and benefits
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Benefits Open Enrollment Form 2020
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Form for employees to select or modify healthcare coverage options and provide personal information for benefits enrollment.
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Form G 615 (06 19) EmployerS Supply Requisition
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A form used by employers to request informational materials from the U.S. Railroad Retirement Board about retirement, survivor, unemployment, and sickness benefits.
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DR 1 Disability Benefit Application
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A comprehensive form for Ohio Public Employees Retirement System members to apply for disability benefits, requiring detailed personal and physician information.
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Gas Rule No. 27.1 Access To Energy Usage And Usage Related Data
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Policy governing access to energy usage data by academic researchers, government entities, and agencies while protecting customer privacy.
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Authorization Disclosure Of Confidential Information
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A form authorizing the release of confidential medical information to a specified healthcare facility with patient consent and time-limited authorization.
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Media Release Form
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Legal document granting Boston University permission to record and use an individual's content for educational purposes.
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General Application Form
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A comprehensive form for applying to use property, potentially involving infrastructure or facilities near railroad rights of way.
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General Inquiry Form
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WAIVER OF LIABILITY PERMISSION MEDICAL RELEASE FORM
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A liability waiver and medical release form for students staying overnight in a Mount Holyoke College residence hall, covering medical consent and risk acknowledgment.
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GENERAL CLAIM SUBMISSION FORM
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A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
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Prescription Safety Glasses Purchase Pre Authorization Form
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A form for employees to obtain prescription safety glasses with employer authorization and coverage support.
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Personal Vehicle Use Form
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Form documenting employee personal vehicle usage and insurance details for official district business and field trips.
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Make Sure You Receive Your Retirement Benefits On Time
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A guide for managing the transition to pension payments, focusing on documentation and timing for retirement benefits from the Government Employees Pension Fund.
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Employer Notice Of Claim Long Term Disability
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A comprehensive claim package for employers to submit long-term disability claims for employees, including detailed instructions and employee information sections.
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Advancing Access Patient Support Form
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A comprehensive form for patient information, contact authorization, and insurance details for Gilead medication support programs
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Permission To Travel Form For Minors
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A legal document allowing minors under 18 to travel internationally with parental consent and notarization.
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Digital Data License Agreement Standard
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A license agreement for purchasing and accessing digital geographic information system (GIS) data from Piatt County, Illinois.
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GIS Map And Data Request Form Terms Of Service
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Legal agreement governing the use and distribution of geographic information system (GIS) data provided by the City of Atlanta Department of Watershed Management.
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Request For Benefits ClaimantS Report Of Loss
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A claim form for filing disability benefits for Glaziers, Architectural Metal and Glass Workers Local Union 1399 members.
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Short Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a short-term disability claim with detailed personal, employment, and medical information.
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Form GNOCHC 1 Excel Encounter Data Instructions
PDF template
Instructions for GNOCHC participating providers to report enrollee encounter data using Form GNOCHC-1 or Form CMS-1500.
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GOSTUDENTS PARTICIPANT TRAVEL FORM
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A comprehensive travel form for GoStudents participants requiring medical, model, and minor release information for project eligibility.
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GovAtom Registration Form
PDF template
Registration form for Member State officials to gain access to the GovAtom system and NUCLEUS platform
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Authorization Form (Grant Access To Record)
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Minnesota Department of Public Safety form to authorize release of driver and vehicle records to a specified individual.
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Grant Recipient User Account Request Form
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A form for creating, updating, or closing user accounts for grant recipients in the GrantSolutions system.
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Grant Recipient User Account Request Form
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Form for creating, updating, or closing grant recipient user accounts with required supervisor approval and submission process.
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Group Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
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STUDENT GOVERNMENT FINANCE TRAVEL AUTHORIZATION REIMBURSEMENT FORM
PDF template
A form for University of Florida students to request reimbursement for authorized group travel expenses.
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Power Of Attorney Authorization
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A form allowing taxpayers to appoint a representative for income tax matters with the City of Grand Rapids Income Tax Department.
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Girl Scout Program Site Agreement (Form 700)
PDF template
An online form for Girl Scout program site authorization, with separate versions for standard troops and Juliette scouts.
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Delaware Department Of Correction Security Requirements Procedures
PDF template
Comprehensive guidelines for vendors and contractors entering Delaware correctional facilities, including security clearance and access procedures.
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Intent For International Travel
PDF template
Form for Girl Scout troops to request approval and document details for international travel experiences.
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Accident Claim Form
PDF template
Insurance claim form for documenting student accident details and health information authorization
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Your Guide To Filing A Long Term Disability (LTD) Claim
PDF template
A comprehensive guide for filing a long term disability claim with Guardian, providing step-by-step instructions for completing the required forms and submission process.
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ParentGuardian Medical Consent For Minors
PDF template
A consent form for parents or guardians to authorize medical treatment and information sharing for students under 18 at West Liberty University
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Guardian Life Insurance Enrollment Form
PDF template
Insurance enrollment form for University of Massachusetts Medical School employees to select benefits and coverage options.
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REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
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Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
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Guest ID Card Request Form
PDF template
Form for non-employee/non-student individuals to request campus ID card access and facilities credentials
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Media Release Form
PDF template
A legal document granting permission for the GiveWell Community Foundation to use an individual's image, voice, and personal statements for various purposes.
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Referral Form
PDF template
A comprehensive form for patient referral to treatment centers, including personal information, referral source details, and confidential information release authorization.
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Permission To Contact For Research
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A form allowing Gulf War veterans to authorize contact for potential research participation in a biorepository brain bank study.
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Gana AYoo Shareholder Direct Deposit Form
PDF template
Form for shareholders to set up or modify direct deposit of dividend disbursements with Gana-A'Yoo, Limited.
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HAND TO HAND EMERGENCY CONTACT FORM
PDF template
A form for providing multiple emergency contact details for transportation service riders, with authorization for contact in case of emergencies.
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HANGAR MAINTENANCE REQUEST FORM
PDF template
A form for requesting maintenance and repairs for aircraft hangars or tiedown spaces, with authorization for work and documentation of completed actions.
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MC Hardware Request
PDF template
A form for requesting computer hardware for Montgomery College employees, with options for remote work and instructional needs.
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Settlement Agreement Harper Et Al. V. Massachusetts Department Of Transitional Assistance
PDF template
A settlement agreement addressing access to benefits for individuals with disabilities at the Massachusetts Department of Transitional Assistance
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Hawaii HIPAA Authorization For Release Of Information
PDF template
A form allowing patients to authorize the release of their personal health information to specified individuals or organizations.
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Authorization To Disclose Protected Health Information
PDF template
A legal form allowing disclosure of an individual's protected health information under HIPAA and Texas Health & Safety Code regulations.
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Hiram College Enrollment Form
PDF template
A comprehensive benefits enrollment form for Hiram College employees covering medical, dental, vision, and supplemental insurance options.
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Family Household Income Statement
PDF template
Form for verifying household income and financial assistance for Child Care services through the Ohio Department of Job & Family Services.
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Media Release Form
PDF template
A consent form allowing HCOE to photograph, videotape, record, and interview students for educational and informational purposes.
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HCPCS Authorization Form
PDF template
Medical form used for requesting authorization for medical procedures or medications with detailed patient, physician, and treatment information.
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Budget Transfer Request Form
PDF template
A form for requesting budget transfers within grants, requiring approval and balance adjustments.
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Tips For Claim Submission
PDF template
Comprehensive guide for submitting healthcare and flexible spending account claims, detailing documentation requirements and eligible expenses.
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Eligibility And Enrollment Information For Employees
PDF template
A comprehensive form for employees to provide personal information and make flexible spending account elections.
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Rhode Island Department Of Health All Payer Claims Database Data Use Agreement For Non Rhode Island
PDF template
Agreement specifying terms for accessing and using Rhode Island All-Payer Claims Database data files by non-Rhode Island state requesters.
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Retiree Health Cancellation Form
PDF template
A form for retirees to cancel their health coverage and dependent coverage through Blue Cross Blue Shield.
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Authorization For Use Or Disclosure Of Protected Health Information
PDF template
A confidential form authorizing the disclosure of protected health information by The Episcopal Church Medical Trust
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HealthMedication Authorization Form
PDF template
Form for authorizing medication administration for participants in M-NCPPC park and recreation programs, including prescription and non-prescription medications.
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Portland Community College HSA Payroll Contribution Form
PDF template
Form for employees to set up pre-tax payroll contributions to a Health Savings Account (HSA) through Optum.
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Health Screening Benefit Claim Form
PDF template
Claim form for requesting reimbursement of health screening benefits under critical illness or supplemental health plans.
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Disability Claim Form
PDF template
A comprehensive claim form for submitting disability insurance claims with Unum Group subsidiaries.
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NYCHHC HIPAA Authorization To Disclose Health Information
PDF template
A form authorizing the release of personal medical and health information with specific privacy protections and consent requirements.
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Hickory Hill Member Family Emergency Contact Form
PDF template
A form for collecting emergency contact and medical authorization details for club members and their families.
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Statement Of Kurt DelBene On VA.Gov
PDF template
Congressional testimony about the Department of Veterans Affairs' VA.gov website, its usage, services, and digital modernization efforts.
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STUDENT LEAVE REQUEST FORM
PDF template
A form for students to request leave from school for various reasons such as college visits, job shadowing, vacation, or hunting.
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HIPAA Authorization Checklist For Attorneys
PDF template
A detailed checklist for attorneys preparing HIPAA authorization forms when requesting medical information from Blue Cross and Blue Shield of Alabama.
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FDNY HIPAA AUTHORIZATION TO DISCLOSE HEALTH INFORMATION
PDF template
Form authorizing the release of personal health information with specific consent parameters and privacy protections.
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Authorization Form For The Disclosure Of ProtectedConfidential Information By NH DHHS To A Third Par
PDF template
A form used by Department of Health & Human Services clients to authorize release of protected information to another person or organization.
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Authorization For Release Of Health Information Pursuant To HIPAA
PDF template
Official form allowing patient authorization for release of sensitive medical information in compliance with HIPAA regulations.
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HIPAA Acknowledgement And Medical Information Release Form
PDF template
A form for patients to authorize release of medical information and provide contact preferences for communication.
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MDwise Healthy Indiana Plan (HIP) Employer And Other Third Party Contribution Form
PDF template
A form for employers and third parties to coordinate payment of Healthy Indiana Plan Member POWER Account Contributions.
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HIPAA Authorization Form
PDF template
A form for dependents to authorize disclosure of protected health information to an account holder in compliance with HIPAA regulations.
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HIPAA Privacy Authorization Form
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A form authorizing the use and disclosure of protected health information (PHI) in compliance with HIPAA regulations.
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Consumer Disclosure And Authorization Form For Support Staff, Extension Staff And Graduate Assistant
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A document outlining Michigan State University's process for conducting background investigations on potential and current employees.
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Kane County School District Hiring Authorization
PDF template
A comprehensive form used by Kane County School District to document and authorize the hiring of new or replacement employees.
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Hampton Roads HMIS Client Consent Form
PDF template
A consent form for sharing client information within the Homeless Management Information System (HMIS) for service coordination.
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Designating An Authorized Representative
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A form that allows members of the National Association of Letter Carriers Health Benefit Plan to designate an authorized representative for discussing their health plan information.
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LREI Holiday Book Fair Parent Pre Authorized Purchase Form
PDF template
A form allowing parents to pre-authorize book purchases for their children at the LREI Holiday Book Fair with credit card or check payment options.
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Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program to assist low-income households in Leeds and Grenville with housing stability and prevention of homelessness.
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Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program assisting low-income households in Leeds and Grenville to obtain and retain housing, supporting those at risk of homelessness.
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Hospice RevocationDischarge Form
PDF template
A form for documenting hospice patient discharge or service revocation under Medicaid guidelines
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Hotel Direct Bill Authorization Form
PDF template
Form for authorizing direct hotel billing for business-related travel and stays at Hobart and William Smith (HWS) Colleges.
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Hotel Direct Bill Authorization Form
PDF template
Form for authorizing direct hotel billing for business-related travel and stays at Hobart and William Smith (HWS) Colleges.
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STATE OF LOUISIANA HOTEL PROGRAM
PDF template
Comprehensive guide for state employees and groups to book hotel rooms through an online portal with specific booking and rate instructions.
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Household Report Form
PDF template
Official form for reporting household information to determine public assistance benefits in Minnesota.
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Sample Authorization Form
PDF template
Authorization form for housing stability counseling program, outlining client consent and data sharing permissions.
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AUTHORIZATION FOR PRE AUTHORIZED DEBITS (PADS) AND CREDIT CARD DEBITS
PDF template
A form authorizing Howick Mutual Insurance Company to automatically debit insurance premiums from a bank account or credit card.
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How To Submit A Claim For Critical Illness, Accident And Hospital Indemnity Insurance
PDF template
Comprehensive guide for filing insurance claims for critical illness, accident, and hospital indemnity coverage with The Hartford.
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Student Travel Form
PDF template
A comprehensive form for documenting and estimating expenses for student travel, including meal per diems, transportation, and registration costs.
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Employee Travel Authorization Settlement Form
PDF template
Comprehensive guide for employees to complete a travel authorization and expense settlement document for organizational travel.
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UCR Retiree Association Membership Information
PDF template
Comprehensive guide for University of California, Riverside retirees outlining membership benefits, access, and how to join the retiree association.
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How To Obtain A ConsumerS Authorization Before Gaining Access To Personally Identifiable Information
PDF template
Guidelines for Navigators and certified application counselors on obtaining consumer consent before accessing personally identifiable information in Federally-facilitated Marketplaces.
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How To Upload Your Fingerprint Submission Form
PDF template
Step-by-step guide for nurses to upload fingerprint submission forms through the Nevada Nurse Portal.
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HIGH PLAINS MUSIC CAMP MEDICAL FORM
PDF template
Comprehensive medical form for participants of High Plains Music Camp, collecting personal, medical, and emergency contact information.
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Purchase Approval Form
PDF template
Document outlining purchase approval limits and required documentation for agency purchases under different monetary thresholds.
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Declaration Of Payroll Deduction
PDF template
Form for employees to authorize payroll deductions for retirement accounts, contributions, and miscellaneous purposes.
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Medication Authorization Form For Prescription And Non Prescription Medications
PDF template
A form for parents/guardians and physicians to authorize medication administration for children in care settings
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Health Reimbursement Account (HRA) Claim Form
PDF template
A form for employees to submit healthcare expense reimbursement claims through their Health Reimbursement Account (HRA)
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Change Of Address Form
PDF template
Document for employees to update their address for health benefits and pension purposes
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FMLA LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request leave under the Family and Medical Leave Act (FMLA) for various qualifying reasons.
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MSC Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave from their employer, covering sick, vacation, personal, and specialized leave types.
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Supplemental Insurance Cancellation Form
PDF template
A form for employees to cancel pre-tax and post-tax supplemental insurance deductions with specified effective date.
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Open Enrollment And HR Benefits Communication
PDF template
Document covering open enrollment period, CARES Act unemployment information, and employee performance evaluation process for 2020.
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HSA Payroll Deduction Form
PDF template
Employee form for setting up pre-tax payroll deductions to a Health Savings Account (HSA) through Grand Rapids Community College.
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International Travel Authorization Request
PDF template
A form for requesting and documenting international travel for university employees, students, and volunteers, including safety and risk assessment details.
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HRIS501Workday Security Request Form
PDF template
A form for requesting Workday system access and organization roles at the University of Southern California
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Changing Your Name AndOr Address
PDF template
Comprehensive guide detailing the forms and departments employees must notify when changing personal information such as name or address.
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Authorization For Use Or Disclosure Of Personal Information
PDF template
Official form authorizing the release of personal information by the Pennsylvania Department of Human Services
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HSA Contribution Form
PDF template
A form for employees to adjust their Health Savings Account contributions through payroll deductions, specifying contribution amounts and frequency.
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Health Savings Account 2023 Payroll Deduction Contribution Form
PDF template
Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions.
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Health Savings Account 2024 Payroll Deduction Contribution Form
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Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions for the 2024 plan year.
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HEALTH SAVINGS ACCOUNT Voluntary Contribution Designation
PDF template
University of Arizona form for employees to voluntarily designate contributions to their Health Savings Account
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Health Savings Account (HSA) Contribution Form
PDF template
A form for employees to authorize salary reduction for Health Savings Account contributions under a High Deductible Health Plan
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Health Savings Account Employer Contribution Form
PDF template
A form for employers to make contributions to employee Health Savings Accounts with specific contribution details and authorization.
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HEALTH SAVINGS ACCOUNT EMPLOYER CONTRIBUTION FORM
PDF template
A form for employers to make contributions to employee Health Savings Accounts (HSAs) with details for initial and subsequent contributions.
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HSA Enrollment Form
PDF template
A form for employees to enroll in a Health Savings Account (HSA) with employer contribution and payroll deduction options.
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Health Savings Account (HSA) Payroll Deduction Form
PDF template
A form for employees to establish, change, or stop payroll deductions for their health savings account (HSA)
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HSA Payroll Deduction Authorization Form
PDF template
Form for employees to authorize payroll deductions for health savings account contributions through the City of Wisconsin Rapids.
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Texas Tech University System Requisition Form Identification Security Access Device
PDF template
Form for requesting, changing, or terminating security access and identification devices for Texas Tech University personnel
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Media Release Form
PDF template
Legal document authorizing the University of North Texas Health Science Center to use an individual's likeness for promotional purposes.
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High School Program Parent Permission And Consent Form
PDF template
Parent permission form for students participating in St. Joseph's College Bridge Program for high school students.
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Discretionary Residency Benefit Application Form
PDF template
Financial assistance program for Ontario Works and ODSP recipients who are homeless, at risk of homelessness, or moving to more affordable housing.
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ParentGuardian Consent Form For Children And Youth
PDF template
A consent form for parents/guardians to authorize their children's participation in church-sponsored activities and provide medical information.
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PRE AUTHORIZED GIVING AUTHORIZATION FORM Bank Account Withdrawals
PDF template
A form allowing parishioners to set up automatic monthly donations to their church through bank account withdrawals.
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Enterprise Income Verification (EIV) System User Access Authorization Form
PDF template
Form for requesting, modifying, or terminating access to HUD's Enterprise Income Verification system with user agreement compliance.
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HUDESGSTEHP ES PREV DISCHARGE
PDF template
A form used to collect universal data elements and income/benefits information when a client exits a homeless shelter or prevention program.
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Authorization For The Release Of InformationPrivacy Act Notice
PDF template
A form authorizing the U.S. Department of Housing and Urban Development to request verification of personal financial information for housing assistance purposes.
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS (ACH CREDITS)
PDF template
A form for employees to authorize automatic electronic deposits of funds into their bank accounts by the College.
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Hy Flex Attendance Certification Form
PDF template
Form for documenting in-classroom attendance for hy-flex courses to maintain VA education benefits eligibility.
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Record Of Employment
PDF template
A form for documenting employment status for unemployment insurance purposes in New York State.
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Record Of Employment
PDF template
A form for documenting employment details for unemployment insurance claims in New York State.
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BA T1103 Project Readiness Assessment For The Port Of Barbados
PDF template
Technical cooperation document to support the government of Barbados in assessing project readiness for port infrastructure through a Global Infrastructure Facility methodology.
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Pre Authorization Form
PDF template
A form authorizing ongoing credit card charges for payments to Imperial Bag & Paper Company.
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2020 DAY CAMP EMERGENCY CONTACT FORM
PDF template
A form for collecting camper and family information, emergency contacts, and medical permissions for a day camp program.
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FIELD TRIP MEDICAL FORM
PDF template
Medical authorization and health information form for students participating in school field trips, requiring parental consent and medical details.
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ICSVEBA 2021 Back To School E Kit Guide
PDF template
Comprehensive benefits enrollment guide for San Pasqual Valley Unified School District employees for the 2021-2022 school year
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Federal Employees Health Benefits (FEHB) Premium Conversion Election Form
PDF template
Form for federal employees to elect or waive pre-tax treatment of health insurance premium contributions.
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Medical Permission And Media Release Form
PDF template
A comprehensive form granting medical treatment permission and media usage rights for a youth participant in an event or program.
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Employee SystemsAccess Checklist Form
PDF template
A form for tracking and managing system access and resources for new or transitioning employees in an educational or administrative setting.
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Procedure III.3006.B.A, Volunteer Service
PDF template
Comprehensive policy outlining guidelines, restrictions, and expectations for volunteers at San Jacinto College
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Form IL 2848 Power Of Attorney
PDF template
A form that grants power of attorney for tax matters with the Illinois Department of Revenue
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Consumer Directed Services Authorization Form
PDF template
A form for authorizing and documenting consumer-directed services, payment rates, and budget responsibilities for support workers.
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Direct Deposit Form
PDF template
Form for setting up or updating direct deposit payment instructions for Independent Life Insurance Company
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Application For Permission To Reproduce And Use Images
PDF template
A form for obtaining permission to reproduce and use images from University of Memphis Libraries' Special Collections.
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Media Release Form
PDF template
A legal document authorizing EAST Inc. to use an individual's personal media and likeness for marketing and promotional purposes
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Authorization For Release Of MedicalHealth Information
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Missouri Department of Social Services form authorizing the release of an individual's medical and health information to specified parties.
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DWC Form RFA
PDF template
Official California state form for requesting medical treatment authorization in workers' compensation cases
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How To Use Your New Caremark Prescription Drug Program
PDF template
Guide explaining new prescription drug coverage details for county employees through Caremark beginning January 1, 2011.
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Indiana State University Media And Marketing Consent Form FAQ
PDF template
A comprehensive guide explaining Indiana State University's consent form for using individuals' images and recordings in marketing materials.
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Uniform Certificate Of Authority Application (UCAA) Expansion Application
PDF template
A form for insurance companies to apply for expansion of business lines across multiple states in the United States.
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Information Release Consent Form
PDF template
A form allowing University of Wisconsin-Parkside students to consent to release of their educational and financial records to specified parties.
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Individual Authorization And Consent Form For Child Care Criminal Background Check Based Determinati
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Authorization form allowing Louisiana Department of Education to conduct comprehensive criminal background checks for child care providers
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Initial Interview Form
PDF template
A comprehensive form for veterans and their family members to collect information needed to apply for veterans' benefits.
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Louisiana State Employees Retirement System Purchase Of Service Credit For Military Service
PDF template
Proposed amendments to retirement system rules regarding military service credit purchase, aligning with federal and state regulations.
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Institutional Review Board Authorization Form
PDF template
Form for researchers to document instrument permissions and research authorization for institutional review board submission.
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Individual Request For Approval For Out Of State Travel
PDF template
A form for university employees to request approval and document details for out-of-state travel
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INSTRUCTIONS FOR MEDICAL REQUIREMENTS FOR CONDITIONALLY APPOINTED APPLICANTS
PDF template
Detailed guidelines for completing medical forms for conditionally appointed VMI applicants through the Medicat Portal.
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Travel Authorities (Request For Authority To Travel)
PDF template
Mandatory form for obtaining approval for university-related travel, including detailed cost estimation and justification requirements.
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Dental Insurance Information
PDF template
Insurance form for collecting patient dental insurance details and treatment consent
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Insurance Information And Authorization Form
PDF template
Medical insurance and patient authorization document for Drs. Mark and Suzanne Boas' eyecare practice, collecting patient insurance details and financial responsibilities.
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EMPLOYEE WAIVER OF HEALTH INSURANCE FORM
PDF template
Form for employees to waive group health insurance coverage due to alternative coverage.
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DELL COMPUTER REQUEST FORM
PDF template
Official form for requesting Dell computer products for university departments, with specific instructions for processing and approval.
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Neighborhood Health Plan Of Rhode Island (NHPRI) DME Authorization Form
PDF template
Healthcare authorization form for durable medical equipment (DME) services from Neighborhood Health Plan of Rhode Island
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Interfund Transfer Request Form
PDF template
A form used to request and document transfers between different fund accounts within an organization.
