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DOEA Form 243 Department Of Elder Affairs Congregate Meal Nutrition Service Referral Form
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Form for submitting warranty claims for marine equipment and services with detailed repair and service information.
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Elmer Hafer American Legion State Police National Guard Youth Camp
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IRS Form 1098 T Tax Information
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Guidance for students on claiming educational tax credits using IRS Form 1098-T for qualified tuition and related expenses.
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IRS Tax Form 1098 T Explanation
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Document explaining tax form 1098-T and qualified tuition and related expenses for educational tax credits.
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SERVICE ORDER FORM
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Tax Retrieval Instructions
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2024 Oklahoma 4 HFFA Wheat Show Quality Improvement Program
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Competition encouraging increased production of wheat with superior market quality for 4-H and FFA participants in Oklahoma.
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2024 Arizona EL Teacher Of The Year Nomination Form
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Nomination form for recognizing outstanding English Language teachers in Arizona for the 2024 award year.
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MEAL FORM
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2024 Norco Fair Community Competition Entry Form
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2024 Commercial Vendor Agreement
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Commercial vendor agreement for participating in the Orono Agricultural Society's annual fair with booth space and pricing details.
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RULES AND REGULATIONS
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Comprehensive guidelines for cattle exhibition at a fair, including entry requirements, health regulations, and ownership rules.
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2024 ELECTRICAL SERVICE ORDER FORM
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Exhibitor Information Important 2024 Dates Deadlines
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Comprehensive timeline of key deadlines and services for event exhibitors, covering registration, shipping, ordering, and submission requirements.
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FIDA Application Form
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Independent Contractor Agreement
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2024 SFSP Program Assessment Form
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Shipping Form For New York State Fair Entries
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Shipping guidelines and form for submitting entries to the Wegmans Art & Home Center at the New York State Fair.
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2024 Nomination Form PresidentS Award For Distinguished Service Staff Senate Nomination Form
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Terms Conditions Nexxiot
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Provincial Winter Fair Release Of Liability Acknowledgement Of Risk
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Legal document releasing liability for participants in provincial fair activities involving livestock and events
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WALK UP SERVICE REQUEST FORM GARBAGE RECYCLE COLLECTION
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Application for requesting walk-up garbage and recycling collection service for individuals with physical disabilities who cannot move carts to the curb.
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2025 Provider Referral Form
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Health Services Referral Form
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SoonerCareInsure Oklahoma Referral Form
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2 1 1 TN Agency Survey Form
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Form 218 Rev. 0114 CitizenshipIdentity Verification
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2.1 Admission And Release
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Detention standard for secure and orderly processing of detainees during admission and release in ICE facilities.
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Apricus Referral Form
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A comprehensive medical referral form for patient discharge planning and facility care management services.
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Barton Alcoholic Beverages Service Request Form
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Form for requesting permission to serve alcoholic beverages at an event at Barton Community College
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Supplemental Billing Form 2455 S
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Form for billing child care services with daily attendance tracking and reasons for absence or attendance.
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Instructions For Forms 1099 R And 5498
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Official IRS instructions for reporting distributions from retirement accounts, pensions, and other financial plans for tax year 2024.
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ELECTRICAL SERVICE ORDER FORM
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Form for ordering electrical services for exhibitors at the Equine Affaire event in November 2024
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Request For Proposal (RFP) VisaPassportConsular Support Services
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Request for proposal to select a service provider for visa, passport, and consular support services at multiple locations in Oman.
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Independent Contractor PolicyProcedure
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Free File Fillable Forms Frequently Asked Questions
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Constituent Service Request Form
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Riverside County Mental Health Plan Provider Referral Request Form
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Electric Service Request Form
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Initial Interview Form
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Service Project Form
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Prevocational Services Annual Assessment Form
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Annual assessment to determine continued need for site-based or community-based prevocational services for individuals with developmental disabilities.
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Warranty Claim Form
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Form for documenting equipment failure, repair details, and warranty claim submission for Klein Products equipment.
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BOARD OF TRUSTEES OF COMMUNITY COLLEGE DISTRICT NO. 508 AGREEMENTS APPROVED
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Monthly report of rental, service, and professional agreements approved by college presidents and chancellor
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Healthy Ways Clinic Referral Form
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A referral form for healthcare providers to enroll overweight or obese children in a treatment program at Healthy Ways Clinic.
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Consulting Agreement
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A consulting services contract between Edelman Public Relations and the European Climate Foundation for services related to climate and energy initiatives.
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Make A ChildS Smile DENTAL HISTORY FORM
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A comprehensive form collecting detailed dental and health information about a child's oral health and family background.
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Procurement Of Commodities And Contractual Services
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Detailed guidelines for selecting and using different types of contract documents for procurement of commodities and services.
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Quantity Purchase Agreement (QPA)
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Quantity Purchase Agreement for marketing, advertising, and communications services with hourly rate structure for various professional roles.
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Professional Service Agreement Website Redesign
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City Council motion to approve a professional service agreement with Vision Internet for website redesign and maintenance services for Eagle Mountain City.
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Service Request Form
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STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
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Exhibitor Service Request Form
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IRS Form W 4P
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Guide for U.S. citizens and resident aliens on federal and state tax withholding for periodic pension or annuity payments.
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STANDARD CONTRACT FOR SERVICES 39708
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A contract between the State of Vermont and Audio-Video Corporation for AV equipment and services with a maximum value of $200,000.
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Student Evaluation Form 3 (NAAC) Infrastructure Services
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An evaluation form for students to assess the college's performance across various infrastructure and service parameters.
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Universal Referral Tool
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A comprehensive referral form for employment-related services across multiple agencies for individuals seeking workforce development support.
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REENTRY (REPS) SERVICE REQUEST FORM
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A form used by healthcare providers to request medical services for patients in the California Department of Corrections and Rehabilitation system.
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Service Request Form
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STANDARD CONTRACT FOR SERVICES 40070
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A service contract between the State of Vermont and Shanix Inc for AV Equipment and Services with a maximum contract value of $200,000.00
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400 MHz NMR Spectrometer Service Request Form
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Form for requesting nuclear magnetic resonance (NMR) spectroscopy analysis and data collection for scientific research.
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Lake Superior College Volunteer Form
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A form for documenting volunteer details, assignment terms, and consent for volunteers at Lake Superior College.
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Pharmacy Provider Information Request Form
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Child Care Attendance Record And Billing Form
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Request For Proposals Facility Management And Operations Services For Pratt Whitney Stadium
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Alabama Medicaid Dossier Submission FormPacket
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NY Medicaid Provider Enrollment Form For Practitioners
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New York State Medicaid Enrollment Form
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Form for healthcare practitioners to enroll as Medicaid providers in New York State, covering ordering, referring, and managed care network providers.
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Independent Contractor Agreement
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A contract defining the terms of engagement between the Brewster Recreation Department and an independent contractor for services.
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Medical Service Request Form
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A form for healthcare providers to request medical services for South Country Health Alliance members with detailed service and patient information.
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Form 4506 T
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IRS form used to request a transcript of a previously filed tax return at no charge.
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471 000 10 Instructions For Completing The Nebraska Medicaid Telehealth Patient Consent Form
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Guidelines for healthcare providers to complete a telehealth patient consent form for Nebraska Medicaid services.
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471 000 99 Medicaid Claim Adjustment And Refund Procedures
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Procedures for requesting claim adjustments and refunds for processed Medicaid claims within 90 days of payment or denial.
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Open Doors Transition Center Referral Form
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A referral form for transitioning residents, used for collecting personal and facility contact information for potential transitions.
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NC Medicaid Enrollment Form
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Form for choosing or changing Medicaid health plans and primary care providers in North Carolina.
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Utility And Equipment Rental Rate Sheet
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Comprehensive rate sheet for internet, utility connections, phone lines, and equipment rental with advanced and standard pricing options.
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Sample Form C Proof Of Service
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Legal instructions for serving documents by mail in California Superior Court or Court of Appeal proceedings.
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Babysitter Bus Service Request Form
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A form for parents to request bus transportation for pre-school to 5th-grade students to and from a babysitter's residence during the 2023-2024 school year.
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SECTION 504 REFERRAL FORM
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A comprehensive form for referring students who may require educational accommodations or support services under Section 504.
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Psychiatric Referral Form
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A comprehensive form for mental health professionals to refer a student for psychiatric evaluation and potential treatment.
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Silver Beaver Award Nomination Form
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UMKC School Of Dentistry Patient Referrals
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A comprehensive form for referring patients to various dental specialty clinics at the UMKC School of Dentistry.
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RentWerx Management Referral Form
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A referral form offering $555 to licensed realtors for referring property management clients to RentWerx.
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Long Term Care Facility ComponentAnnual Facility Survey
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CDC survey collecting comprehensive information about long-term care facility characteristics, services, and resident demographics for the previous calendar year.
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Cancellation Form
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A form for customers to request cancellation of various vehicle-related protection and service contracts with detailed submission instructions.
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Goodman Warranty Claim Form
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A document detailing the process for submitting warranty claims for Goodman HVAC equipment and participating in promotional drawing.
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Statement Of Deficiencies And Plan Of Correction
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Survey report documenting compliance issues with fire safety requirements for a rehabilitation center
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Substitute Invoice For Honoraria Fees
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WATERSEWER UTILITY SERVICE AGREEMENT
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Official form for documenting water and sewer utility service provision for an establishment, requiring utility official inspection and verification.
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600 Hour Volunteer Certification Form
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Form for students to document and certify volunteer service hours for the School of Hotel, Culinary Arts, & Tourism.
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Change Of Address Form For Practitioners, Businesses And Groups
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NYS Medicaid InstitutionalRate Based Provider Change Of Address Form
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A form for New York State Medicaid providers to update their correspondence, pay to, and corporate addresses.
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Data Processing Agreement
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Legal agreement outlining data processing terms between Jasper AI and its customers for handling personal data.
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Referral Agreement
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Kaltura Legal Customer Agreement
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Legal terms and conditions governing customer access and use of Kaltura's service offerings.
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Child And Adult Care Food Program Site Application
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Application form for sites participating in the Child and Adult Care Food Program (CACFP) to provide nutritional services.
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Electronic Funds Transfer Authorization Form
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A form for healthcare providers to set up electronic funds transfer for payments from the New York Medicaid system.
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Packet For Qualifying Income Trust
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Document providing guidance for Medicaid applicants with income exceeding eligibility limits for institutional care and instructions for establishing a Qualifying Income Trust.
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Valley ChildrenS Healthcare Outpatient Referral Form
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A comprehensive medical referral form for patients being referred to Valley Children's Healthcare for specialized medical services.
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MSDH Motivated To Live A Better Life Referral Form
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A comprehensive referral form for patients seeking health management support through the Mississippi State Department of Health's lifestyle program.
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Form 8396
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IRS tax form for claiming mortgage interest credit for holders of qualified mortgage credit certificates from state or local government units.
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Mississippi WIC Program UPC Submission Form
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Form used to submit UPC code information for inclusion on the Mississippi WIC Approved Product List.
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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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Agreement Tracking System
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Contract for Condition Acquisition Reporting System (CARS) 511 Maintenance and Support with Castle Rock Associates
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AN ACT Concerning The Perinatal Risk Assessment Form
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Legislation requiring obstetrical providers to complete a uniform Perinatal Risk Assessment form for Medicaid recipients and eligible individuals during prenatal care.
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Simple Subcontractor Agreement Template
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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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90 DAY TRAVEL MEDICATION REFILL REQUEST FOR ADAP Rx CLIENTS
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Form for ADAP-Rx clients to request medication supply while traveling outside Alabama for up to 90 days.
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Electronic Delivery Form
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Silver Beaver Award Nomination Form
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A nomination form for recognizing distinguished Scouters who have made significant service contributions at the council level.
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Silver Beaver Award Nomination Form
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A nomination form for recognizing distinguished Scouters who have made significant service contributions at the council level.
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Freelance Contract Agreement
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A standard contract template defining the terms of engagement between a freelancer and a client for professional services.
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Change Of Ownership Form
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Instructions for reporting a change of ownership for Medicaid-enrolled facilities or groups within 30 days of the change or sale.
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Alabama Medicaid Referral Form
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A form used by Alabama Medicaid for patient referrals, screening, and care coordination.
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Form 362 Alabama Medicaid Referral Form
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A confidential form for Medicaid recipients to document medical referrals, screenings, and care coordination by healthcare providers.
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Packet For Qualifying Income Trust
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Guidance for Medicaid applicants with income exceeding eligibility limits for institutional care, explaining how to establish a Qualifying Income Trust.
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Alabama Medicaid AgencyS Recipient Change Report Form
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A form for Medicaid recipients to report changes in personal information, family status, and household composition.
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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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Form 193 Alabama Medicaid Agency Sterilization Consent Form
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Legal consent form for medical sterilization procedure, detailing patient rights and informed consent requirements.
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Sterilization Consent Form Detailed Instructions Guide
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Detailed guide for healthcare providers on submitting sterilization consent forms to Medicaid's fiscal agent, Gainwell.
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Form 392 Alabama Medicaid Pharmacy Patient Consent Form Hepatitis C Agents
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A consent form for patients receiving hepatitis C treatment, outlining medication requirements, birth control instructions, and patient responsibilities.
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Volunteer Service Request Form
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Comprehensive form for individuals seeking to volunteer in church ministries, gathering personal information, background details, and availability.
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Agreement To Renew
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Renewal of master services agreement between Intrado Interactive Services Corporation and Jefferson County School District for content management system and related services.
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Form 6729 B Shopping Review Sheet
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A form used by SPEC shoppers to document tax return preparation findings by IRS certified volunteers without capturing personal taxpayer information.
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Warranty Claim Form
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A form for submitting warranty claims to Redmond/Williams Distributing for product repairs or replacements.
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A8.230 Contracting For Services
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Comprehensive guidelines for contracting external services at a university, outlining procedures, risks, and definitions related to service contracts.
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SETAAAD Referral Form
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A referral form for SETAAAD (Southeastern Tennessee Area Agency on Aging and Disability) services to document client information and referral details.
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Damage Report Form
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Form for reporting vehicle damage during AAA service, requiring detailed documentation and supporting evidence.
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Damage Report Form
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A comprehensive form for reporting vehicle damage during AAA automotive services, requiring detailed incident documentation.
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Access Assessment Centre Referral Form
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A referral form for mental health services targeting Vancouver residents, collecting comprehensive client information and assessment details.
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Analytical Service Request Form
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A form for requesting analytical testing services from Stira Pharmaceuticals, including sample details and testing specifications.
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AB CFCPAS 901 Senior Long Term Care Division Community Services Bureau Forms
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Comprehensive guide outlining required forms for provider agencies delivering Community First Choice and Personal Assistance Services.
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AB CFCPAS 907 SLTC 158 Unable To AdmitDischarge Form
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Policy and form guiding the process for provider agencies when unable to admit or discharging a member from personal assistance services.
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Annual Budget Plan
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Detailed budget plan for special education funding and expenditures for fiscal year 2019-20 by the California Department of Education.
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WARRANTY CLAIM FORM
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A form for submitting warranty claims for equipment parts with detailed instructions for completion and return.
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Weight Loss Maintenance (WLM) Competency Assessment Study
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A quality improvement study examining standardized methods for assessing patient weight-loss maintenance behaviors and competencies in a telehealth nutritional counseling practice.
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Form 1095 C
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Guide explaining the purpose and handling of Form 1095-C, a tax document related to employer-provided health coverage under the Affordable Care Act.
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Form 1095 Frequently Asked Questions (FAQs)
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Detailed explanation of Form 1095, covering its purpose, differences from W-2, and breakdown of information included in 1095-B and 1095-C forms.
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Academic Dishonesty Referral Form
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Formal documentation for reporting instances of academic dishonesty by students to the university's Office of Student Rights & Responsibilities.
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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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Accessibility Feedback Form
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A form for collecting public input on accessibility of services provided by the District of Thunder Bay Social Services Administration Board.
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Accessibility Feedback Form
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A form for collecting feedback about accessibility services provided by the Archdiocese of Toronto.
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ERAIDER REQUEST FORM
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Form for non-TTUHSC employees to request an eRaider account, specifying access requirements and responsibilities.
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Consumer Warranty Claim
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A form used by customers to submit warranty claims for ACCO UK products with details about the product and fault.
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Accommodations Waiver Form
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A form for students at Texas Tech University Health Sciences Center El Paso to voluntarily waive existing disability accommodations.
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SAMPLE SUBMISSION FORM
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A comprehensive form for submitting samples to Avanti Analytical Services Division for testing, including storage, handling, and customer information.
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Reimbursement Or Advance Of Funds Agreement
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A government form for documenting financial agreements between agencies for service reimbursement or funds advancement.
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Foreign National Vendor Application Form
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A form for foreign entities performing services or receiving royalties from the United States to provide tax and identification information.
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Diagnostic Imaging Referral Form
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Comprehensive medical imaging request form for various ultrasound, x-ray, and pain therapy procedures with detailed anatomical options.
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791 Cooperative RFP For Technology Products, Services Solutions
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A cooperative purchasing solicitation for technology products and services available to government and other entities across the United States.
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PWC 2122051 Request For Proposals Demand Response Aggregation And Implementation
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Official addendum modifying specifications and proposal documents for a public works commission request for proposals on demand response services.
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Addendum To ContractorS Contract Form
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An addendum modifying a standard contract form for goods or services with the Virginia Community College System
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Change In Billing Form And Procedure Code For ADHC Services
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Notification about changes to billing forms and procedure codes for Adult Day Health Care services in Louisiana Medicaid.
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Change In Billing Form For ADHC Services
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Notification for Adult Day Health Care providers about a change in billing forms and electronic claim submission requirements from UB-04/837I to CMS-1500/837P.
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Baptist Health College Little Rock Administrative Service Request Form
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A form for students to request various administrative services at Baptist Health College Little Rock, including enrollment verification, references, and student position requirements.
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Administrative Service Request Form
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A form for students to request various administrative services and update personal information at Baptist Health College Little Rock.
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Adobe Generative AI Additional Terms
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Supplemental legal terms governing the use of Adobe's generative AI features, including guidelines for content input and output.
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Hospice Volunteer Application Form
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A comprehensive application form for individuals interested in becoming hospice volunteers, collecting personal, contact, and background information.
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Feature Scope Description For SAP Forms Service By Adobe (Multi Cloud Environment)
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A document defining the functional scope and capabilities of the SAP Forms service by Adobe in multi-cloud environments.
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VOLUNTEER APPLICATION FORM
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A comprehensive form for individuals seeking to volunteer, collecting personal, employment, educational, and legal background information.
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Health Home Patient Information Sharing Consent
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A consent form allowing healthcare providers to share patient health information for coordinated care purposes through New York State health information systems.
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External Referral Form For Services
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A comprehensive referral form for patient intake into partial hospitalization mental health services, collecting demographic, clinical, and insurance information.
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Adult Specialist Request
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Medical referral form for requesting an adult specialist appointment with patient and insurance details.
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Community Practice Referral Form Adult Services
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A referral form for occupational therapy and physical therapy services for adult patients with various health conditions and treatment needs.
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Advocacy Service Agreement Form
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A formal agreement outlining the terms and responsibilities for receiving advocacy services from Citizens Information Service.
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Child Find Referral Form
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Comprehensive referral form for collecting infant/toddler medical and demographic information for early intervention services.
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REFERRAL FORM
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Medical referral form for eye-related consultations and treatments in Edmonton, Alberta.
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Referral History And Request Form
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A comprehensive form for veterinarians to refer animals for specialized medical services and consultations.
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Warranty Claim Form
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A form for submitting warranty claims for E-Z Climber and Electric Utility Vehicles, detailing product failure and repair information.
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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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First Party Irrevocable Agreement
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A legal document establishing a first-party irrevocable trust for a life beneficiary, funded with the beneficiary's assets and requiring Medicaid payback.
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Agent Application Form
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A comprehensive form for international education agents seeking to represent and refer students to an educational institution or program.
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AGENCY AGREEMENT
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A contract establishing a cooperation between a customer and a communications agency for advertising and marketing support.
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Services Agreement
PDF template
Agreement for individuals to perform data collection tasks for Datoid's AI research and development, involving text, speech, and media labeling and processing.
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Agreement For Construction Services (Small Projects)
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Instructional document for preparing a small construction services agreement with guidelines for contract preparation and compliance requirements.
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Master Purchasing Agreement
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A comprehensive agreement outlining the terms and conditions for purchasing services and products from a contractor by Liberty University.
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Electrical Service Order Form
PDF template
Form for ordering electrical services for event booths with pricing details and payment options.
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Transfer Request Form
PDF template
Form for transferring vehicle service contracts between private parties for American Guardian Warranty Services and EcoPro Products.
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Schedule K 1 Reporting, Tax Basis Capital Account Reporting
PDF template
Guidance from the IRS on reporting partner capital accounts using tax basis method for the 2020 tax year on Form 1065, Schedule K-1.
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Aker Service Request Form
PDF template
Detailed form for requesting service and repair for MAAX products, with specific instructions and requirements for service submission.
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Alabama Medicaid Agency Referral Form (Form 362)
PDF template
Instructions for completing the Alabama Medicaid Agency Referral Form, detailing requirements for patient referrals and screening processes.
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Resident Assessment
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Comprehensive intake form for documenting a resident's medical history, health status, functional capabilities, and personal information for care facilities.
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POLICE REFERRAL FORM
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A form for law enforcement to report potential liquor license violations to the New York State Liquor Authority.
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UNIVERSITY OF NEBRASKA AT KEARNEY ALCOHOL SERVICE REQUEST FORM
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A formal document for requesting alcohol service at university facilities, detailing event specifics and compliance with liquor regulations.
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Alcohol Service Request Form
PDF template
Formal request form for alcohol service at Illinois Institute of Technology events, documenting event details and service restrictions.
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Alcohol Service Request Form
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A form for requesting and documenting alcohol service at a university event, detailing event specifics and compliance requirements.
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Alcohol Service Request Form
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A form for requesting approval to serve alcohol at events on the University of Kansas Medical Center campus, requiring administrative authorization.
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ALEKS Referral Form
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A referral form for students to access ALEKS math review and preparation courses for various mathematics levels.
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Referral Form
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A comprehensive intake form for potential participants of the Alexian PACE healthcare program, collecting personal, medical, and caregiver information.
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Private Care Inquiry Form
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Form for collecting initial information about home care and hospice services from potential clients or referrers.
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15.0 ALLERGEN POLICY
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Comprehensive policy outlining food allergen management procedures for catering services, detailing 14 key allergens and potential health risks.
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Cancellation Form
PDF template
A form for requesting cancellation of a vehicle service or GAP contract with detailed vehicle and customer information.
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TAMUS Proteus Services, LLC Monitoring Maintenance Services Agreement
PDF template
Service agreement between Texas A&M University System and Proteus Services, LLC for monitoring and maintaining a Distributed Antenna System at Kyle Field
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Annuity Service Request Form
PDF template
A form for making changes to annuity contract information including name, address, age, and identification details.
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AmeriCorps Membership Documentation Requirements
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Guide detailing required identification documents for potential AmeriCorps members to verify citizenship or legal permanent residency status.
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AAI Officer Service Agreement
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Policy defining the process for nominating and documenting officer service commitments for Anchorage Alaska Intergroup leadership positions.
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Anchor Membership Form
PDF template
Registration form for new and returning members of the Anchor Club, a youth service organization affiliated with Pilot International.
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Authorize.Net Payment Gateway Merchant Service Agreement
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Legal contract defining terms for using Authorize.Net's payment gateway transaction services for merchants in North America.
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CDM Credentialing Exam Live Review Course License Agreement
PDF template
Legal agreement for providers to license and present the ANFP's CDM Credentialing Exam Live Review Course with specific instructor and delivery requirements.
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Annex 1 Terms And Conditions Of Contract
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A contractual agreement between the British Council and a consultant specifying terms, services, and conditions of engagement.
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Agreement For Supply Of Services (Short Form)
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A contractual agreement between the British Council and a client for the supply of services, outlining terms, charges, and obligations.
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Agreement For The Purchase Of Professional Or Consultancy Services (Short Form)
PDF template
A short-form agreement for purchasing professional or consultancy services between the British Council and a supplier.
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Agreement For Control Access Lenel
PDF template
A legal agreement between the British Council and a supplier for services or goods, detailing terms, conditions, and schedules of engagement.