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International Shipping Request Form
PDF template
A form for documenting and obtaining export control authorization for international shipments from Emory University.
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Academic Records Request Form
PDF template
Form for requesting and authorizing the release of academic records to World Education Services for credential evaluation.
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International Travel Authorization Form (Faculty And Staff)
PDF template
A form for University of Miami faculty and staff to request approval for international travel with restricted destinations.
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Intern Medical Treatment Authorization Form
PDF template
Medical authorization form for interns to provide emergency treatment details and contact information in case of medical incidents.
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COLLEGE INTERVIEW FORM
PDF template
A form for students to provide personal, academic, and employment information for career placement services and credential access authorization.
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Employee Direct Deposit Authorization Form
PDF template
A form for employees to authorize direct deposit of their paychecks into one or two bank accounts by providing account details and signature.
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Application Form For Invalidity Pension
PDF template
Official government form for applying for Invalidity Pension in Ireland, with detailed instructions for completion.
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Minnesota Records Inventory
PDF template
A comprehensive form for documenting and tracking government records, their storage media, privacy classifications, and retention requirements.
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Legal Invoice Submission Portal (For LEDES Format) Quick Reference Guide
PDF template
A guide for submitting legal invoices through Cisco's online portal, providing instructions for LEDES and non-LEDES invoice formats.
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Iowa Statutory Power Of Attorney Form
PDF template
A legal document that allows an individual to designate an agent to make property-related decisions on their behalf.
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Media Release Form
PDF template
A consent form allowing Youth Services System to use photographs and videos of individuals for media and promotional purposes.
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INDIANA REGIONAL MLS LISTED COMING SOON AUTHORIZATION FORM
PDF template
A form authorizing a real estate listing to be marked as "Coming Soon" in the Indiana Regional MLS system, with specific rules and conditions for pre-market listing status.
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Form 8821
PDF template
IRS form authorizing an appointee to inspect and receive confidential tax information for specified tax matters.
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Form 8821
PDF template
IRS form authorizing disclosure of confidential tax information to a designated appointee.
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Impairment Related Work Expense Request
PDF template
Form for reporting work-related expenses for Social Security disability beneficiaries to potentially offset income calculations.
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ISEA International Copyright License Agreement
PDF template
A copyright license form granting ISEA International permission to use and distribute creative works for archival and promotional purposes.
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ISEA International Copyright License Agreement
PDF template
A copyright license agreement allowing ISEA International to use and distribute creative works for archival and promotional purposes.
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Property Owner Consent Form
PDF template
A form authorizing a designated representative to allow access and participation in an annual property easement monitoring visit.
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Information Technology Project Request Form
PDF template
A comprehensive form for submitting and evaluating technology project proposals within an organization
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Form SS 4
PDF template
Instructions for applying for an Employer Identification Number (EIN) from the Internal Revenue Service
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IT Addendum To ContractorS Contract Form
PDF template
An addendum modifying standard contract terms for IT services between a contractor and the Virginia Community College System (VCCS)
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CDW Customer Service Order Form
PDF template
Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
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I.T Maintenance Request Form
PDF template
A form used to document and track IT equipment maintenance requests within an organization.
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ITP 3 Technology Governance And Procurement Review
PDF template
Administrative procedure defining the technology governance process and requirements for technology procurement review at Marshall University.
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Information Technology Professional Services Agreement
PDF template
A service agreement between Cornell University and a technology consultant for professional IT services and deliverables.
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SIUE ITS Network Infrastructure Management Service Requisition Form
PDF template
A form for requesting network and infrastructure services at Southern Illinois University Edwardsville (SIUE)
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Information Technology Services Purchase Requisition Form
PDF template
Guidelines for staff to request and purchase IT equipment through the Information Technology Services department's requisition process.
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Payroll Deduction Authorization Form
PDF template
Form for employees to authorize ongoing or one-time payroll deductions to the Wesleyan Fund
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Sample Parental Consent Form
PDF template
A template for obtaining parental consent for a research study involving children, to be used by researchers at John Carroll University.
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Medical Release Form
PDF template
A form for documenting participant medical history, conditions, medications, and emergency contact information.
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Home Campus Authorization Form For Students Applying To John Jay College Study Abroad Programs
PDF template
A form for students seeking approval to participate in John Jay College's study abroad programs, including disciplinary history certification.
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Authorization, Agreement, And Certification Of Training
PDF template
A comprehensive document for recording employee training details, course information, and agency-specific training data.
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MEDICAL RELEASE FORM
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HR Change Of Address Form
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A form for employees to update their personal contact information and notify benefits vendors of address changes.
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OISRAN Permission To Use The School Name
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A form granting permission for a school's ski racing team to use the school's name and trademarks in OISRAN sanctioned activities.
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Transitions
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Monthly update document from Massachusetts Department of Transitional Assistance covering case transfer functionality, MBTA fare changes, and participation form guidelines.
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KPERS 15B Direct Deposit Agreement
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Form for setting up direct deposit of retirement benefits with Kansas Public Employees Retirement System
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DESIGNATION OF BENEFICIARY FOR LIFE INSURANCE KANSAS BOARD OF REGENTS MEMBERS
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Official form for Kansas Board of Regents members to designate life insurance beneficiaries for KPERS insurance benefits.
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Peralta Community College District Reimbursement Form
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Form for Peralta Community College District employees and retirees to claim medical expense reimbursements based on specific eligibility criteria.
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KeyAccess Card Request Form
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Form for requesting keys and access cards for college employees, outlining access and usage requirements.
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Key And Electronic Access Control Requisition Form
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Form for requesting keys and electronic access credentials for employees and students at the University of Winnipeg.
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Key Electronic Access Request Form
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Form for requesting building, room, and electronic access for employees at an organization, including key and FOB/PROX card requests.
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KEY AUTHORIZATION FORM FOR FAU JUPITER CAMPUS KEY(S)
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Veterinary Resources Key Receipt Authorization
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A form documenting the authorization and receipt of keys for animal research facilities with specific return and usage guidelines.
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KEY (ACCESS) REQUISITION
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Form used to request new keys or access changes for employees at an educational institution
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KEY REQUEST FORM
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A form for requesting different types of keys for campus buildings with required signatures and accountability provisions.
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Key Request Form
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A form for requesting key access at Northern Kentucky University with detailed instructions for different key types and control policies.
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Key Request Form
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A form for requesting building access keys at Auburn University by authorized personnel.
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Consent For Administration Of Health Treatment AndOr Medication At School
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A form for parents and healthcare providers to authorize medical treatments and medication administration during school hours.
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Caregiver Permission To Contact Form
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A form for kinship caregivers to provide contact information and communication preferences for receiving support services from Kinship Connections of Wyoming.
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Aflac Cancer Wellness Claim Form
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Document providing guidance on filing wellness claims with Aflac insurance and information about Primary Care Provider (PCP) selection.
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My Benefits Manager Provider Portal Guide
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A comprehensive guide for healthcare providers to navigate the My Benefits Manager portal for claims, eligibility, and authorization management.
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KPERS Retirement Application
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Comprehensive guide and application for retirement benefits through the Kansas Public Employees Retirement System (KPERS)
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2025 Value Added Benefits
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Comprehensive benefits guide for pregnant and new mothers, offering rewards, support programs, and additional healthcare services.
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KS CONNECT FOR PARENTS Step By Step Instructions
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Detailed step-by-step instructions for parents to navigate and complete required forms in the Kamehameha Schools online portal.
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Consumer Cancellation For Direct Payment Via ACH
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Benefit Application Form For Ontario Works
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Form L180b Special Power Of Attorney
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A form for Sonoma County Employees' Retirement Association members to appoint an Attorney-In-Fact to handle retirement-related matters.
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Emergency Contact Authorization
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A form authorizing emergency contacts for children at The Children's Center, Inc., allowing designated persons to be reached in case of emergency.
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Application For Pension
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Comprehensive pension application package for laborers seeking to start their pension benefit, including forms and instructions for benefit election.
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Boise State UniversityS Lab Waiver Of Liability And Assumption Of Risk
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A legal document granting parental permission and outlining liability terms for students participating in Boise State University lab programs.
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STATE OF LOUISIANA HOTEL PROGRAM
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Comprehensive guide for making hotel reservations through the state of Louisiana's booking portal, including transaction requirements and booking policies.
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Transcript Request Form
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A form authorizing the release of student academic records for school application purposes, to be completed by parents and school administrators.
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Bessie Marshall Benefit Fund Instructions
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Detailed instructions for members to apply for weekly benefits in case of sickness or injury, with specific eligibility requirements and limitations.
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Ladies Auxiliary To The Maryland State FiremenS Association Bessie Marshall Benefit Fund Instructi
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Benefit fund guidelines for sick or injured members of the Maryland State Firemen's Association providing weekly financial assistance under specific conditions.
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PROOF OF DISABILITY CLAIM FORM
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A form for employees to document and claim disability benefits through the Labor Alliance Managed Trust Fund.
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Landlord Authorization Form
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A form authorizing tenant's service access and documenting property owner's consent for utility services at a specific address.
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Landowner Consent To Tenant Billing
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A form allowing property owners to authorize tenant or property manager billing for water services and manage billing responsibilities.
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Authorization For Release Of Information And Liability Waiver
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Legal document authorizing disclosure of employment files for law enforcement job candidates in Wisconsin, with liability release provisions.
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Transfer Request Form
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A form allowing credit union members to authorize a one-time fund transfer between accounts.
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Louisiana Child Care Criminal Background Check Authorization Form For Former Louisiana Residents
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Authorization form for conducting criminal background checks for child care purposes for former Louisiana residents
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LDSS 2642 Documentation Requirements
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A form detailing documentation needed to prove various eligibility factors for social services or benefits application.
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Least Expensive Milk Declaration Form
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Form for WIC vendor applicants to declare their lowest-cost milk brand for program participation.
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Leave Request Form
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A comprehensive form for Wellesley Public Schools employees to request various types of leave of absence.
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Leave Request Form Management
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A comprehensive form for employees to request various types of leave, including medical, family, and parental leave.
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MEMBERSHIP FORM
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A membership enrollment form for Law Enforcement Labor Services (LELS) union, allowing employees to authorize monthly dues deduction and join the union.
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Letter Of Authorization
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A document allowing a third party to submit and manage a passport application on behalf of an individual, with specific consent provisions.
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Disability Claim Form
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A comprehensive form for employees to file a disability claim, documenting injury/illness details, personal information, and income sources.
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LHC Supplemental Medical 2023 Update23
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Medical form for Laurel Highlands Council camp registration requiring health information and medication permissions for scouts
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Disability Claim Form
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A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
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Permission Form For Minors With Indemnity Agreement And Emergency Contacts
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A consent and liability waiver form for parents/guardians allowing minor children to participate in a diocesan event with legal indemnification provisions.
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Retiree Life Cancellation Form
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Form for cancelling retiree life insurance coverage with UCM Benefits Group, with a warning that once cancelled, participation cannot be reinstated.
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Volunteer Application Packet Checklist
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A comprehensive checklist for volunteer applicants to submit required documentation for volunteer program enrollment.
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Medical Release Form
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A comprehensive medical consent and release form for students at Lyndon Institute's Boarding or Summer Program, granting medical treatment permissions and health information sharing.
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State Of Florida Group Long Term Disability Claim Form
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A comprehensive claim form for employees seeking long-term disability benefits through the State of Florida's insurance program administered by Cigna.
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NOF.ORG Linking Request Form
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A form for requesting permission to include links to or from the National Osteoporosis Foundation (NOF) website.
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SmartClean Service Interactive Marketing Solutions SubscriptionPurchase Agreement
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Subscription agreement for interactive marketing list management services with terms and conditions for use of data services.
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UNall HR Service Requests
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Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
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LL 2 Authorization Release Of Account Information
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A form allowing Ohio Public Employees Retirement System members to authorize release of their account information to specified third parties.
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LLNS Prescription Drug Benefit For Anthem Members
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A summary of prescription drug benefits for Anthem members provided by CVS/Caremark, covering retail and mail-order pharmacy options.
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LOCAL AUTHOR MATERIAL SUBMISSION FORM
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A form for local authors to submit their published works to the Novi Public Library for consideration and potential inclusion.
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Disability Claim Form FL
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A comprehensive form for filing a disability insurance claim with detailed sections for employer and employee information.
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Long Term Disability Insurance For Judges Attorneys FAQs
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Informational document about long-term disability insurance options for New Mexico Judicial Branch judges and attorneys through Northwestern Mutual.
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Application For Permission To Remain In The State On Long Term Residency
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Official immigration form for requesting permission to remain in the state on long-term residency status
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Combined Subsistence And Transportation Authorization And Expense Report
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Official city document for tracking and authorizing travel expenses for City of Omaha employees
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Trips And Visits Medical And Consent Form
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A comprehensive medical and consent form for students participating in a school trip, collecting health and emergency contact information.
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New Jersey Government Records Request Form
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Official form for requesting access to government records in New Jersey, detailing submission methods and requestor information.
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Direct Deposit Authorization Form
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A form for employees to set up direct deposit for payroll with their financial institution details.
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MEMBERSHIP FORM
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Membership enrollment form for Los Rios College Federation of Teachers (LRCFT) with dues authorization and personal information collection.
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LREI Spring Book Fair Parent Pre Authorized Purchase Form
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A form allowing parents to pre-authorize their child's book purchases at a school book fair with spending limits and payment methods.
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LSV AUTHORIZATION FORM
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A form for authorizing and documenting the rental of a low-speed vehicle by a university employee, including billing and driver information.
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LTBB Media Release Form
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A media release authorization form allowing LTBB to use participant images, audio, and video for promotional and educational purposes.
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LTBB Permission And Medical Release Form
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A form providing authorization for medical treatment and participation in LTBB department and program events, including emergency contact information.
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Group LTD Insurance Cancellation Form
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Form for employees to cancel voluntary long-term disability insurance coverage with Tennessee Board of Regents
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Disability Claim Form
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A comprehensive form for filing a disability insurance claim, requiring input from the member, plan sponsor, and attending physician.
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Group Long Term Disability Claim Form
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A comprehensive claim form for employees seeking long-term disability benefits, requiring details from both the employee and attending physician.
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Long Term Disability Claim Form Employer Statement
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Comprehensive employer statement form for filing a long-term disability insurance claim, capturing employee and claim details.
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Long Term Disability Claim Form Statement Of Employer
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A form used by employers to submit details for an employee's long-term disability insurance claim with Lincoln Financial Group.
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Lumpsum Pension Paypoint Form
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A form authorizing the payment of pension or lump sum funds to a specified Sacco account at Cooperative Bank of Kenya.
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Changes To The Permanent Change Of Station (PCS) Authorization Process
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Department of the Interior memorandum detailing new procedures for creating Permanent Change of Station authorizations using the Financial and Business Management System (FBMS).
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Form M 1 Report For Multiple Employer Welfare Arrangements (MEWAs) And Certain Entities Claiming Exc
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A Department of Labor form for reporting multiple employer welfare arrangements and entities claiming exception to health coverage regulations.
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M 5008 R Appointment Of Taxpayer Representative
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Official form for designating a representative to act on behalf of a taxpayer with the New Jersey Division of Taxation
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North Carolina Medicaid Aged, Blind And Disabled Medicaid Manual
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Guidelines for handling Medicaid application inquiries and documenting when an individual chooses not to apply for assistance.
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Monthly Account Holder Agreement
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Agreement for accessing eGovernment services through the WV.GOV portal with an annual subscription fee of $100.00.
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MA Health Care Coverage Waiver Form
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Form for employees to decline employer-sponsored health insurance coverage with options for alternative coverage
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Shipping And Receiving Mail Authorization Form
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A form for authorizing and documenting mail shipments, including details about contents, mailing services, and recipient addresses.
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Maintenance Request Form
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A form for tenants to submit maintenance requests for their rental property with details and access permissions.
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Maintenance Request Form
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A form for residents to request repairs and authorize management access to their apartment.
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Payroll Deduction Authorization
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Authorization form for automatic monthly payroll deductions for PCC Management Association membership dues.
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Medical History Form
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A comprehensive medical form for camp participants to document health information, emergency contacts, and treatment authorization.
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MANNA Parental Consent And Release From Liability
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Parental consent form allowing minors to volunteer at MANNA kitchen, including liability release and emergency contact information.
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Extended Health Care Claim
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Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
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Payroll Deduction Authorization Form
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Authorization form for payroll deductions to the SMC Management Association with monthly contribution options.
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PhotoVideo Marketing And Media Release Form
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Legal document granting permission for Southland Therapy Services to use photographs, video images, and statements for marketing purposes.
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Miami County Marlins Swim Team Emergency Medical Authorization Form
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A form allowing parents to authorize emergency medical treatment for children during swim team activities when parents cannot be reached.
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ITP 1 Technology Governance And Procurement Review
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Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
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MASA Medical Air Services Association Employee Payroll Deduction Authorization Form
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Employee authorization form for automatic payroll deductions for MASA membership dues with terms and conditions.
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Operative Plasterers And Cement Masons Profit Sharing Annuity Plan Summary Plan Description
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A summary plan description for a profit sharing annuity plan for plasterers and cement masons, detailing plan provisions as of October 31, 2002.
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MAT Approval Form
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Form documenting client's eligibility and approval for Medication Assisted Treatment services through CJRC/AO Treatment services.
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Application Form For Maternity Benefit
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Official form for applying for maternity benefits through Social Welfare Services, providing guidance for employees and self-employed individuals
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Application Form For Maternity Benefit
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A comprehensive form for employees and self-employed individuals to apply for maternity leave benefits in Ireland.
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Short Term Disability Insurance For Maternity Leave
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A detailed explanation of short-term disability insurance coverage for maternity leave, including claim filing process and state-specific benefits.
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Montana Access To Health Web Portal Link Request
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Form for linking provider identifiers in the Montana Access to Health web portal to enable electronic statement of remittance retrieval.
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Bank Account Withdrawal Pre Authorization Form
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A form allowing Medicare Advantage members to authorize electronic funds transfer for monthly plan premiums from their bank account.
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Multnomah Bar Association EnrollmentChange Of StatusWaiver Form
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A comprehensive form for attorneys to enroll, change, or waive health insurance coverage through the Multnomah Bar Association.
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Direct Deposit Form
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Official form for School Employees Retirement System of Ohio to establish direct deposit payment method for retirement benefits.
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Vehicle Use Permit Power Of Attorney
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A legal document granting permission to another person to operate a specific vehicle at MCB Camp Lejeune
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Chronic Illness Benefit Application Form 2024
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An application form for patients seeking chronic illness benefits through the MultiChoice Medical Aid Scheme for the year 2024.
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Mount Sinai Adolescent School Based Health Center Parental Consent Form
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Parental consent form for students to use school-based health center services at Manhattan area schools.
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Montgomery County Volunteer Fire Rescue Association Union Member Facilities Access Membership Form
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Membership form for Montgomery County Volunteer Fire Rescue Association members to access recreational facilities as a collectively bargained benefit.
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Direct Deposit Agreement Form
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A form for authorizing automatic payroll deposits to a financial institution account by Mississippi Delta Community College employees.
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Miami Dade County Employee Benefits
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Comprehensive overview of employee benefits package for Miami-Dade County employees, including insurance, retirement, and support services.
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MaintenanceDirect User Manual Requester Guide
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A comprehensive guide for users to submit and manage maintenance work order requests through the MySchoolBuilding portal.
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Power Of Attorney Aircraft Registration
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A form enabling aircraft owners to designate a representative with authority to complete aircraft registration documents on their behalf.
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Meal Approval Form Policy 1020
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A form for documenting and approving meal expenses for county business meetings, including attendee details, meal types, and payment information.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare expense reimbursement and insurance details.
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ENROLLMENT FORM
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A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with dependent information and coverage election details.
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ParentalGuardian Consent Form
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A consent form for parents/guardians to authorize student participation in the MedEx Academy program, including medical treatment and promotional permissions.
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Media Release Form
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A form granting permission to use photos or videos of a child taken during a 4-H event for various media and marketing purposes.
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Media Release Form
PDF template
A consent form authorizing the use of audio, photographs, videotape, or film of a child for publicity and marketing purposes.
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Medical Release Form
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A form authorizing the release of medical treatment information to specified facilities or individuals.
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Media Release Form
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A form allowing parents to consent or decline permission for their children to be photographed or recorded during school activities.
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Media Release Form 16
PDF template
A form allowing individuals 16 and older to grant permission for their image to be used in marketing materials by Henry Ford College.
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Media Release Form
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Legal document granting permission to use an individual's or child's photo, video, or likeness for promotional purposes by the Optometric Foundation of North Dakota.
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Media Release Form
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A form granting permission for the Special Education Service Agency (SESA) to use an individual's or minor's media materials for various publications and communications.
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Student Media Release Form
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A form allowing parents/guardians to consent or deny permission for student media publication and directory listing.
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2021 2022 Media Release Form
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A legal form granting permission for The Arc Allegany-Steuben to use an individual's image, name, and personal testimony for promotional purposes.
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MEDIA RELEASE FORM
PDF template
A consent form for photographing, interviewing, and using an individual's media content for non-profit purposes.
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Media Release Form
PDF template
A legal document granting permission to record, use, and distribute images or recordings of a student for educational and promotional purposes.
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Media Release Form
PDF template
A form granting permission for the College to use photographs and video images of individuals for promotional purposes.
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Media Release Form 2022 2023 Season
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A consent form allowing the Bismarck Mandan Symphony Orchestra to use an individual's image and name for media and promotional purposes.
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Media Release Form
PDF template
Legal document granting permission to record and use an individual's image, voice, or performance for educational and promotional purposes.
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MEDIA RELEASE FORM
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A legal document authorizing Oregon Health & Science University to use an individual's image, likeness, and recordings for various media and communication purposes.
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LULAC Adelante America Program Media Release Form
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A consent form allowing LULAC and Verizon to use participant images and statements for marketing and promotional purposes.
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MEDIA RELEASE FORM
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Legal document granting permission to use images, video, and biographical information for media purposes by the American Humane Association.
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Media Release Form
PDF template
A consent form allowing First Choice by Select Health to use patient photos, stories, and health information for various media and promotional purposes.
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Media Release Form
PDF template
A form granting or denying permission for Qalipu First Nation to use participant images and media for various productions.
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Media Release Form For Students
PDF template
A form for parents/guardians to grant or deny permission for their child's media representation in school-related communications and events.
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Media Release Form
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A consent form allowing Northside ISD to use a student's image and name for publicity purposes related to intramural sports.
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Media Authorization And Release
PDF template
A consent form granting Catholic Charities Community Services permission to use photographs, videos, and images of participants and their children for various purposes.
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Media Release Form
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Legal document authorizing University Libraries to record, use, and distribute an individual's likeness and performance across various media platforms.
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Media Release Form
PDF template
A consent form allowing or denying permission for Girl Scout members to be photographed, interviewed, or videotaped for promotional materials.
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RELEASE FORM
PDF template
A form granting permission for Westchester Community College to record, store, and distribute a presentation across various media platforms.
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Macalester College Media Release Form
PDF template
A form authorizing Macalester College to record, archive, and use an individual's presentation or event materials for academic and non-commercial purposes.
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MEDIA RELEASE FORM
PDF template
Legal document granting New York University permission to use photographs, videos, and audio recordings of an individual for promotional purposes.
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Media Release Form For Parent And Minor
PDF template
A form granting permission for Henry Ford College to use photos, videos, and digital representations of a minor for marketing purposes.
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Sigma Tau Delta Media Release Form
PDF template
A legal release form authorizing Sigma Tau Delta to use participant's photographic, video, and audio recordings for organizational purposes.
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Media Release Form
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A legal document granting permission for the Department of Financial Protection and Innovation to use an individual's image across various media platforms.
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Media Release Form
PDF template
Official document granting the Idaho Transportation Department permission to use agency images for various media and publication purposes.
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Medical Record Authorization Form Instructions
PDF template
Comprehensive instructions for patients or their representatives to request medical records from Sutter Health facilities.
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USA Ultimate Medical Authorization Form
PDF template
A medical authorization form for parents/guardians to provide emergency treatment consent for children participating in Ultimate activities.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient and treatment details for reimbursement.
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Medication Consent Form
PDF template
Form for parents/guardians to provide consent for medication administration to children in child care settings
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Medication Consent Form
PDF template
A form for parents/guardians to authorize medication administration for children in child care settings.
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Seoul International School Authorization For Medical Procedure Student Medical History Health Fo
PDF template
Medical authorization and health history document for students at Seoul International School, covering emergency care permissions and medical history details.
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Medical Treatment Consent Form
PDF template
A consent form allowing medical treatment for a student participating in the High School Honor Band, with emergency contact and insurance details.
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Emergency Contact And Medical Information
PDF template
Form for collecting medical information, emergency contacts, and medical authorization for a child during a specific event or period.
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Emergency Contact, Medical Information And Authorization For Medical Care
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Medical and emergency contact form for program participants, collecting health information and treatment authorization for Georgia State University programs.
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Medication Emergency Treatment Authorization For Participants In Programs Involving Minors
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A comprehensive medical authorization form for parents/guardians to provide health and emergency contact information for children participating in Boston College youth programs.
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Messiah University Young Writers Workshop Medical Form
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A medical form for participants of a youth writing workshop, capturing emergency contact, medical history, and medication information.
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Medical History And Permission Form For Treatment
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Medical authorization and medication details form for parents of summer program participants to provide medical treatment consent and medication information.
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MEDICAL INQUIRY FORM
PDF template
A form authorizing release of medical information for evaluating workplace disability accommodations and job function capabilities.
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MEDICAL INQUIRY FORM RESPONSIVE TO ACCOMMODATION REQUEST
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A form for employees to request medical accommodations by authorizing their healthcare provider to release relevant medical information to their employer.
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SCREENING AND REFERRAL FORM
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A comprehensive screening form to assess an individual's needs across income supports, housing, employment, and immigration status.
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Campus Guest Medical Release Form
PDF template
Medical authorization form for campus visitors allowing emergency medical treatment and documenting health information.
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Medical Release FormPermission To Treat
PDF template
A comprehensive medical form for collecting personal, emergency contact, insurance, and medical information with treatment authorization.
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Medical Practitioner Authorization Form (MPAF) For SBAP Services
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Authorization form for medical practitioners to approve health-related services for students in the School-Based Access Program (SBAP)
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Medical Release Form
PDF template
A form authorizing the release of medical records from one healthcare provider to another, with patient consent.
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Medical Release Form
PDF template
Authorization for releasing protected health information to a designated company with patient consent.
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MEDICAL RELEASE FORM
PDF template
Authorization form for releasing protected patient medical information with specific details about healthcare records disclosure.
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Medical Release Form
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A form granting permission to release confidential medical information to the Virginia Tech Adult Day Care Center.
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Authorization To Release Medical Information Form
PDF template
A form authorizing the release of medical records and personal health information between healthcare providers or entities.
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Williamsport Volunteer Fire Emergency Services Inc. Medical Release Form
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A form authorizing the release of medical information from Williamsport Volunteer Fire Emergency Medical Services Inc.
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Authorization For Disclosure Of Health Information
PDF template
A form authorizing the release of personal health information with consent and understanding of privacy rights.
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Authorization Of Medical Records
PDF template
A form allowing parents or guardians to authorize the release of their child's medical records to another healthcare provider or entity.
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Little League Baseball And Softball Medical Release
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Medical authorization form for youth baseball and softball players, allowing emergency medical treatment and capturing critical health information.
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Authorization For Use Or Disclosure Of Protected Health Information
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A form enabling patients or guardians to authorize the release of medical records from Forest Hills Pediatrics, LLC to specified parties.
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Medical Release Form
PDF template
A medical form authorizing camp staff to administer prescribed medications to a child during camp hours.
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Authorization For Release Of Protected Health Information
PDF template
A form authorizing the release of a child's medical records and protected health information to specified parties.
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Medical Release Form
PDF template
A legal document authorizing the release of patient's medical records and health information to designated individuals or organizations.
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Medical Record Release Form
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A form authorizing the release of confidential medical records to Complete Dermatology medical offices
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Medical Release Form
PDF template
A form to authorize the release of patient medical information for insurance claim processing.
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AUTHORIZATION FOR DISCLOSURE OF HEALTH INFORMATION
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A form authorizing the disclosure of patient health information between healthcare providers or to the patient themselves.
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Medical Release Form.Doc
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A form authorizing Lake Oswego Fire Department to release medical records to a specified recipient with patient consent.
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SFASU Medical Release Form
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A medical records release authorization form allowing patients to permit Stephen F. Austin State University Health Clinic to release medical information to specified parties.
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HIPAA Privacy Authorization Form
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Authorization form for releasing protected health information for St. John Fisher College students, complying with HIPAA regulations.
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Authorization For The Release Of Medical Records
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Form for transferring medical records from the Reproductive Science Center of the San Francisco Bay Area to another healthcare provider or facility.
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Medical Release Form
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A medical consent form for parents/guardians to authorize medical treatment for a minor in their absence.
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MEDICAL LIABILITY RELEASE
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Comprehensive medical and liability release form for camp registration, including health information, emergency contacts, and photo/transportation permissions.
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Event Medical Release Permission Form
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A comprehensive medical release and permission form for students participating in church youth events, covering medical history, contact information, and emergency details.
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Medical Release Form
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A form authorizing the release and disclosure of patient health information, including medical records and sensitive health data.
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Authorization For Use And Disclosure Of Medical Information
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A legal document authorizing healthcare providers to release confidential medical records to a specified facility.
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Medical Release TO SFASU Form
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A form authorizing the release of medical records to Stephen F. Austin State University Health Clinic
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Medical Information Release Form
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A document authorizing the release of medical or personal information by an individual to a specified entity.
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Little League Baseball And Softball Medical Release
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Medical authorization form for youth baseball and softball players, providing emergency contact and medical information for team participation.
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Medical Release Form Treatment Of Minor Child
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A form granting medical treatment authorization for a minor child in case of emergency, including contact and medical information.
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Medical Release Form
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A form allowing patients to authorize the transfer of medical records to or from Market Street Dermatology.
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Waal Community Academy Medical Release Form
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A medical release form for documenting student medical information and emergency contact details, with parental authorization for medical treatment.
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MEDICAL RELEASE FORM
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A legal form authorizing medical treatment for a minor by parent or legal guardian, including medical history and emergency contact information.
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Medical Release Form
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A legal document authorizing medical treatment for a minor and designating emergency contacts and medical information.
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CWS Policy Manual Cross Program Procedures Medical TreatmentMedical Releases
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Comprehensive policy manual detailing medical treatment procedures, consent forms, and authorization processes for children in child welfare services.
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AUTHORIZATION FOR THE RELEASE OF MEDICAL INFORMATION
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A form allowing students to authorize the release of medical information to the Office of Accessibility for determining disability service eligibility.
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MCPS Access Request Form
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A form for requesting, updating, or terminating user access to the Noridian Medical Claims Processing System (MCPS)
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Request For Medicare Part B Reimbursement (Quarterly Or Annual)
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A form for Contra Costa Community College District retirees to request reimbursement for Medicare Part B premium payments.
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Medication Authorization Form
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A form detailing requirements for administering medications to children at Pine Tree Camp, including guidelines for prescription and over-the-counter medications.
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Authorization To Administer Medication Child Care Centers
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Form for parents and child care providers to authorize and document medication administration for children in care settings.
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Medication Administration Permission For School And Child Care
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A form allowing parents/guardians to authorize school or child care staff to administer medication to a child based on healthcare provider instructions.
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Authorization For The Administration Of Medication By School, Child Care, And Youth Camp Personnel
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A form authorizing school, child care, and youth camp personnel to administer medication to children under specific guidelines.
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Medication Authorization
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A form for parents/guardians to request school personnel to administer medication to students during school hours or field trips.
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Child Care Medication Authorization Form
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A form for parents/guardians to authorize child care providers to administer medication to children with specific guidelines and requirements.
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Medication Authorization Form
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Official form for obtaining parental and medical permission to administer medication to a child in a care facility in Washington, DC.
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SGLGSAMedicationConsent20100122
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A form for parents/guardians to authorize medication administration for children in early education and care settings.
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Medication Consent Form
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A form for parents and practitioners to authorize medication administration for students at school, including prescription and emergency medications.
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Maryland State School Medication Administration Authorization Form
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A form for authorizing medication administration for students in Maryland schools, requiring details from both prescriber and parent/guardian.
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Medication Authorization
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A form detailing procedures and authorization for administering medications to children in care settings.
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UA Affidavit Authorization For Release Of Information
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Official affidavit and authorization document for releasing information related to physician licensure application for the Maine Board of Osteopathic Licensure.
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MemberS Application For Disability Retirement
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Application form and guidance for public employees seeking disability retirement benefits in Massachusetts.
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Member Inquiry Form
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A comprehensive form for members to submit inquiries about medical claims, health plans, and personal information updates.
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Claim Form 1 Reimbursement For Out Of Network Benefit
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Form for submitting vision service reimbursement claims for out-of-network eye doctor visits and services.
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Privacy Act Statement Labor Organization Dues Deduction
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A form allowing federal employees to authorize payroll deductions for labor organization dues with privacy act disclosures.
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Overnight Travel
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Guidelines and procedures for submitting overnight travel forms for school-related trips.
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Member Service Request Form
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A comprehensive form for members to request various retirement, service, and benefits-related actions.
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Insurance Enrollment Form
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Comprehensive form for employees to enroll in various insurance coverages including life, disability, dental, and vision.
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MetLife Legal Plans EnrollmentCancellation Form
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Form for enrolling in or canceling MetLife Legal Plans insurance coverage for San Diego and Imperial County Schools employees.
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MetLife Legal Plans EnrollmentCancellation Form
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Insurance enrollment form for MetLife Legal Plan for San Diego and Imperial County Schools employees to select and authorize payroll deductions for legal plan coverage.
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EXHIBIT FOR MANAGED SERVICES (2014v3)
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Comprehensive document defining key terms and definitions for Adobe's Managed Services agreement.
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Exhibit For On Demand Services (2014v1)
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Legal document defining terms and conditions for Adobe's on-demand services, including definitions of customer content, data, and user access.
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Exhibit For On Demand Services (2014v2)
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Legal document defining terms and conditions for Adobe's on-demand services, including definitions of key terms related to customer data and content.
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Exhibit For On Demand Services (2014v3)
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Legal exhibit defining terms and conditions for Adobe's on-demand services, including definitions of customer data, content, and usage rights.
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Exhibit For OnDemand Services (2014v1) (APAC)
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Legal exhibit defining terms and conditions for Adobe's on-demand services, including definitions of key terms related to customer data and content.
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Internship Application Form
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Application form for internship opportunities at the Museum at FIT in New York City.
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MHA 788 Culminating Project Pre Authorization Registration Form
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A form for graduate students to obtain permission and register for their final semester culminating project in the Hospitality Management program.
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Help With Medicare Costs Medicare Savings Programs
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Application for financial assistance with Medicare premiums, copays, and deductibles, with potential SNAP enrollment option.
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Military History Checklist
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A tool to help hospice staff identify veterans, understand their military service, and assess potential VA benefits for patients and their families.
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FLIGHT PURCHASE FORM
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Form for processing flight ticket purchases and travel authorization for university personnel.
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REFERRAL FORM
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A form for referring consumers to various support services including advocacy, benefits assistance, healthcare, and employment services.
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Military Plan Information
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A form for dividing military retirement benefits during divorce proceedings, capturing details about service, marriage duration, and benefit allocation.
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Notice Of Potential Veterans Benefits
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A document notifying eligible veterans of their rights to purchase creditable service for military service under Massachusetts retirement laws.
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Payroll Deduction Authorization Form
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Form authorizing the University of North Carolina to deduct course fees from an employee's paycheck over multiple pay periods.
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Statutory Short Form Power Of Attorney
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A legal document granting broad powers to an attorney-in-fact for making decisions on behalf of the principal under Minnesota law.
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Minor Care Consent Via Phone
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A consent form for authorizing medical treatment of a minor patient through phone communication, capturing key patient and guardian information.
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Minor Authorization Consent Form For Medical Treatment Or Counseling
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A consent form allowing medical treatment and counseling for a minor student at Pasadena City College by parent/guardian authorization.
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Field Trip Permission And Medical Release Form
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Permission form for students under 18 to participate in college field trips, including medical release authorization.
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Minor Permission And Medical Release Form
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A legal document granting permission and medical authorization for a minor to participate in a church mission trip with emergency contact and medical information.
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Minor Travel Release Form
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A travel authorization form for parents or guardians to allow a minor to travel with Johns Creek Baptist Church on a mission trip.
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MIP Enrollment Form
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Comprehensive form for UN staff members to enroll in medical insurance coverage for themselves and their dependents.
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Miscellaneous Payroll Deduction Form
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Form allowing employees to authorize payroll deductions for replacement of work-related items such as ID badges, cell phones, and other equipment.
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Mission And Community Service Leave Request Form
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A form for employees to request time off for mission, community service, or spiritual activities as part of an organizational leave benefit.
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Missouri Durable Financial Power Of Attorney
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A legal document allowing an individual to appoint an agent or co-agents to make financial decisions on their behalf, even in cases of disability or incapacity.
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Service Request Form For Software Development And System Changes
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A comprehensive form for requesting software development changes, system modifications, and technical support within an organization.
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School Year 1920 Member Pick Up Emergency Contact Form
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A form for parents to authorize pick-up and self-checkout for children at the Boys & Girls Club of Yellowstone County
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No Fault Insurance Form
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A medical insurance claim form for documenting patient information and authorizing insurance benefits for accident-related medical services.
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Workers Compensation Insurance Form
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A comprehensive form for documenting patient and employment details related to a workplace injury insurance claim.
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Internal Authorization Form For UBC Departments
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An internal form for authorizing expenses and documenting spending details within the University of British Columbia departments.
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Model Authorization Form For Certified Application Counselors (CACs) In A Federally Facilitated Mark
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Authorization form allowing Certified Application Counselors to collect, access, and use personal information for healthcare marketplace enrollment assistance.
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Model Authorization Form For Certified Application Counselors (CACs) In A Federally Facilitated Mark
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A consent form allowing Certified Application Counselors to handle and process personally identifiable information for healthcare marketplace enrollment assistance.
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Michigan State University Media Release Form
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Legal document authorizing Michigan State University to use participant images and recordings for promotional and educational purposes.
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Medical Information Release Form
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A form authorizing Mosaic Comprehensive Care to send or receive medical records and patient health information to/from specified providers.
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MOVING EXPENSE PRE AUTHORIZATION FORM
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Form used to pre-authorize and document moving expense reimbursement for eligible employees at an organization.
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PATIENT INFORMATION AND MEDICAL RELEASE FORM (FORM I)
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A comprehensive form for patient medical information, insurance details, and authorization for medical information release and claims processing.
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Personal Leave Request Form
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A form for employees to request unpaid personal leave of at least 30 days from their employer.
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Filing A Claim For Insurance Benefits
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Guide for lenders on submitting insurance benefit claims through the FHA Connection system for various claim types and loss mitigation options.
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5010 Nebraska Medicaid Trading Partner Authorization And Enrollment For Electronic Remittance Advice
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A form for Nebraska Medicaid providers to authorize and enroll in electronic remittance advice transactions and electronic fund transfers.
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Payroll Deduction Form
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Form for members to authorize automatic payroll deductions to various financial accounts and loans
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Employee Disability Claim Form
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Comprehensive guidelines for completing an employee disability claim form with detailed instructions for each section.
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OwnerS Authorization Form
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A legal form authorizing an individual to act on behalf of property owners for development permit applications in St. Johns County, Florida.
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Multi Year Authorization Form
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A form authorizing financial aid disbursement and crediting of student accounts for medical and pharmacy students at UC San Diego.
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Membership Form
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Membership benefits and registration form for the Museum of History and Art in Ontario, offering various membership levels and associated perks.
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Accessing Claims Online Using The Employee Portal
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A guide for employees on how to access and manage insurance claims through Mutual of Omaha's online employee portal.
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Enrollment Form
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Insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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Consent And Authorization To Procure Motor Vehicle Record (MVR)
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A consent form allowing Northeast Wisconsin Technical College to obtain and review an individual's motor vehicle record for employment or driving purposes.
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HR Systems General Access Request Form
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A form for requesting access to HR systems, with options for new access, adding roles, replacing access, or inactivating access.
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MYPO Students PublicationsVideo Release Form
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A consent form allowing Maui Youth Philharmonic Orchestra to use student work, video, or recordings for non-commercial educational purposes.
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Department Of Taxation Representative Authorization Form
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A form allowing taxpayers to appoint representatives to act on their behalf before the Hawaii Department of Taxation.
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ACH AUTHORIZATION FORM
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A form for vendors to provide banking details for electronic payment processing via Automated Clearing House (ACH)
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CHANGE OF ADDRESS NAME CHANGE FORM
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Form for employees to update personal information, address, name, and benefit details with their employer.
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Authorization, Agreement, And Certification Of Training
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A comprehensive government form for documenting employee training details, course information, and participant data.
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Automatic Dues Check Off (DCO) Direct Deposit Form
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Form for updating banking information for National Association of Postal Supervisors branch membership dues direct deposit.
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NASA Media Release For Adults
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A legal document allowing NASA to interview, photograph, or record an individual for media and promotional purposes.
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NASA Media Release Form For Adults
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Legal form granting NASA permission to use an individual's images, voice, and likeness for promotional and instructional materials.
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Pension Benefit Application
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Application form for pension benefits with detailed instructions for participants seeking retirement benefits from the Carpenters Pension Fund.
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HEALTH COVERAGE ENROLLMENT FORM
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Enrollment form for health benefits coverage through the National Automatic Sprinkler Industry Welfare Fund, detailing employee and dependent information.
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Media Release Form
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A legal document granting permission for recording, photographing, and using an individual's likeness for media purposes by C.A.S.E. and the National Center.
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Research Worker Approval Form
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A form for researchers seeking permission to conduct research activities in Miami-Dade County parks and environmental lands.
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Claim Form
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A form for employees to submit healthcare and dependent care expenses for reimbursement through flexible spending accounts.
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Application For Pension
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Comprehensive pension application package for workers seeking to initiate pension benefits from the National Asbestos Workers Pension Fund.
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When You Go On LeaveMake Sure Your 1199SEIU Benefits Are Active
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Instructions for maintaining benefits during various types of leave, including paid family leave, disability, FMLA, and workers' compensation.
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Authorization To Release AndOr Disclose Protected Health Information
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A form authorizing the release of protected health information between NCCU Student Health and Counseling Services and specified parties.
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Cancer Coverage With Optional Riders Claim Form
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Insurance claim form for filing cancer coverage benefits with American Heritage Life Insurance Company.
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Data Element Request Form (DERF)
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A comprehensive guide for submitting and processing Data Element Request Forms (DERF) for NCPDP standards modifications.
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Direct Deposit Authorization Form
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A form allowing employees to authorize direct deposit of their pay into one or more bank accounts.
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Authorization For Direct Deposit
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A form allowing employees or contractors to authorize direct deposit of their paycheck into bank accounts.
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Property OwnerS Affidavit
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Legal document allowing property owners to authorize an agent or act as their own agent for a specific application process.
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980 Retiree Welcome Packet Retirement Medical Benefit Account Claim Form
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A claim form for retirees to submit medical insurance premium reimbursement requests with specific documentation guidelines.
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California Public Records Request Intake Form
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A form for requesting public records from the Fair Political Practices Commission in California.
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DIRECT DEPOSIT FORM
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A form used to set up direct deposit for employee payroll or other payments, with specific instructions for completion.
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New Hire Benefits Enrollment Checklist
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Comprehensive checklist for new employees of the Office of the Comptroller of the Currency to complete benefits enrollment and required forms within specified timeframes.
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Checklist For Transfer Employee From Another State Agency
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A comprehensive checklist for employees transferring between state agencies, covering documentation, policy acknowledgments, and benefits enrollment.
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IT Project Initiation Proposal Form
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A comprehensive form for proposing and initiating new IT projects, capturing project vision, goals, resources, and approval requirements.
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Newly Wed Checklist (Active Retired)
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Instructions for adding a spouse to welfare benefits for Uniformed Firefighters Association members.
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New Member Enrollment Form
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A form for newly hired employees to apply for membership in the Massachusetts public retirement system, collecting personal and employment information.
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Agreement For Access To DriverS License And Motor Vehicle Records
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Legal agreement governing access, use, and protection of motor vehicle and driver's license records in New Mexico.
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Pre Authorized Payment (PAP) Agreement
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A form for setting up pre-authorized municipal tax and water bill payments for the Town of Kingsville.
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TRUECARETM PATIENT CONSENT TO TREAT FORM
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A comprehensive consent form for medical treatment and privacy practices at TrueCare healthcare facility.
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HIPAA AUTHORIZATION FOR MEDICAL RECORDS
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A form authorizing the release of patient medical records with specific conditions and consent parameters.
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New York Requirements For Employee Termination
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Comprehensive guide detailing legal requirements for employers when terminating employees in New York State, covering notice, benefits, and payroll obligations.
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NHES 0180 R Aug 2022 NEW HAMPSHIRE EMPLOYMENT SECURITY CONTINUED CLAIM FORM
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Form for unemployment claimants to report weekly work status, availability, and potential income sources during unemployment period.
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Criminal History Record Information Release Authorization Form
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Authorization form for releasing criminal history record information in New Hampshire for non-criminal justice purposes.
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Health Care Coverage Waiver Form
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A form for employees to waive health insurance coverage offered by their employer and provide alternative coverage details.
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Requests To Use NILOA Survey Items
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A formal document outlining requirements for researchers seeking permission to use National Institute for Learning Outcomes Assessment survey items.
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Informed Consent, Release Agreement, And Authorization
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A legal document for participant consent, medical authorization, and risk acknowledgment for Scouting activities and expeditions.
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REQUEST FOR TRAVEL AND TRAVEL AUTHORIZATION
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A form for documenting travel details for university-related travel at no expense to the institution.
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Common Nomination Form For Gratuity, General Provident Fund And Central Government Employees Group I
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A comprehensive form for Central Government employees to nominate beneficiaries for gratuity, provident fund, and group insurance benefits.
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Form A (Common Nomination Form For Arrears Of Pension And Commutation Of Pension)
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A government form for nominating beneficiaries to receive pension arrears and commuted pension value in case of death of a government employee or pensioner.
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Transfer Request Form
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A form for transferring account details and product information between accounts with FideliTrade.
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Non Compliance Form
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A form documenting violations of institutional purchasing policies and guidelines for unauthorized financial obligations.
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Non Compliance Form
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A form documenting violations of institutional purchasing policies and procedures for obtaining goods or services.
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Non Employee Direct Deposit Enrollment Form
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Form for FINRA neutrals to authorize direct deposit of honoraria and expense reimbursements into a personal checking account.
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Request For A Non FMLA Leave Of Absence
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Form for employees of Roger Williams University to request various types of non-FMLA leave of absence with benefit continuation options.
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Toquaht Nation Government Non Insured Health Benefit Application Form
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Application form for Toquaht Nation citizens to request health benefits funding for various medical services and expenses.
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Nonoccupational Disability Benefits
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Guidelines for state employees seeking nonoccupational disability benefits through SERS, including eligibility requirements and benefit terms.
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NON OWNER AUTHORIZATION FORM
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A form that allows a non-property owner to establish utility service with property owner's consent and legal authorization.
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Northwell Health, Health Welfare Flex Benefit Program Summary Plan Description
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Comprehensive overview of short-term and long-term disability options for Northwell Health employees administered by Sedgwick and The Hartford.
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Preauthorized Payment Agreement
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A form allowing employees to authorize automatic financial deductions for various services through Tower Administrative Services, Inc.