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Annex 1 Terms And Condition Of Contract
PDF template
A legal contract document outlining terms and conditions between the British Council and a supplier for services or goods.
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UCG MEMBERS And OFFICIAL FRIENDS Information Update 2018 Volunteer Form For Sunday Morning And Othe
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A volunteer registration form for church members to indicate their availability and interests for Sunday morning service tasks and other church assistance.
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Annual Professional Activity Report
PDF template
A comprehensive form for tracking faculty members' teaching, research, and service activities at Brandon University.
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Employee Special Tax Exemption Annual Declaration
PDF template
Annual tax declaration form for employees providing domestic services, focusing on potential tax exemptions based on residential status and caregiver relationships.
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Waiver Of The Service Of Summons
PDF template
Legal document allowing a defendant to waive formal service of a summons in a civil court action, simplifying legal notification process.
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Roots Of Empathy Accessibility For Ontarians With Disabilities Act (AODA) Feedback Form
PDF template
A form for providing feedback on accessibility services offered by Roots of Empathy in Ontario, designed to improve service accessibility for persons with disabilities.
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AP Payment Compliance Form IRS Substitute W 9
PDF template
A form for collecting taxpayer identification information for individuals and businesses receiving payments from Ohio State University.
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WORK ORDER REQUEST FORM
PDF template
A form used to establish or revise work orders, detailing project scope, budget, and contractor information.
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Complaint Resolution Form
PDF template
A form for members of Biggar & District Credit Union to submit and resolve complaints through a two-step process involving internal and external ombudsman.
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Service Request Form
PDF template
A form for submitting and tracking information technology service requests within an organization.
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Applying For Transmission Services And OASIS Registration Procedures
PDF template
Guidelines for eligible customers to apply for transmission services and register on OASIS platform with MEAG Power.
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CONTRACT AND AGREEMENT APPROVAL FORM
PDF template
A form for initiating and routing contracts and agreements for Savannah State University, requiring multiple levels of approval.
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Federal Sterilization Consent Form Instructions
PDF template
Comprehensive instructions for completing the federal sterilization consent form, detailing requirements and critical field completion guidelines.
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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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NH Medicaid To Schools Billing Companion Guide Update
PDF template
Guidance document from New Hampshire Medicaid providing clarifications on billing, parental consent, and provider requirements for school-based Medicaid services.
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APTA Technology Terms And Conditions White Paper
PDF template
A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
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LOWER 48 ORDER REQUEST FORM FOR GOVERNMENT FLIGHT SERVICES
PDF template
A form for requesting government flight services with detailed mission requirements and funding information.
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Central Registry Referral Form
PDF template
A referral form for documenting spinal cord injury or disability cases for the Arkansas Spinal Cord Commission's central registry.
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Referral Form
PDF template
Medical referral form for new patient intake and treatment evaluation at Ascend Health Center, focusing on mental health services.
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Shelter Referral Form
PDF template
A comprehensive screening form for referring homeless clients to shelter services with eligibility criteria and special needs identification.
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Volunteer Form
PDF template
Form for registering volunteers at California State University Fullerton's Auxiliary Services Corporation
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Waco Convention Center Booth Service Order Form
PDF template
An order form for electrical services and booth logistics for the Texas Asphalt & Pavement Conference at the Waco Convention Center.
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A.S.S.I.S.T. Referral Form
PDF template
A comprehensive intake form for collecting client demographic and service referral information for social assistance programs.
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IN ROADS CONSUMER ATTENDANCE FORM
PDF template
A form for tracking service hours and attendance for adaptive skills training services.
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Warranty Claim Form
PDF template
Official form for submitting warranty repair claims for AQUASPORT boats with detailed guidelines for claim submission and processing.
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Assistive TechnologyEnvironmental Modification Evaluation Request Form
PDF template
Form for requesting assistive technology or environmental modification evaluations for individuals with developmental disabilities.
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Special Olympics Medical Form
PDF template
Medical examination form for determining an athlete's fitness to participate in Special Olympics sports programs, requiring medical professional evaluation.
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How To Use Atlas Online Testing Center Referral Form
PDF template
Instructional guide for faculty to submit exams and student referrals through the online testing center platform.
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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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Waiver Service Request Form (DP 1022)
PDF template
A form for requesting changes or new services in a waiver program, to be completed when team concurrence is not achieved.
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Demonstration Financing Form
PDF template
A form for states to describe and certify financing methods for Medicaid demonstration projects, including funding sources and provider payment confirmations.
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County Of Siskiyou Contract For Services
PDF template
A service contract between Siskiyou County Health and Human Services Agency and an independent contractor for professional services.
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County Of Siskiyou Contract For Services
PDF template
A service contract between Siskiyou County Health and Human Services Agency and an independent contractor for professional services.
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Independent Contractor Agreement
PDF template
A contract between Your Health Idaho and an independent contractor for providing specified services through a competitive proposal process.
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Transportation Billing Form Example
PDF template
A billing authorization document for transportation services in the Illinois Early Intervention program, detailing billing requirements and parental rights.
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Long Term Disability Claim Form
PDF template
A comprehensive medical form for documenting a patient's disability claim, including medical history, diagnosis, treatment, and current condition.
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Postal Services Authorization Form
PDF template
A form for departments to request and document postal mailing services for batches over 200 pieces.
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Specialty Referral Preservice Authorization Form
PDF template
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
PDF template
A form to add an authorized person to a water service account for Rockdale Water Resources
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The Autism Center Clinical Referral Form
PDF template
A comprehensive referral form for patients seeking services at an autism treatment center, collecting patient demographics, medical history, and referral details.
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Automatic Bill Pay Cancellation Form
PDF template
Form for cancelling automatic bill payment services for utility accounts with the City of Los Banos.
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Automatic Bank Draft Cancellation Form
PDF template
Form to cancel automatic bank draft for utility service account with St. Lucie West Services District
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AutoPay Cancellation Form
PDF template
Form for customers to cancel automatic utility bill payments through North Port Utilities Department.
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Auto Repair Invoice Template In PDF Format
PDF template
A PDF template for creating professional auto repair service invoices with detailed line items and financial calculations.
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Exeter Cathedral Autumn Fair 2024 Stallholder Application Form
PDF template
Application form for vendors to participate in the Exeter Cathedral Autumn Fair in October 2024, seeking details about stallholders and their products.
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Nomination Form
PDF template
A form for nominating an individual for recognition within an organization, capturing details about the nominee and nominator.
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COMDTINST M16790.1G
PDF template
Guide describing facilities, support programs, services, and supplies available for Coast Guard Auxiliary members.
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Destinations Services Transportation Service Request Form
PDF template
A transportation service request form for meeting attendees to arrange one-way or round-trip transportation services.
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Tenant Petition Application Form
PDF template
Application form for tenants to file petitions related to rent violations, maintenance issues, and housing services in East Palo Alto.
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DCM Form B 2A
PDF template
Standard contract document defining the relationship, responsibilities, and terms between an owner and an architect for a construction project.
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My Choice Wisconsin BadgerCare Plus Authorization Form
PDF template
A comprehensive form for requesting healthcare service authorizations under the BadgerCare Plus program in Wisconsin.
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Volunteer Information Sheet
PDF template
A form for potential volunteers to provide personal information and volunteer interests for the Baker County Council on Aging.
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SHIPPING FORM
PDF template
A shipping service form for sending golf bags and luggage with various service levels and insurance options
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Bangs Ambulance Events Request Form
PDF template
Form for requesting ambulance and medical support services for events with specific scheduling 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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WARRANTY CLAIM PROCEDURES
PDF template
Detailed instructions for customers seeking warranty service for Barreto manufactured equipment and components.
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Kogarah Community Services Inc. (KCS) BASC 2022 V1 Before After School Care (BASC)
PDF template
Registration form for permanent bookings of before and after school care services for children at multiple locations.
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BBQ Competition Entry Form
PDF template
Entry form for BBQ competition at the Great Pocomoke Fair with registration details and participant information.
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BRIGHTER BEGINNINGS REFERRAL FORM
PDF template
Comprehensive referral form for accessing various social services and health programs for families and children in Contra Costa and Alameda Counties.
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BC3NP Enrollment Form
PDF template
Healthcare enrollment form for collecting patient contact, demographic, and service needs information.
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Independent Contractor Agreement
PDF template
A legal document defining the terms of an independent contractor's engagement with Barstow Community College District, outlining services, payment, and contractor status.
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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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Brazos County Youth Livestock Show FCS Show Project Form
PDF template
A form for youth to document project details for the Brazos County Youth Livestock Show in categories like baked goods, canned goods, sewing, arts & crafts, woodworking, and metalworking.
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SERVICES REQUEST FORM
PDF template
A form for requesting laboratory testing services, primarily for beverage and alcohol product analysis.
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Meeting Sign In Sheet
PDF template
Sign-in sheet for a meeting involving Commercial Building Branch and Fire Prevention Services staff from Fairfax County's Land Development Services.
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CHANGE OF STATUSTRANSFERDISCHARGE FORM
PDF template
A state form for documenting changes in status for long-term care residents, including transfers, discharges, and service modifications.
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DLTSS Payment For Recruitment, Retention, And Training Programs (RRTP) FAQ
PDF template
Frequently asked questions about recruitment, retention, and training program payments for case management agencies in New Hampshire.
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DLTSS ARPA Questions For FAQ
PDF template
Frequently asked questions about ARPA funding and guidelines for recruitment, retention, and training of direct care workers in New Hampshire.
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Iowa Architectural Foundation Be A Volunteer Form
PDF template
A form for individuals interested in volunteering with the Iowa Architectural Foundation, covering various volunteer opportunities and skills.
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Becoming A WIC Vendor
PDF template
A guide explaining the WIC program and how retailers can become authorized WIC vendors in Rhode Island.
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Self Service Employee Business Expenses
PDF template
A comprehensive guide for employees to submit and track business expense reimbursements through a self-service system, including instructions and IRS compliance details.
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BeerePurves Ongoing Maintenance Request Form
PDF template
Form for setting up ongoing maintenance of EaseCentral groups with Beere&Purves broker services.
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BH Telehealth Vendor Analysis
PDF template
Comprehensive analysis of telehealth solutions for Medicaid mental health services, focusing on vendor capabilities and implementation strategies.
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Biden Harris Administration Highlights Key LGBTQI Progress At HHS
PDF template
A document highlighting the U.S. Department of Health and Human Services' recent policy advancements for LGBTQI+ equity and non-discrimination in healthcare services.
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Bid Forms For Painting Contractors
PDF template
Document outlining bid submission requirements and guidelines for painting contractors seeking to bid on a project.
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Program Referral Form
PDF template
A referral form for African-American mothers to access a free program aimed at improving maternal and infant health in San Bernardino County.
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BILLING INQUIRY FORM
PDF template
A form for submitting billing inquiries related to financial aid payments for child services or programs.
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Histology Service Request Form
PDF template
A form for requesting histology services including tissue processing, embedding, staining, and immunohistochemistry for human or animal biospecimens.
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Oncology Prescription Referral Form
PDF template
A comprehensive form for submitting oncology patient prescription details, insurance information, and clinical data for medication authorization.
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Perjanjian Layanan BIZNET
PDF template
Service agreement for dedicated internet services between BIZNET and a customer, outlining service facilities, activation, and technical requirements.
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Catering Order Form And Invoice
PDF template
A catering order form for meal services at Atlanta International School, including breakfast, lunch, and snack options.
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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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Independent Contractor Agreement
PDF template
A legal document outlining the terms of an independent contractor relationship between Blendtec and a service provider for electronic appliance-related services.
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SALES ORDER FORM
PDF template
Sales order document for a Fleetwood RV model with various package and appliance options
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Storage Lease Agreement
PDF template
A lease agreement for storing boats, RVs, and other vehicles at an indoor storage facility with monthly rental terms.
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Board Action Item Approval Form
PDF template
A form used by the Grant Compliance Office to review and approve board action items involving contracted services or goods funded by federal dollars.
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Cancellation Form
PDF template
Form to cancel membership services with BookMachine, allowing consumers to formally request termination of their contract.
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Holoholo Bookmobile Service Request Form
PDF template
A form for requesting Holoholo Bookmobile library services at a specific location on Maui, Hawaii.
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Booth Catering Order Form
PDF template
A form for ordering catering services for event exhibitors at the San Jose Convention Center with specific ordering guidelines and requirements.
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VOLUNTEERS
PDF template
Policy governing volunteer services at the college district, outlining approval process, worker's compensation, and administrative guidelines for volunteers.
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Blood Pressure Self Monitoring Program Health Care Provider Referral Form
PDF template
A referral form for healthcare providers to enroll patients in a blood pressure self-monitoring program through Michigan YMCAs.
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Patient Medical Referral Form
PDF template
Comprehensive medical referral form capturing patient demographics, diagnostic information, and key health metrics
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CLIENT REFERRAL FORM
PDF template
A comprehensive form used to collect client information for scheduling appointments and accessing services with Bridging organization.
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Master Services Agreement Broadwater County
PDF template
A legal agreement between CivicPlus and Broadwater County for software development, community engagement platforms, and related services.
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Arbitration Agreements And Nursing Homes A Regulatory Compromise
PDF template
Academic legal analysis examining arbitration agreements in nursing home contracts and their regulatory implications for patient rights and dispute resolution.
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Air Fibre (Wireless) SALES ORDER
PDF template
Sales order form for wireless internet service packages with pricing and terms information.
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Bosham Yacht Company Winter Lay Up Form
PDF template
Form for yacht owners to request winter storage, maintenance, and service packages for their vessels.
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Independent Study Proposal Form
PDF template
A detailed form and guidelines for students seeking independent study opportunities at the College of Imaging Arts & Sciences at Rochester Institute of Technology.
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REQUEST FOR PROPOSALS FOR VIDEO PRODUCTION SERVICES
PDF template
An addendum modifying the original Request for Proposals for video production services, including changes to contract terms and pricing forms.
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CalAIM Enhanced Care Management CenCal Health Case Management Referral Form
PDF template
A referral form for Enhanced Care Management and CenCal Health Case Management services for Medi-Cal eligible members.
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Call For Service Request Form
PDF template
A form for property owners to request land use and zoning consultation services from the City of Crosslake Planning & Zoning Department.
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CalOMS Standard Discharge Form
PDF template
Standardized discharge documentation form for tracking substance use disorder treatment progression and referral status.
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2024 Camp Widjiwagan Volunteer Report Form
PDF template
Form for campers to document volunteer hours that can be applied as credit towards camp trip costs, limited to advanced campers and financial aid applicants.
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Canceled Event Ticket Refund Request
PDF template
Form for requesting refunds for canceled events at the Illinois State Fair, with different procedures for box office and Ticketmaster purchases.
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New Consultation Referral Form
PDF template
Medical referral form for new patient consultation at an oncology clinic, collecting patient diagnosis, referral details, and medical history.
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Can I Claim Exempt On My Federal Tax Form
PDF template
A guide to help students determine their eligibility for federal tax withholding exemption based on income and dependency status.
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Care Coordination Referral Form
PDF template
A form for requesting care coordination assistance for members with various health and support needs
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ACO Care Management Referral Form
PDF template
A referral form for recommending patients with complex medical or behavioral health conditions to care management programs.
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Care Management Referral Form
PDF template
A referral form for recommending patients with complex medical or behavioral health conditions to care management programs.
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Case Management Referral Form
PDF template
A referral form for case management services for patients with complex medical or behavioral health conditions.
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Intermountain Project ECHO Eating Disorders Case Submission Form
PDF template
A comprehensive medical form for healthcare providers to document and discuss patient details related to eating disorders.
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Catering Feedback Form
PDF template
A comprehensive feedback form for customers to rate and provide input on catering services provided by the Regent Ordinary.
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Fowlerville Youth Show Cat Declaration Project Form
PDF template
Registration form for youth exhibitors to enter a cat in the Fowlerville Fair cat show project
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BADGE REQUIREMENTS LACS CARD REQUIREMENTS
PDF template
Comprehensive guide outlining acceptable forms of identification for citizenship verification and badge issuance.
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Request For Proposals Contact Center As A Service (CCaaS)
PDF template
Solicitation of proposals for Contact Center as a Service (CCaaS) from qualified vendors by Idaho Health Insurance Exchange
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Request For Proposals For Contact Center As A Service (CCaaS)
PDF template
Idaho Health Insurance Exchange seeks proposals for Contact Center as a Service (CCaaS) solution with integrated CRM/Ticketing capabilities.
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CCBHC Referral Form
PDF template
A comprehensive referral form for mental health and substance use disorder services for youth and adults in Maui, Hawaii.
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Chesterfield County Fair Volunteer Application
PDF template
Recruitment form for volunteers to assist with various activities at the annual Chesterfield County Fair
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Liability Waiver And Release Form (Minor Child)
PDF template
A legal document releasing the Chesterfield County Fair from liability for minor children participating in volunteer activities at the fairgrounds.
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WARRANTY CLAIM FORM
PDF template
A form for submitting warranty claims detailing product information, customer details, and repair specifics.
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Request For Comments On Negotiating Objectives Regarding Modernization Of The North American Free Tr
PDF template
Submission by the Computer & Communications Industry Association providing comments on digital trade and services issues related to NAFTA modernization.
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Pediatric Care Management Referral Form
PDF template
A comprehensive referral form for children aged 0-20 years to access care management and coordination services.
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Connecticut Care Coordination Referral Form
PDF template
A comprehensive referral form for youth care coordination services, collecting detailed information about a youth's background, challenges, and support systems.
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Disability Support Services Inquiry Form
PDF template
A form for students to provide information about their disability and request potential academic accommodations.
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CDC Consultant Advisory 2019 009 Updated VendorIndependent Contractor Form
PDF template
Update to the CDC+ vendor form requiring Medicaid ID and license number, with new requirements for direct care providers.
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Consumer Directed Supports (CDS) Notice Of Authorization And Alternate Billing
PDF template
A document outlining service authorization and billing procedures for Consumer Directed Supports programs.
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City Of Clovis Service Agreement
PDF template
A service agreement between the City of Clovis and a contractor for construction and demolition debris collection services.
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Getting Started How To Request Design Work
PDF template
A comprehensive guide outlining the process for requesting different types of design and print projects at an organization.
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Employment Agreement
PDF template
Employment agreement for Medicaid home care attendants in Virginia, outlining employee responsibilities and work conditions.
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Exhibitor Appointed Contractor Form
PDF template
Form for exhibitors to authorize independent contractors for services at Calgary Expo 2024, with specific requirements and restrictions.
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Referral Form
PDF template
A comprehensive referral form for client intake, focusing on family services and support programs for individuals involved with Department of Community Justice or Child Welfare.
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Referral Form
PDF template
Medical referral form for psychiatric treatment at the Center for Neuromodulation, specifically for Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).
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Patient Referral Form
PDF template
A comprehensive healthcare referral document for patient intake, medical assessment, and service selection.
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Branson Cerakote Project Form
PDF template
A form for submitting projects for Cerakote coating services, requiring complete project disassembly and detailed project information.
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Child Information Form
PDF template
A comprehensive form collecting detailed information about a child and their caregiver for potential social services or child welfare referral.
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DCFS Resource Referral Form
PDF template
A form used by the Illinois Department of Children and Family Services to request and document service referrals for clients and families.
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Intensive Placement Stabilization (IPS) Referral Form
PDF template
A form used by child welfare caseworkers to initiate Intensive Placement Stabilization services for children in foster care or alternative placements.
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Mental Health And Addictions Program Referral Form
PDF template
A comprehensive referral form for mental health and addiction services, collecting client information, medical history, and presenting concerns.
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Volunteer Application
PDF template
A comprehensive form for individuals interested in volunteering with Challenge Enterprises, covering personal details, volunteer interests, and availability.
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ChancellorS Award For Excellence Nomination Form
PDF template
A nomination form for recognizing excellence in various academic and professional categories at an educational institution.
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Winona Family YMCA Change Form
PDF template
A form for changing membership details, billing information, and services at the Winona Family YMCA.
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Change Of Address And Power Of Attorney
PDF template
A form for members of Sovereignty Education and Defense Ministry to notify tax authorities about address changes and taxpayer status
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Exception Form For Demographic Update Error
PDF template
A form used by healthcare providers to update their demographic information and address when online changes are unsuccessful
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ChildAdolescent Services Feedback Form
PDF template
A comprehensive form for collecting feedback about a child's educational services, classroom performance, and support needs.
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Annual Enrollment Form Virginia Child And Adult Care Food Program
PDF template
Annual enrollment form for parents or guardians to provide child care attendance and meal information for the Child and Adult Care Food Program (CACFP).
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Child And Adult Care Food Program Child Care Center Monitoring Form
PDF template
A comprehensive monitoring form for assessing child care centers participating in the Child and Adult Care Food Program (CACFP)
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Case Management Referral Form For Children Only
PDF template
A comprehensive referral form for children's case management services by the Department of Behavioral Health and disAbility Services.
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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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ChildYouth FSP WRAPAROUND Program Referral Form
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A referral form for children and youth mental health services targeting specific priority populations with behavioral and mental health needs.
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Department Of RadiologyImaging Services Pre Scheduling Evaluation Form
PDF template
Medical form used by physicians to request and evaluate imaging services, including patient details and medical history for CT or MRI scans.
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Change Order Request Form (CORF)
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A document used to define detailed requirements for incorporated services and enhancements within an existing contract's scope.
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Outpatient Psychology Clinic Referral Form
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A referral form for routing pediatric patients to appropriate psychological services and clinics for evaluation, testing, and treatment.
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U.S. Tax Form Requirements
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Document outlining U.S. tax form requirements for new depository accounts, detailing various tax forms and their purposes.
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Christian Service Volunteer Form
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A form for high school students to document and track volunteer service hours for potential recognition.
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CMCS Informational Bulletin State Medicaid Payment Approaches To Improve Access To Long Acting Rever
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A detailed guide on Medicaid reimbursement strategies for improving access to long-acting reversible contraception (LARC) methods.
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Cigna Dental Specialty Referral Form
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A referral form for specialty dental services under Cigna Dental Care, outlining payment guidelines and patient responsibilities.
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Health Home Care Management Services Eligibility
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Guidelines for eligibility and referral process for Health Home Care Management Services in specific New York counties
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Citizen Vehicle Contact Form
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A form for citizens to report vehicle-related incidents to the General Services Agency Fleet Services Department.
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Master Services Agreement
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A service agreement between Nexcheck, LLC and the City of Irondale Water Works Board for electronic bill payment services.
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Notice Of Lawsuit And Request For Waiver Of Service Of Summons
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A legal document requesting waiver of formal service of summons in a civil legal proceeding to reduce service costs.
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Waiver Of Service Of Summons
PDF template
Legal document allowing a defendant to waive formal service of court summons to reduce legal processing costs.
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Employability Assessment Form (PA 1663)
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A comprehensive guide for healthcare providers on completing the Pennsylvania Medicaid Employability Assessment Form to verify patient health conditions and disability status.
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Client Feedback Form
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A survey designed to collect client experiences and testimonials about Fair Housing Foundation services and potential marketing materials.
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Client Grievance Report Form
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A form for clients to report grievances or complaints about program services and interactions with program members.
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Title VI Title XX Application
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An intake form for elderly services designed to collect comprehensive client demographic and eligibility information.
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Cancer Services Client Intake Form
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Confidential intake form for cancer patients seeking free services in Erie, Huron, and Ottawa counties in Ohio.
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Cancer Services Client Intake Form
PDF template
Comprehensive intake form for cancer patients seeking free support services, collecting personal, medical, and financial information.
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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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Client Referral Form
PDF template
A comprehensive referral form for individuals seeking personal enrichment or vocational rehabilitation services, collecting demographic and personal information.
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Client Referral Form
PDF template
A form for individuals or professionals to refer themselves or others for mental health, substance use, or intellectual and developmental disability services.
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CLIENT TRANSFER REQUEST FORM
PDF template
A form used to request transfer of client services between service providers with tracking and approval process.
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Clothing Purchase Form
PDF template
Form for documenting clothing purchases by State of Wyoming employees, tracking taxable and non-taxable clothing items for IRS reporting purposes.
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Volunteer Application 2021
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A comprehensive form for individuals interested in volunteering at Centro Multicultural, covering personal details, availability, education, and experience.
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Centers For Medicare And Medicaid Services EDI Registration Form
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A registration form for healthcare providers to establish electronic data interchange (EDI) capabilities with the Centers for Medicare and Medicaid Services.
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Centers For Medicare And Medicaid Services EDI Registration Form
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Form for healthcare providers to register for Electronic Data Interchange (EDI) transactions with Centers for Medicare and Medicaid Services.
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How To Complete The CMS 1500 Claim Form
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A detailed instructional guide for healthcare providers on completing the CMS 1500 health insurance claim form for South Dakota Medicaid.
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South Dakota Medicaid Billing And Policy Manual CMS 1500 Billing
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A detailed guide for submitting Medicaid claims using the CMS 1500 claim form, providing block-by-block instructions for healthcare providers.
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Medicaid Drug Rebate Program Electronic State Invoice
PDF template
Technical specification for electronic invoicing format for Medicaid drug rebate submissions to CMS and manufacturers.
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Authorization For Utilities Billing Form
PDF template
A form granting permission and financial responsibility for utility billing and services for the City of Columbia.
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Co Borrower Agreement Form
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A form for co-borrowers to provide personal information and consent for student financial services.
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COCC Volunteer Application
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A comprehensive application form for individuals seeking to volunteer at Central Oregon Community College (COCC)
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Coconino County Volunteer Service Agreement
PDF template
A comprehensive volunteer service agreement that outlines volunteer responsibilities, terms, and participant details for Coconino County.
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Referral Form
PDF template
A form for healthcare providers to request patient referrals and provide medical background information.
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Greensboro Coliseum Complex Internet Service Order Form
PDF template
Form for ordering internet services at the Greensboro Coliseum Complex for events and exhibitors.
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WARRANTY CLAIM FORM
PDF template
Form for submitting warranty claims for Comet products with details about product failure and parts replacement.
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ComfortStar Warranty Claim Form
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A detailed warranty claim form for reporting and requesting compensation for defective HVAC equipment and parts.
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COM LINQ CENTRAL STATION Alarm Monitoring Service Agreement
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A comprehensive service agreement for alarm monitoring services provided by Guard Tronic, Inc.
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Commercial Distribution Agreement For School Food Authorities
PDF template
Agreement between Wisconsin Department of Public Instruction and School Food Authorities for distribution of USDA Foods through commercial distributors for the 2024-25 school year.
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Common Summary Assessment Report
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A comprehensive form for assessing an individual's personal circumstances, care needs, and preferences for potential residential care or home support.
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Town Of La Pointe Annual Community Awards Program 2022 Nomination Form
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A form for nominating local citizens or groups for community recognition awards in the Town of La Pointe.
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Marquette University ComMUnity Physical Therapy Clinic Referral Form
PDF template
A referral form for patients seeking physical therapy services at Marquette University's Community Physical Therapy Clinic.
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Implementation Of A Virtual Patient Centered Weight Loss Maintenance Behavior Competency Assessment
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A research project exploring a standardized method to assess weight-loss maintenance behavior competencies in patients within a telehealth nutritional counseling practice.
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CONFIDENTIALITY AND NON DISCLOSURE AGREEMENT
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An agreement between Retirement Systems of Alabama (RSA) and a service provider regarding the protection and handling of confidential information.
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Sacrament Of Confirmation Confirmation Candidate Service Project Form
PDF template
A form for documenting a service project completed as part of the Confirmation sacrament process for candidates in 2024-2025.
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Consent Form To Share Student Information With State Transition Agencies
PDF template
Optional consent form allowing schools to share student information with state transition agencies to support disability services and post-school employment planning.
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Consent To Electronic Delivery Of Forms 1099
PDF template
Form for providing consent to receive IRS Form 1099 electronically instead of by paper mail.
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Authorization For Medical Treatment Agreement
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A legal document authorizing medical treatment and insurance payment for elder care services at Horizon Internal Medicine.
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Consultant Invoice Form
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A detailed invoice form for consulting services and reimbursable expenses for a project at UCSD.
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Consulting Agreement
PDF template
A consulting agreement template outlining terms of service, compensation, and termination for a consultant working with the University of Missouri.
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Consulting Agreement
PDF template
A formal agreement outlining consulting services, compensation, and terms between the University of Missouri and a consultant.
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Agreement For Consulting Services
PDF template
A contract defining consulting services between Hudson Valley Community College and an external consultant, outlining terms of engagement, confidentiality, and service expectations.
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Consulting Services Agreement
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A legal agreement defining the terms of professional consulting services between F5 and a customer, specifying service parameters and responsibilities.
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Child And Adult Care Food Program Contact Form
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A contact form for child care providers to enroll in or learn more about the Child and Adult Care Food Program.
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Residential Owner Continuous Service Agreement
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A form for residential property owners to provide contact and account information for utility services and additional accounts.
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Consulting Services Agreement
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Agreement between Saskatchewan Information and Privacy Commissioner and Bravo Tango Advertising Firm for website design and platform development.
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ANNEX A TERMS AND CONDITIONS OF UNOPS INDIVIDUAL CONTRACTOR AGREEMENT
PDF template
Standard terms and conditions governing the contractual relationship between UNOPS and an individual contractor, detailing duration, services, and remuneration.
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Contract For Environmental Consulting Services
PDF template
A contract outlining the terms, conditions, and scope of environmental consulting services between a consultant and client.
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Contract For Independent Consultant
PDF template
A legal document outlining terms and conditions for engaging an independent consultant, including service provisions and contractual obligations.
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Example Contract For Self Employed Or Freelance Staff
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Guidelines and template contract for self-employed or freelance staff working with CDET's Recognised Awards program.
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Services Contract
PDF template
A comprehensive contract outlining service terms, payment, intellectual property, and confidentiality between a contractor and client.
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The Hovercraft Project Contract
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A contract between The Hovercraft Project, Inc. and an independent contractor defining the terms of service, compensation, and responsibilities.
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2023 Contracting For Services At Newly Developed Facilities
PDF template
Annual report by the University of California to the Legislature detailing contracting services for newly developed facilities in 2023.
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Mission Support Contract
PDF template
Performance-based cost-plus-award fee contract for environmental clean-up services at the Department of Energy Hanford Site.
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Service Contract Listing
PDF template
A compilation of service contracts with various vendors spanning different service types and durations.
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Vendor Contract Log
PDF template
A compilation of various vendor contracts with service details, dates, and payment terms across multiple organizations.
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Contract Details Register
PDF template
Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
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COPY CENTER WORK ORDER REQUEST FORM
PDF template
A form for requesting copying, printing, and document preparation services at an organizational copy center.
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Form 4506 T
PDF template
IRS form used to request a transcript or other tax return information free of charge.
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Copy Request Form
PDF template
A form for submitting copy requests with details about number of copies, delivery preferences, and special instructions.
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WARRANTY CLAIM FORM
PDF template
A form for submitting warranty repair claims for ice machine repairs and refrigeration services.
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Volunteer Services Guide
PDF template
A comprehensive guide for managing volunteer services at the College of Science, defining responsibilities and minimizing risks.
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Community Referral Form
PDF template
A guide from Curry College Counseling Center to help students find appropriate mental health resources and therapists off-campus.
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Counseling Services Referral Form
PDF template
A confidential form for faculty and staff to refer students who may need counseling or support services.
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MAINTENANCE REQUEST FORM
PDF template
A form for residents to submit maintenance requests and service details for their apartment unit.
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FISAOPA Request For Proposals For Information Technology And Other Consultant Services
PDF template
Request for Proposals document for information technology and consultant services, including vendor questions and agency responses
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Cancellation Notice And Cancellation Form
PDF template
Detailed contract cancellation policy for educational services explaining consumer rights within a 14-day cancellation period.
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Civil Rights Compliance Form (CRC Form)
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Guidelines for Department of Human Services licensed providers in Pennsylvania to ensure non-discriminatory employment and service practices.
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CredentialProgram Services Request
PDF template
A form for paying non-refundable credential/program services fee at California State University, Bakersfield.
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Investment Management Agreement
PDF template
Legal agreement between an investor and Credicorp Capital Advisors, LLC for investment management services
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Credit Card Authorization Form
PDF template
A form authorizing Envoi Networks to charge credit card for setup, subscription, and usage fees.
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New York CityS Residential Crisis Support And Respite Referral Form
PDF template
A referral form for short-term voluntary mental health crisis support programs in New York City, providing temporary supportive environments for individuals experiencing mental health challenges.
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Warranty Claim Form
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A form for submitting warranty claims for machinery purchased from Crommelins Machinery, detailing product information and repair details.
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WARRANTY CLAIM FORM
PDF template
A product warranty claim form for submitting repair and replacement details for machinery purchased from Crommelins.
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WARRANTY CLAIM FORM V19r1
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Official form for submitting warranty claims for Cruz products, requiring personal and product information for processing.
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CLINICAL GENETICS PROGRAM REFERRAL FORM (GENERALPRENATAL)
PDF template
A medical referral form for genetic consultation and testing services, used by healthcare providers to submit patient referrals for genetic assessment.
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Catering Order Form
PDF template
A form for ordering catering services and specifying event details for facility rentals.
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CSA Workshops Booking Form
PDF template
Booking form for CSA workshops covering deliverability, legal topics, and comprehensive training with pricing details and data privacy options.
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CSI Warranty Claim Form
PDF template
A form for documenting and submitting warranty claims for equipment repairs and service
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Required Consent For Release Of Information
PDF template
A consent form for releasing a child's medical, mental health, and treatment information for intensive mental health services coordination in New York City.
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Community Service Program (CSP) Referral Form
PDF template
A comprehensive referral form for Community Service Program and outpatient services, collecting detailed client and referral information.
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Pretrial Services Feedback Form
PDF template
A survey form for individuals to provide feedback on their experience with county pretrial services and court appearance reminders.
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RESPITE SERVICES REFERRAL FORM
PDF template
A referral form for Medi-Cal members seeking respite services to provide temporary relief for caregivers.
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Tiger Transit Charter Service Billing Form
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A billing form for requesting charter transit services at Auburn University, detailing financial and charter information requirements.
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CUNY ICA Independent Contractor Agreement
PDF template
A contract between The City University of New York and an independent contractor defining services, payment terms, and obligations.
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Current Contracts
PDF template
Comprehensive list of current municipal contracts across various service categories and vendors
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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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LinkedIn Order Form
PDF template
Confidential order form for subscription services between LinkedIn and a supplier, outlining service terms and contact details.
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Payment Request Form
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A form for requesting payment for self-directed services within a Medicaid waiver program, requiring detailed vendor and service information.
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Customer Feedback Form
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A form designed to collect customer satisfaction feedback on services provided by the AUF Office of Research and Innovation.
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REGISTRATION FOR WATER WASTEWATER BILLING
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A form for registering property ownership, updating billing information, and managing water and wastewater service accounts.
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Spartan Doors Customer Satisfaction Survey
PDF template
A survey designed to collect feedback from customers about their experience with Spartan Doors and its services.
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Customer Survey Form
PDF template
A comprehensive survey measuring customer perceptions across multiple business performance dimensions
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REFERRAL FORM B Specialist
PDF template
A medical referral form used by Citrus Valley Physicians Group to request specialist services and track patient referrals.
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Charter Service Instructions And Request Form
PDF template
Comprehensive instructions for requesting charter transportation services with Concho Valley Transit, including guidelines, operation hours, fees, and passenger conduct.
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Unemployment Insurance Benefits Referral Form
PDF template
A California state form requiring individuals to apply for Unemployment Insurance Benefits before becoming eligible for CalWORKs.
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Obstetrical Needs Assessment Form (ONAF)
PDF template
A comprehensive form for Medicaid recipients to document pregnancy details and medical history for enrollment in maternity programs.
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Table And Chair Request
PDF template
Policy detailing table and chair rental procedures for campus departments through Warehouse Services Department.
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Sales Order Form
PDF template
Sales order for Naviance education software services for Park Hill School District and Congress Middle School
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DA 104 Print Requisition Form
PDF template
Official form for requesting printing services from the Kansas Department of Administration - Office of Printing & Mailing
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Client Registration Form DAAS 101 (Short Form)
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A registration form for clients accessing Congregate Nutrition and Transportation services through the NC Department of Health and Human Services Division of Aging and Adult Services.
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DAILY CHILD ATTENDANCE FORM
PDF template
Official form for tracking daily child attendance and service provision in childcare settings with parent and provider certification.
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DAILY CHILD ATTENDANCE FORM
PDF template
Official form for tracking daily child attendance and service provision in childcare settings with parent and provider certification.
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RFP For Data Analytics Support Proposer Questions And Responses
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Request for Proposals document for data analytics services with questions and answers from potential vendors
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DocuSign Analyzer Datasheet
PDF template
An AI-driven tool that helps organizations analyze, negotiate, and review incoming agreements more efficiently by extracting key terms and generating risk scorecards.
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SSM Health Davis Duehr Dean Eye Care Referral Form
PDF template
Medical referral form for patients needing eye care services at SSM Davis Duehr Dean Eye Care clinic, used to transmit patient and clinical information.
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Dialectical Behavior Therapy DBT Referral Form
PDF template
A comprehensive referral form for patients seeking Dialectical Behavior Therapy, used to gather client information and assess suitability for DBT treatment.
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Dual Career Assistance Program Referral Form
PDF template
A form to refer spouses or partners of faculty and key staff candidates for employment assistance at the University of Georgia.
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DCF GOALS Referral Form
PDF template
A referral form for participants in the Department of Children and Families GOALS program to track career navigation and service referrals.
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FY2024 Community Garden Mini Grant Program Guideline
PDF template
A funding program to support community gardens in underserved Dallas County zip codes to improve access to healthy food and combat obesity.
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Referral Form For Student Mental Health And Counseling Support
PDF template
A comprehensive form for identifying and referring students who may need mental health or counseling support based on academic, behavioral, and appearance concerns.
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Uniform Consultation Referral Form
PDF template
A comprehensive form for healthcare providers to refer patients to consultants, detailing patient, provider, and referral information.
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WARRANTY CLAIM FORM
PDF template
A comprehensive form for customers to submit warranty claims for Diamond C trailers, detailing issues and requesting repair approvals.
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New Hampshire Division For Children, Youth And Families Policy Manual Food Services
PDF template
Policy outlining food service standards and requirements for the Sununu Youth Services Center's food preparation and delivery.
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DD FORM 4 EnlistmentReenlistment Document Armed Forces Of The United States
PDF template
Official U.S. Department of Defense document for recording military service enlistment or reenlistment details and commitments.
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VOLUNTEER AGREEMENT FOR APPROPRIATED FUND ACTIVITIES NONAPPROPRIATED FUND INSTRUMENTALITIES
PDF template
A form documenting voluntary service agreement for Department of Defense appropriated and nonappropriated fund activities
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DE 38 Employment Determination Guide
PDF template
A guide to help businesses determine whether a worker should be classified as an employee or an independent contractor for tax and reporting purposes.
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COM LINQ CENTRAL STATION Alarm Monitoring Service Agreement
PDF template
A service agreement for alarm monitoring services between a client and Com-Linq Central Station, a division of Guard Tronic, Inc.
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Declaration Of Income Trust
PDF template
A legal document establishing an income trust to maintain eligibility for medical assistance benefits in Colorado.
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Trescal Norway AS Delivery Form
PDF template
A comprehensive form for customers to request delivery and calibration services from Trescal Norway AS across multiple locations.
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Specialty Care Referral Form
PDF template
A form for referring patients to dental specialists with patient, enrollee, and referral details.
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Demonstration Financing Form
PDF template
A form detailing the financing mechanisms and funding sources for a Medicaid demonstration project in Missouri.
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1115 Demonstration Extension Application Attachment 5
PDF template
A form documenting financing mechanisms for a state Medicaid demonstration project, including funding sources and provider payment arrangements.
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DENTAL CONE BEAM CT REFERRAL FORM
PDF template
A medical referral form for dental cone beam CT imaging studies with patient and physician information collection.
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Provider Agreement Form
PDF template
Legal agreement for healthcare providers to participate in a dental assistance program for transplant candidates/recipients.
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Patient Referral Form
PDF template
A comprehensive medical and dental referral form for patient intake and specialist consultation at Boston Children's Hospital dental services.
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MEMBERSHIP APPLICATION FIRM PROFILE
PDF template
Application form for court reporting firms to join the DepoSpan professional network and provide details about their business and services.
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DEPOSIT REFUND REQUEST FORM For Single Family Residences
PDF template
A form for customers of Palmdale Water District to request a refund of their service deposit for single family residences.
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Departmental Copier Update Form
PDF template
A form for Florida State University departments to update copier information, location, or accessories
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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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Design Request Form
PDF template
A form for requesting printing or design services from a university printing department.
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Detention Facility Termination Of Agreement Standard Operating Procedure
PDF template
Standard operating procedure detailing steps for terminating detention facility agreements and winding down ICE operations at a facility.
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Notice Of Incomplete Application
PDF template
Official notice from County Department of Social Services informing an applicant that their health care coverage application is incomplete and requires additional information.
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REFERRAL FOR CONSULT OR PROCEDURE
PDF template
Medical referral form for patients seeking consultation or procedures at Stanford Health Care's Digestive Health and Liver Clinic
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Downey High School Volunteer Form
PDF template
A form for high school students to document and record volunteer service hours for achievement recognition.
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Stanford Health Care Referral For Consult Or Procedure
PDF template
A medical referral document for patients seeking consultation or procedures at Stanford Digestive Health and Liver Clinic.
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OSU Dietetic Internship Pre Select Application Process 2023
PDF template
Application process and requirements for Oklahoma State University's Dietetic Internship program for the class of 2024.
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Molina Healthcare Of California Direct Referral To Specialist
PDF template
A referral form for Molina Healthcare members to receive specialized medical services within their network of contracted specialists.
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VCHCP PCP DIRECT REFERRAL FORM
PDF template
A medical referral form for primary care physicians to refer patients to contracted specialists within the Ventura County Health Care Plan network.
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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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Discipline Referral Form
PDF template
A form used by school staff to document student disciplinary incidents, including location and grade level details.
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Distinguished Faculty Award Nomination Form
PDF template
A form used to nominate faculty members for recognition of teaching excellence and service at Missouri Western State University.
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Divorce Process
PDF template
Step-by-step guide for filing a divorce in California, detailing the petition, service, and final stages of the divorce process.
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NC Medicaid Hospice Prior Approval Authorization Form
PDF template
A form for healthcare providers to request prior authorization for Medicaid hospice benefits for patients entering a new benefit period.
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North Carolina Residency Applicant Declaration
PDF template
A declaration form for applicants unable to provide standard North Carolina residency verification documents for Medicaid eligibility.
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ANFP Order Form
PDF template
Order form for purchasing textbooks, merchandise, and professional materials from the Association of Nutrition & Foodservice Professionals (ANFP)
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DMAS 258 Specialized Treatment Bed Pre Authorization Form
PDF template
A form used to request pre-authorization for specialized treatment beds for Medicaid patients with specific medical conditions like stage IV ulcers.
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Denver Mart Telephone Service Order Form
PDF template
Form for ordering telephone services for events at Denver Merchandise Mart, requiring advance service request and payment.
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Individual Volunteer Registration AgreementTime Record
PDF template
Agreement for volunteers to register and track service time with the Department of Natural Resources, including liability waiver and image consent.
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Referral
PDF template
A comprehensive medical referral document for tracking patient information and transfer of care between healthcare providers.
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DOEA Form 243 Department Of Elder Affairs Congregate Meal Nutrition Service Referral Form
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A referral form for Statewide Medicaid Managed Care Long-Term Care enrollees to access congregate meal nutrition services.
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1095 B Tax Form Information
PDF template
Informational document explaining the 1095-B tax form for proving health insurance coverage through Medicaid or CHIP for the 2015 tax year.
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Do Not File Insurance Waiver Form
PDF template
A document allowing patients to request that Oklahoma State University Medicine not file an insurance claim for a specific date of service.
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Independent Contractor Agreement United States
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Legal agreement outlining the terms of engagement between DoorDash and independent delivery contractors in the United States.
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Electrical Service Order Form
PDF template
Order form for electrical service and power outlets at an event venue with pricing and usage conditions
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Southwest Suburban Denver Water And Sanitation District Rules And Regulations
PDF template
Rules and procedures for obtaining sewer tap permits and service connections for the Southwest Suburban Denver Water and Sanitation District.
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Grant Water Sanitation District Rules And Regulations 2015
PDF template
Comprehensive guidelines for sewer system usage, connections, maintenance, and responsibilities within the Grant Water & Sanitation District service area.
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Didactic Program In Dietetics Student Handbook
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A comprehensive guide for students enrolled in the Didactic Program in Dietetics at Messiah College, covering program policies, requirements, and expectations.
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Master Services Agreement
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A comprehensive service agreement between the City of Seattle Department of Parks & Recreation and the Associated Recreation Council defining their mutual responsibilities and operational guidelines.
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Central Vermont Regional Planning Commission Standard Contract
PDF template
Standard regional planning commission contract between CVRPC and Ijaz & Associates for cost reimbursement services.
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Contract For Consultancy Services
PDF template
A contract template for consultancy services developed by the International Committee of the Red Cross in collaboration with FIDIC and UNOPS.
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Warranty Claim Form
PDF template
A form for consumers to submit warranty claims for DRiV products, including part replacement and purchase details.
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DSB 0503 Driver Service Billing Form
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A billing form for recording driver service hours and requesting reimbursement for services provided through the NC Department of Health and Human Services Division of Services for the Blind.
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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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Referral Form For PEP Day Treatment Center Services
PDF template
A comprehensive referral form for students seeking placement in PEP Day Treatment Center services, to be completed by school district personnel.
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REFERRAL FORM
PDF template
A comprehensive referral form for children's therapeutic services including demographic, contact, and legal information.
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Warranty Claim Form
PDF template
A form for submitting warranty claims for HVAC equipment, requiring detailed information about failed parts and replacement components.
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Dusk To Dawn Lighting Service Agreement
PDF template
Municipal utility agreement for installing and maintaining street lighting services with monthly billing rates and service terms.
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Warranty Claim Form
PDF template
A warranty claim document for Delstar HD Brushless Alternators used in various vehicle and industrial applications.
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Certificate Of Foreign Status For United States Tax Withholding Forms
PDF template
Federal Register notice soliciting comments on IRS forms related to tax withholding for foreign entities and individuals.
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Exhibitor Appointed Contractor Form
PDF template
Form detailing requirements and guidelines for third-party contractors working at Gulf Coast Conference (GCC) event.
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Affiliate Billing Form Procedures
PDF template
Detailed instructions for completing a monthly billing form for counseling and consultation services provided by EAP affiliates.
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Consent Authorization Form For EAP Assisters In The Federally Facilitated Marketplace
PDF template
Authorization form for consumers seeking enrollment assistance through the Marketplace, allowing interaction with Cognosante's Enrollment Assistance Program (EAP) Assisters.
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EASA PROGRAM DISCHARGE FORM
PDF template
A form used to document client discharge details from the EASA program, including reasons for discharge and transition information.
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Federal Income Tax Withholding Per Capita
PDF template
Voluntary form for Eastern Band of Cherokee Indians members to authorize federal income tax withholding from per capita payments.
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Enhanced Care Management (ECM) Referral Form
PDF template
A referral form for San Francisco Health Plan (SFHP) members aged 21+ to access Enhanced Care Management services for individuals with complex health and social needs.
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ECU School Of Dental Medicine Referral Form
PDF template
A comprehensive referral form for dental patients requiring specialized medical or dental services at East Carolina University School of Dental Medicine.
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EDI Application Form
PDF template
Application form for healthcare providers to submit electronic Medicare claims and receive electronic remittances through the Electronic Data Interchange (EDI) system.
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DDE Enrollment Form
PDF template
Form for healthcare providers to enroll in Direct Data Entry system and request access credentials for Medicare claims processing.
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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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Level Of Care (LOC) Billing Form
PDF template
A Medicaid billing form for documenting school-based health services and therapy hours for students with IEPs.
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ADA Form 01 Effective Communication Request Form
PDF template
Form for requesting auxiliary aids and services to ensure effective communication for individuals with disabilities at Georgia Department of Natural Resources events and programs.
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EFMP Family Support (EFMP FS) Needs Inquiry Form
PDF template
A comprehensive form for military families with special needs to assess support requirements and services
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2018 EHR Purchase Form
PDF template
Form for dentists to purchase Electronic Health Record (EHR) functionality and reporting for Medicaid incentive program participation
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PeriodontalImplant Referral Form
PDF template
Medical referral form for periodontal and dental implant services with patient and examination details.