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Authorization To Release Protected Health Information (8094)
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A form authorizing Northwestern Memorial HealthCare to release patient medical records to specified parties or for specific purposes.
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Authorization To Obtain Confidential Information
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A form authorizing the release of patient medical records between healthcare facilities and Northwestern Medicine affiliates.
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NOTIFICATION OF ITINERARY APPROVAL OF IN STATE TRAVEL AND AUTHORIZATION OF OVERNIGHT PER DIEM
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Official form for documenting in-state travel and overnight per diem authorization for Alabama Unified Judicial Systems personnel
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Authorization Request Form
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Medical service authorization request form for providers to submit routine and urgent pre-service requests for patient care.
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NPS Form Use Information
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Instructions for completing a form for services payment up to $10,000 per fiscal year, detailing vendor information and departmental validation requirements.
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Managed Service Provider Request For Proposal
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Request for proposals from qualified Managed IT Services Providers to provide IT services to the Naugatuck Valley Council of Governments.
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Authorization To Use And Disclose Protected Health Information
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A form authorizing Nathaniel Witherell to disclose or obtain patient health information for various purposes.
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NORTHWEST DANCE AND ACRO CREDIT CARDACH AUTHORIZATION AGREEMENT
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Authorization form for automatic monthly payments for dance studio services from August through June.
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Disability Claim Form
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Comprehensive form for employees to report disability, medical information, and related benefit claims.
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UnitedHealthcare Community Plan Of New York Specialist Referral Form
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A referral form for UnitedHealthcare Community Plan of New York members to obtain specialist services with specific guidelines and requirements.
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Record Of Employment
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Official form for documenting employment status for unemployment insurance purposes in New York State.
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Oberlin College Employer Contribution Amounts Health Savings AccountHealth Reimbursement Account
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Details employer contributions to health savings accounts for Oberlin College employees in 2024, including contribution amounts and IRS limits.
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Medication Administration Authorization Form
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Official form for authorizing medication administration for children in child care settings, including prescriber and parent/guardian details.
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DININGCUSTODIALSECURITY SERVICES PRE AUTHORIZATION
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A form for obtaining pre-authorization for dining, custodial, or security services for college events and activities.
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MONTANA DNRC FIRE MEAL AUTHORIZATION FORM INSTRUCTIONS
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Detailed guidelines for documenting and authorizing fire-related meal purchases by Montana Department of Natural Resources and Conservation employees.
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Confirmation Of Account Information
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A document used to authorize and confirm banking account details for pre-authorized credit or debit transactions.
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Confirmation Of Account Information
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A form for confirming pre-authorized credit or debit account details and providing bank account information for authorization purposes.
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Medicaid Eligibility Review Verification Request Checklist
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A document used by the Ohio Department of Medicaid to request documentation for verifying Medicaid eligibility and maintaining benefits.
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STANDARD AUTHORIZATION FORM
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Standard form authorizing the release of health information between covered entities with specific disclosure terms and patient consent requirements.
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Early Field Experience Internship I Permission Form
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A consent form for parents/guardians to allow a teacher education student to record and use their child's classroom interactions and work for educational assessment purposes.
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Off Campus Activity Trip Leader Form
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A form for university staff to request approval and document details for an off-campus educational activity or trip.
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Congressional Youth Advisory Council Legal Guardian Authorization And Media Release Form
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Legal consent and media release document for youth participation in Congressional Youth Advisory Council program administered by Congresswoman Veronica Escobar.
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Consent Form
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A form allowing students to authorize specific individuals to receive and discuss their student conduct records at Savannah State University.
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IBEW Local No. 683 Health Welfare Fund Weekly Disability Benefits Claim Form
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Claim form for obtaining weekly disability benefits from the IBEW Local No. 683 Health & Welfare Fund, providing compensation for disabled workers.
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OIFA Feedback Form
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A form allowing individuals to provide feedback about challenges in accessing healthcare services to the AHCCCS Office of Individual and Family Affairs.
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Authorization To Disclose Protected Health Information By AHCCCS
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A form allowing AHCCCS members to authorize the disclosure of their protected health information to another person or entity.
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On Duty Death Or Catastrophic Injury To City Of Pittsburgh Employees
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Policy outlining procedures and support for handling employee deaths or catastrophic injuries in the line of duty, including notification and benefits processes.
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One Time Credit Card Payment Authorization Form
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A form authorizing a one-time credit card charge by the Santa Ynez River Water Conservation District with a convenience fee.
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ONE TIME GENERAL AGENCY AGREEMENT
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A one-time authorization for FedEx Trade Networks to provide customs brokerage services for a single shipment import into Canada.
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Online Contribution Form
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A guide for employers to create an account and submit online contributions for retirement plans electronically or by check.
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Request For Authorization Of Out Of Country Travel
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Official form for University of Louisville employees seeking approval for international travel, requiring departmental and administrative signatures.
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Direct Reimbursement Claim Form
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A form for requesting reimbursement for vision services from providers outside the Davis Vision network, covering examinations and eyewear expenses.
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EPO REFERRAL FORM
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A referral form for healthcare providers to request out-of-network specialist services through Common Ground Healthcare (CGHC)
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Texas Tech University HSC El Paso Requisition Form Identification Security Access
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Form for requesting a new or modified security access badge for Texas Tech University Health Sciences Center employees and volunteers.
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Media Release Form
PDF template
Form granting permission for students to be photographed, recorded, or featured in media by Murray City School District.
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Student Permission And Waiver Form For Denver Seminary Open Repository
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A legal form allowing students to grant Denver Seminary permission to publish their academic work in open digital repositories.
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Optional Duplication Of Benefit (DOB) Analysis Worksheet For CDBG DR Housing Rehabilitation And Reco
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A worksheet for analyzing potential duplications of benefits in Community Development Block Grant Disaster Recovery housing programs, helping grantees prevent financial assistance overlap.
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ILWU PMA Welfare Plan Prescription Drug Program
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Supplemental summary plan description for prescription drug benefits for ILWU-PMA Welfare Plan participants, detailing eligibility and prescription acquisition methods.
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Oracle Software Configuration Service Request Approval Stepper
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Instructions for submitting and processing Oracle software configuration service requests within an organization's information technology workflow.
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ParentGuardian Consent Form
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Consent form for parents/guardians of participants under 18 years old to participate in the Duke of Edinburgh's International Award program.
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Power Of Attorney
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A legal document granting broad powers to an appointed agent to manage personal and financial affairs on behalf of the grantor.
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Casework Consent And Information Form
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A form allowing individuals to grant permission for Congressman Kilili Sablan's office to access and discuss their case with federal agencies.
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Scholars Choice Organization Resolution Form
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A form for organizations to designate authorized representatives for a Scholars Choice 529 Account
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Authorization Form For Non Prescription Over The Counter Skin Products Licensed Child Day Centers
PDF template
A form for parents/guardians to authorize the use of sunscreen, diaper ointment, and insect repellent for children in day care centers.
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Domain Name Service Request Form (OTS 39)
PDF template
Form for requesting domain name services from the Louisiana Office of Technology Services, including domain creation, modification, and removal.
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Inquiry Form On Out Of Print Copyrighted Music
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A form for requesting permission to reproduce out-of-print copyrighted musical works with specific usage conditions.
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Outside Employment Waiver Form
PDF template
A form for city employees to request permission for outside employment and waive city liability for potential injuries or incidents.
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DPHHS QADCCL 120 Non Ingestible Over The Counter Medication Authorization Form
PDF template
Form for parents to authorize non-ingestible over-the-counter medication administration for children in daycare settings.
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Michigan State University Overload Pay Pre Authorization Form
PDF template
A form for faculty members to obtain pre-authorization for additional compensated work beyond their standard duties at Michigan State University.
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Overseas Treatment Benefit Application Form 2024
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Application form for members seeking medical treatment coverage outside their home country under the Executive and Comprehensive Plans.
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OVERTIMECOMPENSATORY TIME PRE AUTHORIZATION FORM
PDF template
A form for non-exempt employees to request and obtain pre-authorization for overtime or compensatory time work beyond 37.5 hours per week.
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OVERTIME PRE AUTHORIZATION FORM
PDF template
A form for employees to request and receive prior approval for working overtime hours beyond the standard 40-hour work week.
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Overtime Pre Authorization Form
PDF template
A form for employees to request and obtain pre-approval for working overtime hours beyond their standard work week.
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OVERTIME PRE AUTHORIZATION FORM
PDF template
A form for non-exempt employees to request and obtain advance approval for working overtime hours beyond the standard 37.5-hour work week.
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OVERTIME PRE AUTHORIZATION FORM
PDF template
A formal document for employees to request and obtain pre-approval for overtime work beyond standard 40-hour work week.
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Owner Authorization Form For Water And Sewer Service Application
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A form allowing property owners to authorize an applicant to sign on their behalf for water and sewer service work with the Springfield Water & Sewer Commission.
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OwnerS Authorization
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A municipal form allowing property owners to authorize an agent to prepare and submit a land application on their behalf in the Town of Whitby.
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MDC 0044 Owner Consent Form
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A legal document authorizing a designated party to collect payments and execute documents for a specific property.
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Power Of Attorney
PDF template
A legal document authorizing a representative to perform transactions with the New York City Taxi and Limousine Commission on behalf of a vehicle or medallion owner.
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Employee Enrollment Form
PDF template
A comprehensive form for employees to enroll in or waive health insurance coverage with detailed personal and employment information.
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Emergency Medical Form
PDF template
A form enabling parents to authorize emergency medical treatment for children when parents cannot be reached during youth athletic activities.
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Removal Of Benefit Riders AndOr Dependents
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A form for policy owners to remove specific insurance riders or dependent coverage from their Trustmark insurance policy.
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Agent Authorization For Property Assessment Appeals
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Official form allowing property owners to authorize an agent to represent them in property assessment appeals and communications with tax authorities.
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PA CARE Partnership Permission To Contact Form
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A form for obtaining consent from youth and caregivers to participate in a service quality improvement study across multiple Pennsylvania counties.
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PACIFIC RIDGE TRANSPONDER VEHICLE REGISTRATION FORM
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Form for registering vehicles for access through homeowners association gates with transponder credentials.
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The PACT Act One Year Anniversary And Your VA Benefits
PDF template
Information about the Honoring Our PACT Act, which expands VA health care and benefits for veterans exposed to toxic substances during military service.
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PACT Act Deadline Health Care For Veterans Who Deployed To Combat Zones
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Document providing information for veterans about health care enrollment and benefits under the PACT Act, specifically for those who deployed to combat zones between 2001 and 2013.
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PayorS Pre Authorized Debit Agreement
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A financial document for authorizing automatic bank account debits with specific payment terms and conditions.
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Pre Authorized Debit (PAD) Agreement
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A legal document authorizing pre-authorized financial debits from a customer's account by Stratawest Management Ltd.
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Pre Authorized Debit Agreement Alternate Payment Authorization
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A form authorizing automatic bank account withdrawals for loan or lease payments by a borrower or alternate payor.
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PRE AUTHORIZED DEBIT (PAD) AGREEMENT FOR ONE TIME PAYMENTS
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A form authorizing Proline Management Ltd. to make a one-time pre-authorized debit payment for a property rental or service.
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Proposal Authorization Form
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Comprehensive form for authorizing and documenting research project proposals, including project details, subject research, and budget information.
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Paid Sick Leave Request Form
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A form for employees to request paid sick leave in accordance with company policy and employee handbook guidelines.
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DISCLOSURE AND AUTHORIZATION
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A document authorizing Paint Love, Inc. to conduct background checks and consumer reports for employment or volunteer purposes.
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City Of Palo Alto Direct Deposit Form
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A form for employees to set up or modify direct deposit banking information for payroll purposes.
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Notarized Parental Consent Form
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A form allowing parents to grant permission for a minor to travel and authorize medical decisions during a mission project.
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Direct Deposit Authorization Form
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A form for setting up direct deposit of payroll funds for students and employees at Southern Illinois University.
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Pre Authorized Chequing (PAC) Application Form
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Application form for setting up automatic water and wastewater bill payments through pre-authorized bank debits.
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Form PAR 101 Virginia Power Of Attorney And Declaration Of Representative
PDF template
A legal form for designating a tax representative and authorizing them to act on behalf of a taxpayer for specific tax matters in Virginia
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Form PAR 101 Virginia Power Of Attorney And Declaration Of Representative
PDF template
A legal form for designating a representative for tax matters with the Virginia Tax authority
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Activity Consent Form And Approval By Parent Or Legal Guardian
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A comprehensive form for parents/guardians to provide consent and medical information for a child's participation in an activity or program.
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Innovia Foundation Photo Contest Parental Consent Form
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Consent form for parents or legal guardians to allow minors to participate in Innovia Foundation's 2023 photo contest.
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Parental Consent Form
PDF template
A consent form allowing Penquis Transportation Brokerage to transport minors through various transportation methods without an approved adult present.
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Parental Consent Form
PDF template
Consent form for parents/guardians to allow children to attend the 'We Are Bounce' event at Rainton Arena.
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Parental Consent Form
PDF template
A consent form for parents or legal guardians to authorize their children's participation in church activities and provide essential contact and emergency information.
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Paid Parental Leave Request Form Agreement
PDF template
A form for faculty members to request paid parental leave, including details about leave duration and teaching replacement provisions.
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Parent Guardian Consent And Emergency Contact Form
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A consent form for parents or guardians to authorize child participation in a program, provide emergency contact information, and authorize pickup contacts.
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Asking For A Custody Or Access Order
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A comprehensive guide for individuals seeking to complete a legal form for custody or access of a child in Ontario.
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Parent Permission To Travel Form
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Legal form authorizing a minor to travel internationally without parents, specifically for a service program in Latin American countries.
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Parking Authorization For Payroll Deduction
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A form allowing employees to authorize automatic parking fee deductions from their paycheck on a pre-tax basis.
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UFCW LOCAL ONE PENSION FUND PENSION APPLICATION FORM
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A comprehensive form for UFCW Local One union members to apply for various pension benefits including normal, early, and disability pensions.
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Application Form For Paternity Benefit
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Official form for employees and self-employed individuals to apply for paternity leave benefits and documentation.
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Universal Patient Authorization Form
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Official document outlining patient authorization requirements for health information disclosure in Florida, including legal framework and form details.
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Patient Consent Form
PDF template
A consent form authorizing medical treatment and information release by Molina Healthcare and Care Connections.
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CONSENT TO PUBLISH FORM
PDF template
A form for obtaining consent from patients or study participants to publish their identifiable details in a medical journal or research article.
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Patient Contact Form
PDF template
Form for patients to authorize contact methods and designate individuals who may receive medical information.
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Clinic Patient Registration Form
PDF template
A comprehensive medical form for collecting patient personal, contact, and health information for clinic registration purposes.
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Patient Registration Form
PDF template
A form for collecting patient insurance details and establishing financial responsibilities for medical services.
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PATIENTS AS PARTNERS ADVANCING EQUITY INQUIRY FORM INSTRUCTIONS
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Instruction guide for submitting a grant inquiry through NYSHealth's online grantee portal for the Patients as Partners: Advancing Equity program.
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PHAS Empowered Patient Online Toolkit Insurance Form
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A comprehensive document for collecting and organizing personal insurance details across multiple insurance types and providers.
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Fort Berthold Library Borrowing Privileges Form
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Application form for library borrowing privileges with additional parental internet consent section for minors using library resources.
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PF 132 SUNY Reimbursement Accounts Enrollment Form
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Form for employees to enroll in health care and dependent care flexible spending accounts with pre-tax payroll deductions.
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Payment Authorization Form
PDF template
A form for students to authorize payments and grant third-party access to student financial information at Solano Community College.
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Request For Payment Of Monthly Allowance To A Trust
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A form for CalPERS annuitants to request monthly pension benefits be paid directly to a trust where they are the sole beneficiary.
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Pre Authorized Debit (PAD) Agreement
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Authorization for Kelowna Christian School to automatically debit bank accounts for monthly tuition and related fees.
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UAB E MPLOYEE PAYROLL DEDUCTION AUTHORIZATION
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Form for UAB employees to authorize payroll deductions for Campus Recreation membership with various membership types and rates.
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UNM Payroll Deduction Form And Instructions
PDF template
A form for UNM faculty and staff to authorize payroll deductions for charitable contributions to university funds.
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Employee Payroll Deduction Gift Authorization Form
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A form for Western Illinois University faculty and staff to authorize charitable payroll deductions to the WIU Foundation.
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Payroll Deduction Authorization For Student Account Payments
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A form authorizing payroll deductions to be applied to a student's account at the university.
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Payroll Deduction Cancellation Form
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A form for employees to request cancellation of specific payroll deductions through the Payroll and Benefits Division.
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Recreational Sports Fitness Full Time Faculty Staff Payroll Deduction Form
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A form for AU full-time faculty and staff to sign up for, change, or drop Recreational Sports and Fitness membership with payroll deduction.
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Payroll Deduction Form
PDF template
A form allowing state employees to authorize payroll deductions to their Connecticut State Employees Credit Union account
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Payroll Deduction Form
PDF template
Form for employees to authorize monthly charitable donations through payroll deductions to the COC Foundation.
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PAYROLL DEDUCTION AUTHORIZATION FORM
PDF template
A form allowing employees to authorize payroll deductions and specify deduction details for DePauw University.
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Payroll Deduction Form
PDF template
A form for members to authorize payroll deductions and specify account transfer details and disbursements.
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PAYROLL DEDUCTION AUTHORIZATION
PDF template
Form allowing employees to authorize, modify, or cancel payroll deductions at Pensacola State College.
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NYSUT Member Benefits Payroll Deduction Authorization
PDF template
A form allowing NYSUT members to authorize payroll deductions for various member benefits programs.
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Payroll Deduction Form
PDF template
A form allowing members to authorize automatic payroll deductions to various account types and loan payments at Northeast Community Credit Union.
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Southern Employee Giving Form
PDF template
A form for Southern employees to make charitable donations through payroll deduction, credit card, or check to support various university funds and initiatives.
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Payroll Deduction Authorization Form For Graduate Students On Contract
PDF template
Form for graduate students to authorize payroll deduction for semester fees at the University of Delaware
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CITY OF KENOSHA AUTHORIZATION AGREEMENT FOR PAYROLL DIRECT DEPOSIT
PDF template
A form authorizing the City of Kenosha to deposit employee payroll directly into a designated bank account.
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Direct Deposit Form ACC PYD001
PDF template
An official form for government employees to set up, change, or cancel direct deposit of payroll funds.
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Payroll Direct Deposit Authorization Form
PDF template
A form for employees to authorize direct deposit of their payroll earnings to a designated bank account.
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Deferred Net Pay 11Month Pay Cycle
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Authorization form for employees to defer monthly salary payments over a 12-month period within the Berryessa Union School District.
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Payroll Withholding Form HSA
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A form for employees to specify monthly Health Savings Account (HSA) payroll contributions for Murray City School District.
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ACH AuthorizationDirect Deposit Form
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A form for students to authorize electronic deposit of funds into their bank account at the university.
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NEW ENROLLMENTCHANGE FORM
PDF template
A form for employees to enroll in or modify flexible spending account (FSA) and dependent care spending account benefits.
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City Of Lincoln Private Construction Agreement Executive Order Request Process
PDF template
Step-by-step instructions for accessing and submitting a private construction agreement executive order request through the Nebraska Enterprise Content Management Portal.
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PCARD PURCHASE AUTHORIZATION FORM
PDF template
Form for documenting and authorizing purchases made with an organizational purchasing card (P-Card)
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Stephen F. Austin State University P CARD USE FORM
PDF template
A form detailing the terms and conditions for allowing other employees or students to use a university procurement card for official business.
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Stephen F. Austin State University P CARD USE FORM
PDF template
A form detailing the terms and conditions for allowing other employees or students to use a university procurement card for official business.
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Media Release
PDF template
A consent form for photographing, recording, and using media content of individuals participating in college events.
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Miscellaneous Cancellation Form
PDF template
A form for employees to cancel insurance or annuity policies through their employer's benefits office.
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Custom Benefits Session Request
PDF template
A form for employees to request a custom benefits information session with specific details about the event, audience, and resources needed.
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Miscellaneous Cancellation Form
PDF template
A form for UNC Health Care System employees to cancel insurance or annuity policies with specific details about policy types and premium amounts.
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Direct Deposit Authorization Form
PDF template
Form for employees to provide bank account details for automatic payroll deposit and email notifications.
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Travel Pre Authorization Form
PDF template
Form for requesting pre-approval for business-related travel by faculty, fellows, and staff at University of Washington and Washington State.
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NRECA Long Term Disability Plan Summary Plan Description
PDF template
A summary plan description detailing the long-term disability benefits provided by the National Rural Electric Cooperative Association (NRECA) for eligible participants.
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Pennsylvania Durable Financial Power Of Attorney
PDF template
A legal document granting an agent broad powers to manage the principal's financial and property matters, effective even during incapacity.
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Pennsylvania General Power Of Attorney
PDF template
A legal document granting broad powers to an appointed agent to manage the principal's property and affairs.
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ABC NABET Retirement Trust Plan Application For Retirement Payments
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A comprehensive form for employees to apply for retirement benefits from the ABC-NABET Retirement Trust Plan.
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Pension Application Form
PDF template
A comprehensive form for members of a Self-Managed Superannuation Fund (SMSF) to apply for pension benefits.
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FORM OF PENSION BENEFIT ELECTION
PDF template
A form for selecting pension benefit options, including single life and joint survivor annuity choices for retirees.
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FORM OF PENSION BENEFIT ELECTION
PDF template
A form for selecting pension benefit payment options, including single life and joint survivor annuity choices.
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Pension Choices Premium Or Partnership
PDF template
A comprehensive guide to pension options for Civil Service employees, explaining premium and partnership pension choices.
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DIRECT DEPOSIT FORM
PDF template
Form for authorizing direct deposit of pension benefit payments by the Carpenters Pension Trust Fund for Northern California
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Payroll Deduction Authorization Form
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Employee authorization form for pension plan payroll deductions at Lac Courte Oreilles Ojibwe University
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CONSENT FORM
PDF template
A consent form authorizing The Church Pension Fund to share benefit information with specified individuals.
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Employee Enrollment Form Defined Contribution (RSVP And Lay DC) Plans
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Comprehensive form for employees to enroll in defined contribution retirement plans, capturing personal, employment, and compensation details.
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PERA Direct Deposit Authorization Form
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A form for PERA pension recipients to set up or change their direct deposit banking information for benefit payments.
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PERA Membership Form
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Official membership form for enrolling in the New Mexico Public Employees Retirement Association (PERA) retirement plan
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Voya Sponsor Web Access Request Form
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Form for establishing, deleting, or changing access to Voya Sponsor Web and Voya Data Gateway for authorized personnel involved in payroll uploading and funding.
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Unauthorized PurchasesConfirming Order Form
PDF template
Guidelines for submitting and approving unauthorized purchase requests through a workflow process.
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North Carolina Retirement Plan Enrollment Form
PDF template
Enrollment form for North Carolina public employee retirement plans including 401(k) and 457(b) plans
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WAIVER OF LIABILITYPERMISSIONMEDICAL RELEASE FORM
PDF template
A comprehensive form for students staying overnight at Smith College, requiring parental consent and liability release.
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Permission Form For Youth Outing
PDF template
A form allowing parents/guardians to grant permission for youth to attend an outing and provide medical consent in case of emergency.
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Rotary Youth Exchange Permission To Travel
PDF template
A form for Rotary Youth Exchange students to obtain approval for travel outside their assigned district with specific supervision requirements.
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PermissionWaiver Form For The Salvation Army Residential Camps
PDF template
A legal document granting The Salvation Army permission to use participant's media and likeness for various purposes while releasing the organization from related claims.
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Tier OneTier Two Estimate Request Instructions
PDF template
Instructions for requesting retirement benefit estimates from the Public Employees Retirement System (PERS)
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TRAVEL FORM
PDF template
A form for employees to document travel details and obtain HR approval for work-related or vacation travel.