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EHS Feedback Form
PDF template
A form for patients, relatives, healthcare professionals, and others to provide comments, compliments, or suggestions about EHS ambulance services.
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Application For Employer Identification Number (SS 4)
PDF template
Comprehensive guide for obtaining an Employer Identification Number (EIN) from the Internal Revenue Service, explaining requirements and submission process.
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Early Intervention Program Referral Form
PDF template
A referral form for identifying children who may need early intervention services in New York City.
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SOP POLR Claims Submission
PDF template
Guidelines for submitting claims for Early Intervention services payments in Ohio, including submission requirements and process details.
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ElderS Maintenance Request Form
PDF template
A form for elders to submit maintenance and repair service requests for their residence or property.
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Request For Quotes Election Services For PERS Board Positions
PDF template
Solicitation for blended election services for PERS Board positions representing Institutions of Higher Learning Employees and Retirees.
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Request For Proposal Materials And Services For Elections Of Employees Retirement Systems And Teache
PDF template
A request for proposal to select a vendor to provide materials and services for administering retirement system board elections during a five-year period.
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2023 ELECTRICAL SERVICE ORDER FORM
PDF template
A form for requesting electrical services and connections for events at the Duluth Entertainment Convention Center (DECC)
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ELECTRICAL SERVICE ORDER FORM
PDF template
A form for ordering electrical services and connections for exhibitors at the Minneapolis Convention Center.
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Electrical Service Order Form
PDF template
Order form for electrical services and power strips for event vendors at Sheraton Springfield Monarch Place
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AIA FLORIDA 2016 ANNUAL TRADESHOW ELECTRICAL SERVICE ORDER FORM
PDF template
Order form for electrical services and connections for a tradeshow event with pricing and labor details.
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Electrical Service Order Form
PDF template
A form for exhibitors to request electrical services and submit payment for an event at the Sands Bethlehem Event Center.
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Electrical Service Order Form
PDF template
Order form for electrical services and connections for conference exhibitors at The Broadmoor venue.
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Facilities Electrical Service Request
PDF template
A form for requesting electrical services for events, requiring details about event, contact information, and electrical needs.
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Electrical Service Order Form
PDF template
Form for ordering electrical services for events at the Connecticut Convention Center, with pricing and payment details.
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Electric Breast Pump Request Form
PDF template
A form for Medicaid recipients to request an electric breast pump and related breastfeeding supplies through medical authorization.
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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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Electronic Billing Program Form
PDF template
Form for customers to sign up for electronic utility billing instead of paper bills
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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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Everbridge Master Services Agreement
PDF template
A service agreement defining the terms of Everbridge's communication solutions and professional services for clients.
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Clauses To Emergency Use Agreement
PDF template
Legal document outlining terms and conditions for emergency service provision between City of Dripping Springs/ESD #6 and a vendor during emergency situations.
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EMG ORDER FORM
PDF template
Medical referral form for ordering electromyography studies to diagnose nerve and muscle conditions.
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Referral Form EMG
PDF template
Comprehensive referral form for nerve conduction studies and needle examinations at Massachusetts General Hospital's Neuromuscular Diagnostic Center.
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Empire Pipeline, Inc. Service Request Form
PDF template
A comprehensive form for requesting pipeline transportation and storage services from Empire Pipeline, Inc.
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Employee Bridge Of Service Review Form
PDF template
A form used to review an employee's service continuity and eligibility for service credit during multiple employment periods.
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VR FEE FOR SERVICE PROVIDER EMPLOYEE CONTACT FORM
PDF template
A form for documenting employee details and services for vocational rehabilitation providers
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MealFood Pre Approval Form
PDF template
Form for documenting and obtaining approval for business meals and food purchases by university employees
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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 Referral Form
PDF template
Form for employees to refer potential job candidates to Albert Einstein College of Medicine with guidelines for referral awards.
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Employee Referral Form
PDF template
A form for employees to refer potential candidates and participate in the company's referral bonus program.
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Employee Referral Program Referral Form
PDF template
A form for employees to refer potential job candidates to open positions within the organization.
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Employee Reporting Of Abuse Policy
PDF template
Policy detailing mandatory reporting requirements for abuse of dependent adults by employees and volunteers in care facilities.
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Nebraska FFA Association Event Rules Employment Skills
PDF template
Guidelines for FFA members participating in an employment skills leadership development event focused on job application, resume, and interview skills.
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ENA Unified Master Services Agreement
PDF template
A comprehensive service agreement between ENA Services LLC and a client, outlining the terms and conditions of service provision.
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REFERRAL FORM
PDF template
A medical referral form for endocrinology patients, specifically focused on thyroid-related diagnoses and consultations.
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ASE Endodontic Referral Form MA Referral Form
PDF template
A referral form for endodontic treatment at the University of Maryland School of Dentistry, used for patient intake and insurance pre-authorization.
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Entrance Conference Worksheet
PDF template
A comprehensive worksheet for Centers for Medicare & Medicaid Services surveyors to collect initial information during facility entrance inspections.
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Environmental Health Assessment Form
PDF template
A comprehensive form to assess individual and family exposure to environmental chemicals through food, living conditions, and personal care products.
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Annex B Potential Vendors Self Declaration Form
PDF template
A self-declaration form for potential international courier service vendors interested in providing services to the United Nations Office at Nairobi.
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Transfer Request Form
PDF template
A form for students transferring between colleges and seeking Extended Opportunity Programs and Services (EOPS) continuity.
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Employer Of Record Time Sheet
PDF template
A timesheet form for tracking employee hours and services, particularly for respite care services.
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Enrollment Planning Service (EPS) Order Form
PDF template
Order form for subscribing to College Board's Enrollment Planning Service with two service levels and automatic renewal terms.
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AUXCITY EQUIPMENT DELIVERY FORM
PDF template
A form documenting the delivery of equipment by Auxcity Technology Services Inc., including customer acceptance and company representative verification.
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Electronic Remittance Advice (ERA) Enrollment Form
PDF template
Form for healthcare providers to enroll in electronic remittance advice services with Blue Cross and Blue Shield of Texas Medicaid.
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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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EShipGlobal (Express Mail Option)
PDF template
Detailed guide for students to use eShipGlobal for sending and receiving documents through Texas State University's International Office.
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Faculty Education, Scholarship, Practice, And Service (ESPS) Declaration Form
PDF template
A form for medical science faculty to declare their planned educational, scholarly, practice, and service activities for a semester.
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MEDICAL HISTORY FORM
PDF template
A comprehensive medical history form for patients aged 12 and older, used in combination with a referral form and unique reference number (URN).
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Employment Training Fund (ETF) Employer Referral Agreement
PDF template
A form for employers to refer employees for training programs through the Department of Labor and Industrial Relations workforce development initiative.
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F5, INC. END USER SERVICES AGREEMENT
PDF template
Legal document defining terms and conditions for using F5 services, outlining user rights and responsibilities.
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Event Proposal Form
PDF template
A comprehensive form for proposing and documenting details of an upcoming event, including purpose, participants, and event specifics.
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Eviction Information Form
PDF template
A legal document used to collect detailed information about a property, tenants, and eviction proceedings in Missouri and Kansas.
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Hepatitis C Virus (HCV) In Louisiana Prevalence
PDF template
A comprehensive report examining hepatitis C prevalence, state programs, and Medicaid coverage in Louisiana.
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Primary Care EXERCISE CLINIC REFERRAL
PDF template
A medical referral form for patients seeking exercise physiology services, documenting health conditions and exercise participation eligibility.
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Consulting Services Agreement
PDF template
A legal agreement outlining the terms and conditions for consulting services between the Sites Project Authority and a consultant.
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Exhibitor Ethernet Service Order Form
PDF template
A comprehensive form for ordering internet and network services for event exhibitors at Hyatt Regency La Jolla.
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PCEI AmeriCorps Program End Of Term Exit Interview
PDF template
A comprehensive exit survey for AmeriCorps program participants to document their experience, future plans, and community impact.
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IRS Verification Of Non Filing Letter (2023 2024)
PDF template
Guide for obtaining an IRS letter confirming no tax return was filed for a specific year, typically used for student financial aid purposes.
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CCP Prior Authorization Request Form
PDF template
A form for healthcare providers to submit prior authorization requests for medical services or treatments through Texas Medicaid Health and Human Services.
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Electronic Data Interchange Agreement
PDF template
A required agreement for Long Term Care providers to access electronic Medicaid services and submit electronic files through Texas Medicaid & Healthcare Partnership.
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Home Health Services (Title XIX) DMEMedical Supplies Prescribing Provider Order Form
PDF template
A form for healthcare providers to submit prior authorization requests for home health services and medical supplies under Texas Medicaid.
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Home Telemonitoring Services Prior Authorization Request Texas Medicaid
PDF template
A certification statement for healthcare providers submitting prior authorization requests for home telemonitoring services in Texas Medicaid.
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OTHER INSURANCE FORM
PDF template
A form for collecting details about additional insurance coverage for a Medicaid client
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WheelchairScooterStroller Seating Assessment Form
PDF template
A form for submitting prior authorization requests for wheelchair, scooter, or stroller seating equipment through Texas Medicaid.
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Referral To Wisconsin Birth To 3 Program
PDF template
A referral form for identifying and supporting children with potential developmental delays in Wisconsin.
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PROGRAM BILLING FORM FOR TRANSPORTATION COSTS
PDF template
A form for billing transportation services and costs within Sacramento City Unified School District
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F 01337B ChildrenS Long Term Support (CLTS) And ChildrenS Community Options Program (CCOP) Parental
PDF template
Detailed guidance on calculating parental payment limits for children's long-term support and community options programs in Wisconsin
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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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IRS Draft Form Coversheet
PDF template
Informational document providing guidance about draft IRS tax forms and instructions before official release.
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Form 1040 ES(NR)
PDF template
Tax form for nonresident aliens to calculate and pay estimated taxes on income not subject to withholding.
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Form 1040 ES (NR)
PDF template
Tax form for nonresident aliens to calculate and pay estimated taxes on income not subject to withholding for the 2024 tax year.
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Form 1040 ES
PDF template
Instructions for calculating and paying estimated tax for individuals on income not subject to withholding.
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Schedule 1 (Form 1040)
PDF template
IRS tax form for reporting additional income sources and income adjustments for individual tax returns.
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Schedule C (Form 1040)
PDF template
IRS tax form for reporting income and expenses from a sole proprietorship business on annual tax return.
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Form 1098 T
PDF template
IRS tax form reporting qualified tuition payments, scholarships, and educational expenses for tax year 2020.
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Mistake Of Fact
PDF template
Form for plan administrators to request refund correction for arithmetic or clerical errors in participant contributions within one year of occurrence.
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Claim Form Attachment Cover Page Instructions
PDF template
Guidelines for submitting paper attachments with electronic claim transactions for the Wisconsin Department of Health Services ForwardHealth program.
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Form 13551
PDF template
Application for individuals or organizations seeking to become an IRS Acceptance Agent or Certifying Acceptance Agent.
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Form 13930 (Rev. 9 2022)
PDF template
Instructions for nonresident entertainers and athletes to apply for a Central Withholding Agreement with the IRS for tax withholding purposes.
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Form 14039
PDF template
IRS form for reporting identity theft incidents and protecting taxpayer information.
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Form 14135 Application For Certificate Of Discharge Of Property From Federal Tax Lien
PDF template
IRS form used to request discharge of property from a federal tax lien, allowing property to be transferred or sold free of the lien.
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GENERATOR WARRANTY SERVICE CLAIM FORM
PDF template
A form for submitting warranty service claims for Winco generators, detailing equipment failure and repair information.
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Form 15080
PDF template
IRS form allowing consent for tax return information sharing with VITA/TCE tax preparation sites.
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Form 2159 Payroll Deduction Agreement
PDF template
A form for establishing payroll deductions to pay tax liabilities through automatic wage withholding by an employer.
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Form 2210 Underpayment Of Estimated Tax By Individuals, Estates, And Trusts
PDF template
IRS form for calculating potential penalties related to underpayment of estimated taxes for individuals, estates, and trusts.
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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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WIC Vendor Agreement
PDF template
Official agreement between Wisconsin Department of Health Services and retail grocery or pharmacy vendors for participation in the WIC Special Supplemental Nutrition Program.
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Form 433 D
PDF template
A form for establishing an installment agreement with the Internal Revenue Service for payment of federal tax obligations.
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Form 433 H
PDF template
Internal Revenue Service form for requesting an installment agreement for tax liabilities over $50,000 or unpayable within 72 months.
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Form 4506 T
PDF template
IRS form used to request official tax return transcripts and related tax records from the Internal Revenue Service.
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Form 4506 T
PDF template
IRS form used to request various types of tax return transcripts and tax account information.
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Form 4506 T
PDF template
IRS form used to request official transcripts of tax return information from the Internal Revenue Service.
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Form 4506 T
PDF template
Official IRS form for requesting tax return transcripts and related tax records.
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Form 4868 Application For Automatic Extension Of Time To File U.S. Individual Income Tax Return
PDF template
IRS form for requesting an automatic extension of time to file an individual income tax return for the 2022 tax year.
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Form 5227
PDF template
IRS tax form for reporting income and details of split-interest trusts with charitable components
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SERVICE REQUEST FORM
PDF template
A form for requesting repair and service of equipment with shipping, billing, and acknowledgment details.
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Form 6729 B
PDF template
A form used by SPEC shoppers to document tax return preparation findings by IRS certified volunteers without capturing personal identifying information.
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Form 8038 GC
PDF template
IRS form for reporting information about small tax-exempt governmental bond issues, leases, and installment sales under Internal Revenue Code section 149(e).
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Form 8332 Release Of Claim To Exemption For Child Of Divorced Or Separated Parents
PDF template
IRS form allowing custodial parents to release tax exemption claims for children to noncustodial parents in divorce or separation scenarios.
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Form 8332
PDF template
IRS form for custodial parents to release or revoke claiming an exemption for a child for tax purposes.
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Form 8453 U.S. Individual Income Tax Transmittal For An IRS E File Return
PDF template
Official IRS form used to transmit an electronic individual income tax return with specific supporting documentation.
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Form 8594
PDF template
IRS form for reporting details of an asset acquisition transaction under Section 1060.
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Form 8609 Low Income Housing Credit Allocation And Certification
PDF template
IRS form for documenting low-income housing credit allocation and certification for tax purposes.
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Form 8609
PDF template
IRS form for allocating and certifying low-income housing tax credits for building owners and housing credit agencies.
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Form 8655 Reporting Agent Authorization
PDF template
An Internal Revenue Service form for authorizing a reporting agent to sign, file tax returns, and make deposits or payments on behalf of a taxpayer.
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Form 8802
PDF template
An IRS form used to apply for a United States residency certification for tax purposes.
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Form 8857
PDF template
IRS form for requesting relief from joint tax liability when a spouse believes they should not be responsible for tax errors or underpayments.
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Form 8922 Third Party Sick Pay Recap
PDF template
A tax form used to reconcile employment tax returns with Forms W-2 when third-party sick pay is paid.
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Form 8957
PDF template
Official IRS form for financial institutions to register under the Foreign Account Tax Compliance Act (FATCA)
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Form 9325
PDF template
Official IRS form providing confirmation and details for electronically filed tax returns
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Form 943 EmployerS Annual Tax Return For Agricultural Employees
PDF template
IRS tax form for reporting wages, social security taxes, Medicare taxes, and federal income tax withholding for agricultural employees.
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Form 9465 Installment Agreement Request
PDF template
A form used by taxpayers to request an installment agreement for paying outstanding tax debt to the Internal Revenue Service.
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Form 9779 (Electronic Federal Tax Payment System Business Enrollment)
PDF template
IRS form for businesses to enroll in the Electronic Federal Tax Payment System for making federal tax payments online.
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Tax Form 9783 With Instructions
PDF template
Enrollment form for the Electronic Federal Tax Payment System (EFTPS) for individual taxpayers to register or update financial institution information.
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Fabrication Request Form
PDF template
A form used to request fabrication services at the Carleton Laboratory, requiring detailed account and project information.
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Contract Intelligence
PDF template
An advanced AI system for automated, high-precision extraction of key information from complex contracts using neuroscience-based technology.
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Faculty Excellence Awards Nomination Form
PDF template
Nomination form for recognizing faculty achievements in service, teaching, and scholarship at the University of Arkansas for Medical Sciences.
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Faculty Evaluation Form
PDF template
A comprehensive evaluation form for assessing faculty performance across multiple professional dimensions.
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University Of Maryland Faculty Practice Referral Form
PDF template
A comprehensive referral form for patient dental services at the University of Maryland Dental School, capturing patient and referring dentist information.
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Faculty Referral Form
PDF template
A form for professors to refer students for writing consultation by specifying areas of writing improvement needed.
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Faculty Referral Form
PDF template
A form for faculty to refer students to academic support services for tutoring or coaching.
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Permission To Contact Form
PDF template
Consent form for referral to Families First services in Essex County, focusing on youth and family support.
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Referral Form For Family Planning Services
PDF template
A comprehensive medical referral form for obstetrical and gynecological services covering patient demographic and medical information.
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Family Resilience Fund Referral Form
PDF template
A referral form for families who have lost a primary caregiver to Covid-19 and are experiencing financial hardship.
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FAMILY SUPPORT ORDER FORM
PDF template
Order form for families receiving developmental disability support services to request specific items and supplies.
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FAQ Helping Families That Include Immigrants Apply For Health Coverage
PDF template
A comprehensive guide addressing common questions about health coverage application processes for immigrant families in the United States.
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Charge Authorization Form
PDF template
Form for authorizing and documenting charges for campus service center work orders and internal billing processes.
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42314 Webinar Fast Track Medicaid For SNAP Participants Submitted QA
PDF template
A document providing questions and answers about Medicaid enrollment options for SNAP participants across different states.
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FirstAir Warranty Claim Form
PDF template
A comprehensive warranty claim form for documenting air compressor failures and service details by authorized channel partners.
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FAX REFERRAL FORM
PDF template
A medical referral form for patients seeking low vision rehabilitation services in Colorado.
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FAX REFERRAL FORM
PDF template
A medical referral form for individuals seeking assistance with smoking cessation through the Quit Now Alabama program.
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Invitation For Bid UA Little Rock Campus Wide Pest Control And Termite Protection
PDF template
Bid solicitation for campus-wide pest control and termite protection services for the University of Arkansas at Little Rock.
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Fulton County Clubhouse For Youth Referral Form
PDF template
Referral form for youth services at Fulton County Clubhouse, collecting demographic and background information for potential program participants.
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INCLUSA CLAIM FORM
PDF template
A claim form for submitting healthcare service claims to Inclusa Family Care through WPS Health Insurance.
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Client Satisfaction Survey Form
PDF template
A survey form designed to collect feedback on service quality, client experience, and satisfaction with an organization's performance.
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Federal And State Tax Withholding Updates
PDF template
Comprehensive guide for federal and state tax withholding requirements, effective January 1, 2023, with instructions for withdrawal requests and tax form submissions.
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Certificate Of Exemption On Communication Services
PDF template
Form for claiming tax exemption from federal excise taxes on communication services under various governmental and nonprofit provisions.
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Form W 4S
PDF template
IRS form used to request federal income tax withholding from sick pay payments
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Form W 4P (2020)
PDF template
A form for pension recipients to specify their desired federal tax withholding amount from retirement allowance payments.
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Form W 4P Withholding Certificate For Pension Or Annuity Payments
PDF template
Form for pension recipients to specify federal tax withholding preferences for retirement allowance payments.
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Pension Federal Tax Withholding Form
PDF template
Form for pension or annuity recipients to request voluntary federal income tax withholding from their monthly payments
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Service Feedback
PDF template
A form for collecting customer feedback, incident details, and contact information for service improvement.
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Nebraska FFA Association Medical Release Form
PDF template
A comprehensive medical consent and emergency contact form for FFA members, allowing parental consent for medical treatment and providing essential health information.
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Fora Health Residential Referral Form
PDF template
Comprehensive referral form for admitting patients into Fora Health's residential treatment program with detailed guidelines and requirements.
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FHSU Psychological Screening Clinic Referral Form
PDF template
A referral form for psychological screening services at Fort Hays State University Psychological Screening Clinic.
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Care For Older Adults Assessment Form
PDF template
Comprehensive medical assessment form for evaluating functional, cognitive, and sensory status of older adult patients.
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Field Services Agreement
PDF template
A contract between Capistrano Unified School District and a contractor for specified field services with detailed terms and conditions.
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Section 1115 Demonstration Program Template
PDF template
A template to assist states in developing an application for a new section 1115 demonstration project for Medicare and Medicaid services.
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District Disciplinary Action Referral Form
PDF template
A comprehensive form for documenting and submitting disciplinary incidents involving students in the school district.
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An In Home Family Therapy Program Referral Form
PDF template
A comprehensive referral form for in-home and telehealth family therapy services with detailed client and insurance information collection.
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Humboldt County Referral Initiative Referral Form
PDF template
A comprehensive medical referral form for transferring patient information between healthcare providers with multiple referral type options.
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PLAN OF STUDY ONLINE GRADUATE OPTIONS IN NUTRITION
PDF template
A document outlining graduate study options and requirements for nutrition programs at the university.
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PATIENT REFERRAL FORM
PDF template
A comprehensive form for referring veterinary patients to specialized veterinary services and departments.
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CHESAPEAKE HEALTH DEPARTMENT SCREENING INTAKEREFERRAL FORM
PDF template
A comprehensive intake form for client health screening and service referral by the Chesapeake Health Department.
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Refund Request Form
PDF template
A form for requesting a refund for membership services under specific circumstances with required documentation.
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Service Week Volunteer Form
PDF template
A form for students to volunteer for Service Week activities across different grade levels and potential service opportunities.
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SUBCONTRACT INSTALLATION SERVICES
PDF template
A legal agreement between a contractor (AP Americas, Inc.) and a subcontractor for installation services on customer projects.
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Film Budget Pro Confidentiality Agreement
PDF template
A confidentiality agreement between Film Budget Pro and a client to protect sensitive information during potential film budgeting services discussions.
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Employee Vs. Independent Contractor
PDF template
Guidelines for determining whether a worker is an employee or an independent contractor based on IRS common-law rules and secondary factors.
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Virginia Health Insurance Application
PDF template
Application for free or low-cost health insurance programs in Virginia for individuals and families of various income levels.
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Patient Representative Family Contact Information Form (Form A), Patient Trust Fund Information For
PDF template
Forms required by Nevada Medicaid to collect information for estate recovery from deceased Medicaid recipients' facilities and institutions.
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Paths To Health NM Tools For Healthier Living Referral Form
PDF template
A referral form for participants to join Paths to Health NM health programs with provider contact information.
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Brother Joseph Miggins Service Program Proposal Form
PDF template
A student proposal form for documenting community service project details and plans.
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Final Utility Request Form
PDF template
A form for transferring utility services when property ownership changes in Gilcrest, Colorado.
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Financial Assistance Application Form
PDF template
A confidential form for patients seeking financial assistance, requiring detailed personal and income information for healthcare services.
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First Contact Form
PDF template
A form for collecting initial client identification and referral information for treatment services.
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Merchant Services Add Site Contact Form
PDF template
Form for updating business contact information for merchant services with FIS.
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NJ ACTS Service Core Request Form
PDF template
A form for requesting research services through the NJ ACTS research infrastructure, used by investigators and researchers.
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Vehicle Service Request Form
PDF template
A form for requesting vehicle maintenance and service from the Leech Lake Band of Ojibwe Fleet Management department.
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Technical Assistance Services INVOICE
PDF template
Invoice form for technical assistance services provided to NYSERDA (New York State Energy Research and Development Authority) project.
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Health Care Provider Referral Form To Tobacco Free Florida
PDF template
A referral form for healthcare providers to help patients access tobacco cessation programs and support services.
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Privacy Impact Assessment For Federal Long Term Care Insurance Program (FLTCIP) System
PDF template
Assessment of privacy considerations for the Federal Long Term Care Insurance Program's system that manages insurance enrollment and claims for federal employees and uniformed service members.
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WARRANTY CLAIM FORM
PDF template
A form for submitting warranty claims detailing product issues, repairs, and customer information.
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Community Support Team Referral Form Electronic
PDF template
A referral form for non-emergency community support services, used to request assistance and support for individuals in Sacramento County.
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SUD Youth Referral Form
PDF template
Referral form for youth substance use prevention and treatment services in Sacramento County
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Family Opportunity Center Referral Form
PDF template
A referral form for families to access support services through a community center providing various family and youth assistance programs.
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IDCFS Closed File Information And Search Service Request Form
PDF template
A form for individuals seeking information or search services related to adoption records maintained by the Illinois Department of Children and Family Services.
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Food Delivery Checklist
PDF template
Comprehensive checklist for state agencies managing WIC food delivery systems, vendor management, and food benefit distribution.
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Food Service Permit Inquiry Form
PDF template
Form for determining food service permit requirements for non-licensed child and adult care food program facilities in Georgia.
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Foreign Entity Affidavit Form Rev 4.4
PDF template
Guidelines for foreign organizations applying for grants, detailing requirements to establish equivalent status to a U.S. public charity under IRS regulations.
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Instructions For Form 2553
PDF template
Official IRS guidance for making an S corporation election, detailing eligibility requirements and tax implications for small business corporations.
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Utility Transfer Form
PDF template
A form for transferring and setting up utility services when moving into a new rental property, requiring verification from gas, electric, and water companies.
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WARRANTY PRE AUTHORIZATION REQUEST
PDF template
A form used to request warranty service for a vehicle, documenting repair details and authorization process.
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Form 4506 T
PDF template
Internal Revenue Service form used to request official tax return transcripts and related tax records.
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Form 4506 T
PDF template
IRS form used to request a transcript of a previously filed tax return at no charge.
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Form 4506 T
PDF template
IRS form used to request a transcript or other tax return information free of charge from the Internal Revenue Service.
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Form 4506 T
PDF template
IRS form used to request a transcript of a previously filed tax return at no charge.
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Form 6.4.2.2 Rev. D Service Request Form
PDF template
A form for submitting medical devices for service or repair, requiring verification of decontamination and cleaning.
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Form 7International Trade In Services
PDF template
A survey form collecting information on international transportation transactions for balance of payments statistics in Newland.
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Instructions For Form 940
PDF template
Official IRS guidance for completing the annual federal unemployment tax return for employers
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Form 941 For 2021
PDF template
Quarterly tax form for employers to report wages, tax withholdings, and social security/Medicare taxes to the Internal Revenue Service.
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FORM C Non U.S. Resident ADVANCE APPROVAL FORM FOR SERVICES
PDF template
A form for non-U.S. residents seeking participation, compensation, or reimbursement for services at a university.
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FORM COMMUNITY PROGRAMS REFERRAL FORM
PDF template
Referral form for St. Mary's home care and community care programs covering patient, insurance, and referral details.
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Form C Student Waiver Form
PDF template
A legal document outlining conditions and medical treatment provisions for students performing services at Rutgers University.
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City Of Camden Employee Of The Month Nomination Form
PDF template
A form to nominate City of Camden employees who demonstrate exceptional performance and service qualities.
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GUIDELINES FOR GRANT APPLICATIONS TO THE NESTLE FOUNDATION
PDF template
Guidelines for submitting research grant proposals focused on human nutrition in low- and lower middle-income countries.
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Interdepartmental Service Agreement (ISA) Form
PDF template
Official form for documenting service agreements between Massachusetts state departments, including financial and non-financial interdepartmental transactions.
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Form 14767
PDF template
IRS form authorizing disclosure of confidential tax return information to a federal agency for tax compliance verification.
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Member Interview Form
PDF template
A comprehensive form for gathering detailed personal information and preferences about a care member's activities, interests, and support needs.
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Communicorp Master Services Agreement
PDF template
A comprehensive agreement between Communicorp and a customer for graphic arts, electronic communication services, and merchandise fulfillment.
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Peer Support Authorization RequestDischarge Form
PDF template
A form for requesting and documenting peer support services, including member and provider information, service type, and authorization details.
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Electronic Monitoring Notification And Consent Form
PDF template
Form allowing residents of long-term care facilities to consent to electronic monitoring of their room with specific conditions and restrictions.
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FORM SR OVER THE ROAD BUS (OTRB) SERVICE REQUEST FORM
PDF template
A form for documenting transportation service requests, particularly for accessible bus services and passenger trip details.
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2021 2022 Transportation Service Request Form
PDF template
Form for Cincinnati Public Schools students to request transportation services for the academic year.
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Form T (Timber)
PDF template
IRS form for reporting timber-related tax activities, including sales, depletion, and exchanges of timber resources.
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DHS Referral To Portland ChildrenS Levy Funded Foster Care Services
PDF template
A Department of Human Services referral form for children and youth seeking foster care services through the Portland Children's Levy program.
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Family Peer Support Partner Services Referral Form
PDF template
A referral form for families seeking support services for youth with disabilities or special challenges
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Freedom Solar Referral Terms And Conditions
PDF template
Official terms and conditions for Freedom Solar's affiliate referral program, outlining payment, eligibility, and participation rules.
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MODEL OF FREELANCE AGREEMENT AND CONTRACT
PDF template
A comprehensive contract template defining the working relationship between a client and a freelancer, specifying terms of service, payment, and legal conditions.
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Frequently Asked Questions And Answers About Tax Form 1095 B1095 C
PDF template
Detailed explanation of tax forms 1095-B and 1095-C related to health insurance coverage reporting for tax purposes.
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Frequently Asked Questions And Answers About Tax Form 1095 B1095 C
PDF template
A guide explaining tax forms 1095-B and 1095-C, their purpose, and requirements related to health insurance reporting.
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SCHEDULED MAINTENANCEREPORT AUTOMOBILES
PDF template
A comprehensive vehicle inspection and maintenance tracking form for documenting vehicle condition and service intervals.
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Meal Audit Form
PDF template
A detailed form for auditing meals in aged care settings, including weight, texture, consistency, appearance, and temperature measurements.
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Virginia Tech Employee Software Sales Order Form
PDF template
A form for Virginia Tech employees to purchase software licenses and technology accessories at discounted rates.
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Form SS 8
PDF template
IRS form used to determine worker classification for tax purposes, helping distinguish between employees and independent contractors.
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FTD DELIVERY SERVICE AGREEMENT
PDF template
A service agreement between FTD, LLC and a customer for local delivery of flowers and other products through FTD's delivery service.
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Schaller, Galva, Cushing, Kiron FTTH Service Application
PDF template
Telecommunications service application for residential and business telephone services in rural Iowa, covering multiple local exchanges.
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Adult Commuter Partial Fax Referral Form
PDF template
Referral form for intensive group therapy program offering in-person and telehealth treatment options for adults.
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FURNITURE SERVICE REQUEST FORM
PDF template
A comprehensive form for requesting furniture services, including new furniture, accessories, or refurbishing existing furniture for various spaces.
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Referral Form
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A form for parents/guardians to provide information about a child with special needs to Family Voices of North Dakota for support and resources.
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Form W 3
PDF template
Official IRS form for transmitting wage and tax information for employees to the Social Security Administration
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Form W 5
PDF template
Instructions for claiming advance Earned Income Credit payments from the Internal Revenue Service for eligible workers with qualifying children.
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Form W 8BEN E
PDF template
IRS form for non-U.S. entities to certify their status for tax withholding and reporting purposes.
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Form W 8IMY
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IRS form for foreign intermediaries and entities to certify tax withholding and reporting status for United States tax purposes.
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Form W 9
PDF template
An Internal Revenue Service form used to provide a taxpayer's identification number and certification for income reporting purposes.
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Form W 9
PDF template
A tax form used to provide a taxpayer identification number and certification for income reporting purposes.
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Membership Agreement Terms And Conditions
PDF template
Legal document outlining membership terms and conditions for Fitness World fitness centres in British Columbia.
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MEMBERSHIP AGREEMENT TERMS AND CONDITIONS
PDF template
A comprehensive agreement outlining the terms and conditions for membership at Fitness World fitness centres, including membership rights, services, and definitions.
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Exhibitor Appointed Contractor Form
PDF template
Form for exhibitors to register and authorize independent contractors for event services at Fan Expo Canada.
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FY13 Annual Report Form
PDF template
Annual report documenting University Information Services (UIS) activities, accomplishments, and strategic alignment for fiscal year 2013.
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2023 Nomination Form (Reference Copy) National Medal For Museum And Library Service
PDF template
Official nomination form for organizations seeking the National Medal for Museum and Library Service recognition.
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REQUEST FOR PROPOSALS FOR SECURITIES LITIGATION MONITORING, EVALUATION, AND REPORTING SERVICES
PDF template
Request for proposals from vendors to provide securities litigation monitoring, evaluation, and reporting services for the Teachers' Retirement System of Illinois.
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GAANN Fellowship Application Form
PDF template
Application form for GAANN Fellowship at FIU, focused on AI and Cybersecurity research doctoral programs.
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GEM Environmental NFP Youth Conservation Program Internship Application Form
PDF template
Application form for internship positions with GEM Environmental, focused on youth conservation efforts and public lands service.
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Chelan County Assessor Frequently Asked Questions
PDF template
A guide to departments and contact information for various county services related to property assessment, taxation, and development.
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General Inquiry Form
PDF template
A form for individuals to submit questions or issues related to Medicaid services and benefits.
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GENERAL REFERRAL FORM
PDF template
A comprehensive medical referral form for scheduling various imaging procedures at Cedars-Sinai Medical Center.
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Voluntary ChildrenS Services Referral Form
PDF template
A referral form for children's services in Kenora and Rainy River Districts, covering multiple partner agencies and programs.
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Kenora Rainy River Districts Voluntary ChildrenS Services Referral Form
PDF template
A centralized intake form for non-crisis referrals of children and youth to multiple partner agencies in Ontario.
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HENNEPIN HEALTHCARE GENERAL TERMS AND CONDITIONS FOR INFRASTRUCTURE AND CONSTRUCTION SERVICES
PDF template
General terms and conditions governing contractor services for infrastructure and construction projects at Hennepin Healthcare System (HHS).
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General Terms And Conditions For The Purchase Of Goods And Services
PDF template
Legal document outlining terms and conditions for purchasing goods and services by an advertising agency from third-party contractors.
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General Terms And Conditions For The Purchase Of Goods And Services
PDF template
Comprehensive terms and conditions governing the purchase of goods and services by an advertising agency from third-party contractors.
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General Terms And Conditions Reworc B.V.
PDF template
Comprehensive terms and conditions governing subscriptions, consultancy, service levels, and data processing for Reworc B.V.
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ADOBE GENERAL TERMS (2017v1) (APAC)
PDF template
Legal document outlining general terms and conditions for Adobe product and service agreements in the Asia-Pacific region.
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Physician Referral Form
PDF template
A comprehensive medical referral form for routing patients to various medical specialties at Emory Healthcare.
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GICF027 Agent Application Form
PDF template
A comprehensive form for potential education agents to apply and provide details about their company and recruitment services for Genesis International College.
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PIPETMAN Easy Check Service Order Form
PDF template
A form for ordering pipette service, calibration, and maintenance from Gilson's service center.
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Standard Purchasing Agreement
PDF template
A purchasing agreement between the University of Houston-Clear Lake and Texas Security Shredding for secure document destruction services.
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Residential Electricity Enrollment Form
PDF template
Form for enrolling in electricity service with Green Mountain Energy Company, changing electricity generation supplier while maintaining existing distribution services.
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Georgia National Guard Membership Form
PDF template
Form for verifying National Guard membership and scholarship loan repayment intentions
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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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Goldys Brand, Inc. Sharpening Service Request Form
PDF template
A fillable form for customers to request sharpening services and provide details about items to be serviced.
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Gorge Rebuild It Center Volunteer Form
PDF template
A comprehensive volunteer registration form for the Gorge Rebuild-It Center, capturing volunteer contact information, availability, skills, and workplace environment commitment.
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1040 Forms And Schedules
PDF template
Comprehensive listing of various Internal Revenue Service tax forms and schedules related to individual income tax reporting.
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General Outpatient Referral Form
PDF template
A medical referral form for patients seeking healthcare services at Grady Health System in Atlanta, Georgia.
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Referral Form
PDF template
A form for documenting referrals between real estate agents, brokers, and companies for potential property transactions.
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Mountain Haus Grocery Delivery Form
PDF template
A form for guests to request grocery delivery with detailed item selection and delivery instructions.
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Group Tax Exemption Form
PDF template
Form for American Inn of Court chapters to elect inclusion or exclusion from group 501(c)(3) tax-exempt status.
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Telehealth Referral Form For Nutrition Consult
PDF template
A comprehensive form for referring patients to a telehealth nutrition consultation, collecting patient and medical information.
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Georgia Regents University Volunteer Agreement Form
PDF template
A legal document outlining the terms and conditions for volunteers at Georgia Regents University, specifying responsibilities and limitations of volunteer service.
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GSA FLEET SERVICE REQUEST FORM
PDF template
A form for requesting vehicle maintenance and reporting vehicle condition for GSA fleet vehicles.
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Work Order Request
PDF template
A form for requesting various telecommunications services and equipment installations at the University of Guam
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REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
PDF template
Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
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Guest Meal Purchase Form
PDF template
Registration form for purchasing meals at the 2024 Presbyterian Women Churchwide Gathering in St. Louis, Missouri.
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Guest Travel Form FSU Foundation
PDF template
Form for documenting travel and entertainment expenses for family members or guests to determine tax implications for employees.
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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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NEBRASKA WIC VENDOR HANDBOOK
PDF template
Comprehensive guide for store owners and managers participating in the Nebraska WIC nutrition program, detailing procedures and requirements for WIC food transactions.
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Nebraska WIC Vendor Handbook
PDF template
A handbook for vendors participating in the Nebraska WIC (Women, Infants, and Children) nutrition program, providing guidelines for food purchases and program participation.
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Nebraska WIC Vendor Handbook
PDF template
A handbook for vendors participating in the Nebraska WIC (Women, Infants, and Children) nutrition program, providing guidelines for food purchases and program participation.
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House Bill 500
PDF template
A bill to increase awareness of school-based health services reimbursable under Medicaid and implement various healthcare-related provisions for students.
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Quotes For Small Purchase (QSP) 215 18, Drawing And Drafting Services
PDF template
Request for proposals from qualified entities to provide on-call surveying and drafting services for housing development projects in Stanislaus County.
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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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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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Registration Form
PDF template
Comprehensive registration form for healthcare services, collecting patient demographic, contact, insurance, and medical history information.
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Warranty Claim Form
PDF template
A form for submitting warranty claims for bus repairs, parts, and service credits.
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Health Referral And Coverage Form
PDF template
A comprehensive health referral form capturing patient details, insurance information, and social determinants of health
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Radiology Exam Order Form
PDF template
A comprehensive form for ordering radiology examinations, collecting patient, provider, and insurance information for medical imaging services.
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OHSU Referral Form
PDF template
A comprehensive medical referral form for patients being referred to various specialty departments at OHSU (Oregon Health & Science University).
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Weld HCP Referral Form
PDF template
A comprehensive referral form for healthcare coordination and client information collection in Weld County, Colorado.
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HCP Service Order Form
PDF template
Service order form for biomics research services, covering laboratory testing and sample processing.
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Health Risk Assessment Rewards Program
PDF template
Program encouraging annual well visits and Health Risk Assessment completion with potential financial rewards for members
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Healthy Fit ChildrenS Clinic (Referral Form)
PDF template
Referral form for pediatric health evaluation focusing on children aged 2-17 with BMI concerns
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Vital Strategies Healthy Food Policy Fellowship Application Form
PDF template
Application form for a fellowship program focused on contributing to healthier food environments in selected countries.
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Healthy Lifestyle Program New Patient Medical History Form
PDF template
Medical history form for pediatric patients focusing on weight management and lifestyle factors
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HEARTH TLP And Supportive Housing Referral Form
PDF template
A comprehensive referral form for youth seeking supportive housing and social services, collecting personal and demographic information.
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Community Referral Form
PDF template
A referral form for identifying and addressing child development and behavioral concerns through community support services.
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Rhode Island Maternal And Child Family Home Visiting System Referral Form
PDF template
A referral form for connecting pregnant women and families with home support services in Rhode Island.
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Rosh Hashanah 2019 Catering Order Form
PDF template
Catering order form for holiday meals with various meat, fish, side dishes, salads, and desserts for Rosh Hashanah celebration.
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Oversight Of The Internal Revenue Service
PDF template
Congressional hearing document discussing IRS funding, enforcement, and recent improvements in taxpayer services
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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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Shasta County HHSA Economic Mobility Homeless Assistance Contact Form
PDF template
A referral form for homeless individuals to connect with county outreach workers and access housing and community resources.
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WARRANTY SERVICE REQUEST FORM
PDF template
A form for submitting warranty service requests for home repairs with details about service type and homeowner information.
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Complaint Form
PDF template
A form for filing privacy-related complaints with the Florida Department of Elder Affairs, ensuring non-discriminatory handling of concerns.
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Histology Service Request Form
PDF template
A form for requesting histology laboratory services with sample submission details and contact information.
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REFERRAL CHECKLIST FORM
PDF template
A comprehensive referral form for healthcare providers to submit patient information and service requests to HealthLinkNow.
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Help Me Grow Long Island Universal Provider Referral Form
PDF template
A referral form for families with children aged prenatal to 5 years old in Nassau or Suffolk Counties to access support services.
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Pediatric Provider Referral Form
PDF template
A form for healthcare providers to refer pediatric patients for additional services or evaluations.
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HOD COMMITTEE VOLUNTEER FORM
PDF template
A form for volunteering to serve on various committees for the House of Delegates meeting, including reference committees and other organizational groups.
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Genna Benna Holiday Catering Order Form
PDF template
Catering order form for holiday meals with package and la carte options including entrees, sides, breads, desserts, and tea selections.
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Holiday Catering Order Form
PDF template
Catering order form for holiday meals featuring vegan and plant-based options with various entrees, sides, and desserts.
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Holiday Meals To Go Order Request Form
PDF template
Order form for holiday meal kits designed to feed 4-6 people, featuring various protein, side, bread, and dessert options.
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Robbins Library Homebound Delivery Procedure And Service Request Form
PDF template
A comprehensive guide for Arlington residents to request library materials delivery for those who are unable to visit the library in person.
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11 Homebuyer Services Intake Form 2019.21
PDF template
Intake form for individuals seeking homebuyer services, collecting personal and demographic information.
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Honoraria Travel Reimbursement Criteria By Visa Types
PDF template
Detailed guidelines for honoraria and travel reimbursement requirements for different visa types, focusing on tax compliance and documentation.
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Hooper DSC Referral Form
PDF template
A medical referral form for patient intake and scheduling at a healthcare facility with specific requirements and patient information collection.
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Construction Renovation Services Announcement Form
PDF template
A form for homeowners or tenants to notify the Horizon Townhouses Homeowners Association about planned construction, renovation, or service work.
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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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Household Contact Form Instructions
PDF template
Instructions for sponsoring organizations to verify child attendance and meal service enrollment in day care settings
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FREDERICK L. HOVDE AWARD OF EXCELLENCE NOMINATION FORM
PDF template
Nomination form for recognizing Purdue University faculty/staff who provide excellent educational service to rural people of Indiana.
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Frederick L. Hovde Award Of Excellence 2024 Nomination Guidelines
PDF template
Guidelines for an annual Purdue University award recognizing outstanding educational contributions to rural Indiana by faculty or staff.
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Submit Complaints, Suggestions And Enquiries
PDF template
A service allowing clients to file complaints, suggestions, and enquiries about Dubai Customs services and procedures.
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How Do I Do It A Resource Guide For NY State Medicaid Provider Enrollment
PDF template
A comprehensive resource for Medicaid providers explaining how to make various administrative changes to their enrollment profile.
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IRS Tax Return Transcript And IRS Record Of Account Request Process
PDF template
Comprehensive guide for requesting tax return transcripts and records from the Internal Revenue Service through online and mail methods.
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IRS Verification Of Non Filing Letter Request Guide
PDF template
Instructions for obtaining an IRS Verification of Non-filing Letter through online, telephone, or paper methods to prove no tax return was filed.
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How To Submit An ICT Procurement Request
PDF template
A detailed guide for submitting an ICT procurement request through the Service-Now portal, including instructions for entering requester and product information.
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Pima County, AZ Evaluation Plan
PDF template
Evaluation of a text messaging campaign to improve participation and retention in the WIC program for women, infants, and children in Pima County, Arizona.
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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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Healthy Texas Women Section 1115 Demonstration Waiver Application
PDF template
A waiver application by Texas Health and Human Services Commission to enhance women's health care services and increase program access.
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CONSTRUCTION PRICE SURVEY FORM
PDF template
A survey form for collecting pricing information from construction and service businesses on various construction-related services and activities.
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Healthcare Worker Bonus Employee Inquiry Form Instructions
PDF template
Form for healthcare workers to apply for bonus eligibility by providing employment and qualification details.
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HYA Fee Proposal Form
PDF template
Detailed fee proposal for comprehensive superintendent search consulting services, including search, research, advertising, and due diligence options.
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2023 Instructions For Schedule C
PDF template
Official IRS instructions for reporting income or loss from business activities for sole proprietors on Schedule C.
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Form 1098 F Instructions
PDF template
Official IRS instructions for reporting fines, penalties, and other amounts on Form 1098-F for government and governmental entities.
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Form 1098 Instructions
PDF template
Instructions for filing Form 1098 to report mortgage interest received during the tax year.
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Instructions For Forms 1099 A And 1099 C
PDF template
Official guidance for reporting acquisition or abandonment of secured property and cancellation of debt for tax purposes.
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Instructions For Form 1099 B
PDF template
Official IRS guidance for reporting proceeds from broker and barter exchange transactions for tax purposes.
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Instructions For Forms 1099 MISC And 1099 NEC
PDF template
Official IRS instructions for filing Forms 1099-MISC and 1099-NEC for reporting miscellaneous income and nonemployee compensation.
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Instructions For Form 1099 S
PDF template
Official IRS instructions for reporting real estate transaction proceeds on Form 1099-S, providing guidelines for filing and specific reporting requirements.
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Instructions For Schedule D (Form 1120 S)
PDF template
IRS instructions for reporting capital gains, losses, and built-in gains for S corporations on Schedule D of Form 1120-S.
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ShareholderS Instructions For Schedule K 1 (Form 1120 S)
PDF template
Instructions for shareholders reporting income, deductions, credits, and other tax-related information from S Corporations.
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Form 2553 Instructions
PDF template
Official IRS instructions for making an S corporation election, detailing eligibility requirements and tax implications for small business corporations.
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Instructions For Form 4797
PDF template
Official IRS instructions for reporting sales of business property, depreciable assets, and involuntary conversions.
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Form 5227 Instructions
PDF template
IRS instructions for reporting financial activities of split-interest trusts and determining potential excise tax liabilities for charitable trusts.
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Form 5310 (Rev. May 2023)
PDF template
IRS form for requesting a determination letter on the qualified status of a pension, profit-sharing, or deferred compensation plan upon termination.
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Form 5500 EZ Instructions
PDF template
Instructions for filing the annual return for a one-participant retirement plan or foreign plan with the IRS for the 2023 tax year.
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Form 941 (Rev. 1 2016)
PDF template
IRS tax form used by employers to report employment taxes, wages, and income tax withholding for employees.
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Form 8233
PDF template
IRS instructions for nonresident aliens claiming exemption from income tax withholding under tax treaty provisions.
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Form 8275 Instructions
PDF template
Instructions for filing Form 8275, a disclosure statement used to avoid certain tax penalties by revealing specific tax return positions.
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Form 8858 Instructions
PDF template
IRS instructions for U.S. persons reporting information about foreign disregarded entities and foreign branches.
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Form 8973 Instructions
PDF template
Instructions for Certified Professional Employer Organizations (CPEOs) to notify the IRS about service contracts and report wage information.
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IRS Draft Form Cover Page
PDF template
Official notice about draft tax forms and instructions not intended for filing
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Form 8979
PDF template
IRS form for partnerships to manage their partnership representative designation, revocation, or resignation for tax purposes.
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Form 926
PDF template
IRS tax form for reporting property transfers to foreign corporations, updated with Tax Cuts and Jobs Act changes
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Form 9465 Instructions
PDF template
Official IRS instructions for requesting a monthly installment agreement for tax payments that cannot be paid in full
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Instructions For Schedule J (Form 990)
PDF template
Instructions for reporting compensation information for officers, directors, trustees, and employees on IRS Form 990.