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PERSONNEL SCREENING, CONSENT AND AUTHORIZATION FORM
PDF template
A document used for collecting consent and authorization for personnel screening and background checks.
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A Guide To Your CalPERS Service Credit Purchase Options
PDF template
A comprehensive guide explaining service credit purchase options for CalPERS members, including eligibility, types, costs, and purchase process.
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CalPERS Service Retirement Election Application
PDF template
Comprehensive guide for CalPERS members to complete their service retirement election application and understand the retirement process.
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Change Of Address Form
PDF template
A form for members and pensioners to update their contact and mailing information with ILWU-PMA Benefit Plans.
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Address Change Form
PDF template
Form for updating contact and mailing information for ILWU-PMA Benefit Plans members, pensioners, or representatives.
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Form PFL 1 Applying For Paid Family Leave Military
PDF template
A form for requesting paid family leave to assist family members of military personnel on active duty or impending active duty abroad.
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Paws For Life USA, Inc Client Application Part B Medical History Form
PDF template
Medical history form for clients seeking service dog training, requiring physician documentation of patient's medical conditions and authorization for information release.
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Medical Release Form
PDF template
A form authorizing the release of medical records from a patient to Pacific Family Medicine for the past five years.
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Informed Consent, Release Agreement, And Authorization
PDF template
Legal document for participant consent and medical authorization for Boy Scouts of America activities, covering emergency medical treatment and risk acknowledgment.
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Parental Consent Form
PDF template
A consent form for parents or legal guardians to authorize minor participants in the Phoenix Space LaunchPad Challenge.
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Media Release Form
PDF template
A consent form allowing University of Central Florida to use participant's images, recordings, and likeness for various purposes.
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Photo Consent Form
PDF template
Legal form granting permission for use of personal photographs by a municipal organization.
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Standard Media Release Form
PDF template
Legal document granting University of Kentucky permission to use an individual's media and likeness for various promotional and educational purposes.
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MEDIA CONSENT AND RELEASE For Adult
PDF template
A consent form authorizing the Washington State Health Care Authority to use an individual's image, voice, and identifying information in media recordings.
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Media Release Form
PDF template
A form authorizing the use of photographs and videos of congregation members in various media platforms.
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Media Release Form
PDF template
Legal form granting permission for the American College of Prosthodontists to use an individual's likeness in various media and promotional materials.
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PhotoVideo Media Release Form
PDF template
A legal document granting Mississippi State University permission to use an individual's likeness in photographs, videos, and other media productions.
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Release And Waiver For Use Of Visual Or Audio Recordings
PDF template
Legal document granting Riverside Community College District permission to use and reproduce submitted visual or audio materials.
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MEDIA RELEASE FORM PHOTOGRAPHS ANDOR VIDEO
PDF template
A legal document granting Marymount Manhattan College permission to use photographs or video of an individual for various media purposes.
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Phoenix PBM Pre Authorization Form
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A form for healthcare providers to request pharmacy benefit pre-authorization for medication coverage through Phoenix Benefits Management.
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UNIVERSITY KEY REQUEST FORM
PDF template
A form for requesting access keys at a university, including procedures for key requests and loss reporting.
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Physician Authorization Form
PDF template
Medical form for documenting participant health status and program participation eligibility for special recreation services.
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Digital Data License Agreement Standard
PDF template
A licensing agreement for accessing and using digital geographic information system (GIS) data from Piatt County, Illinois.
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ConsentRelease Of Information Form
PDF template
A form allowing parents or guardians to provide consent for sharing child's information between agencies for comprehensive services.
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Ford Canada Medical Cannabis Pilot Program Special Authorization Request Form
PDF template
A medical form for Ford Canada employees to request authorization for medical cannabis usage under specific conditions
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Notice Of Claim For Short Term Disability Benefits
PDF template
A form for employees to file a claim for short-term disability benefits with insurance details and medical information.
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Dental AndOr Vision Option Election Form
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Form for electing dental and vision insurance coverage for retired laborers in Northern California.
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Township High School District 214 Parent Permission Medical Release Form 2018 2019
PDF template
Parent permission form for high school band students covering various band activities and competitions for the 2018-2019 school year.
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Grant Application Form (PNENJ)
PDF template
A grant application form for congregations and agencies seeking funding for community engagement, evangelism, and mission projects.
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Instructions For Power Of Attorney
PDF template
Guidelines for authorizing a representative before the Tax Appeals Commission, explaining filing process and representative authorities.
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Prescription Order Form (POF) For Long Term Care Services And Supports
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A Medicaid-required form for authorizing long-term care services and supports in the District of Columbia.
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Authorization For Release Of Personal Information
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A document authorizing the Joliet Junior College Police Department to review and obtain personal records for background investigation purposes.
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University Housing Policy And Procedures Manual Purchasing Information Technology Equipment
PDF template
Establishes procedures for requesting and purchasing information technology equipment within University Housing units.
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Connecticut State University System And Connecticut Board Of Regents System Office Travel Procedures
PDF template
A comprehensive guide for travel procedures, reimbursement, and authorization for employees and students of the Connecticut State University System.
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Policy Change Form
PDF template
A comprehensive form for modifying insurance coverage, including terminating coverage, adding/removing dependents, and adjusting benefits.
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POLICYHOLDER REQUEST CHANGE FORM
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A form for policyholders to request changes to their insurance coverage, including name changes, beneficiary updates, and coverage modifications.
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Postdoctoral Scholar Childcare Reimbursement Form
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Form for UAW-represented postdoctoral scholars to request reimbursement of eligible childcare expenses at the University of California.
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AMVETS DEPARTMENT OF FLORIDA EMPLOYEE HANDBOOK
PDF template
Comprehensive employee handbook outlining workplace policies, benefits, and employment practices for AMVETS Department of Florida employees.
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Post Travel Waiver Request Form
PDF template
A form used to request a waiver for non-standard travel procedures after a trip has been completed, allowing for retroactive travel authorization and expense reimbursement.
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Power Of Attorney
PDF template
A legal document authorizing an agent to represent an employer before the West Virginia Unemployment Compensation Division on tax and claims matters.
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Power Of Attorney
PDF template
A legal document allowing an individual to appoint an agent to make decisions on their behalf in Alaska.
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POWERS OF ATTORNEY, Ch 633B
PDF template
Comprehensive legal chapter detailing statutory provisions for powers of attorney, including definitions, agent authorities, and legal frameworks.
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COUNTY OF POWHATAN EMPLOYEE HANDBOOK
PDF template
Comprehensive guide outlining employment policies, compensation, and benefits for Powhatan County employees.
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Pre Approval Form
PDF template
Document used to obtain authorization for purchasing goods or services within an educational institution.
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Procard Pre Approval Purchase Form
PDF template
Internal form for employees to request and obtain pre-approval for purchasing items using a procurement card (procard)
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Student Stand Alone Solo Recital Pre Authorization Form
PDF template
A form for senior and graduate music performance majors to schedule and pre-authorize their solo recital at Western Illinois University.
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Palomar College Cal Card Program Pre Authorization Form
PDF template
A form used by Palomar College personnel to pre-approve and document Cal Card purchases for departmental expenses.
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Credit Card Debit Payment Authorization Agreement Form
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A form for parishioners to set up recurring donations to St. Augustine's Parish via credit card or pre-authorized debit.
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Pre Authorization Form
PDF template
A form for students to request pre-authorization for event expenses at a school of medicine.
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PREAUTHORIZATION FORM FOR TRAVEL
PDF template
A form for faculty, staff, and students to obtain preapproval for travel expenses at the university during a period of budget cuts.
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Pre Authorization Form
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A form allowing credit card charges for medical services when insurance reimbursement is received.
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Precollege Programs Information And Consent Form
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A consent and medical information form for students participating in the Fashion Institute of Technology (FIT) Precollege Programs.
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Predetermination Request Form
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A medical form used to request pre-approval for medical treatments, procedures, or services from a health insurance provider.
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BN 688 1117, Routine Pregnancy Claim Form
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A claim form for processing routine pregnancy and childbirth claims through American Fidelity Assurance Company.
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Presentation Authorization Form
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A form authorizing media recording, publication, and usage rights for a presentation at UNMC (University of Nebraska Medical Center).
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Title III Pre Travel Request Form
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Form for requesting approval for off-campus conference or workshop travel related to Title III activities or university initiatives.
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General Power Of Attorney
PDF template
A legal document appointing an attorney-in-fact to act on behalf of the signer with full legal authority.
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Veterans Certification Request (VCR)
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A form for veterans and military-affiliated students to request certification for educational benefits and funding programs at Southeastern Louisiana University.
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CLEANPOWER PAC Solicitation Approval Form
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A form for ACP member companies to authorize CLEANPOWER PAC to solicit voluntary employee contributions.
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CERTIFICATION OF PRIOR PUBLIC SERVICE MILITARY
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Form for KCERA members to verify and potentially purchase prior military service credit for retirement benefits.
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PROCARD VOUCHER PRE AUTHORIZATION FORM
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A form for documenting and pre-authorizing business credit card purchases with detailed transaction information.
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Campus Procurement Annual Accessibility Report Academic Year 1213
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Annual report detailing the development of Section 508 compliance processes and procedures for procurement activities.
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Procurement For Non Capital Goods And Services
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Policy governing procurement processes for non-capital goods and services at Rush, establishing centralized purchasing controls and procedures.
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Application Form For New Cardholder Purchasing Card Or Departmental PCard
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A form for employees to apply for a university purchasing card or departmental card with transaction and spending limits.
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DEMES Grey Sky Procurement Quick Reference Guide
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A step-by-step guide for vendors to submit quotes and invoices through the DEMES Vendor Portal procurement system.
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Vendor Aid Procurement DEMES Vendor Portal Manual
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Comprehensive guide for vendors on submitting change orders, quotes, and invoices through the Florida Department of Emergency Management's vendor portal.
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Authorization For Direct Deposit
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Form for authorizing direct deposit of child support payments to a personal bank account.
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Program Compliance Form
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A form used to document and track complaints and violations related to the WIC (Women, Infants, and Children) Program.
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Project Authorization Form
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A form for requesting and documenting project funding, scope, and approvals across different budget levels.
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PROPERTY ACCESS AGREEMENT FORM
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Legal document granting temporary property access for a construction project with specific terms and conditions.
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Property OwnerS Authorization Form
PDF template
A form allowing property owners to grant permission for specific uses of their property by another party.
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Property Owner Consent Form
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A form authorizing a legal representative to act on behalf of a property owner for various environmental health permit applications in Buncombe County, North Carolina.
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Property OwnerS Consent To Operate A Sidewalk Cafe Or Roadway Cafe
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A consent form for property owners to approve sidewalk or roadway cafe operations in front of their premises in New York City.
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Property Owner Verification And Authorization Form
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Form allowing property owners to authorize utility companies to release building energy usage data for compliance with municipal energy reporting ordinances.
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BBRA Property Owner Vehicle Registration Form
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A form for registering vehicles belonging to property owners and their immediate family at Black Butte Ranch with vehicle pass details.
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Proxy Access And Authorization Form
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A form for parents or legal guardians to request access to a patient's medical record through Cedars-Sinai's My CS-Link system.
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NCCC Proxy Vote Attendance Form
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A form allowing a club governor to delegate voting rights to a regional executive during a National Governors meeting when unable to attend.
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Proxy Registration Form
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A form allowing a student to authorize a friend to complete college registration and related tasks on their behalf while the student is away from the U.S.
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AUTHORIZATION, RELEASE, WAIVER INDEMNITY AGREEMENT
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Legal document outlining participant risks, insurance, and liability terms for city recreational activities and facilities.
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Group Disability Insurance Disability Claim Instructions
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Comprehensive instructions for filing a disability insurance claim with Prudential, detailing required documentation and submission process.
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USPSCA Application And Payment Authorization Form
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A form for opening or modifying a USPS Corporate Account with payment options including credit card and ACH payment methods.
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FORM 2 ASSESSMENT FORM
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A comprehensive form collecting personal contact information, employment history, and benefit status for participant tracking and support services.
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Media Release
PDF template
Legal document granting permission to use personal media and content for publicity and educational purposes.
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TERMINATION PROCESS (PSL W024)
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Detailed work instruction for separating active contract employees from the Sacramento City Unified School District.
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PSU AAUP Membership Form
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Membership form for joining the Plymouth State University Chapter of the American Association of University Professors, including dues authorization and voluntary participation options.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE CANCELLATION FORM
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A form for employees to cancel their payroll deduction for a pre-tax transportation benefit program in the State of Hawai'i.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE CANCELLATION FORM
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Form used by employees to cancel payroll deduction for pre-tax transportation benefits in the State of Hawai'i.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE ENROLLMENT FORM
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An enrollment form for employees to participate in a pre-tax transportation benefit program allowing monthly bus pass purchases through payroll deductions.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE ENROLLMENT FORM
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Enrollment form for employees to participate in a pre-tax transportation benefit program for purchasing bus passes, Handi-Van fare coupons, and vRide seat fees.
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Irvington Township Time Off Request Form
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A form for employees to request time off, including vacation, personal, compensatory time, jury duty, or bereavement leave, requiring multiple signatures for approval.
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Authorization To Release Medical Information
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A form allowing patients to authorize the release of their medical records to specified parties or entities.
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Understanding Our Mutual Obligations For Dental Insurance
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A document explaining dental insurance benefits, patient obligations, and the relationship between dental practice and insurance providers.
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Payment Request Form
PDF template
A multi-purpose financial form for requesting payments, purchases, and card transactions with multiple charge account and authorization sections.
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Purchase Order Request
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A purchase order request form for Cal Poly Pomona's Associated Students Inc. to authorize and track vendor purchases and expenses.
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Purchase Requisition Form
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A form for submitting and approving purchase requests for Jehovah Missionary Baptist Church
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Purchase Requisition Form
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A purchase requisition form used for requesting and tracking procurement of goods or services within the college district.
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Instructions For Purchase Of Service Credit Application Form
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Instructions for city employees to purchase forfeited or prior service credit towards their pension plan benefits.
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Purchasing Policies And Procedures
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Official guidelines for purchasing goods and services at Minot State University, outlining departmental procurement procedures and authorization requirements.
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Medical Service Authorization Request Form
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A form used to request medical service authorization for PrimeWest Health members, requiring detailed provider and patient information.
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QAPHiCAMS User Registration Form
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Registration form for users to access the Quality Assurance Program (QAP) HiCAMS application with NCID account details.
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Quick Reference Guide
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Comprehensive guide for Maryland state employees covering health insurance, retirement, human resources, and payroll information.
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PensionsFormR57 Local Government Pension Scheme
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Instructions for completing retirement forms for the Local Government Pension Scheme, including details about Lifetime Allowance calculations.
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PATIENT INTAKE FORM
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A comprehensive patient intake form collecting personal, contact, insurance, and medical authorization details for healthcare services.
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2023 2024 Volunteer Application
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Application form for individuals seeking to volunteer at Roberts Academy, requiring comprehensive personal information and background check authorization.
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Youth Release Form
PDF template
Release form for youth participation in Mid-America Regional Assembly event, including medical authorization and parental consent.
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Leaving Covered Employment Requesting A Refund
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Detailed instructions for members seeking a refund from their South Carolina Retirement System after leaving covered employment.
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Retirement Benefits Training Service Purchase Payments
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Guidelines for retirement service purchase payments including acceptable payment methods, installment details, and tax considerations for fiscal year 2025.
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Rawls College Of Business Incident Report Template Guidelines
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A confidential template for documenting security incidents within the Rawls College of Business, with guidelines for reporting and tracking potential security events.
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RDA Toolkit License Agreement
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A licensing agreement for the RDA Toolkit, defining terms of use, authorized users, and licensing conditions.
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Real Choice TV Internet Protocol Television (IPTV) Customer Agreement And Terms Of Service
PDF template
A comprehensive agreement outlining the terms and conditions for Real Choice TV's Internet Protocol Television (IPTV) service and customer authorization.
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Reasonable Accommodation Medical Authorization Form
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A form for employees to request workplace accommodations by providing medical documentation about a disability or medical condition.
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Recording Of Hours On Electronic Timesheet
PDF template
Procedures and guidelines for submitting individual and team timesheets electronically to payroll within specified deadlines.
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Record Of Employment
PDF template
A form for documenting employment status for unemployment insurance claims in New York State
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Automatic Recurring Payment Agreement
PDF template
A contract for setting up automatic recurring payments with the State Bar of Wisconsin, outlining payment terms, frequencies, and conditions.
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Automatic Recurring Payment Agreement
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A contract detailing terms and conditions for automatic recurring payments to the State Bar of Wisconsin.
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Reference Checking Consent And Authorization Form
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A consent form allowing Texas Southern University to conduct reference checks and contact previous employers during the hiring process.
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Pre Employment References
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A form authorizing references to provide confidential information for a job application process at Project Patch.
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TCHA Reference Research Policy
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Policy document outlining research library access, usage regulations, and guidelines for researchers at the Tippecanoe County Historical Association.
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SCAN Referral Authorization Request Form
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A medical service referral and authorization form for SCAN Health Plan to request prior approval for medical services or procedures
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ASU Counseling Center Referral Form
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A form enabling communication between a referring source and the ASU Counseling Center regarding a student's referral for counseling services.
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Family Resource Center Referral Form
PDF template
A referral form for accessing family support services, including consent for information release and service authorization.
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COMMUNITYCARE REFERRALAUTHORIZATION FORM
PDF template
A medical referral and authorization form for Medicaid patients seeking healthcare services through the CommunityCARE program
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Referral Form
PDF template
A comprehensive form for collecting participant details, living environment, benefits information, and referral source details.
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HSD Property Control Contractor Form C 063 IT
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Form for tracking and managing transfer, donation, destruction, or recycling of IT equipment valued under $5,000
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Refund Authorization Form
PDF template
A form allowing a borrower or bill payer to authorize refund release for a student's tuition account credit balance.
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SIU Carbondale Direct Deposit Authorization Form
PDF template
Form for students to authorize direct deposit of university refunds or payments to a bank account
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Refund Request Form State Employees
PDF template
A form for state employees to request refunds of insurance premium overpayments with W-2 tax adjustment provisions.
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REGARDS Manuscript Proposal Form
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A form for proposing and documenting a manuscript based on REGARDS research study data and guidelines.
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Authorization Agreement For Automatic Deposits (Credits) For Accounts Payable
PDF template
A form authorizing automatic credit and debit entries for accounts payable transactions at a financial institution.
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Expense Reimbursement
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A form for submitting expense claims and requesting reimbursement for Rotary Club members and volunteers.
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Graduate Student Senate Authorization For Reimbursement Form
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A form for graduate students to request financial reimbursement for events through the Graduate Student Senate at Ohio University.
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Relative Caregiver Affidavit (431.058 RSMo)
PDF template
Legal document allowing a relative caregiver to consent to medical treatment and educational services for a child when parents cannot be contacted.
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MEDIA RELEASE FORM
PDF template
A form granting permission for a school or parish to use an individual's image, likeness, or voice in various media productions and news coverage.
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Media Release Form
PDF template
A legal document granting permission for the University of New Mexico to use an individual's photographs, recordings, and likeness for promotional or educational purposes.
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CDPHP Authorization To Release Health Information
PDF template
A form allowing CDPHP members to authorize disclosure of their health information to specified individuals or entities with multiple release options.
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DOHEO Medical Release Form For ADA Purposes
PDF template
A medical authorization form allowing disclosure of medical information to determine disability accommodations under the Americans with Disabilities Act (ADA).
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Consent Form
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A consent form for participants or parents/guardians to authorize entry into the USCCB Religious Liberty Essay Contest for individuals under and over 18 years old.
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SSAIRS Reporter
PDF template
Newsletter discussing tax provisions, employer guidelines, and stimulus package impacts from the American Recovery and Reinvestment Act of 2009.
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Representative Authorization Form
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Form allowing an individual to authorize a representative to communicate with the California Massage Therapy Council on their behalf.
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GN4 Representative Authorization Form 8 7 16
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A form authorizing a registered representative to appear on behalf of a respondent at OATH Hearings Division proceedings.
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REQUEST FOR APPLICATION FORM
PDF template
A form to request a pension application for various retirement benefits from the Michigan Carpenters' Pension Fund.
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REQUEST FOR APPLICATION FORM
PDF template
A form to request a pension application for various retirement benefits for workers in the cement mason and plasterer trades.
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SchoolDude MySchoolBuilding Registration And Login Instructions
PDF template
Instructions for new and returning users to register and log into the MySchoolBuilding portal for submitting maintenance requests.
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Request For Application Plumbers Pipefitters Local 172 Pension Plan
PDF template
A formal request form for obtaining a pension application for retirement benefits from the Plumbers and Pipefitters Local 172 Pension Plan.
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Social Security Overpayments Request For Change In Overpayment Recovery Rate
PDF template
A form to request a lower monthly repayment rate for Social Security overpayments that provide financial flexibility for recipients.
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REQUEST FOR FUNDS Requisition Form
PDF template
Internal form for requesting financial disbursement within an organizational structure, with specific approval guidelines based on amount.
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REQUEST FOR LEAVE And CONFERENCE ATTENDANCE FORM
PDF template
A form for employees of Oklahoma City Public Schools to request various types of professional and personal leave with authorization requirements.
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T1 Travel Request
PDF template
A form for submitting and documenting travel arrangements and expenses for university-related travel.
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Aflac Benefit Services Request For Reimbursement Form
PDF template
A form for requesting reimbursement from a Flexible Spending Account (FSA) for medical care expenses.
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Request For Reinstatement Of Policy Contract
PDF template
A form for requesting reinstatement of an insurance policy, requiring detailed personal and medical information.
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Refund Request Form
PDF template
A form for requesting refunds for film production permit-related expenses from FilmLA.
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Pcard Requisition Form Process Instructions
PDF template
Guidelines for making purchases using a PCard at Georgia Tech, including standard requisition process and exception procedures.
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License Agreement For The Use Of RapidEye Data And Products
PDF template
Legal agreement governing the use of RapidEye satellite data and products between the German Aerospace Center and licensees.
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Authorization Form For The Use And Disclosure Of Patient Health Information For Research Purposes
PDF template
A form that provides consent for the use and disclosure of patient health information in a research study at the University of WisconsinMilwaukee.
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Reseller Agreement
PDF template
A legal agreement outlining terms for reselling SPARK LINES products, defining rights and obligations of the reseller and the company.
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RESERVE WITHDRAWAL REQUEST SIGNATURE FORM
PDF template
A form authorizing fund withdrawals from reserve accounts managed by the Illinois Housing Development Authority
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Wage And Hour Survey Form
PDF template
A survey form for collecting detailed wage and benefit information from employers about worker compensation across different occupations.
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HING TECHNICIAN RESIGNATION FORM
PDF template
Form for military technicians to process their resignation and manage separation benefits and documentation.
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Separation Form
PDF template
A form to document and process an employee's departure from the organization, covering final pay, benefits, and clearance procedures.
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Resolution 2015 01 Confidentiality Of Benefits And Insurance Information
PDF template
A resolution establishing guidelines for accessing and protecting confidential benefits and insurance information in compliance with federal privacy laws.
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School Activity Request Form
PDF template
A form for requesting and documenting school-based activities involving sales, third-party agreements, or financial transactions.
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CCX Media Release Form
PDF template
Legal release form granting permission for program cablecast and streaming on CCX Media channels and website.
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Wage And Hour Survey Form
PDF template
Survey form for collecting wage and hour information from employers about worker compensation and benefits.
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State Agency Procedure Manual WIC Retailer Authorization Process
PDF template
Guidelines and criteria for retailer authorization in the WIC Program, outlining minimum requirements for retailers to participate in food benefit transactions.
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Dental AndOr Vision Option Election Form
PDF template
Form for electing optional dental and vision insurance coverage for retired laborers.
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RETIREE ACH AUTHORIZATION FORM
PDF template
A form authorizing HealthTrust to process monthly medical and dental contribution payments via automated bank transfer.