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Newborn Notification Of Delivery Form
PDF template
Healthcare form for providers to report newborn details for Amerigroup Iowa, Inc. Medicaid members within 24 hours of delivery.
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Student Volunteer Service Program Application
PDF template
Application form for students interested in volunteering at the Inter-American Foundation (IAF) across various departments and areas of interest.
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Independence At Home Referral Form (Los Angeles Orange County)
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A referral form for senior services programs in Los Angeles and Orange County, covering multiple support services for seniors.
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Booth Alcohol Service Request Form
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Form for exhibitors requesting permission to serve alcohol in their booth at the InfoComm Show with specific policy guidelines.
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CUNY ICA Independent Contractor Agreement
PDF template
A contract between The City University of New York and an independent contractor for professional services with specified terms and payment conditions.
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Volunteer Application Form
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Application form for students interested in volunteering at Bow Valley College's Intercultural Centre.
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CUSTOMER FEEDBACK FORM
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A form designed to collect customer experience ratings and comments about products and services.
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Independent Contractor Form Instructions
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Detailed instructions for submitting an online form for hiring independent contractors at Towson University with specific field requirements.
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Pre Enrollment Referral Form
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A referral form for individuals seeking enrollment in a New York State Medicaid Managed Long-Term Care Plan for chronically ill or disabled individuals.
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Volunteer Application Form
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Application form for volunteers to support the 19th International Congress of Nutrition and Dietetics conference in Toronto
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Work Order
PDF template
A standardized form for documenting and tracking work requests, assignments, and completion details.
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Independent Contractor Request (ICR) Short Form
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A form used by The College of New Jersey to verify and document the engagement of an independent contractor for specific services under $2,500.
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Fingerprint Identification Policy
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Policy detailing acceptable identification documents for fingerprint identification purposes, categorized into government-issued photo IDs, non-government photo IDs, and government non-photo IDs.
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Immune Globulin Referral Form
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Medical referral form for patients requiring immune globulin treatment for various neurological and immune disorders.
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Employee SystemsAccess Checklist Form
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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
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Comprehensive policy outlining guidelines, restrictions, and expectations for volunteers at San Jacinto College
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Consumer Directed Services Authorization Form
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A form for authorizing and documenting consumer-directed services, payment rates, and budget responsibilities for support workers.
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Electronic Monitoring Notification And Consent Form
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A legal form that allows residents in long-term care facilities to set up electronic monitoring in their rooms with specific consent and privacy conditions.
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Developmental Disabilities Supports Division (DDSD) Regional Office Request For Assistance RORA
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A form used to request assistance for individuals with developmental disabilities, addressing various service and support needs.
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Exhibit Services Order Form
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Order form for requesting power, accessories, monitors, and additional services for event exhibits and meeting spaces.
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American Legion Auxiliary Year End Impact Report Forms
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Annual reporting form for documenting volunteer hours, contributions, and service activities by American Legion Auxiliary members supporting veterans and military families.
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American Legion Auxiliary Year End Impact Report Forms
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Comprehensive reporting form for American Legion Auxiliary members to document their service and impact for annual reporting to Congress.
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American Legion Auxiliary Year End Impact Report Forms
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Annual reporting form for American Legion Auxiliary members to document volunteer hours, service contributions, and impact for veterans and military families.
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Income Cap Trust Agreement
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A legal document establishing an irrevocable living trust to help a beneficiary qualify for Medicaid benefits by managing their monthly income.
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MEDICAID INCENTIVE REQUISITION FORM
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A form for vendors to submit purchase requisitions and shipping details for Medicaid-related items or services.
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MEDICAID INCENTIVE REQUISITION FORM
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A form for purchasing and requisitioning items through Medicaid incentive programs, with vendor and shipping details.
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Community Recovery Services Incident Reporting Overview
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A comprehensive guide to incident reporting procedures for Community Recovery Services, detailing requirements, processes, and responsibilities.
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Independent ContractorConsultant Form
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Form for documenting independent contractor services, qualifications, and payment details for UCLA.
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Consultant Agreement
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A contract defining the terms and conditions for consulting services between Victor Valley Community College District and an independent consultant.
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Independent Contractor (Canada) General Terms And Conditions
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Legal document outlining terms and conditions for independent contractors working with SONIFI in Canada
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Independent Contractor Agreement For Consulting, Services, And Deliverables
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A contract defining the terms of engagement between Arizona State University and an independent contractor for consulting services and deliverables.
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Independent Contractor Filing Changes
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Comprehensive overview of tax filing requirements and worker classification rules for independent contractors and employers.
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MISSOURI STATE UNIVERSITY INDEPENDENT CONTRACTOR FORM
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A form used to document and verify the status of independent contractors performing services for Missouri State University and ensure proper tax reporting.
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Independent Contractor Agreement
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A legal document defining the terms of an independent contractor's engagement with Rocky Mountain College, specifying services, compensation, and contractor status.
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Independent Contractor Services Form
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Form for documenting and approving independent contractor services for the Research Foundation of State University of New York.
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Contracted Services Instructions For Hiring An Independent Contractor
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Comprehensive guide for hiring and processing payments for independent contractors at University System of New Hampshire (USNH)
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BRADLEY UNIVERSITY INDIVIDUAL INDEPENDENT CONTRACTOR AGREEMENT
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A contract form for engaging independent contractors at Bradley University for services valued at $1,000 or more.
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Confidential School Counselor Referral Form
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A comprehensive form for documenting student behavioral, academic, and social concerns that may require counseling intervention.
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General Terms Conditions (Individuals)
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Terms and conditions for individual service providers outlining payment, invoicing, and compensation rules.
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NEW YORK STATE MEDICAID PROGRAM INFORMATION FOR ALL PROVIDERS GENERAL BILLING
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Comprehensive guide for Medicaid providers covering billing procedures, claim submission, and identification card information.
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NEW YORK STATE MEDICAID PROGRAM INFORMATION FOR ALL PROVIDERS GENERAL BILLING
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Comprehensive guide for New York State Medicaid providers covering billing procedures, claim submission, and identification card information.
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Informed Consent Form
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A consent form for individuals applying for or receiving long-term care assistance, authorizing medical record access and assessment.
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INITIAL CONTACT FORM
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A comprehensive intake form for documenting initial contact and referral details for child developmental assessment services.
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Initial IEP Only Student Form
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A form for collecting student information and documentation for Initial Individualized Education Program (IEP) services through Medicaid Recovery Office.
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Morris County Trails Construction Grant Program Volunteer In Kind Contribution Form
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A form for documenting volunteer services and contributions for a trails construction grant program in Morris County, New Jersey.
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Out Of State Travel Request Form
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A form for requesting out-of-state travel services for individuals with specific support needs and Medicaid considerations.
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InquiryDispute Statement
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A form for individuals to file inquiries or disputes related to child support services, payment issues, and administrative actions.
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AAS Evaluation Form For StaffVolunteer In Services
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A feedback form for evaluating staff and volunteer training sessions in a nutrition program center.
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Adolescent Partial Fax Referral Form
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A referral form for Fuller Hospital's Inspire Program, an intensive group therapy program for adolescents ages 12-18.
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Form 720 Instructions
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IRS instructions for completing the Quarterly Federal Excise Tax Return, including details about excise tax holiday provisions in the CARES Act.
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Notice And Affidavit To The Judgment Debtor Of Current Balance Due On Garnishment Order
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Legal document providing instructions for serving notice to a judgment debtor about current balance owed under a garnishment order.
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Notice Of Medicare Non Coverage (NOMNC) Form Instructions CMS 10123
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Instructions for delivering the Notice of Medicare Non-Coverage to beneficiaries when Medicare covered services are ending.
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Nutritional ReferralAssessment For Home Delivered Meals Form
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A comprehensive form for assessing and referring older adults for home-delivered meal services, including meal preferences and priority screening.
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Standard Services Provider Agreement (SSPA)
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Instructional guide for completing a standard services provider agreement at FSU, detailing how to fill out each section of the form.
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Independent Contractor Short Form Agreement
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Instructional guide for completing a short-form agreement for contracting low-risk individual services at FSU.
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Form W 7 Instructions
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Official IRS instructions for applying for an Individual Taxpayer Identification Number (ITIN)
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Instructor Concern Referral Form
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A form used by instructors to refer students for academic support, tutoring, or coaching services at Mercer County Community College.
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DELL COMPUTER REQUEST FORM
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Official form for requesting Dell computer products for university departments, with specific instructions for processing and approval.
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MD PROMISE Intake Interview Form
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A comprehensive intake form for collecting detailed information about a youth's background, employment, education, and support services.
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Master Services Agreement
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Legal agreement defining terms of service provision between Interactive Pty Ltd and its customers, covering service delivery, term, renewal, and termination conditions.
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ChildrenS Division Division Of DD Interdivisional Service Agreement
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A service agreement between Children's Division and Division of Developmental Disabilities for funding and supporting a child's care and services until their 21st birthday.
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Internal Service Delivery Information From FPM Facilities
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Instructions for submitting Internal Service Delivery (ISD) requests through Workday Financial for FPM Facilities services
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BOBST INTERNATIONAL CENTER SERVICE REQUEST FORM
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A comprehensive form for patients seeking medical services, including travel, consultation, and treatment details.
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INTERNATIONAL REALTOR MEMBER REFERRAL FORM
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A standardized form for REALTOR members to document referral agreements and commission sharing between brokers and agents.
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TAX PREPARATIONS
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Guidance document for international students at Princeton Theological Seminary regarding tax filing requirements and procedures for F-1/J-1 visa holders.
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Internet Service Agreement
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Service agreement outlining terms, conditions, and policies for Internet service provided by Northwest Communications Cooperative.
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FMX 2019 Wired Internet Service Order
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Service order form for wired internet services at an event by the American Academy of Family Physicians
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Internet Access Service Order Form
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Order form for wireless and wired internet access at a conference or event, with pricing details and payment requirements.
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Interpreter Invoice
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Invoice form for language interpreters providing services to Ada County Trial Court Administration Office
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Interventional Radiology Referral Form
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Medical referral form for various interventional radiology procedures and services at Cincinnati Children's Hospital Medical Center
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Invoice Form
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A form for documenting consultant services and payment details for the Institute for Human Development at UMKC.
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California State University, Fullerton Invoice
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Official invoice document for tracking financial transactions and service payments at California State University, Fullerton.
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Warranty Claim Form
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A form for submitting warranty claims for refrigeration equipment repairs and service requests.
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IQTAXI Driver Terms Of Use
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Terms of service for drivers using the IQTaxi mobile application and website for transportation services booking and management.
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Form W 11, Hiring Incentives To Restore Employment (HIRE) Act Employee Affidavit
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IRS form to help employers claim payroll tax exemption for newly hired workers during 2010 under the HIRE Act.
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REFERRAL CONTRACT FORM
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A contract form for real estate referrals between two brokers or agents, outlining referral fee terms and payment conditions.
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Iron Support Services Licensing Agreement
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Licensing agreement detailing support terms and conditions for Iron Systems network servers, storage, appliances, and firmware products.
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Form 1040
PDF template
Official tax return form for reporting individual income and calculating federal tax liability for the tax year 2021.
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Form 4506 T
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IRS form for requesting a transcript of a tax return free of charge.
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Form 4506 T
PDF template
IRS form used to request various tax return transcripts and tax account information from the Internal Revenue Service.
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Form 4506 T
PDF template
IRS form used to request a free transcript or tax return information from the Internal Revenue Service.
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Form 4506 T
PDF template
IRS form used to request a free transcript of a previously filed tax return for individuals living in specific western and midwestern states.
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Form 4506 T
PDF template
IRS form used to request a transcript or other return information free of charge from the Internal Revenue Service.
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Form 8609 Instructions
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Instructions for claiming low-income housing tax credits for qualified residential rental buildings under Section 42 of the Internal Revenue Code.
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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 W 7
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Instructions for applying for an Individual Taxpayer Identification Number (ITIN) from the Internal Revenue Service.
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Tax Exempt Organizations And Gaming
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A comprehensive guide explaining how gaming activities can impact a tax-exempt organization's federal tax status and reporting responsibilities.
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Form 8821
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IRS form authorizing disclosure of confidential tax information to a designated appointee.
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Compliance Guide For 501(C)(3) Public Charities
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A comprehensive guide for tax-exempt organizations detailing compliance requirements, record-keeping, and reporting obligations for 501(c)(3) public charities.
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IRS Services Guide
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A comprehensive guide providing IRS resources and instructions for individual taxpayers on various tax-related topics and services.
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ISD Mailstop Service Request Form
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A form for requesting, changing, or canceling mail stop services within a county office system.
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MAINTENANCE REQUEST
PDF template
A form used to document equipment maintenance needs and track repair details for infrastructure services vehicles or equipment.
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TaxpayerS Affirmative Use Of IRC 482
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Guidance on how taxpayers can use Internal Revenue Code Section 482 for transfer pricing adjustments and income allocation.
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Individual Service Project (ISP) Approval Form
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Form for National Honor Society members to propose and get approval for community service projects
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Information Technology Project Request Form
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A comprehensive form for submitting and evaluating technology project proposals within an organization
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Form SS 4
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Instructions for applying for an Employer Identification Number (EIN) from the Internal Revenue Service
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IT Addendum To ContractorS Contract Form
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An addendum modifying standard contract terms for IT services between a contractor and the Virginia Community College System (VCCS)
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Invitation To Bid (ITB) 8 20102011
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Invitation to bid for audio visual services including equipment, installation, repair, programming, and maintenance for Pensacola State College's Information Technology Services.
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Invitation To Bid 19PSX0095
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Invitation to Bid for environmental analytical services including aqueous, liquid waste, and soils sampling and testing for the State of Connecticut.
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CDW Customer Service Order Form
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Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
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Customer Services Agreement
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A service agreement between Triad Resource Group and Huerfano County for employee assistance program services.
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I.T Maintenance Request Form
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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
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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
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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
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A form for requesting network and infrastructure services at Southern Illinois University Edwardsville (SIUE)
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Information Technology Services Purchase Requisition Form
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Guidelines for staff to request and purchase IT equipment through the Information Technology Services department's requisition process.
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Outpatient Physician Visit Referral Form
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A medical referral form for patient transfer between healthcare providers, collecting patient and referral details.
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F 1 Tax Filing Instructions For International Students
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Instructions for F-1 international students on tax filing requirements in the United States for the 2022 tax year.
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Form W 8BEN E
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IRS form for entities to certify their status for US tax withholding and reporting purposes
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Instructions For The Requester Of Form W 9
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Official IRS guidance for completing Form W-9, providing instructions for taxpayer identification and certification.
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NC DPS Juvenile JusticeJCPC Universal Referral Form
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Comprehensive referral form for juvenile justice programs tracking individual, family, and school-related risk indicators and client information.
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Jet Interactive Pty Ltd Master Services Agreement
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A comprehensive service agreement outlining terms and conditions between Jet Interactive and its customers for various telecommunications and professional services.
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Jet Interactive Pty Ltd Master Services Agreement
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Legal terms and conditions governing service provision between Jet Interactive and its customers, outlining key operational and legal requirements.
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National Honor Society Individual Service Project Form
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Form for National Honor Society students to document and obtain approval for individual community service projects.
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Job Description HVAC Service Technician (Residential Only)
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Comprehensive job description for a residential HVAC service technician responsible for maintenance, repair, installation, and customer service in the heating and cooling industry.
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Invoice 134911
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Invoice for a toggle switch part from Johnson Mechanical Service to Morton High School
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HCP Referral Form
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A comprehensive referral form for healthcare coordination and client information collection
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Federal Regulation And Competitive Access To Multiple Unit Premises More Choice In Communications Se
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Academic paper examining competition in the United States communications sector and policy implications for service access across different geographic regions.
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Rules And Regulations
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Rules and service guidelines for exhibitors at Kalahari Resort, including utility and equipment rental terms.
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Kansas Focused Program Integrity Review Final Report
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A focused review by CMS of Kansas's Medicaid managed care program's integrity oversight for fiscal years 2020-2022, assessing compliance with regulatory requirements.
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Referral Guidelines Developmental Pediatrics Clinic
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Guidelines for pediatric care providers referring children with neurodevelopmental disorders to the Kentucky Children's Hospital Developmental Pediatrics Clinic.
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INDOOR ELECTRICAL SERVICE ORDER FORM
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A form for ordering indoor electrical services for events at the Kentucky Exposition Center with detailed conditions and regulations.
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LABOR And EQUIPMENT SERVICE ORDER FORM
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Service order form for labor and equipment rental at the Kentucky Exposition Center, detailing rates and services for event support.
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Key Facts You Need To Know About Helping Families That Include Immigrants Apply For Health Coverage
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A guide explaining health coverage application processes and eligibility for families that include immigrants, addressing key concerns and immigration status implications.
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Keynote Banquet Ticket Purchase Form
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A ticket purchase form for a keynote banquet event with meal selection and payment options.
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School Group Tour Booking Form
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A form for schools to request complimentary tickets for group tours of the Kentucky State Fair
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Form 990 N (E Postcard)
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Guide for small tax-exempt organizations explaining the electronic Form 990-N filing requirement to maintain tax-exempt status.
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Community Supports Medically Tailored Meals (CS MTM) Referral Form For MCLA CMC Members Only
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Referral form for L.A. Care Health Plan members to enroll in a Medically Tailored Meals Program with specific chronic condition eligibility criteria.
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Landlord Authorization Form
PDF template
A form authorizing tenant's service access and documenting property owner's consent for utility services at a specific address.
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Large CommercialIndustrial Service Agreement
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Service connection form for commercial and industrial customers seeking utility services from Greenwood Commissioners of Public Works.
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WIC Vendor Agreement
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Agreement between Louisiana Department of Health and WIC food vendors for participation in the Special Supplemental Nutrition Program for Women, Infants and Children.
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WIC Vendor Agreement
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Agreement between Louisiana Department of Health and WIC food vendors detailing participation requirements and terms for accepting WIC benefits.
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Referral Form
PDF template
A comprehensive referral form for students seeking support services at a community college resource center
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Universal Referral Form
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A referral form for individuals seeking Assertive Community Treatment services, assessing eligibility and gathering comprehensive participant information.
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FY 2024 Budget Form CNP Verification And Certification
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A budget verification form for local education agencies (LEAs) participating in various federal child nutrition programs and documenting program participation and financial details.
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Leer Inc. Walk In Warranty Claim Form
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A comprehensive form for submitting warranty claims for walk-in units, capturing customer, job site, service provider, and reimbursement information.
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Advanced Academic Programs Level IV Referral Form
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A form used to refer students for full-time Advanced Academic Programs (AAP) placement in Fairfax County Public Schools.
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Loan For Service Work Site Approval Form
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A form for Loan-for-Service program participants to document employment details and secure work site approval from the New Mexico Higher Education Department.
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Warranty Claim Form
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A detailed form for submitting warranty claims for machinery, requiring comprehensive documentation and specific details about equipment failure.
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Long Term Care Applications Review Requirements Checklist
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A comprehensive checklist for insurance carriers preparing long-term care application form filings for approval by the Virginia Bureau of Insurance.
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Liberty Partnerships Program Referral Form For New Students (2021 2022)
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A referral form for identifying at-risk students for the Liberty Partnerships Program, focusing on students who may need additional academic and social support.
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SW Life Data Terms Of Use And Framework Agreement
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Framework agreement between Schwbische Werkzeugmaschinen GmbH and a customer for life data services related to production systems and manufacturing components.
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LIFESPAN CARE RESPITE PROVIDER CONTRACT
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A contract between a primary caregiver and a respite care provider outlining services, responsibilities, and payment terms for supporting an individual care recipient.
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Warranty Claim Form
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A warranty claim document for documenting product failure, repairs, and reimbursement details for industrial equipment.
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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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Linkage To Care Referral Form
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A referral form for HIV intervention, medical care linkage, and patient tracking across various healthcare programs
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Child Nutrition Refund Request Form
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A form for parents to request refunds from their student's school lunch account in the Queen Creek Unified School District.
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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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Livestock Project Help Guide
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Guide for 4-H members on breeding livestock project requirements and nomination procedures for county fair participation.
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Limited Liability Companies As Tax Exempt Organizations
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A comprehensive overview of limited liability companies, their tax classifications, and tax-exempt considerations for nonprofits.
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Long Term Volunteer For Church Service (Church Service Missionary Program)
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Application form for volunteers interested in serving in a long-term church service missionary program, outlining personal and assignment details.
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City Of Lowell Utility Billing Policy
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A comprehensive policy document outlining utility service connection, billing, collections, and service management procedures for the City of Lowell.
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Physician Referral Form
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A form used to facilitate patient referrals between healthcare providers, capturing patient and referring physician details.
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Learning Support Services Referral Form
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A form for students or faculty to refer students to Villanova University's Learning Support Services for academic skill development and assistance.
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Recommended Assisted Living Resident Assessment Form
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A comprehensive assessment form for evaluating residents' medical, cognitive, and functional status in an assisted living facility.
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Invoice For Independent Health Care Providers
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A form for independent healthcare providers to record time and cost of care services provided to insured individuals under a long-term care insurance policy.
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Long Term Care Insurance Medical History Form
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A medical history form for long-term care insurance professionals to collect patient health information for underwriting purposes.
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Ombudsman Disclosure Consent Form
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A consent form allowing residents of licensed facilities to authorize release of investigation findings to specified individuals by the State Long-Term Care Ombudsman.
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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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Fax Referral Form
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A comprehensive medical referral form for patient information, insurance details, and provider selection in pulmonary and sleep medicine.
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2021 LA VERNIA JUNIOR LIVESTOCK POULTRY SHOW ENTRY FORM
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Entry form for youth participants in a junior livestock and poultry show, including exhibitor information and species entries.
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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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Magento Customer Agreement
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Legal agreement defining terms of service between Magento and its customers, outlining definitions, rights, and obligations.
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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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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 requesting maintenance services at a specific site location for Recovery Life Homes.
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Maintenance Request Form
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A form used to report maintenance issues and repair needs across campus facilities.
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Maintenance Request Form
PDF template
A form for reporting and documenting maintenance issues in a facility or property.
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Maintenance Request
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Electronic form for tenants to submit non-urgent repair and service requests to property management.
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Independent Contractor Invoice
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A form for independent contractors to invoice for goods or professional services provided to City Colleges of Chicago, including tax and loan compliance certifications.
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MAMI Assessment Form
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A comprehensive medical assessment form for infants, evaluating health status, growth, and potential risks.
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Service Request Form
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A comprehensive service request form for machinery service with detailed rate information and terms of service.
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Managed Care Referral Form
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A medical referral form for Blue Cross and Blue Shield of Minnesota managed care patients requiring specialist or additional medical services.
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Manpower Supply Agreement Malaysia
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Legal agreement outlining terms and conditions for manpower supply and employment services in Malaysia.
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Child Care Attendance Record And Billing Form
PDF template
A form for recording child care attendance, billing details, and provider certification for county child care services.
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NY Medicaid Provider Enrollment Form For Practitioners
PDF template
Official form for healthcare providers seeking to enroll in the New York State Medicaid Program, detailing privacy and enrollment requirements.
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Updated Meals Information
PDF template
Outlines meal pickup and delivery procedures for children during school dismissal due to COVID-19 pandemic.
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Marketing Service Request Form
PDF template
A form for requesting marketing and related technology services from a service provider with multiple service options.
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ITP 1 Technology Governance And Procurement Review
PDF template
Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
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Consent To Release Educational Records For Medicaid Billing
PDF template
A consent form allowing school district to release student educational records for Medicaid reimbursement of special education services.
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Master Service Agreement
PDF template
A master service agreement between Sofia Connect EAD and a customer for telecommunications services, establishing partnership terms and conditions.
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Master Services Agreement Terms And Conditions
PDF template
Legal agreement outlining terms of service between Launchmetrics and its customers for information technology services.
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Shipping Service Request Form
PDF template
A document for selecting shipping service options and specifying delivery requirements for materials management.
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MATERIALSERVICES ORDER FORM
PDF template
A form for ordering materials and services used by facilities and operations personnel for procurement and tracking purposes.
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Rhode Island Maternal And Child Family Home Visiting System Referral Form
PDF template
A referral form for supporting pregnant women and families through home visiting services in Rhode Island.
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Alcohol Service Request Form
PDF template
Form for requesting permission to serve alcohol at city facilities, requiring approval and documentation for event organizers.
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Cardiac Requisition
PDF template
Medical form for requesting cardiac diagnostic imaging and consultation, including patient history and risk factors assessment
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Dealer Service Bulletin 7SB009 22 02A
PDF template
Notification about changes to vehicle registration form documentation and retention requirements for Winnebago dealerships.
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Duke Gastroenterology Referral Form
PDF template
A medical referral form for gastroenterology services at Duke Health, used by healthcare providers to request clinic evaluations and procedures.
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IHCP MCE Provider Enrollment And Credentialing Form
PDF template
A form for enrolling healthcare facilities with Indiana Health Coverage Programs managed care entities, including hospitals and non-practitioner providers.
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IHCP MCE Instructions For Enrollment And Credentialing
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Instructions for healthcare providers to enroll and obtain credentials with Indiana Health Coverage Programs Managed Care Entities (MCEs)
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MCO Discharge Form
PDF template
A comprehensive discharge form for behavioral health and recovery services tracking client status, diagnoses, and referral information.
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MCO Universal Prior Authorization Form BabyNet
PDF template
A prior authorization form for healthcare services related to BabyNet, used by multiple South Carolina healthcare plans.
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Medicare Complaint Resolution Binder
PDF template
Document outlining the procedure for handling and resolving complaints from Medicare beneficiaries in a healthcare setting.
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Referral Form For Family Peer Support Services
PDF template
A comprehensive referral form for obtaining family peer support services for youth with behavioral health needs in Maryland
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Medicaid Drug Rebate Agreement Manufacturer Contact Form
PDF template
Form for pharmaceutical manufacturers to update contact information for the Medicaid Drug Rebate Program.
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Form CMS 367d
PDF template
Official form for manufacturers to update contact information for the Medicaid Drug Rebate Program
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Meal Approval Form Policy 1020
PDF template
A form for documenting and approving meal expenses for county business meetings, including attendee details, meal types, and payment information.
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MealFood Pre Approval Form
PDF template
A form for pre-approving and documenting business meal expenses at the University by University employees.
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Medicaid How It Impacts Special Education Expenditures And Revenue
PDF template
Presentation providing guidance for independent auditors on Medicaid School-Based Services (SBS) audits and changes in parental consent rules.
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Medicaid Form Order
PDF template
A form for ordering various Medicaid-related medical and administrative forms from Montana Medicaid.
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Fondren Foundation Special Patient Clinic Dental Referral Form
PDF template
A medical referral form for patients with complex medical conditions seeking dental screening and assessment at UTHealth Houston School of Dentistry's Special Patient Clinic.
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Medical Form
PDF template
Form for documenting medical life support needs and service requirements for utility account holders with medical conditions.
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SCREENING AND REFERRAL FORM
PDF template
A comprehensive screening form to assess an individual's needs across income supports, housing, employment, and immigration status.
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Medical Practitioner Authorization Form (MPAF) For SBAP Services
PDF template
Authorization form for medical practitioners to approve health-related services for students in the School-Based Access Program (SBAP)
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WIC Certification Form
PDF template
A comprehensive health and eligibility form for participants in the WIC nutrition assistance program, covering pregnant women, breastfeeding mothers, postpartum women, infants, and children.
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PI 118 Medical Referral Of Restricted Participant
PDF template
Official form for medical provider referrals for restricted Missouri Medicaid participants to document medically necessary service transfers.
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PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, medical, and insurance information for medical services or therapy referral.
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GMC Cascaders Membership Application
PDF template
Application instructions and form for joining the GMC Cascaders RV club, requiring FMCA membership and GMC Motorhome ownership.
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Membership Cancellation Form
PDF template
Form for cancelling membership at Beacon Fitness Center with member details and submission instructions.
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Online Pregnancy Risk Assessment And Notification System (PRAF 2.0)
PDF template
A web-based system for healthcare providers to notify managed care plans and county departments about patient pregnancies and risk assessments.
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Volunteer Application Form
PDF template
A volunteer application form specifically designed for veterans interested in supporting the Veterans Treatment Court program in Spokane County.
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Menu Of Services (Account 2210212)
PDF template
Comprehensive list of services and associated costs for the School of Education at CSU-Pueblo, including tests, supplies, and related fines.
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Referral And Service Agreement Form
PDF template
A comprehensive referral form for social support services, capturing participant details, support types, and service agreement terms.
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Reimbursement Guidelines For The Medicaid Enterprise Systems Conference, 2017
PDF template
Guidelines detailing reimbursement options for state employees attending the Medicaid Enterprise Systems Conference in 2017.
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University Mail Services Mail Card Order Form
PDF template
Form for ordering mail cards for university departments or staff members.
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Customer Services Agreement
PDF template
Agreement for customer service terms and conditions between Metergy Solutions Inc. and the customer for utility or energy services.
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Adobe General Terms (2015v2.1) (APAC)
PDF template
Legal document outlining general terms and conditions for Adobe products and services in the Asia-Pacific region.
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Exhibit For Managed Services (2014v3) (APAC)
PDF template
Legal document defining terms and conditions for Adobe's Managed Services offering in the Asia-Pacific region.
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JAPAN 2013V1
PDF template
Legal document defining terms and conditions for Adobe's on-demand services in Japan
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Adobe Exhibit For OnDemand Services (2013v2)
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Legal exhibit defining terms and conditions for Adobe's OnDemand Services, including definitions of customer content and data.
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Exhibit For On Demand Services (2014v1)
PDF template
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)
PDF template
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)
PDF template
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)
PDF template
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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Exhibit For On Demand Services And Managed Services
PDF template
Legal exhibit defining terms and conditions for Adobe's on-demand and managed services agreement with customers.
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EAN INVOICE FORM
PDF template
Invoice form for documenting client services, therapist information, and payment details for a healthcare service provider.
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Resident Survey Form For A Senior Development
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A survey designed to assess service needs and preferences for senior residents in a residential development.
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Resident Survey Form For A Family Development
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A survey to collect resident family information and assess interest in community programs and services
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Montana Community Choice Partnership Money Follows The Person (MFP) Demonstration Grant Regional Tra
PDF template
Form for Regional Transition Coordinators to accept their role in assisting participants in pre-transition activities under the Money Follows the Person program.
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Military History Checklist
PDF template
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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Satellite Office Location Form
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Document for recording multiple satellite office locations, contact information, and service details for an agency
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Karen MenS Recovery Program Referral Form
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A referral form for the Karen Men's Recovery Program, addressing chemical dependency services for clients.
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MI Choice Waiver Program Subcontractor Agreement
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A contract detailing the subcontractor agreement for providing home and community-based services for elderly and disabled participants through Medicaid's MI Choice Waiver Program.
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Catering Order Form
PDF template
A form for submitting catering requests with event details, contact information, and dietary requirements.
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PCA 1 24 01338 Clinical FM 05142024
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A medical referral form used by primary care physicians to authorize specialist consultations and treatments within a health plan network.
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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
PDF template
A form for dividing military retirement benefits during divorce proceedings, capturing details about service, marriage duration, and benefit allocation.
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Volunteer Service Agreement Natural Cultural Resources
PDF template
A government form for individuals or groups volunteering in natural and cultural resource areas, collecting volunteer and demographic information.
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Minor Consent To Travel Form
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Form authorizing transportation for minors aged 12-15 through Veyo's Non-Emergency Medical Transportation program in Connecticut.
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Minor Contracted Service Invoice
PDF template
A form for documenting contracted services by a minor contractor, limited to $500 and restricted to California residents who are US citizens or permanent residents.
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Teacher Minor Disciplinary Action Form
PDF template
A school form documenting minor student disciplinary infractions and initial intervention steps by teachers.
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Minor Volunteer Application
PDF template
Application and consent forms for individuals interested in volunteering at Eliza Jennings, a senior care organization
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Mississippi Coordinated Care Mandatory Enrollment Form
PDF template
A form for enrolling in Mississippi's Medicaid Coordinated Care Organizations, allowing participants to select their preferred healthcare provider.
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Mississippi Coordinated Care Optional Enrollment Form
PDF template
Optional enrollment form for selecting a Coordinated Care Organization (CCO) under Mississippi Medicaid program
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Mitigation Accreditation Application Information For Land Trusts
PDF template
A fact sheet providing application guidance for land trusts engaged in mitigation projects seeking accreditation, with a focus on financial requirements and compliance.
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Service Request Form For Software Development And System Changes
PDF template
A comprehensive form for requesting software development changes, system modifications, and technical support within an organization.
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Warranty Claim Form
PDF template
A form for submitting warranty claims for equipment, likely used by service centers and equipment owners.
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Medication Management Program Referral Form
PDF template
A form for healthcare providers to refer patients to a medication management program for various pharmaceutical support services.
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Service Request Form
PDF template
A form for submitting technical service requests for medical equipment or devices.
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BluePearlVet.Com Patient Assessment Form
PDF template
A form for referring veterinarians to provide detailed patient information to BluePearl veterinary clinicians for advanced medical care consultation.
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Nutrition Education Patient Intake Form
PDF template
Comprehensive intake form for nutrition education consultation, collecting patient demographics, lifestyle, health history, and communication preferences.
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Missouri Department Of Elementary And Secondary Education First Steps Referral Form
PDF template
Official referral form for Missouri's First Steps early intervention program for children with developmental concerns or diagnoses.
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SAIL Referral Form
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A court referral form for considering a defendant for the SAIL program, to be completed for each defendant referred.
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MOHS Referral Form
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Medical referral form for physicians to submit patient details for Mohs micrographic surgery for skin cancer treatment.
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Valdosta State University Monetary Service Agreement Form
PDF template
A form for documenting service agreements for suppliers providing services under $25,000 at Valdosta State University.
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Advance Electrical Notice
PDF template
Official document providing instructions for electrical and internet services for exhibitors at Monona Terrace Community and Convention Center.
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MoreAppS License Agreement
PDF template
Legal document outlining terms and conditions for using MoreApp's software and services.
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Move To Discharge Form
PDF template
A voluntary disenrollment form for individuals leaving developmental disability services in New Jersey.
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Sleep Respiratory Requisition
PDF template
Medical referral form for sleep apnea testing, pulmonary function tests, and oxygen therapy assessment
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Sleep Respiratory Requisition
PDF template
Medical referral form for sleep apnea testing, pulmonary function tests, and oxygen therapy assessment
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MEDICAID CMHC HEALTH HOME REFERRAL FORM
PDF template
A referral form for Medicaid-covered health home and primary care services with multiple provider signature sections.
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MS 201 Eligibility And Standards For Peace Corps Volunteer Service
PDF template
Official document outlining eligibility criteria, selection standards, and guidelines for becoming a Peace Corps Volunteer.
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Medicaid Provider ACHEFT Enrollment Form
PDF template
A form for Medicaid providers to enroll in electronic fund transfer (EFT) payments in the state of Nebraska.
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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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Handshake Services Terms And Conditions
PDF template
Terms and conditions governing Handshake's career services platform and software tools for institutions, students, and employers.
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Family Services Referral Form
PDF template
A comprehensive form for referring families to Main Street Family Services for various support and therapeutic services.
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REFUND REQUEST FORM
PDF template
A form for requesting refunds for programs or services with required documentation and processing details.
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Participant Referral Form
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Referral form for the Multipurpose Senior Services Program (MSSP) to support senior healthcare and social services needs.
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Merchant Taylors School Cancellation Notice And Cancellation Form
PDF template
Detailed policy explaining cancellation rights and procedures for educational services contract with Merchant Taylors' School.
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Referral Form
PDF template
A comprehensive referral form for requesting various therapeutic services for clients or consumers.
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Mishawaka Utilities Complaint Resolution Appeal Form
PDF template
A form for residents to appeal complaints related to utility services in the City of Mishawaka.
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MultiPlan Service Request Form
PDF template
A form for providers to investigate and submit claims processed through the MultiPlan network for service inquiries.
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ASCAP Experimental License Agreement Fee Calculation Worksheet
PDF template
A fee calculation worksheet for reporting license fees for non-interactive and interactive music services under an ASCAP experimental license agreement.
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Notice 2009 23 Qualifying Gasification Project Program
PDF template
IRS notice providing procedures for allocation of credits under the qualifying gasification project program, specifically for the Phase II gasification credit program.
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Statement Of Deficiencies And Plan Of Correction
PDF template
An emergency preparedness survey conducted by the Indiana Department of Health for a healthcare facility, assessing compliance with federal regulations.
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Request For Proposals NACCHO Communications Support
PDF template
Request for proposals from communications firms to support NACCHO's public health communication projects and deliverables.
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DIRECT CANCELLATION FORM
PDF template
A form for requesting cancellation of service contracts, including vehicle-related contracts and services
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ITG News Navajo Chapter Edition
PDF template
Publication about the creation of a new Government Entities Compliance Unit (GECU) at the IRS for tax-related tribal government interactions.
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Application For A Site To Be Served By A NAV
PDF template
Application form for organizations seeking to have a site served by a New Appointee Variation (NAV) water service provider
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North Carolina FFA Center Consent Form
PDF template
A consent and liability release form for students attending the North Carolina FFA Center camp, outlining participant policies and photo permissions.
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RESEARCH CLIENT FORM
PDF template
Licensing form for research-focused nutrition analysis software with details on pricing, support, and licensing process.
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ACADEMIC NDSR LICENSING APPLICATION FORM
PDF template
Application for academic licensing of NDSR nutrient calculation software for teaching purposes, valid for one year.
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RESEARCH CLIENT FORM
PDF template
A form for licensing research software with pricing, support, and licensing details for the NDSR software package.
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2024 Nutrition Food Safety Not That Big Of A Leap
PDF template
A continuing education program focusing on nutrition and food safety strategies for professionals in the food systems sector.
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DSS NEMT 970 SOUTH DAKOTA MEDICAID NON EMERGENCY MEDICAL TRAVEL (NEMT) REIMBURSEMENT FORM
PDF template
A form for Medicaid recipients to document and request reimbursement for non-emergency medical transportation services in South Dakota.
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DSS NEMT 971 Non Emergency Medical Travel (NEMT) Reimbursement Form Overnight Trip
PDF template
A form for Medicaid recipients to document and request reimbursement for non-emergency medical travel expenses for overnight trips.
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Neuro Ophthalmology Referral Form
PDF template
A medical referral form for patients seeking ophthalmology services at Emory Eye Center, requiring patient and referral details.
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REACH Medicaid Section 1115 Demonstration Waiver Application
PDF template
A Medicaid waiver proposal to transform youth behavioral health services through early intervention and comprehensive support strategies.
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Nevada AmeriCorps Member File Check List
PDF template
A comprehensive document for verifying and documenting AmeriCorps member enrollment, eligibility, and service requirements.
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IRS Form 1095 C
PDF template
IRS tax form documenting health coverage information for University of Alabama System employees as required by the Affordable Care Act.
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Neuroscience Conference Service Agreement Form
PDF template
Agreement for professional conference services provided by Hawaii Pacific Neuroscience, covering event coordination, catering, and service terms.
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NEW CLIENT INQUIRY FORM
PDF template
Confidential form for potential therapy clients to provide personal details and explore counseling service needs.
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New Client Referral Form
PDF template
Comprehensive referral form for new client intake, covering personal, medical, and service information for behavioral health services.
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Application For New Facility TITLE 18 SNF OR TITLE 18 SNF TITLE 19 NF
PDF template
Comprehensive application guide for new healthcare facilities seeking Medicare and Medicaid program participation in Indiana.
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Histology Service Request Form
PDF template
A comprehensive form for requesting histology laboratory services, including biospecimen processing, staining, and immunohistochemistry analysis.
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IT Project Initiation Proposal Form
PDF template
A comprehensive form for proposing and initiating new IT projects, capturing project vision, goals, resources, and approval requirements.
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NEW PATIENT REFERRAL FORM
PDF template
Comprehensive medical referral form for new patients seeking cardiothoracic surgical consultation, collecting patient, insurance, and medical information.
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REQUEST FOR SERVICE FORM
PDF template
A form for requesting service with contact, billing, and equipment details for repair or service
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AV Equipment Repair Service Form
PDF template
Form for submitting electronic equipment for repair service, including warranty and non-warranty repair options.
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New Tenant Pack
PDF template
A comprehensive guide for new tenants of Dalmuir Park Housing Association, explaining services, charges, and tenant responsibilities.
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SECOND TRUST LOAN REFERRAL SUBMISSION FORM
PDF template
A form for submitting referrals for second trust mortgage loan applications with borrower and loan details.
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NGA Student Internship Referral Form
PDF template
A referral form for students seeking internship opportunities at the National Geospatial-Intelligence Agency (NGA)
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Services Agreement Applicable To Customers Of NEOGOV Resellers
PDF template
Legal agreement governing subscription and access to NEOGOV web-based software-as-a-service application for customers obtaining services through authorized resellers.
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NIH Award Nomination
PDF template
A form for nominating NIH employees for various types of awards and recognitions.
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ELIGIBILITY APPLICATION
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Application form for veterans seeking eligibility for burial at the New Hampshire State Veterans Cemetery, requiring proof of honorable military service.
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PRODUCTION AGREEMENT
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A legal agreement between a contracting client and a production company outlining terms of media production services.
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Policy Memorandum No. 18 (Revised)
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Policy document outlining procedures for requesting changes and repairs to voice communication equipment for City of New Orleans departments.
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NOMINATION FORM FOR SYNOD COUNCIL AND CHURCHWIDE ASSEMBLY
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A comprehensive form for nominating individuals to serve in church leadership roles at the Synod Council and Churchwide Assembly.
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The Flame Awards Award Nomination Form
PDF template
A comprehensive form for nominating employees for various achievement and service awards within an organization.
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Nomination Form For Alumni Distinguished Service Award
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A form for nominating alumni for a distinguished service award, collecting comprehensive details about the nominee's professional, community, and personal achievements.
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Non Accredited Schools Evidence Checklist Form I 17 Sections 5 And 6
PDF template
Guidelines for schools seeking SEVP certification or updating Form I-17 with required documentation and evidence submission requirements.
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Nondisclosure Agreement
PDF template
Legal document establishing confidentiality terms between parties regarding proprietary information and services.
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2024 2025 Non Filer Tax Form Dependent
PDF template
A form for dependent individuals and their parents to report income and tax filing status when not required to file a federal tax return.
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Private Medical Consultations Price List
PDF template
Comprehensive pricing guide for private medical services, consultations, certificates, and travel-related medical procedures
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NON OWNER AUTHORIZATION FORM
PDF template
A form that allows a non-property owner to establish utility service with property owner's consent and legal authorization.
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W 4 Instructions For Nonresident Aliens
PDF template
Special tax withholding instructions for nonresident aliens filing Form W-4 with specific filing and exemption guidelines.
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Revenue Procedure 2014 11
PDF template
Provides procedures for reinstating tax-exempt status of organizations automatically revoked for failure to file required Annual Returns or notices for three consecutive years.
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Notice Of Emergency Procurement
PDF template
A document detailing an emergency medical procurement for a life-flighted patient at Utah Valley Medical Center
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SERVICE REQUEST FORM DECONTAMINATION FORM
PDF template
Form for requesting pipette calibration and service, including decontamination certification for laboratory equipment.
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Consultation Referral Form
PDF template
A medical referral form for patients seeking specialized consultations in sleep, pulmonary, and allergy evaluations.
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Flexible Choices Non PayrollReimbursement Form
PDF template
A form for submitting reimbursement requests for long-term care services and expenses through the Flexible Choices program.
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NPS Form Use Information
PDF template
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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Exhibition Hall Service Order Form
PDF template
Service order form for electrical outlet and circuit rental for convention exhibitors at Opryland Hotel.
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Nueces County Robotics Competition Entry Form
PDF template
Registration form for 4-H, FFA, and school teams to participate in Nueces County Robotics Competition
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Medical Rehabilitation Nurses Section Referral Form
PDF template
A form for documenting medical rehabilitation referrals for injured employees through the North Carolina Industrial Commission.
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LTCFASSISTED LIVINGGROUP HOME INTERVIEW FORM
PDF template
A comprehensive form for assessing long-term care facilities' COVID-19 prevention and response protocols.
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Nutritional Patient Intake Form
PDF template
Comprehensive intake form for collecting patient health, lifestyle, and medical history information for nutritional assessment.
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Nutritional Referral Form
PDF template
Medical referral form for nutrition therapy services, used by physicians to refer patients for specialized nutritional counseling.
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Nutrition Patient Intake Form
PDF template
Comprehensive medical history and lifestyle assessment form for new nutrition patients covering medical history, social history, and current health status.
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How To Place A Catering Order
PDF template
Step-by-step guide for submitting catering orders through the Nutrition Services Catering Request Form with budget and approval instructions.
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Managed Service Provider Request For Proposal
PDF template
Request for proposals from qualified Managed IT Services Providers to provide IT services to the Naugatuck Valley Council of Governments.
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N Wave Network Services Portal
PDF template
Comprehensive guide to NOAA's network service provider, detailing support channels, dashboards, and service request options.
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NWCD Requisition Form
PDF template
A medical requisition form for cardiac and vascular diagnostic procedures from North West Cardio Diagnostics.
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Cancellation Form
PDF template
A form for customers to cancel a contract or service with Northwood House Charitable Trust Company Limited.
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Standing Order Request Form
PDF template
A form for requesting medical transportation services for patients requiring frequent appointments with specific service level and transportation details.
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UnitedHealthcare Community Plan Of New York Specialist Referral Form
PDF template
A referral form for UnitedHealthcare Community Plan of New York members to obtain specialist services with specific guidelines and requirements.
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Statement Of Deficiencies And Plan Of Correction
PDF template
Official survey document detailing emergency preparedness compliance for a healthcare facility in Indiana.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form capturing patient health history, nutrition, lifestyle, and wellness information.
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DININGCUSTODIALSECURITY SERVICES PRE AUTHORIZATION
PDF template
A form for obtaining pre-authorization for dining, custodial, or security services for college events and activities.
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Rapid StartPrEP Referral Form
PDF template
A referral form for linking HIV negative clients to PrEP services or new HIV positive clients to Antiretroviral Therapy (ART)
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Request For Medicaid Home And Community Based Services (HCBS) Waiver
PDF template
Official form for requesting enrollment in Ohio Medicaid home and community-based services waiver program for eligible individuals.
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Medicaid Eligibility Review Verification Request Checklist
PDF template
A document used by the Ohio Department of Medicaid to request documentation for verifying Medicaid eligibility and maintaining benefits.
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Incident Report (Services For Individuals With An Intellectual Disability Or Autism)
PDF template
Official form for reporting incidents involving individuals with intellectual disabilities or autism in Pennsylvania service settings.
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Waiver Service Request Form
PDF template
A form and guide for documenting and processing requests for changes or new services in a waiver program.
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Open Doors Transition Center Referral Form
PDF template
A referral form for transferring or transitioning a resident to a new care facility or program
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VOLUNTEER SERVICE AGREEMENT NATURAL CULTURAL RESOURCES
PDF template
Document for individuals or groups volunteering in natural and cultural resource areas, collecting personal and demographic information.
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Volunteer Service Agreement OF301a
PDF template
A government form for registering volunteers across various organizations and capturing demographic and personal information for service participation.
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Volunteer Service Agreement OF301a
PDF template
A federal form for registering individual or group volunteers for service in natural and cultural resource projects across multiple government agencies.
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Volunteer Service Agreement OF301a
PDF template
A comprehensive form for documenting volunteer service with natural and cultural resource agencies, capturing volunteer demographics and contact information.
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Volunteer Service Agreement Natural Cultural Resources
PDF template
A form for individuals or groups to register as volunteers for natural and cultural resource programs, collecting personal and demographic information.
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Opportunities For Youth (OFY) Referral Form
PDF template
A referral form for assessing and documenting unaccompanied minor youth eligibility for support services.
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Ohio BMV Lien Release
PDF template
A document used to remove a lien from a vehicle title in Ohio, typically when a vehicle loan is paid off.
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REQUEST FOR MEDICAID HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER
PDF template
A form for requesting enrollment in Medicaid home and community-based services waiver in Ohio for individuals needing long-term care support.
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Service Order Form
PDF template
A service order form for event exhibitors to request electrical and other services at Kalahari Resort & Convention Center.
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SERVICE ORDER FORM
PDF template
Service order form for exhibitors to request electrical services and payment authorization at Kalahari Resort & Convention Center.