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STATE AND PUBLIC SCHOOL RETIREE CHANGE OF ADDRESS FORM
PDF template
A form for state and public school retirees to update their mailing address with the Employee Benefits Division.
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RETIREE DENTAL VISION ENROLLMENT FORM
PDF template
Form for retirees to enroll in dental and vision insurance coverage through Emory Benefit Plans.
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Pre 65 65 Retiree Life Insurance Decrease Coverage Or Cancellation Form
PDF template
Form for University of New Mexico (UNM) retirees to decrease or cancel life insurance coverage based on age category.
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Retirement Allowance Estimate Request
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A form for CalPERS members to request an estimate of their potential retirement benefit amounts within one year of their anticipated retirement date.
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Faculty And Staff Retirement Checklist
PDF template
A comprehensive guide for faculty and staff retirement preparation at Seminole State College, outlining key steps for retiring employees.
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State Of West Virginia Public Employee Insurance Agency Retiree Health And Life Insurance Enrollment
PDF template
A form for West Virginia public employees to enroll in health and basic life insurance coverage upon retirement.
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Twin City Hospital Workers Pension Plan
PDF template
Instructions for submitting a pension application for hospital workers, detailing required documentation and processing timeline.
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Retirement Plan And Disability Waiver Form
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Form for waiving waiting period for retirement and disability coverage when transferring employment to Northeastern
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Retirement Planning Checklist For Full Time Employees
PDF template
A comprehensive checklist for district employees preparing to retire, covering steps related to retirement applications, benefits, and insurance.
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RetirementResignation Form
PDF template
A comprehensive form for employees to document their retirement or resignation process, including personal information, job details, and required steps.
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Retirements And Retiree Benefits
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Comprehensive guide for Pittsburg State University employees detailing retirement eligibility, benefits, and process for retiring staff and faculty.
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Direct Reimbursement Claim Form
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A form for submitting vision care service reimbursement claims for out-of-network providers through Davis Vision.
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REV 415 (SU) General Information For Withholding Pennsylvania Personal Income Tax
PDF template
A comprehensive guide for employers regarding Pennsylvania personal income tax withholding requirements and procedures.
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REV 677 Power Of Attorney
PDF template
A form authorizing a third party to represent a taxpayer and discuss confidential tax matters with the PA Department of Revenue.
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Reverse Referral Form
PDF template
A form used to request and document referral status for social service programs like TANF and SNAP.
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Authorization Agreement For Direct Deposit
PDF template
A form allowing Wayland Baptist University employees or students to set up direct deposit for payments or reimbursements.
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QDRO Guidelines Defined Benefit Plans
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Guidelines for determining the qualified status of a Qualified Approved Domestic Relations Order (QDRO) for State of Connecticut employees during divorce proceedings
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Utah Employer Registration Form
PDF template
Form for businesses to register for employment and unemployment insurance contributions in the state of Utah
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Managed Service Provider Request For Proposal
PDF template
Request for Proposal for selecting a Managed IT Services Provider for a school district serving approximately 520 students.
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Representative Payee Application
PDF template
Application for managing retirement benefits for annuitants who cannot handle their own payments, used by the U.S. Office of Personnel Management.
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Constituent Service Request Form
PDF template
A form for constituents to request assistance from U.S. Senator Pete Ricketts' office with various personal and governmental matters.
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PARENTAL CONSENT FORM (RIDERS)
PDF template
A consent form allowing parents to authorize their child to travel in a private vehicle with other parents for a specific activity.
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Retiree Health Care Cancellation Form
PDF template
A form for state retirees to cancel their or their spouse's health care coverage with the Rhode Island Office of Employee Benefits.
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Risk Acknowledgement And Emergency Contact Form
PDF template
A university form documenting participant risk acknowledgement, emergency contact information, and medical authorization for university-sponsored programs.
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Sample Parent Guardian Consent And Emergency Contact Form
PDF template
A consent form for parents or guardians to authorize children's participation in a program and provide emergency contact information.
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RMBEST Background Check Consent Form
PDF template
Consent form for volunteers with Rocky Mountain BEST to undergo a criminal background check for interaction with students.
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Sample Consent To Release Or Obtain Information Form
PDF template
A legal form allowing tenants to provide consent for releasing or obtaining personal information for housing or social services applications.
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ROMEO Research Proposal Form
PDF template
A comprehensive form for submitting research proposals to ROMEO Ophthalmology, detailing project specifics, contributors, and data management plans.
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DOMESTIC ACH DEPOSIT AUTHORIZATION FORM
PDF template
A form for authorizing direct deposit of payments with the American Mathematical Society for bank accounts within the USA.
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FERPA RELEASECANCELLATION FORM
PDF template
A form that allows students to authorize or cancel the release of their educational records to specified individuals in compliance with FERPA guidelines.
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Referral Form For Representative Payee Services
PDF template
A referral form for DC Department of Behavioral Health consumers to receive representative payee services through Bread for the City.
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EMPLOYEE MEDICAL RELEASE FORM
PDF template
A form authorizing an employer to obtain and review medical information related to an employee's ability to perform job tasks safely.
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Application For Benefits Fraud Warning
PDF template
Legal document providing state-specific warnings about insurance claim fraud and potential criminal penalties for false claims.
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Employer Guide To Reemployment Tax
PDF template
Comprehensive guide for employers on reemployment tax requirements, reporting, and compliance issued by the Department of Revenue.
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NEBRASKA DEPARTMENT OF EDUCATION RULE 41 REGULATIONS GOVERNING THE AUTHORIZATION TO OPERATE PRIVAT
PDF template
Comprehensive regulatory guidelines for operating private postsecondary career schools in Nebraska, detailing authorization, standards, and procedures.
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Rules And Regulations Governing Right Of Entry To City Park Properties
PDF template
Regulations for accessing and using City park properties in Honolulu for construction, repair, and utility work.
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Prescription Drug Reimbursement Coordination Of Benets Claim Form
PDF template
A form for submitting prescription drug reimbursement claims and coordinating medical benefits for pharmacy services.
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Bank Withdrawal Pre Authorization Form
PDF template
A form authorizing monthly bank draft for premium payments for Farm Bureau Health Plans.
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Sagewell Healthcare Benefits Trust FAQ
PDF template
Detailed FAQ document explaining the structure, administration, and key details of the Sagewell Healthcare Benefits Trust group insurance arrangement.
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Same Day Delivery Form
PDF template
Form allowing patients to receive medical devices on the day of evaluation, with information about potential insurance authorization and financial responsibilities.
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SAMPLE AGENT AUTHORIZATION FORM
PDF template
A legal document authorizing an agent or contractor to act on behalf of property owners for permit or certification processing.
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Health Care Benefits Renewal
PDF template
A renewal form for health care benefits from the Texas Health and Human Services Commission for individuals to update their personal and financial information.
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Patient Authorization Form
PDF template
A form authorizing an individual to serve as a patient's primary caregiver for medical marijuana purposes in Missouri.
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Photograph Submission Guidelines
PDF template
Guidelines for submitting photographs to local media and a sample media release form for student photograph permissions.
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Referral Form (Sample Format)
PDF template
A standardized form for documenting patient referrals between healthcare service providers with client authorization.
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Release Consent Form
PDF template
A form granting permission for an organization to use photographs, audio, and visual recordings for nonprofit/educational purposes.
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NOMINATION FOR ACCESS TO SCI
PDF template
Official form for nominating an individual for access to Sensitive Compartmented Information (SCI)
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Irvine Unified School District Drive Up COVID 19 PCR Testing Authorization Form
PDF template
Authorization form for Irvine Unified School District employees to receive COVID-19 PCR testing at Sand Canyon Urgent Care Medical Center.
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Initial Application For CalFresh, Cash Aid, AndOr Medi CalHealth Care Programs
PDF template
A comprehensive application form for food assistance, cash aid, and health care programs in California for eligible individuals and families.
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Survivor Benefit Application Form
PDF template
An application form for survivors to claim pension benefits for a deceased account holder
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School Based ACCESS Program Contact Information Form
PDF template
Form for collecting contact information and email notification preferences for school district personnel participating in ACCESS program.
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Scantron European Union Customer Inquiry Form
PDF template
Form for Scantron EU customers to file inquiries, data requests, or complaints regarding data handling and privacy.
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Direct Deposit Authorization
PDF template
A form for employees to set up direct deposit of their paycheck with bank account details and distribution instructions.
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Tuition Discount Application And Verification Form For Employees And Dependents Of Scholarship Ameri
PDF template
Form for employees and dependents of Scholarship America to apply for tuition discounts at Regent University
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Silent Partner The Clock Is Ticking Dates And Deadlines In The Military Divorce Case
PDF template
A legal resource discussing critical dates and deadlines in military divorce cases, focusing on pension division and spousal benefits.
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GIFT CARD PRE AUTHORIZATION FORM
PDF template
A form authorizing credit card payment for gift card purchases, capturing payment and card details.
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Juan Diego Catholic Schools Physical Card Scrip Pick Up Form
PDF template
Form for authorizing alternative delivery methods for scrip card orders at Juan Diego Catholic Schools across elementary, middle, and high school levels.
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TEMPORARY RIGHT OF ENTRY AGREEMENT
PDF template
Legal document granting temporary access to Southern California Regional Rail Authority right-of-way for specified purposes.
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Accounts Payable Direct Deposit Authorization Form
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A form for setting up or changing direct deposit banking information for payments from Santa Clara University.
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Authorization Agreement For Direct Deposit Of Net Earnings, Expense Reimbursements And Other Payment
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A form for employees to authorize direct deposit of earnings and payments to a bank account at the University of Pittsburgh.
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CONSENT TO DISCLOSURE OF TAX RETURN INFORMATION
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A legal form allowing taxpayers to authorize disclosure of their tax return information to specified parties with consent duration.
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F4.5 Other Services To Faculty
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Comprehensive policy detailing various services and benefits available to full-time faculty members at East Central University.
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Security Clearance Form
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A document for tracking personnel security clearance and equipment transfers within an organization.
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Security Clearance Form
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A security clearance form for attendance at a national security space symposium, requiring personal and clearance information.
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Group Insurance Disability Claim Form
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A comprehensive form for submitting a disability insurance claim by an employee, physician, and employer or plan administrator.
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Authorized Security Contact Form
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Form for designating authorized security contacts for state government systems and functions
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Security Request Form
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A comprehensive form for requesting and documenting employee system and module access permissions across various organizational systems.
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SED 2 Application Form For Annual Renewal
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Instructions for completing a state employee payroll deduction authorization form for annual renewal of services or products.
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SEER MHOS Data Application Form
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Application form for researchers seeking access to Surveillance, Epidemiology and End Results - Medicare Health Outcomes Survey data files.
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ST. ELIZABETH MISSION SOCIETY GRANT APPLICATION FORM
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A comprehensive grant application form for Franciscan Sisters of Allegany members seeking funding for organizational projects.
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Permanent Mailing Address Form
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Employment and retirement system membership form for school employees in Ohio, collecting personal and job classification information.
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Utah.Gov Service Agreement
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Service agreement between Utah Interactive LLC and Monthly account holder for access to Utah.gov electronic government portal services.
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Service Authorization Form
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Form for authorizing service and repair of safety technology equipment by the Division of Criminal Justice Services.
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TRS 1, TRS 2 And TRS 3 Service Retirement
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Informational bulletin explaining retirement eligibility and calculation for Teacher Retirement System members in TRS 1, TRS 2, and TRS 3.
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SERVICE WAIVER FORM
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A form for employees to document previous employment and retirement plan eligibility when waiving a waiting period for retirement plan enrollment.
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Parental Consent To Attend Setsucon
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Legal consent form for parents or guardians to allow minors under 18 to attend Setsucon convention with specified terms and responsibilities.
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Severance Pay, Policy, And Practices Survey
PDF template
A comprehensive survey by the American Society of Employers collecting data on severance pay practices and policies across organizations.
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Standard Form 1199A Direct Deposit Sign Up Form
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Government form for setting up direct deposit payments for various federal benefit and payroll programs.
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Deposit Form
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A form for authorizing direct deposit of government payments into a bank account by an individual or recipient.
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Authorization, Agreement, And Certification Of Training
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A comprehensive form for documenting employee training details, course information, and organizational training requirements.
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Authorization Agreement For Preauthorized Payments (SF 5510)
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Instructions for authorizing automatic Medicare premium payments directly from a bank account using CMS form SF-5510.
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Non Federal Direct Deposit Enrollment Request Form
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Authorization form for setting up automatic deposit of funds into a bank account through ACH transaction
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SFSU Incident Report Form
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A form for reporting information security incidents at San Francisco State University that potentially compromise IT asset confidentiality, integrity, or availability.
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DA 325 Shared Leave Request Form
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A form for state employees to request shared leave benefits for serious medical conditions affecting themselves or family members.
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Shared Leave Request Form
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A form for City of Tacoma employees to request shared leave due to severe illness, injury, or medical condition that has exhausted their accrued leave.
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Voluntary Shared Leave Request Form
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A form for employees to request donated leave from other employees when they have exhausted their own leave time.
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Direct Deposit Request Alberta Seniors Benefit
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A form for seniors to set up direct deposit for government benefits through the Ministry of Seniors and Housing in Alberta.
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Street Hail Livery Vehicle Power Of Attorney
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A legal document allowing a vehicle owner to designate a representative to conduct transactions with the New York City Taxi and Limousine Commission on their behalf.
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Short Guide For Nonprofits
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A comprehensive overview for small, start-up nonprofit organizations covering formation, needs assessment, mission statement, and incorporation requirements.
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Granite School District Short Term Disability Claim Form
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A form for Granite School District employees to file a claim for short-term disability benefits, documenting medical condition and work absence details.
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Granite School District Short Term Disability Claim Form
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A form for employees of Granite School District to file a claim for short-term disability benefits, detailing medical condition and leave requirements.
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Short Term Disability Claim Form
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A policy document detailing short-term disability benefits for employees, including eligibility, compensation, and leave requirements.
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Short Term Disability Benefits Claim Form
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A claim form for supplemental short-term disability benefits for hospital staff, providing coverage for up to 26 weeks at 70% of basic weekly salary.
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SHORT TERM DISABILITY BENEFITS CLAIM FORM
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Claim form for supplemental short-term disability benefits for hospital staff, providing up to 70% of weekly salary for up to 26 weeks.
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MCEA Sick Leave Bank Cancellation Form
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A form for members to cancel participation in the MCEA Sick Leave Bank program and halt future sick leave donations.
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Signature Authority Authorization Form
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Form allowing a project director to authorize a designee to sign various research-related documents and forms.
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Signature Authorization Form
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A form to authorize or remove individuals who can sign and pull permits on behalf of a license holder with the City of Gainesville Building Division.
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Signature Authorization Form
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A form for providing signature authorization to Business Services staff to validate signature authority on various transactions.
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Volunteer Parental Consent Form
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Parental consent form for minors under 18 years old who wish to volunteer at the Kenton County Public Library.
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SIMON Access Request Form
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Form authorizing an individual to access employer data through Vimly's SIMON portal with specified permissions
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District Employee Benefits Enrollment Form
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A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with detailed personal and dependent information.
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SELF INSURED SERVICES COMPANY REIMBURSEMENT FORM
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A form for employees to submit medical expense claims for reimbursement through a self-insured employer benefit program.
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Supplementary Statement By Employer
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A form for employers to report outstanding death or disability claims related to workplace accidents.
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License To Reproduce And Distribute Copyrighted Work
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Legal document granting permission to reproduce and distribute a copyrighted work in translation with specific terms and conditions.
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Emergency Contact And Medical Release
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A medical release and emergency contact form for participants in a service-learning program, allowing medical treatment authorization.
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SLTD Premium Waiver Form
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Form to terminate a Supplemental Long Term Disability premium waiver when an employee returns to work.
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New Database Access User Instructions
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Step-by-step instructions for requesting database access for TB/HIV/STD data systems in Texas.
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Smart Variables A Review Of REDCap Field Variables And Field Notation
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A technical document explaining REDCap's field notation, variable names, and smart variables used in data collection and research platforms.
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Management Benefits Fund Superimposed Major Medical Plan (SMMP) Claim Form
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A comprehensive medical claim form for submitting healthcare expenses and patient information to the Management Benefits Fund insurance plan.
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SNAP 301 1 Non Financial Requirements Citizenship
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Policy document outlining citizenship and nationality requirements for SNAP (Supplemental Nutrition Assistance Program) applicants and benefits eligibility.
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Request For Reinstatement Of Policy Contract
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A form used by insurance policyholders to request reinstatement of a previously lapsed insurance policy by providing updated health information.
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Vision Group Insurance Form
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A comprehensive form for submitting vision insurance claims, to be completed by employees and vision care providers.
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Social Pension For Indigent Senior Citizens Application Form
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Application form for senior citizens to apply for social pension benefits for economically disadvantaged elderly individuals.
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Standard Form 1199A Direct Deposit Sign Up Form
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A form for enrolling in direct deposit for various federal government payments such as Social Security, Veterans' Benefits, and other federal benefits.
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Provider Nomination Form
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A form for members to recommend new dental or eye care providers to be added to Solstice Benefits' network.
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MEDIA RELEASE FORM (For SON Students)
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A release form authorizing Oregon Health & Science University to use an individual's image, likeness, and recordings for educational, marketing, and communications purposes.
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Standard Operating Procedure For Research Passports, Honorary Research Contracts And Letters Of Acce
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Document describing processes for obtaining research passports, honorary research contracts, and letters of access for researchers in NHS Fife.
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JRMO SOP 39 Personal Access Arrangements For Undertaking Research
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Defines the process for applying for and processing research access requests for Barts Health NHS Trust, including Research Passport authorization.
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Media Consent And Release Form
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A document granting permission for the use of an individual's image, audio, or video recordings for specified purposes.
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VISION CLAIM FORM
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A standard form for submitting vision insurance claims with patient and insurance details.
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North Pacific Union Young Adult Outreach Summit Spark Tank
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A funding opportunity for young adults to develop innovative outreach projects with potential up to $5,000 in support from North Pacific Union Conference.
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North Pacific Union Young Adult Outreach Summit Spark Tank
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Initiative for young adults to develop innovative outreach projects with potential funding support from the North Pacific Union Conference.
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Bricklayers Union No. 1 Of Kentucky Pension Trust Fund Pension Plan Summary Plan Description
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A comprehensive summary of the pension plan provisions for members of Bricklayers Union No. 1 of Kentucky, including benefits, application procedures, and recent changes.
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Special Order Request Form
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A form for requesting and purchasing special order parts with specific payment and order conditions.
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CalPERS Special Power Of Attorney
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A comprehensive guide explaining how to designate an attorney-in-fact for managing CalPERS retirement and survivor benefit decisions.
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PERS OSS 138 Designation Of Attorney In Fact (Agent)
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A legal document allowing appointment of an attorney-in-fact to make retirement-related decisions for the principal within CalPERS systems.
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Retiree Special EnrollmentWaiver Form
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A special enrollment form for NYC retirees to modify health benefits, Medicare plan, or prescription drug coverage for September 1, 2023.
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Special Projects Fund Inquiry Form Instructions
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Instructions for completing and submitting an online inquiry form for the NYSHealth Special Projects Fund grant application process.
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Sponsor Authorization To Invoice Form
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A form that allows a sponsor to authorize payment of student fees at the University of Windsor and specify coverage details.
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Sponsor Authorization To Invoice Form
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A form allowing sponsors to authorize payment of student fees and specify coverage details at the University of Windsor.
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Sponsored Programs And Title III Pre Travel Form
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A form for documenting and obtaining approval for conference or meeting travel related to sponsored programs and grants.
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SportsWare Online Login Instructions
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Step-by-step instructions for accessing and setting up a login for the SportsWare Online Athlete Portal for WSU athletes.
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Spouse Disability Benefit Application Form
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Insurance claim form for spouse disability benefits, requiring comprehensive personal and medical information for claim assessment.
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A Guide To Your Benefits From The Seafarers Pension Plan
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Comprehensive guide detailing pension benefits, eligibility, calculation, and application process for Seafarers Pension Plan participants.
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Instructions To Gain Access To SPRi
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Procedural instructions for researchers to obtain authorization and access to the Biomolecular Interaction Platform (SPRi).
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SPS Alert 234 HR, Timekeeping, Payroll And Benefits Updates
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Update on termination process for Pre-Offer Check and details about Satellite Agency employee handling in Workday.
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Dual Benefit Reimbursement Form
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A form for open-shop contractors to request reimbursement from Seattle Public Schools for employer-sponsored benefit plan costs for core workers on SCWA projects.
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SSA 827
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A form authorizing disclosure of medical, educational, and personal records to the Social Security Administration for disability evaluation purposes.
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Form SSA 89
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Authorization form allowing the Social Security Administration to verify an individual's name and SSN with a specified company.
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SSC 001C SUPP STATEMENT OF CLAIM FORM
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A comprehensive form for filing a group disability insurance claim, to be completed by the employee, employer, and healthcare provider.
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Supplemental Salary Funds Agreement
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A document outlining the process for faculty members receiving external fellowship funds through university payroll and maintaining benefits.
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Records Request Form
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A form for parents/guardians to request and authorize the release of a student's academic and personal records for school admission purposes.
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Employer Data Change Request
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Official document for employers to update or modify their registration details with the Social Security System in the Philippines
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R 5 Contributions Payment Return
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A government form for submitting employer contributions with details of payment and applicable periods.
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Authorization Form For Access To The SED File Transfer Manager (FTM)
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Form for requesting access to the State Education Department's File Transfer Manager system for uploading and downloading educational files.
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STAC 602E Request Form For Online Access To The STAC Database (Employees)
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Form for representatives of educational institutions to request online database access and user credentials for the STAC system.
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Staff Child Care Benefit Plan Application Form
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Application form for staff to claim child care benefits for the prior plan year, requiring detailed documentation of child care expenses.
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MEMBERSHIP CONTRIBUTION FORM
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Form for United Nations staff members to authorize payroll deductions or make lump-sum contributions to the UN Staff Union.
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Dental EnrollmentChangeWaiver Group Insurance Form
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A form for employees to enroll, change, or waive dental group insurance coverage with details about employee and dependent information.
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Standard Equipment Request Form
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A form for requesting computer equipment and accessories for staff, faculty, and labs at an educational institution.
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VSU Standing Request For Authority To Travel Form
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A form for individuals required to travel regularly within the state of Georgia, seeking standing authorization for travel throughout a fiscal year.
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St. AnneS School Field Trip ParentGuardian Consent Form And Indemnity Agreement
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A consent form for parents/guardians to authorize their child's participation in walking field trips during the school year and provide emergency contact information.
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General Questions For Starting A Nonprofit Organization
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A comprehensive guide providing fundamental information about establishing and operating a nonprofit organization in Illinois.
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Utah WIC Local Agency Policy And Procedures Manual
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A policy document outlining the responsibilities of state and local agencies in managing WIC vendor authorization, agreements, complaints, and training.
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Direct Deposit Authorization Form Instructions
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Detailed guidelines for employees to set up or modify direct deposit accounts for payroll payments with the State of Delaware payroll system.
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State Employee Tuition Waiver Instructions
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Guidelines for state employees to receive tuition waivers for up to six credit hours per semester at eligible institutions.
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Statement Of Compliance Form
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A legal compliance document certifying an organization's authorization and commitment to follow workforce development regulations and guidelines
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Statement Of Property OwnershipAuthorization
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A form for declaring property ownership details and setting up direct deposit for housing assistance payments.
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Statement Of Rights Disability Benefits Law
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Official document outlining employee rights for non-occupational disability benefits in New York State.
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State Of Maryland Employee And Retiree Health And Welfare Benefits Program Health Assessment
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A comprehensive health survey for Maryland state employees and retirees to assess their current physical and mental health status.
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Georgia Statutory Financial Power Of Attorney
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A legal document allowing an individual to appoint an agent to handle their financial affairs with customizable powers and provisions.
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Georgia Statutory Financial Power Of Attorney
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A legal document allowing an individual to grant financial decision-making authority to another person for managing their financial affairs.
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STD 101C GROUP SHORT TERM DISABILITY (STD) CLAIM FORM
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A comprehensive form for employees to file a short-term disability claim, requiring detailed information about their medical condition and work status.
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STD. 699 Direct Deposit Authorization Form
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California state employee form for setting up or changing direct deposit banking information for payroll
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STD. 699 Direct Deposit Authorization Form
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A form that allows California state employees to authorize direct deposit of their salary or wages into a designated bank account.
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Short Term Disability Claim Form Report Of Continued Disability
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A form for participants to report ongoing short-term disability and provide medical update information for continued claim processing.
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Disability Claims Accident Sickness (AS)Short Term Disability (STD)Salary Continuance
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A comprehensive form for filing disability claims, including sections for employer, employee, and physician/provider information.
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Guardian Life Short Term Disability (STD) Claim Form
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A comprehensive form for employees to file a short-term disability insurance claim with detailed personal and medical information.
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Your Disability Benefit Claim
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Comprehensive guide and forms for applying for disability insurance benefits through Standard Insurance Company.
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Short Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a short-term disability claim, providing personal, employment, and medical information.
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Granite School District Short Term Disability Claim Form
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A form for employees of Granite School District to file a claim for short-term disability benefits, detailing the nature of disability and employment information.
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Disability Claim For Accident SicknessShort Term DisabilitySalary Continuance
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An employer-completed form for filing a disability insurance claim covering accident, sickness, and short-term disability benefits.
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Short Term Disability Claim Process
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Comprehensive guide for filing a short-term disability claim with USAble Life, detailing submission steps, claim phases, and contact information.
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Steps To Booking Travel With The Utah State Travel Office
PDF template
Detailed guide for IIC interns on how to book travel through the Utah State Travel Office using online forms and specific contact procedures.
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PATIENT INFORMATION AND MEDICAL RELEASE FORM (FORM I)
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A comprehensive form for collecting patient insurance details, medical authorization, and payment responsibility for Bioness Inc.
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STIPEND REQUEST AUTHORIZATION FORM
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A form used by Walla Walla Community College to request and authorize employee stipend payments.
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Letter Of Recommendation Waiver Form
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A form allowing applicants to waive or retain their right to access a letter of recommendation during an application process.
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Stryker Benefits Summary
PDF template
Comprehensive benefits summary for Stryker employees, including location-specific healthcare provisions and insurance options.
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AU Student Background Check Consent Form
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Consent form for Augusta University students to authorize a criminal background check by the university police department.
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SARA Complaint Resolution Form
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A formal complaint resolution form for students or former students in online degree programs who have issues with an institution's compliance with SARA standards.
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Consent Form For Use And Disclosure Of Student Information
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A consent form allowing educational programs to collect, use, and disclose student personal and health information for placement purposes.
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Student Consent Form
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Form allowing students to authorize release of their educational records to a designated third party in compliance with FERPA guidelines.
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Student Contact Form
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A comprehensive form for collecting student contact, emergency, and media permission details for youth ministry program
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Department Paid Health Insurance Request Form
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Form for departments to request health insurance coverage for visiting researchers and students with tax reporting guidance.
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Student Direct Deposit Authorization Form
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Form for students to authorize direct deposit of financial aid or reimbursement funds into a personal bank account at Umpqua Community College.
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Student Direct Deposit Authorization Form
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A form authorizing Umpqua Community College to deposit financial aid or reimbursement funds directly into a student's bank account.
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Direct Deposit Authorization Form
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A form allowing Colorado State University-Pueblo students to authorize electronic deposit of financial aid funds and student payroll checks into a designated bank account.
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Direct Deposit Authorization Agreement For Student Employment Payroll
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Authorization form for students to set up direct deposit for employment payroll at University of Montevallo
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Travel Form
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A comprehensive form for documenting and requesting travel authorization and expense reimbursement for organizational travel.
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STUDENT MEDIA POSITION AUTHORIZATION FORM
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A form for hiring and authorizing employment for student media staff at George Mason University, detailing required employment documentation.
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Student Media Release Form
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A permission form allowing Taholah School to display student images and classwork on their website, with privacy protections.
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Student Media Release Form
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A form granting permission for students to be photographed, videotaped, or interviewed by school-related groups.
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Eagle Bluff Student Medical Information And Permission Form
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A comprehensive medical form for student participation in Eagle Bluff activities, collecting health details and medication information.
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ACCUPLACER Privacy Policy General Agreement
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Privacy policy and agreement for students taking the ACCUPLACER standardized test, covering data collection, use, and disclosure practices by College Board.
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Photo And Media Release Form
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A legal document granting Syracuse University London Program permission to use submitted materials across various media platforms without further notification.
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Student Release Authorization Form
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A university form allowing students to authorize release of their educational record information to specified third parties in compliance with FERPA regulations.
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STUDENT TRANSPORTATION FORM
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A form authorizing and documenting driver eligibility and vehicle details for student transportation by employees, parents, or volunteers.
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Student Transportation Form
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Form for authorizing and documenting driver eligibility for transporting students in school-related activities.
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Student Travel Request And Authorization Form
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A form for student organization members to request and authorize travel funding and transportation arrangements
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Student Travel Form
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A comprehensive form for creating and updating student travel profiles at Florida International University (FIU)
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STUDENT TRAVEL AGREEMENT FORM
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A form for authorizing and documenting student travel, including travel details and departmental approval.
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Student Vehicle Registration
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A form detailing vehicle registration requirements and rules for students driving on school campus
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Study Submission Form Part Two Dataset Details
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A comprehensive form for submitting research datasets related to child abuse and neglect to the National Data Archive on Child Abuse and Neglect.
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Parental Consent For Medical Treatment
PDF template
A comprehensive form for parents to provide medical information and consent for their child's medical treatment when parents are not immediately available.
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Subgrant Application
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Guidelines for American Legion Auxiliary entities seeking subgrant funding through the ALA Foundation as a fiscal agent for third-party grants.
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Subrecipient Signature Authorization Agreement
PDF template
Agreement authorizing subrecipients to electronically sign contracts and submit invoices through San Diego Workforce Partnership's systems.
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Medical Release Form
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Medical authorization form for minors participating in county recreation programs, allowing emergency medical treatment and releasing liability.
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ILWU PMA Welfare Plan Supplemental CSDI Disability Claim Form
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A comprehensive disability claim form for ILWU-PMA Welfare Plan members to report disability details and seek benefits.
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Deduction Authorization Form For EnrollmentChangeCancellation In FIDELITY INVESTMENTS 403(B) Supplem
PDF template
A form for University System of Maryland employees to authorize, change, or cancel retirement plan deductions through Fidelity Investments 403(b) Supplemental Retirement Plan.
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Supplement In Lieu Of Pension Policy
PDF template
Policy providing a cash supplement for employees adversely affected by pension tax allowances who opt out of pension contributions.
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Supplier Direct Deposit Authorization
PDF template
Form for authorizing direct deposit of payments for suppliers or vendors by the State of Tennessee Department of Finance & Administration.
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ACHDirect Deposit Authorization Form
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Form for requesting non-payroll direct deposit payment to a domestic bank account for suppliers, employees, or students.
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SUPERVISORS INCIDENT INVESTIGATION REPORT
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A detailed form for documenting workplace accidents and injuries for Indiana Public Employers' Plan
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Rental Agreement
PDF template
Rental agreement document authorizing Surfrider Condominium Association to rent/lease a property on behalf of the owner.
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Request For Proposal IT Staff Enrichment Solutions
PDF template
A request for proposal for IT staff enrichment solutions issued by SURS, seeking vendor proposals for staffing and training services.
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Survey Services Order Form
PDF template
Form for ordering online survey services from Search Institute, including survey type selection and site reporting options.
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Statewide Volunteer Firefighter (SVF) Plan
PDF template
Detailed explanation of a defined benefit plan for volunteer firefighters with benefit levels and vesting requirements.
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Direct Deposit Form
PDF template
A form for employees to set up or modify direct deposit arrangements with North Central Area Credit Union.
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SYNAGIS CONNECT Patient And Prescriber Information Form
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Medical form for patient and prescriber information to support prescription and reimbursement for SYNAGIS (palivizumab) medication
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Outside Employment Agreement Form
PDF template
A form for non-faculty employees of Texas Tech University System to document and obtain approval for outside employment arrangements.
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Viridian Pump Return Pre Authorization Form
PDF template
A detailed form for requesting return authorization for pump equipment, requiring comprehensive installation and system details.
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TANF 301 1 Citizenship
PDF template
Document detailing citizenship and nationality requirements for Temporary Assistance for Needy Families (TANF) program applicants and participants.
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Employee Enrollment Form Flexible Spending Account (FSA)
PDF template
A form for employees to enroll in Flexible Spending Account (FSA) benefits with pre-tax salary reduction elections.
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Tax Certification Affidavit
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An official form authorizing the Office of Tax and Revenue to release tax compliance information for business contractual eligibility.
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Taxi Service Company License Authorization Form
PDF template
Form for authorizing and transferring taxi service company licenses and verifying compliance with Minneapolis ordinances.
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Alberta Consent Form
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A form used to authorize or cancel a representative's access to confidential corporate income tax account information with Tax and Revenue Administration (TRA)
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Declaration Of Tax Representative
PDF template
A form allowing a taxpayer to authorize a representative to act on their behalf before the Department of Taxation.
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Direct Debit Program Authorization Form
PDF template
Form for setting up recurring monthly donations via direct bank debit for a non-profit organization.
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Treasury Collateral Management And Monitoring (TCMM) Agency Authorization Form
PDF template
A form for creating or managing security accounts and user access for the Treasury Collateral Management and Monitoring system.
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Local Security Administrator (LSA) Authorization Form
PDF template
Form for financial institutions to designate local security administrators for Treasury Collateral Management and Monitoring services.
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Overnight Travel Authorization
PDF template
Guide for completing an electronic overnight travel request form through a dynamic form system in MyTCTC.
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TEAM MEMBER CHECKLIST UMCOR SAGER BROWN MISSION JOURNEY
PDF template
Comprehensive checklist for team members preparing for a mission journey, including required submissions, special skills, and interests.
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Kingwood Oxford School Team Tobati Student Travel Form
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A comprehensive travel consent and health information document for students participating in an international school trip to Paraguay.
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Notice Of Inquiry On Global Free Flow Of Information On The Internet
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A submission by TechAmerica to the U.S. Department of Commerce's Internet Task Force regarding global free flow of information on the internet.
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TechNET IT Timesheet Portal Guide
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A comprehensive guide for using TechNET's online timesheet submission and tracking portal for employees.
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Young Technology Scholar Award Application
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Scholarship award for high school seniors in Utah demonstrating technology skills and leadership in computer information technology courses.
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Telephone Change Request Form
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Form for modifying existing telephone settings or requesting changes to phone services at Bergen Community College.
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Short Term Temporary Disability Benefits
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Policy describing temporary disability benefits for non-union employees of the Diocese of Camden, outlining eligibility requirements and benefit calculations.
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Consent Form Template For Field Trip (If Participant Is Under 18 Years Old)
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A comprehensive consent and liability waiver form for minors participating in a field trip, covering medical consent, liability release, and promotional rights.
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Template Photography Consent Form Minors
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A template document outlining consent requirements for photographing minors, including usage rights and legal considerations for photography consent.
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Inbuilt Temporary Incapacity Benefits For Defined Benefit Division Members
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Detailed guide explaining temporary incapacity benefits for Defined Benefit Division members, including eligibility requirements and claim process.
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Official Submission And Release Form
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A form for submitting original photos and stories to the Department of Labor for their Workforce Investment System Showcase program.
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TENANT CONTACT EMERGENCY FORM
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Form for listing emergency contact and authorized individuals for a commercial tenant suite with contact details and access permissions.
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Routine Tenant Maintenance Request Form
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A form for tenants to report routine maintenance issues to their property rental agency with details about property access and consent.
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Term Extension Job Requisition Form
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A form for requesting an extension of an employee's current job term with details about position, salary, and benefits eligibility.
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Termination Leave Option Form
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A form detailing leave payout options for employees separating from University of Wyoming service, including vacation and sick leave compensation.
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Termination Of Employment Benefits Fact Sheet
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Comprehensive guide for University of California employees detailing benefits procedures and deadlines upon job separation or retirement.
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PRESCRIPTION AND SERVICE REQUEST FORM (PSRF) FOR UZEDY (RISPERIDONE) EXTENDED RELEASE INJECTABLE SUS
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A prescription and service request form for Uzedy risperidone medication with patient authorization for information sharing.
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Authorization For Direct Deposit
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Official form for setting up direct deposit of retirement benefits for North Dakota Teachers' Fund for Retirement annuitants.
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TFFR Retirement Guide
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Comprehensive guide for North Dakota teachers to understand and apply for retirement benefits from the Teachers' Fund for Retirement (TFFR).
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DentalOptical Benefit Application Form
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Application form for claiming dental and optical benefits through the Transport Friendly Society, requiring detailed expense and payment information.
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Osteopathic Benefit Application Form
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Application form for claiming osteopathic treatment benefits, specifically for members of the Transport Friendly Society who joined prior to 1996.
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ENROLLMENT FORM
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Comprehensive enrollment form for employees to select insurance and benefits options through The Hartford.
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Payroll Deduction Authorization
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Authorization form for allowing payroll deductions for organizational membership dues and benefit programs.
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Third Party Authorization Form
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A form allowing employers to authorize a third-party administrator to access and manage their unemployment insurance account and related matters.
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Third Party Authorization Form
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A form authorizing a designated third party to pick up specific student records from the university registrar's office.
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Third Party Authorization Form
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A form allowing students to authorize a third party to participate in student conduct meetings and access confidential conduct records.
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University Of La Verne Third Party Authorization Form
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A form allowing students to authorize the release of their academic and financial information to designated third parties.
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Third Party Authorization Form
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A form allowing third-party organizations to authorize and be responsible for payment of educational course registrations.
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Third Party Vehicle WithdrawalDelivery Form
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A form for documenting third-party vehicle transfer, withdrawal, or delivery process with details of vehicles and authorized personnel.
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Insurance Form Thrive
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Form authorizing Personal Touch Medical Claims to submit medical insurance claims on behalf of a patient and outlining payment terms for claim processing.
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TIAA Retirement Plan Contribution Form
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A form for employees to specify retirement plan contributions and allocate funding for their retirement annuity contract at Kenyon College.
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TIME OFF REQUEST
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A form for employees to request time off using various benefit types at Karen Ann Quinlan Hospice
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Title 38 United States Code Section 3679(E) School Compliance Form
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A form requiring educational institutions to certify compliance with veterans' educational benefits regulations under the Veterans Benefits and Transition Act of 2018.
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EMPLOYER INFORMATION FORM
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A comprehensive form for employers to provide business and payroll details while acknowledging employment standards requirements in Manitoba, Canada.
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TN Stars 529 Direct Deposit Form
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Authorization form for employees to set up direct deposit for TN Stars 529 salary payments to bank accounts.
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Authorization For Treatment Form
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Form for medical examinations, physical tests, drug screening, and workplace health services
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MEDICAL RECORDS REQUEST FORM
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A form authorizing Total Cardiology of Atlanta to retrieve and release a patient's medical records with specific document type selections.
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MEDIA RELEASE FORM
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A legal form granting permission for the Tallahassee Police Department to use an individual's image or a minor's image for various media and promotional purposes.
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Authorization For Release Of Medical Records
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A form authorizing the release of complete medical records for a child to Tribeca Pediatrics, in compliance with HIPAA regulations.
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Assessment Form
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A form for collecting household information to identify potential utility assistance programs for Tacoma Public Utilities (TPU) customers.
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Kansas 3rd Party Consent Form
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A form authorizing a third party to obtain an individual's vehicle registration and driver's license record information.
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Direct Deposit Agreement
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A form for setting up electronic transfer of monthly benefit payments to a personal bank account for TRA members or beneficiaries.
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OTC Office Of Workforce Liaison Weekly TRA 22 Student Compliance Form
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Transaction Authorization Form
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TRANSMITTAL AUTHORIZATION FORM
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A form for licensed providers to select communication preferences for background check results and general notifications from the Tennessee Department of Human Services.
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Request And Authorization For Official Travel
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Official document for requesting and authorizing government travel, detailing traveler information, purpose, transportation, and expenses.
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Travel Authorization And Reimbursement
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Official document for authorizing and requesting reimbursement for university-related travel expenses
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Travel Expense Estimate Authorization And Advance Request Form
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A form for employees to request travel expense estimates and advance funding for business trips.
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SUNY College Of Environmental Science And Forestry Travel Authorization
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Official form for requesting authorization to travel on behalf of the College of Environmental Science and Forestry, documenting travel details and estimated expenses.
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Travel Authorization For Children In The Custody Of SCCS
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Policy governing travel authorization procedures for children in foster care under Summit County Children Services supervision.
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TRAVEL AUTHORIZATION
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Official form for documenting and authorizing employee travel expenses and arrangements for the Nez Perce Tribe.
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AUTHORIZATION OF TRAVEL
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A comprehensive form for employees to request and document travel authorization and expense reimbursement at Austin Peay State University.
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Travel Authorization Form
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Form for employees to request and document travel expenses, including approvals and estimated costs for university-related travel.
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Travel Form
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A comprehensive document for documenting and requesting travel expenses, including authorization and reimbursement details.
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Request For Authorization To Travel Form
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A form for requesting and documenting authorization for travel, including a liability release section for university-related activities.
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Travel Authorization Reimbursement
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Comprehensive guide for SUU employees and students on travel authorization, reimbursement procedures, and best practices for travel documentation.
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PARIS JUNIOR COLLEGE TRAVEL AUTHORIZATION FORM
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A form used to plan, authorize, and document travel expenses for faculty, staff, and students at Paris Junior College.
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Travel Awareness Form
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Comprehensive guidelines for travel authorization, reimbursement, and expense management for university employees.
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Travel Consent Form For Minor Child
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A legal document providing parental consent for a minor child to travel with an authorized adult to a specified destination.
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Travel Consent Form
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A consent form for minor athletes to travel with the rowing club, including medical authorization and transportation details.
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Travel Form Procedure
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A comprehensive procedure for submitting and processing travel requests and expenses for college staff and faculty members.
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Bowie State University Travel Report
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A form for documenting and authorizing university-related travel, including travel party details and emergency contact information.
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Travel Guidelines
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Comprehensive guidelines for submitting travel authorizations and expense reports for university employees, including submission procedures, receipt requirements, and compliance details.
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Travel Medical Release Form
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Medical information release form for cancer patients seeking air travel support through the Cassie Hines Shoes Cancer Foundation (CHSCF)
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900. Travel Policy
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Policy governing university-sponsored travel expenses, reimbursement procedures, and travel authorization requirements for university personnel and visitors.
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Travel Permission Form
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A form granting permission for student travel to and from school athletic events with specific transportation details.
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TRAVEL POLICES AND PROCEDURES
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Comprehensive travel policy governing official business travel for board members, employees, and officials of MetroPlan Orlando, including authorization, transportation, and reimbursement guidelines.
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Fiscal Policies And Procedures
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Comprehensive guidelines for employee travel, including authorization requirements and reimbursement rules for a university system.
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Stonehill College Travel Pre Authorization Form
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A form for obtaining approval and estimating expenses for college-related travel before making arrangements.
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Beckman Laser Travel Pre Authorization Form
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A form for documenting and pre-authorizing travel details for reimbursement purposes, including traveler information and trip specifics.
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Travel Reference Guide
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A comprehensive guide for employees on travel procedures, system access, and reimbursement processes at Middle Georgia State University.
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Travel Regulations
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Comprehensive guidelines for university-related travel expenses, approvals, and reimbursement procedures for employees, students, and authorized travelers.
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Travel Reimbursement
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Comprehensive guidelines for University of North Dakota employees and students seeking travel expense reimbursement, detailing required documentation and submission procedures.
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Travel Request And Authorization Form
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Form for requesting and documenting travel expenses and reimbursement for college employees
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Registered Student Organization (RSO) Travel Form
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A form for Lansing Community College student organizations to request and document travel arrangements and obtain necessary approvals.
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Distribution (E Doc) Agreement For TREN
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A legal agreement for authors to grant TREN non-exclusive rights to reproduce and distribute their thesis or dissertation electronically.
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Trespass Arrest Authorization
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A legal authorization for property owners to request police intervention and arrest for trespassing on their property under Los Angeles Municipal Code Section 41.24.
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Trinity Lutheran Church Youth Group Permission, Liability, Travel Form
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A comprehensive form for parental consent, medical authorization, and liability release for youth group events and activities.
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Security Access Request Form For DMISTROR
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Form for requesting system access for federal employees and contractors to Debt Management Information System and Treasury Report on Receivables
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Travel Authorizations (TAS)
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Comprehensive guide for completing and processing university travel authorization forms for employees, students, and volunteers.
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Benedictine College Tuition Benefit Application Form
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Application form for Benedictine College employees seeking tuition benefits for themselves or their dependents.
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Yeshiva University Tuition Remission Benefit Policy
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Policy detailing eligibility and terms for tuition remission benefits for Yeshiva University employees, spouses, and dependents.
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Prior Service Credit Request Form Tuition Benefits Program
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Form for requesting prior service credit toward Carnegie Mellon University's Faculty and Staff Tuition Benefits Program waiting period
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Faculty Staff Scholarship Waiver Application
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Application form for Bethel University employees seeking tuition scholarship benefits for academic programs
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Fort Lewis College Tuition Waiver Request Packet
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A comprehensive guide for Fort Lewis College employees to request tuition waivers for taking courses with specific eligibility and application requirements.
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Tuition Waiver Form
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Form for employees or retirees to request tuition waiver benefits for themselves or dependents at the University of Toledo.
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Authorization To Release Written Information, Photographs, Film Or Videotape
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Legal document authorizing the Texas Workforce Commission to use personal information, photographs, and recordings for various media purposes.
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Media Release Form
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Legal document authorizing University of Alabama at Birmingham to use an individual's name, likeness, voice, or performance for educational materials and publications.
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UAH Staff Reference Guide
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A comprehensive guide for UAH staff covering various workplace policies, benefits, and procedures.
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UASModel Aircraft Request Form
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A form for requesting permission to operate unmanned aerial systems (UAS) or model aircraft on college property or at college events.
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Postdoctoral Scholar Childcare Reimbursement Form For UAW Represented (PX) Employees
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A form for University of California postdoctoral scholars to request reimbursement for eligible childcare expenses under the UAW-represented program.
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Shared Favorite Folder Request Form
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A form for requesting access to a shared folder with different levels of access permissions.
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UCI Travel Approval Form
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Form for obtaining pre-approval or exception for travel during pandemic conditions, requiring detailed risk assessment and justification.
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Authorization For Use Or Disclosure Of Health Information
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A medical authorization form allowing patient to authorize disclosure of personal health information to specified recipients
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UCRP Special Durable Power Of Attorney
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A legal document that allows a UCRP member to designate a representative to manage retirement and health benefit matters.
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UEP Credit Card Authorization
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A form for authorizing credit card payments for transactions on behalf of a company.
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UGAJobs User Request Form
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A form for requesting user access and permissions for UGA's human resources system with various user type options.
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Approval Form For The Use Of University Of Georgia Trademarks And Logos
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Official form for requesting permission to use University of Georgia trademarks and logos for various purposes.
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Non Employee TravelReimbursement Form
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Form for non-employees to request travel expense reimbursement, documenting trip details and associated costs.
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Employee Enrollment Form
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A comprehensive enrollment form for employees to sign up for medical, dental, and related insurance benefits.
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Medical Claim Form
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A form for submitting medical expense claims to UnitedHealthcare for reimbursement of eligible healthcare services.
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Yandisa Benefit Application Form
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Application form for patients seeking medical benefits through Umvuzo Health Medical Scheme's Yandisa program, requiring comprehensive personal and medical information.
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UI 203 Overpayment And Fraud Detection Form
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A form for employers to report wage information to investigate potential unemployment insurance claim discrepancies or overpayments.
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LWC Certificate Of Attendance
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Guidance for unemployment benefit recipients attending approved training programs on how to maintain eligibility and document attendance.
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Unemployment Compensation For Ex Servicemembers (UCX) Program Questions And Answers
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Detailed instructions for state agencies on processing unemployment claims for former military service members, including initial claim procedures and federal verification processes.
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Unemployment Compensation For Ex Servicemembers (UCX) Program Questions And Answers
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Advisory document providing guidance to state workforce agencies about the Unemployment Compensation for Ex-servicemembers program and related claims processes.
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UIT 1146A FORFF Limited Power Of Attorney
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A form used by employers to authorize a third party to represent them before the Arizona Department of Economic Security in unemployment insurance matters.
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A GUIDE TO YOUR BENEFITS FROM THE UNITED INDUSTRIAL WORKERS PENSION PLAN
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A comprehensive guide explaining pension benefits for workers covered by United Industrial Workers multi-employer collective bargaining agreements.
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VIM Mission Team Form Instructions
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Comprehensive instructions for mission team leaders detailing required documentation, forms, and submission guidelines for mission trips.
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VIM Mission Team Form Instructions
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Comprehensive guide for mission team leaders to collect and submit required documentation for mission trips, including registration, medical releases, and consent forms.
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Club Sports Intent To TravelCompete Form
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A form used by university club sports teams to document and request approval for travel to compete in events
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Unauthorized Purchase Form
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Form documenting instances of purchasing goods or services without prior purchase order approval, used to track and manage policy violations.
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Unclaimed Property DisclosureRepresentation Authorization Form
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A form that allows a claimant to authorize an appointee to act on their behalf regarding unclaimed property matters with the Arizona Department of Revenue.
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Parental Consent Form
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A consent form allowing parents or legal guardians to authorize spa treatments for a minor, specifying gender preferences for service providers.
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Appoint, Change And Terminate (ACT) Documentation Understanding The Data Inquiry Form
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A comprehensive guide explaining how to use the Data Inquiry form for accessing employee information in administrative systems.
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Record Of Employment
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A form for documenting employment status for unemployment insurance claims in New York State.
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Initial Unemployment Insurance Benefits Claim
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Comprehensive guide for filing an initial unemployment insurance claim in New Jersey, detailing required documentation and application process.
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University Of New Hampshire Technology Incident Investigation Form
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A comprehensive form for documenting and investigating technology security incidents at the University of New Hampshire.
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2023 24 PermissionWaiver Emergency Information Form Minor
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A comprehensive permission and emergency contact form for minors participating in church activities, including liability waiver and medical information.
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Uniform Order Payroll Deduction Authorization Form
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A form for employees of Mary Free Bed Rehabilitation Hospital to order uniforms with payroll deduction authorization
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Payroll Deduction Authorization Form
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Authorization form for employees to pay for uniforms through payroll deductions at Ocean Breeze Waterpark.
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University Of Toronto Benefit Plan Booklet CUPE Local 3907 Graduate Assistant
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A comprehensive benefit plan booklet for graduate assistants at the University of Toronto, detailing group benefits provided through Green Shield Canada.
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DENTAL ENROLLMENT FORM
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Form for enrolling in dental insurance coverage, collecting employee and dependent information for group dental insurance.
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Universal Enrollment Form
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Comprehensive enrollment form for medical, dental, and vision insurance covering active employees, retirees, COBRA, and surviving spouse participants.
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Employee Payroll Deduction Request
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A form enabling employees to authorize voluntary payroll deductions for university donations and scholarships.
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Retirement Timeline And Benefits Guide
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Comprehensive guide outlining step-by-step procedures and timelines for UNM faculty preparing for retirement, including ERB and Medicare requirements.
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Unum Disability Claim Form
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A comprehensive claim form for submitting disability insurance claims with Unum Group subsidiaries, covering multiple types of disability benefits.
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How To File A Voluntary Benefits Claim
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A comprehensive guide for employees on how to file claims for voluntary benefits, including wellness and health screening benefits.
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Life Insurance Form
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A comprehensive form for employees to enroll in life insurance coverage and designate beneficiaries with multiple coverage options.
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Urban Preparatory Academy Wichita Media Release Form
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A consent form authorizing Urban Preparatory Academy-Wichita to photograph, record, and use media featuring the signee or their children for institutional purposes.
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Wayne State University Club Sports Travel Form
PDF template
A comprehensive travel form for university club sports teams to document event, transportation, and emergency contact details.
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Partials Employee Consent Form
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A consent form allowing employers to file weekly unemployment claims and report employee information for partial unemployment benefits.
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Medical Summary Report Of Ministerial Candidate
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A confidential medical authorization form for ministerial candidates to release medical information to the Board of Ordained Ministry.
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KEY HOLDER AGREEMENT FORM
PDF template
Formal document for tracking and managing key issuance and responsibility for University of Washington personnel
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SFS Inquiry Form
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Guidelines for contacting Northeastern University's Student Financial Services through their service portal and alternative communication channels.
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SHEPHERD UNIVERSITY UPWARD BOUND PROGRAM EMERGENCY MEDICAL CONSENT CONTACT FORM
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Emergency medical consent and contact form for students participating in the Shepherd University Upward Bound Program, including medical history and medication information.
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Parental Authorization To Treat Minor Child When Not Accompanied By Parent Or Guardian
PDF template
Form allowing parents to authorize medical care for their child when the child is not accompanied by a parent or guardian
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Authorization For Release Of Medical Information
PDF template
A form allowing patients to authorize the release or obtaining of medical records from University of Rochester Medical Center
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Shipping Form
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Shipping instructions and form for sending totes/boxes through Kin Services for international mission work.
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USALLIANCE Payroll Authorization Agreement And Instructions
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A form allowing employees to authorize automatic payroll deposits into their USALLIANCE credit union account with specific deposit instructions.
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Direct Deposit Form
PDF template
A form for employees to set up direct deposit of their wages or other funds into an Ulster Savings Bank account
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IT Purchase Request Form
PDF template
A form for requesting and approving IT equipment purchases within an organization, including details about the item, purpose, and funding.
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Memorandum And Order For Judgment Malcolm Et Al. V. Franklin Drywall, Inc. Et Al.
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Judicial document regarding personal liability of Philip J. Franklin in a union fringe benefits fund case involving Franklin Drywall and Master Drywall.
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OFFICE OF INFORMATION TECHNOLOGY AUTHORIZATION RELEASE FORM
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Authorization form for students, faculty, staff, and guests to access SUNY College of Optometry computing resources and facilities.
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USERRA Life Insurance Form
PDF template
Form for military service members to continue life insurance coverage during active duty service under USERRA protections.
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Life Insurance Claim Form
PDF template
A comprehensive form for filing a life insurance claim with authorization and personal information sections
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Authorization, Agreement, And Certification Of Training
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A comprehensive form for documenting employee training requests, details, and approvals across government agencies.
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Authorization, Agreement, And Certification Of Training
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A comprehensive form for documenting employee training details, course information, and administrative requirements.
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Retirement Inquiry Form
PDF template
Form for determining retirement eligibility and healthcare benefits for University System of Georgia employees.
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USNA 153120 United States Naval Academy Media Release Form
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A form granting permission for the U.S. Naval Academy to use an individual's likeness in photographs and videos for promotional purposes.
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DS 3053 Statement Of Consent
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Form used to provide parental consent when one parent is unavailable during a minor's U.S. passport application process.
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US UNM Union Dues Membership Form
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Authorization form for University of New Mexico staff to have union dues automatically deducted from their compensation
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University Of Toledo Foundation Tuition Scholarship Form
PDF template
Form for University of Toledo employees to apply for tuition scholarship benefits for undergraduate or graduate education.
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Utility Information Release Authorization Form
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Authorization form allowing utility providers to release billing and account information for rental assistance purposes.
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LTU Utility Viewer Access Request Form
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A form for requesting access to the Geospatial Services Utility Viewer from the City of Lincoln/Lancaster County, Nebraska.
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Employee Request For Course Approval And Waiver Of Fees
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A form for University of Tennessee employees to request approval for course enrollment with potential fee waiver based on employment status.
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University Of Wisconsin Oshkosh University Of Wisconsin Independent Learning (UW IL) Course Permissi
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A form for students to request permission and register for an independent learning course at the University of Wisconsin Oshkosh
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Catastrophic Leave Donor Authorization Form
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Form allowing employees to donate earned paid leave credits to colleagues experiencing catastrophic need within the UW System.
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Group Short Term Disability Claim Form
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A comprehensive form for employees to file a short-term disability insurance claim with medical and employment details.
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VA Educational Benefits Application Form
PDF template
Application form for veterans to request educational benefits through various VA programs and provide consent and understanding of responsibilities.
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Vacation Donation Program Contribution Form
PDF template
A form allowing state employees to donate vacation or personal leave hours to colleagues experiencing medical costs or salary needs.
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Vacation Donation Program Contribution Form
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A form allowing state employees to donate vacation or personal leave hours to colleagues facing medical costs or salary continuity needs.
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Local 134 Vacation Savings Fund Contribution Form
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Document for tracking contractor and employee vacation fund contributions with personal and financial details.
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Veterans Enrollment Form
PDF template
Form for veterans and dependents to enroll in education benefits and request VA educational support.
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Veterans Benefits Enrollment Form
PDF template
Form for veterans to enroll and apply for educational benefits through various VA programs
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Vision Reimbursement Claim Form
PDF template
A form for employees to claim reimbursement for vision-related medical expenses under an employer's vision benefit plan.
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Purchase Requisition Form
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A form used by the Virginia Community Criminal Justice Association to request and authorize purchases or reimbursements.
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DIVORCE BENEFIT APPLICATION
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A form for processing retirement fund benefits in the context of a divorce settlement, used by Alexander Forbes Financial Services.
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Vehicle Entry Permit Form
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A permit form for vehicles entering the Chennai Port Trust and PSA Chennai terminal, specifying rules and requirements for entry and movement within the facility.
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VEHICLE MOTORIZED EQUIPMENT REQUEST FORM
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A form for requesting the purchase or replacement of vehicles and motorized equipment within an organization.
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Vehicle Purchase Information MDHHS 5946
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Guidelines for obtaining vehicle purchase assistance through Michigan Department of Health and Human Services for eligible program recipients.
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Vehicle Registration ApplicationAgreement
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A vehicle registration application for accessing Kamehameha Schools Maui property, used by parents, employees, coaches, and other authorized individuals.
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Vehicle Registration Form
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Form for employees to register their vehicle and parking details at Princeton HealthCare System
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DeBordieu Colony Community Association Vehicle DecalBarcode Registration Form
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Form for registering vehicle decals and barcodes for DeBordieu Colony residents, with rules for issuance and use of community vehicle access credentials.
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Vendor ACH Authorization Form
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A form for vendors to set up or change direct deposit payment information with the City of Fort Collins.
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Vendor ACH Authorization Form
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Form for vendors to authorize electronic payments from the Housing Authority of the County of Alameda (HACA) via ACH transfer.
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Prescription Prior Authorization Request Form
PDF template
A medical form used to request prior authorization for prescription medications from an insurance provider or healthcare plan.
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VESSEL BOOKING FORM
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A comprehensive form for booking and documenting vessel arrival, departure, and cargo details for maritime logistics operations.
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Veterans Contact Form
PDF template
Form for veterans to apply for educational benefits and provide personal and academic information for VA support.
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Veterans Contact Form
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A comprehensive form for veterans to apply for educational benefits and provide academic background information at Umpqua Community College.
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Military Certification Enrollment Form
PDF template
Form for military veterans to certify and enroll in courses for educational benefits at Marywood University
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Non Resident Waiver Form For Veterans, Spouse, And Dependents
PDF template
Form for veterans, spouses, and dependents to request in-state tuition rates at Texas A&M University-Corpus Christi based on federal educational benefits.
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Data And Research Request Form
PDF template
A document used to formally submit a request for accessing research data or conducting research-related data retrieval.
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VIDEO And TRAFFIC FLOW DATA SHARING PARTNERSHIP AGREEMENT
PDF template
Agreement between the City of New York and a user regarding access to traffic monitoring camera systems and video signals.
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My Benefit Plan Booklet
PDF template
Comprehensive benefit plan booklet for post-doctoral fellows at the University of Toronto, detailing group benefits through Green Shield Canada.
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APRETUDE (Cabotegravir) Enrollment Form
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Enrollment form for ViiVConnect services to help patients access ViiV Healthcare medications with comprehensive information on access and coverage.
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CABENUVA DIGITAL ViiVConnect Enrollment Form
PDF template
Enrollment form for patients seeking access to ViiV Healthcare medications through ViiVConnect program.
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Villa Musica Summer Camp Emergency Contact Form
PDF template
A comprehensive emergency contact and medical information form for Villa Musica summer camp participants
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Out Of Network Reimbursement Instructions
PDF template
Detailed instructions for submitting out-of-network healthcare reimbursement claims to VBA, including required documentation and submission methods.
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Member Reimbursement Claim Form
PDF template
Form for members to request reimbursement for vision services from out-of-network providers or in-store promotions.
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Delta Dental Of Wisconsin EnrollmentChangeWaiver Form DeltaVision
PDF template
Insurance enrollment form for Delta Dental of Wisconsin's vision benefits, allowing employees to accept, change, or waive coverage.
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Supplemental Vision Active Employee Enrollment Form
PDF template
Employee enrollment form for supplemental vision insurance coverage through Delta Dental of Wisconsin.
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Vision Claim Form
PDF template
A form for submitting vision care expenses for reimbursement through a health benefits plan.
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Visitor Pass Form
PDF template
Form for documenting visitor entry and details at a corporate facility with security tracking.
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VitalityLife Discretionary Trust
PDF template
A legal document outlining the terms of a discretionary trust related to life insurance benefits, allowing flexibility in benefit allocation and ownership.
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VLSC Software Assurance Guide
PDF template
A comprehensive guide for organizations to understand and manage their Software Assurance benefits through Volume Licensing.
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Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
PDF template
Legal document waiving liability and assuming risks for participation in music activities at Indiana University of Pennsylvania's Community Music School.
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Request For Voluntary Cancellation Of CPCN
PDF template
A form for carriers to voluntarily cancel their Certificate of Public Convenience and Necessity (CPCN) with the Nevada Transportation Authority.
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Voluntary Deduction Cancellation Form
PDF template
A form for employees to request cancellation of a voluntary payroll deduction at Santa Monica College.
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Volunteer Form Disclosure And Authorization For Consumer AndOr Investigative Consumer Report
PDF template
A form authorizing background checks for volunteer applicants, allowing investigation of personal and professional history.
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Volunteer Form Disclosure And Authorization For Consumer AndOr Investigative Consumer Report
PDF template
A form authorizing background checks and consumer reports for volunteer applicants by providing consent for personal information screening.
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VOLUNTEER EMERGENCY CONTACT FORM
PDF template
Form for collecting emergency contact details and medical transport authorization for volunteers
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BOA Volunteer Firefighter Disability Claim Form
PDF template
Official claim form for Alabama volunteer firefighters seeking disability benefits due to service-related injury.
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VolunteerS Waiver Of Liability And Release Of Claims
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Legal document authorizing criminal history records check and releasing liability for volunteers in school district.
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Parental Consent Form
PDF template
A form allowing parents to give consent for their child to volunteer at Sussex County Library.
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Volunteer Permission SlipEmergency Contact Form For Minors
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A form for minors under 18 to obtain parental permission and provide emergency contact information for volunteering at Cranbrook Institute of Science.
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Tennessee Extension Volunteer Background Check Consent Form
PDF template
Consent form for Tennessee Extension volunteers allowing background checks for volunteer application process.
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Volunteer Travel Supervisor Approval Form
PDF template
Form certifying volunteer travel authorization and necessity for program mission
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MPS Volunteer Opportunity Participation Form
PDF template
A comprehensive form for volunteers to register for an MPS event, provide emergency contact information, and sign liability waivers.
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Restricted Power Of Attorney
PDF template
A legal form allowing vehicle owners to grant another person authority to sign documents and complete transactions related to vehicle ownership.
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Enrollment Form With Dependent Data
PDF template
A form for employees to enroll in health insurance coverage and provide dependent information.
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Volunteer Time Off (VTO) Policy
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A policy that allows Johnson County employees to earn up to 8 hours of paid volunteer time per calendar year by converting sick leave, promoting community engagement.
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NAVCOMPT Form 3065, Leave RequestAuthorization
PDF template
A legal document completed by service members to request various types of leave, including sick, emergency, and graduation leave.
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ParentGuardian Permission Waiver Form For Minors
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A waiver form granting permission for minors to participate in volunteer activities at Daily Bread Food Bank, releasing the organization from liability.
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Waiver Of Health, Dental AndOr Vision Coverage
PDF template
A form allowing employees to decline health, dental, and vision insurance coverage offered by their employer.
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Waiver Form
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A form for requesting a waiver from licensing requirements with fields for documentation and approval.
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Release And Waiver
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Authorization form allowing the Timnath Police Department to obtain comprehensive personal background information for employment purposes.
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Waiver Of Medical Insurance Coverage
PDF template
A form for employees to waive medical insurance coverage while certifying alternative group medical insurance and applying premium sharing to optional coverage.
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Waiver Of Pre Tax Insurance Form
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A form allowing employees to opt out of pre-tax deductions for employer-sponsored insurance premiums at UND.
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Waiver Service Approval Form
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A form used by care coordinators to request and approve waiver services for members, documenting service details and provider information.
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Walking Field Trip Standing Consent Form
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A consent form allowing students to participate in walking field trips within a specified distance from their school for educational activities.
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Credit Card Purchase Form
PDF template
Form for documenting and requesting approval for credit card purchases within an organization.
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ELIGIBILITY EVALUATION CHECKLIST
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A form used by rehabilitation specialists to evaluate workers' compensation reemployment benefits eligibility for injured workers in Alaska.
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Employee Handbook
PDF template
Comprehensive guide outlining employment policies, benefits, and conduct for employees of the Workforce Development Board serving Herkimer, Madison, and Oneida Counties.
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MEDIA RELEASE FORM
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A legal document granting permission for an individual's image to be used in various media publications and platforms.
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Workday Finance Role Request Form
PDF template
A form used to request changes in employee security roles for Workday finance system access
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AM System Weapon Authorization Request Form
PDF template
A form for individuals seeking authorization to possess a weapon on A&M System property or for system business purposes.
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Parental Consent Form
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A consent form allowing parents to authorize youth participation in church activities and medical treatment for their children.
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Maintenance Request Form
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A form for tenants to request property repairs and maintenance, detailing access and contact information for maintenance trades.
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Weekly Disability Benefit Claim Form
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A form for filing a weekly disability benefit claim for Teamsters Health and Welfare Fund members seeking disability benefits.
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Weekly Disability Claim Form
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A comprehensive form for reporting employee disability claims, including sections for employee, employer, and physician statements.
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Premium Continual Reimbursement Form
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Form for employees to request continual reimbursement of health care premium expenses through their benefit plan.
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Wellness Benefit Claim Form
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A claim form for submitting wellness-related medical tests and screenings for potential insurance benefits.
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Routine Physical Exam Affidavit
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A form for employees to qualify for 8-hour wellness leave by completing a health assessment and routine physical exam.
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Underage Buyer Consent Form Sample
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A document providing consent for an underage individual to engage in a transaction or activity with parental or guardian permission.
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APPLICATION FOR WIDOWS ANDOR CHILDRENS PENSION
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Official form for widows to apply for pension benefits under the Papua New Guinea Defence Force Pensions Act
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Wittenberg Key Request And Authorization Form
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A form for requesting, tracking, and returning building access keys for Wittenberg facilities.
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Pre Authorized Debit (PAD) Plan Agreement
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A document authorizing automatic mortgage payments through pre-authorized debit from a financial account to Westboro Mortgage Investment LP.
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WORLD MANAGEMENT SURVEY NON DISCLOSURE AGREEMENT FORM
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Non-disclosure agreement for researchers accessing World Management Survey project data, outlining confidentiality and usage restrictions.
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MEDICAL RELEASE FORM
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A medical authorization form allowing treatment of a minor athlete in case of emergency when parent/guardian is unavailable.
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MEDIA RELEASE FORM
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A form granting permission to Women Writing for (a) Change to use participant's visual or audio content for promotional purposes.
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EPEX Workflow Request Form
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A form for employees to request workflow access and approvals across different departments and levels at an organization.
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Working Spouse Premium Waiver Form
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Form for Purdue employees to certify spouse's medical insurance eligibility and waive working spouse premium
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WPC Endowment Fund Grant Recipient Feedback Form
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A form for grant recipients to provide detailed feedback about their project, expenses, and alignment with organizational mission.
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My Benefit Plan Booklet
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Group benefits booklet for professional firefighters in the City of Windsor, provided through Green Shield Canada.
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MY BENEFIT PL AN BOOKLET
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A benefit plan booklet for retired firefighters and their surviving spouses from the City of Windsor, providing group benefits through Green Shield Canada.
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Medical Release Form
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A legal document granting medical treatment permission for a minor by a parent or guardian, valid for one year.
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WRRS Prior Non Membership Service Purchase Form
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Form for purchasing prior non-membership service credits in the Worcester Regional Retirement System
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Whitefriars Sailing Club (WSC) Club Rules
PDF template
Comprehensive set of rules and guidelines governing access, safety, and conduct at Whitefriars Sailing Club's facilities and lake area.
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SOLICITATION APPROVAL FORM
PDF template
Form authorizing WSIA Political Action Committee to solicit voluntary contributions from company personnel and stakeholders.
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TRAVEL FORM
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Travel authorization form for GEOC students with teaching assignments, requiring details about travel dates and potential immigration proceedings.
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Vendor Electronic Funds Transfer Agreement
PDF template
Agreement between Washington University and a vendor for electronic funds transfers (EFT) for payment of goods and services.
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WV10.0 WIC Vendor Authorization
PDF template
Policy providing information on WIC vendor authorization requirements, competitive pricing, and vendor agreement details for the USDA Special Supplemental Nutrition Program.
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Mountaineer Flexible Benefits Enrollment Form
PDF template
A comprehensive form for employees to enroll, modify, or cancel flexible benefits during open enrollment period.
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Summer Camp Accident Waiver And Release Of Liability Form
PDF template
A liability waiver for parents allowing their children to participate in Washington Waldorf School's summer camp program, covering potential risks and medical authorization.
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Global XML Data Items
PDF template
Technical documentation describing XML data elements and structure for importing records in an educational or administrative system.
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PATIENT AUTHORIZATION FOR XTANDI SUPPORT SOLUTIONS
PDF template
Comprehensive patient information and authorization form for Xtandi patient assistance program and support services.
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YEARLY UPDATE FORM YEAR 2023
PDF template
Annual form for updating patient and guardian information for established pediatric patients under 18 years old.
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Musician Medical Form
PDF template
Medical form for musician participation in the Youth Orchestra of Palm Beach County, requiring health and emergency contact information.
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Authorization For The Administration Of Medication By School, Child Care, And Youth Camp Personnel
PDF template
A form authorizing the administration of medication to children in schools, child care centers, and youth camps in Connecticut.
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Youth Media Release Form
PDF template
A legal document authorizing the Diocese to use images, videos, and recordings of an individual for media purposes.
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YouthSERVE Volunteer Registration Form
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A consent form for youth volunteers to participate in Volunteer Center of Santa Cruz County programs, including liability release and media permissions.
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Area VII Young Riders Silent Auction Procurement Form
PDF template
A form for collecting item donations for a young riders benefit silent auction fundraising event.
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ZERO INCOME MONTHLY REPORT
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A form used to report monthly household income status for housing authority participants with potential zero income sources.
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Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
A comprehensive form for employees to enroll in and select flexible spending account options for healthcare and dependent care expenses.
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SECURITY CLEARANCE REQUEST FORM
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A form for requesting access and security clearance to a facility, requiring detailed contact and work information.
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