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OIFA Feedback Form
PDF template
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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Lunch Order Form
PDF template
Ordering form for packaged lunch meals with sandwich, side, and beverage options for groups or schools
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Oracle License And Services Agreement
PDF template
Legal agreement defining terms for Oracle software licensing, usage rights, and services for business customers.
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Oral Medicine Clinical Services (OMCS) Referral Form
PDF template
A medical referral form for patients seeking oral medicine clinical services at the University of Washington.
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Oral Maxillofacial Clinic Referral Form
PDF template
A comprehensive referral form for patients seeking consultation or procedures with the Oral & Maxillofacial Surgery Department at Strong Memorial Hospital.
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OMHSAS Request For Waiver Form
PDF template
A form for facilities or agencies to request a waiver from the Office of Mental Health and Substance Abuse Services in Pennsylvania.
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Single Day Event Volunteer Service Form
PDF template
A form for registering single-day event volunteers at the University of Florida, capturing volunteer personal information and service details.
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Important Contacts Tracking Form
PDF template
A printable resource for tracking important contacts, designed to help seniors and adults with disabilities manage service provider and emergency contact information.
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EPO REFERRAL FORM
PDF template
A referral form for healthcare providers to request out-of-network specialist services through Common Ground Healthcare (CGHC)
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UNC Ophthalmology Referral Form
PDF template
A comprehensive referral form for patients seeking ophthalmology services at UNC Health locations.
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Opioid Health Home Overview
PDF template
Detailed guidelines for enrollment, eligibility, and management of Opioid Health Home services for Medicaid patients in Kalamazoo and Calhoun counties.
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Opioid Health Home Overview
PDF template
Comprehensive guidelines for client eligibility, enrollment, and management in an Opioid Health Home program in Michigan.
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Office Of Program Integrity (OPI) Referral Form
PDF template
A form used by the West Virginia Department of Health & Human Resources to report potential violations in Medicaid services and provider conduct.
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Optimization Service For Security Enterprise License Agreement
PDF template
Service description for Cisco's Optimization Service related to Security Enterprise License Agreements, detailing service terms and responsibilities.
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Referral Form
PDF template
A medical referral form for patient consultation and transfer of medical information between healthcare providers.
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Application To Start Water Utility Service
PDF template
Form for applying to start water utility service in the City of Covina, California, requiring a deposit and service details.
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Oracle Software Configuration Service Request Approval Stepper
PDF template
Instructions for submitting and processing Oracle software configuration service requests within an organization's information technology workflow.
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Service Request Form
PDF template
A form for requesting legal document service and filing with details about defendant and service instructions.
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Order Form For Brochures Forms
PDF template
Ordering form for various brochures and publications related to aging services, Medicare, and long-term care in Montana.
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Olympic Educational Service District 114 Order Form
PDF template
Order form for educational resources and materials used by various educational programs
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Order Request Form
PDF template
A form for requesting scientific research services at a university facility, including user and billing information.
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UTHSC Orthodontic Referral Form
PDF template
A comprehensive medical referral form for orthodontic evaluation and treatment at the University of Tennessee College of Dentistry.
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FUNDER EVALUATION SURVEY FORM
PDF template
A comprehensive survey form for organizations to provide details about their contract, services, and performance for funding evaluation purposes.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient medical history, pain assessment, and personal health information.
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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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Out Of Network Referral Form
PDF template
A form for requesting authorization to see an out-of-network healthcare provider with detailed patient and service information.
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Outpatient Referral Form
PDF template
A comprehensive referral form for patients seeking outpatient services at Children's Hospital Los Angeles, collecting physician, patient, clinical, and insurance information.
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Outpatient Referral Form
PDF template
Medical referral form for patients seeking outpatient services at Children's Hospital Los Angeles.
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Legacy Rehabilitation Services Referral Form
PDF template
Medical referral form for rehabilitation services across multiple Legacy Health locations in Oregon and Washington.
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Outside Storage Rental Agreement
PDF template
Rental agreement for outside storage of boats, trailers, RVs, and 5th wheels at Pelican Ridge Lot Owners Association in Arnolds Park, Iowa.
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Doniphan County Fair Overnight Consent Form
PDF template
Consent form for 4-H youth to stay overnight at the county fair, requiring parental permission and cooperation with adult supervisors.
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Referral Form
PDF template
A medical referral form for veterinary patients detailing clinical information and diagnostic history.
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Referral Form
PDF template
A comprehensive medical referral form for veterinary patients, capturing detailed patient and clinical information for specialist consultation.
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IRS Verification Of Non Filing Letter Request Instructions, 2024 2025
PDF template
Comprehensive guide for obtaining an IRS Verification of Non-filing Letter for tax year 2022, detailing online and paper request methods.
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ADULT LONG TERM CARE PROGRAMS ENROLLMENT AND DISENROLLMENT RESOURCE GUIDE
PDF template
Comprehensive guide for enrollment, disenrollment, and management of adult long-term care programs, focusing on Medicaid and related healthcare services.
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Enrollment Counseling
PDF template
Guidelines for conducting enrollment counseling for publicly funded long-term care, outlining participation requirements and restrictions.
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Asthma Safe Homes Program Procedure Manual
PDF template
Procedure manual for a program providing free asthma education and home services to Medicaid-eligible children and pregnant adults in Wisconsin.
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Reasonable Cause Regulations Requirements For Missing And Incorrect NameTINs On Information Returns
PDF template
Official IRS publication providing regulations and requirements for handling missing or incorrect Taxpayer Identification Numbers (TINs) on information returns.
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2004 Customer Satisfaction Survey For Form 1120S E File
PDF template
A survey examining user satisfaction and usage of electronic filing for Form 1120S, the U.S. Corporation Income Tax Return for S Corporations.
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Computer Loan Program Welcome Package
PDF template
A comprehensive guide for volunteers participating in the IRS Volunteer Income Tax Assistance (VITA) and Tax Counseling for the Elderly (TCE) computer loan program.
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VENDOR CONTRACT AGREEMENT
PDF template
A contract between Partner4Work and a contractor for providing workforce development services under specific terms and conditions.
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IRS Supplemental Instructions For The Treasury FMS Interagency Agreement (IAA)
PDF template
Supplemental guidance for completing Treasury FMS Interagency Agreement forms 7600A and 7600B with specific IRS instructions.
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Publication 538
PDF template
IRS guidance document covering tax accounting periods, methods, and rules for small business taxpayers
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Publication 538
PDF template
IRS publication providing guidance on tax accounting periods, methods, and requirements for businesses and individuals.
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Publication 784 How To Apply For A Certificate Of Subordination Of Federal Tax Lien
PDF template
IRS publication providing instructions for applying for a Certificate of Subordination of Federal Tax Lien under Internal Revenue Code Section 6325(d).
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Publication 907
PDF template
A comprehensive tax guide for individuals with disabilities, covering income, deductions, credits, and special accounts for the 2023 tax year.
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Technical Expert Panel Nomination Form
PDF template
A form for nominating technical experts to participate in a panel for refining healthcare facility function measures across multiple care settings.
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Volunteer Service Agreement Natural Cultural Resources
PDF template
Form for individuals to apply as volunteers for the Ice Age National Scenic Trail, detailing volunteer agreement and consent terms.
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Prior Authorization Form
PDF template
Comprehensive instructions for completing a Medicaid prior authorization request form with detailed field guidance.
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Documenting Scope Of Project In Updated Forms 5A And 5B
PDF template
HRSA guidance on updates to forms documenting health center service sites and services, critical for program management and reimbursement purposes.
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2024 Washington Delegation Topic Submission
PDF template
Proposal to revise IRS regulations for tax classification of foreign entities and trusts, aiming to simplify filing and reduce administrative burden.
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Paperless Billing Option SignUp Form
PDF template
A form allowing organizations to opt-in to receiving invoices electronically via email instead of paper mail.
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Prior Authorization Quick Reference Guide
PDF template
A comprehensive guide for healthcare providers on submitting prior authorization requests through the Nevada Medicaid online system.
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Special Education Medicaid Initiative (SEMI) Parental Consent Form
PDF template
Consent form allowing school districts to bill Medicaid for special education services provided to students with individualized education programs.
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DCFHSAC Needs Assessment Parental Consent Form Youth Participation In Focus Group
PDF template
A consent form allowing parents to permit their child's participation in a community needs assessment focus group conducted by the Department of Children and Families and Human Services Advisory Council.
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Permit And Service Order Form
PDF template
A form for requesting parking permits and related services at IUPUI, including billing and payment information.
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Proposed Project Or Service Request Form For Unsolicited Proposals
PDF template
A form for submitting proposed projects or service requests to the City of Taneytown Department of Parks & Recreation
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USDA National Food Study Consent Form
PDF template
Consent document for a USDA-sponsored study collecting information about household food purchasing, consumption, and dietary habits.
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Participant Enrollment Form
PDF template
A form for enrolling participants in a care program, collecting demographic and attendance information.
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Programs Special Events Participant Evaluation Form
PDF template
Evaluation form for assessing participant satisfaction with Wake Forest Parks & Recreation Department programs and services.
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Prior Authorization Request Form
PDF template
A form used to request medical service authorization through Partners Health Management for NC Medicaid or NC Health Choice eligibility.
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Motor Warranty Claim Form
PDF template
A form for submitting warranty claims for defective motors with specific return instructions and failure reason selection.
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PASSPORT PURCHASE OF SERVICE INVOICE FORM
PDF template
A form for reimbursing service providers for support services under the Passport Program for individuals with disabilities.
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Patient Referral Form
PDF template
A medical referral form for scheduling a Modified Barium Swallow Study with specific documentation requirements.
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Patient Feedback Form
PDF template
A confidential form for patients to provide feedback about their healthcare experience, including complaints, suggestions, or compliments.
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Referral Form
PDF template
A referral form for pediatric dental services used by dental professionals to transfer patient care or request specialized dental treatments.
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Patient Referral Form
PDF template
A comprehensive form for patients seeking specialist medical referrals through We Care Manatee health services.
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UAB Neurology Pain Management Patient Intake Letter
PDF template
A letter from UAB Department of Neurology outlining patient intake requirements for pain management services and necessary documentation.
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Patient Referral Form
PDF template
A comprehensive form for veterinarians to refer patients to VCA California Veterinary Specialists for specialized medical services.
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Patient Voice Feedback Form
PDF template
A form for patients to provide feedback, compliments, or concerns about healthcare services and staff at NEW Health facilities.
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Appendix A 1 Services Payment Instructions Declaration
PDF template
A form for individuals, UBC staff, and corporations to provide payment and tax information for services rendered to the University of British Columbia.
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SELF DIRECTION PAYMENT REQUEST FORM (PRF)
PDF template
A form for requesting payment for approved services within a self-directed support plan, with specific filing and documentation requirements.
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Self Direction Payment Request Form (PRF)
PDF template
Form for requesting payment for self-directed services within a specific budget and waiver program, with specific submission requirements.
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Wired Internet Service Order
PDF template
Order form for dedicated public internet services at a convention or exhibition event with different bandwidth options and pricing.
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State Of Vermont Contract 47338 With Public Consulting Group LLC
PDF template
Contract for business support services related to Medicaid Data Aggregation & Access Program for home and community-based service providers.
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Discharge Form
PDF template
Official form for requesting discharge from a Primary Care Health Home program in Missouri's Medicaid system
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DHS Personal Care Referral Form
PDF template
A form used to submit a new personal care service referral or request a change in personal care provider through Medicaid.
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Providence College Standard Engagement Vendor Agreement
PDF template
A standard agreement between Providence College and a vendor for services, detailing engagement terms, compensation, and responsibilities.
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Community Choices Waiver Participant Direction Employer Agreement
PDF template
A legal document outlining the responsibilities and guidelines for participants managing their own healthcare services under the Community Choices Waiver program.
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Referral Form UNC Hospitals Dental Clinic
PDF template
A specialized referral form for patients with specific medical conditions requiring dental care at UNC Hospitals Dental Clinic.
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Rheumatology New Patient ReferralConsultation
PDF template
A comprehensive referral form for new patients seeking rheumatology consultation, including patient and provider information.
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Sleep Center Referral Form
PDF template
Medical referral form for sleep disorder diagnosis and testing, used by healthcare providers to request sleep studies and consultations.
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Proof Of Delivery
PDF template
A guide for filling out a court document Proof of Delivery form to demonstrate delivery of legal documents to other parties in a court case.
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Emergency Patient Referral Form
PDF template
A comprehensive form for referring a pet patient to an emergency veterinary clinic, capturing veterinarian, client, and patient details.
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Incoming Referral Form
PDF template
A comprehensive form for collecting patient demographics, insurance details, and referral information for medical practices.
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Pediatric Referral Form
PDF template
Comprehensive medical form for pediatric patients seeking dermatology consultation, capturing patient information, referral details, and specific skin condition assessments.
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PEDIATRIC PATIENT REFERRAL FORM
PDF template
A medical form used to collect patient information and referral details for pediatric medical consultation.
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Tax Withholding Election Form For Pension Payments
PDF template
Form for electing federal income tax withholding options for pension and annuity payments under the Tax Equity and Fiscal Responsibility Act of 1982.
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Department Of Periodontics Referral Form
PDF template
Medical referral form for periodontal examination and treatment, used to collect patient dental information and treatment history.
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Permit Cancellation Refund Request Form
PDF template
A form for requesting cancellation or refund of construction permits from the Building Development Division.
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Permit And Service Order Form
PDF template
A form for requesting parking permits and services at Indiana University Indianapolis, including payment and billing details.
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Personal Law And Finance
PDF template
A catalog of educational courses focusing on legal and financial planning for seniors, covering topics like elder care, grant writing, Social Security, and estate planning.
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Person Of The Year Nomination Form
PDF template
A form for nominating individuals who have made significant contributions to the local community through volunteer work and leadership.
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Louisiana Medicaid Program Pharmacy Benefits Management Services Forms
PDF template
Comprehensive catalog of pharmacy-related forms used in the Louisiana Medicaid Program for claim submissions, prior authorizations, and medication requests.
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Louisiana Medicaid Pharmacy Benefits Management Services Appendix F Forms
PDF template
Comprehensive listing of pharmacy-related forms and their uses within the Louisiana Medicaid program
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ChildrenS Community Based Services Referral Form
PDF template
A comprehensive referral form for children's community-based mental health and support services in Philadelphia.
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Prior Authorization Request Form
PDF template
A form for requesting prior authorization for specialty medical services through Positive Healthcare in California.
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NC Medicaid Private Duty Nursing (PDN) Physicians Request Form
PDF template
A comprehensive form for physicians to request private duty nursing services through NC Medicaid, detailing patient medical needs and care requirements.
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Physician Referral Form
PDF template
A medical referral form for patients being considered for Transcranial Magnetic Stimulation (TMS) therapy, primarily for Major Depressive Disorder.
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Home Care Referral Form
PDF template
Comprehensive referral form for home healthcare services, collecting patient information, medical history, and service requests.
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PhysicianS Referral Form
PDF template
A medical form for physicians to refer patients to a fitness evaluation and preventive exercise program at McHenry County College.
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Patient Feedback Form
PDF template
A form for patients to provide comments, compliments, or complaints about healthcare services across multiple centers.
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Piano Service Request
PDF template
A form for requesting piano maintenance and repair services at Marshall University's School of Music.
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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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PlotterBanner Request Form
PDF template
A form for requesting printing services including media, print specifications, and file submission details.
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Interagency Agreement (IAA) Agreement Between Federal Agencies
PDF template
A government form for establishing agreements and terms between federal agencies for products and services.
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Prescription Order Form (POF) For Long Term Care Services And Supports
PDF template
A Medicaid-required form for authorizing long-term care services and supports in the District of Columbia.
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Volunteer Appointment Request Form
PDF template
A form and policy document outlining volunteer requirements, restrictions, and qualifications for volunteering at the University of Florida.
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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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Travel Policy 1200
PDF template
Policy detailing travel expense requirements and reimbursement procedures for university faculty, staff, and sponsored guests following IRS Accountable Plan Rules.
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Service Request
PDF template
Form for making changes to an insurance policy, including name, address, premium mode, and non-forfeiture options.
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Policy On Tax Treatment Of Payments Made To Individuals
PDF template
A comprehensive policy detailing tax withholding and reporting requirements for payments made to individuals by a university.
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Pooled Special Needs Trust Joinder Agreement
PDF template
A legal document for joining a pooled special needs trust managed by Advocates & Guardians for the Elderly & Disabled, Inc.
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Patient Discharge Form
PDF template
A form used to document patient discharge details, care instructions, and follow-up services.
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Poster Printing Invoice Form
PDF template
A form for requesting poster printing services at the University of Alabama at Birmingham (UAB) with detailed pricing and submission guidelines.
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Poster Printing Invoice Form
PDF template
Order form for requesting poster printing services at the University of Alabama at Birmingham (UAB)
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Occupational Or Physiotherapist Assessment For Power Mobility Aid
PDF template
Assessment form for evaluating client's eligibility and need for power mobility equipment through Easter Seals Alberta.
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REQUEST FOR CONSTRUCTION SERVICES PROJECT FORM PP28
PDF template
A form for requesting construction or maintenance services at an organization, detailing project requirements and approvals.
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TRUST PREFERRED PROVIDER ORGANIZATION (PPO) PROGRAM REFERRAL FORM
PDF template
A form for referring patients to non-PPO healthcare providers when services are medically necessary and not available within the TRUST network.
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Pre ETS Referral Form
PDF template
A form for referring students with disabilities to pre-employment transition services and support programs.
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Preferred Vendor Contract Feedback Form
PDF template
A form for campus departments to provide feedback on preferred vendor contracts and their performance across various evaluation criteria.
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CMHRP Community Referral Form
PDF template
A referral form for pregnant and postpartum individuals who may qualify for Medicaid-based care management services for high-risk pregnancies in North Carolina.
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CAPS Referral Form For GeorgiaS Pre K Program
PDF template
A referral form for parents seeking to enroll children in Georgia's Pre-K program through the CAPS assistance program.
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Prescription Order Form (POF) For Long Term Care Services And Supports
PDF template
A mandatory form by the District of Columbia Department of Health Care Finance to authorize Medicaid-funded long-term care services and supports.
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OSU Dietetic Internship Pre Select Application Process
PDF template
Application process for Oklahoma State University's Dietetic Internship program for the 2021 class, detailing submission requirements and deadlines.
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Referral Form Submission Instructions
PDF template
Comprehensive instructions for submitting medical referrals including patient demographics, service details, and pre-authorization requirements.
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PRINT COPY SERVICES ORDER FORM
PDF template
A form for requesting print and copy services at the University of Wisconsin System with details about reproduction and copyright acknowledgment.
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Design And Print Services Order Form
PDF template
A form for requesting design, printing, and document production services at a university print department
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PRINTING SERVICE REQUEST FORM
PDF template
Form for requesting printing services with detailed specification options for document reproduction.
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Printing Mailing Internal Order Form
PDF template
Internal form for requesting printing and mailing services within the University of Alabama at Birmingham (UAB)
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Printing Services Request Form
PDF template
A comprehensive form for requesting printing services with detailed specifications and file information.
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PRINTING WAIVER FORM
PDF template
A form used to request approval for using a printing vendor not on the pre-approved vendor list for procurement services.
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Privacy Impact Assessment For The Visa Security Program Tracking System
PDF template
A privacy assessment document for ICE's system that tracks and reviews visa application security screenings.
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PRO BONO PROFESSIONAL DEVELOPMENT PROJECT FORM
PDF template
A form for students to document and record their pro bono professional development work and hours completed.
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Proctoring Service Request Form
PDF template
A form for students at other institutions to request exam proctoring services through Texas State University's Testing, Evaluation & Measurement Center.
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Campus Procurement Annual Accessibility Report Academic Year 1213
PDF template
Annual report detailing the development of Section 508 compliance processes and procedures for procurement activities.
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Vendor Complaint Form
PDF template
A form for filing complaints related to vendor services, contracts, and procurement issues at Old Dominion University.
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Producing Tax Forms And Receipt Information
PDF template
A technical guide for managing tax reporting and generating 1098-T and T2202A forms for educational institutions.
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Professional Referral Form
PDF template
A professional form for healthcare providers to refer patients to the Center for TMJ and Sleep Disorders for medical evaluation.
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Offender Intervention Site Location Addition AndOr Change Of Address Form
PDF template
A form for updating location and contact details for offender intervention agencies or service providers
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Automatic Payment Cancellation Form
PDF template
A form for canceling automatic payment withdrawals for KBX Pilates or Locker Rental services
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Project ELEVATE Enrollment Form 2023
PDF template
Enrollment form for individuals participating in Dignity Works Here Project ELEVATE program, collecting personal and support information.
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Project Strength Referral Form
PDF template
A comprehensive referral form for documenting family and child information, referral reasons, and demographic details for support services.
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WE LIP Proposal Assessment Form
PDF template
A comprehensive assessment form for project proposals within the WE LIP initiative, focusing on service delivery for newcomers.
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RFP No. DPW 2017 01 Proposal Form
PDF template
Request for proposal document for waste collection, transportation, and recycling services in the Town of Exeter, New Hampshire.
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Prosthetic Devices Referral Form
PDF template
A comprehensive form for collecting client information, referral details, and measurements for prosthetic device customization with integrated heating system.
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Patient Referral Form
PDF template
A referral form for dental patients seeking prosthodontic or general dentistry services at a dental practice or clinic.
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Provider Application Service Location Form
PDF template
Form for providers to submit information about additional service locations or new services for an existing contract with Inclusa.
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Provider ContractAmendment Inquiry Form
PDF template
Form for healthcare providers to join AmeriHealth Caritas Florida's network across multiple health plan options
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STATE OF FLORIDA PROVIDER INQUIRY FORM
PDF template
Official form for healthcare providers to submit inquiries related to Medicaid services and reimbursements.
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Inquiry Form
PDF template
A form for submitting inquiries related to medical services, enrollment, and claims payment for NJ FamilyCare program.
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Personal Service Contract Invoice Form
PDF template
A standardized invoice form for personal service contracts within the Kentucky government, requiring detailed documentation of services and expenses.
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PERSONAL SERVICE CONTRACT INVOICE FORM
PDF template
A standardized invoice form for personal service contracts requiring submission to the Government Contract Review Committee under Kentucky law.
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Personal Service Contract Invoice Form
PDF template
Official form for submitting invoices for personal service contracts to the Government Contract Review Committee, as required by Kentucky state law.
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PERSONAL SERVICE CONTRACT INVOICE FORM
PDF template
Official form for submitting invoices for personal service contracts with government agencies, requiring detailed documentation of services and expenses.
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Service Retirement Application
PDF template
An application form for members of the Public School Employees Retirement System to apply for service retirement benefits.
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PSE SUBMISSION FORM
PDF template
A form for submitting items for professional grading and certification services.
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Psychological Assessment Referral Form
PDF template
A comprehensive form for collecting patient information and mental health history for psychological assessment and referral.
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PsychiatryMedication Referral Form
PDF template
Referral form for students seeking psychiatric medication consultation and evaluation at college counseling services.
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PSYCKES Consent Form
PDF template
A form allowing patients to consent or deny provider access to their Medicaid medical records through the PSYCKES electronic system.
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Electronic Data Interchange (EDI) Submission Enrollment Packet
PDF template
A comprehensive guide for electronic claims submission to Louisiana Medicaid, explaining Submitter ID and Provider ID processes.
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Nomination Form For Exemplary Service To The Public Or An Agency
PDF template
A form to nominate an employee of the U.S. District Court for the Western District of Virginia for providing exceptional service.
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Public Works Request
PDF template
A form for submitting public works maintenance and service requests for various municipal infrastructure categories
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City Of Tulsa Purchasing Division Contracts Tracking List
PDF template
A comprehensive list of active and inactive municipal contracts for various services and supplies for the City of Tulsa.
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Contracted Services Instructions For Hiring An Independent Contractor
PDF template
Guide for hiring and managing independent contractors at USNH, including payment methods, approval processes, and classification requirements.
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Medical Service Authorization Request Form
PDF template
A form used to request medical service authorization for PrimeWest Health members, requiring detailed provider and patient information.
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Request For Proposals Mass Media Buying Agency
PDF template
Formal request for proposals from media buying agencies by Harper College for professional services and contract Q01097.
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Request For Proposal Digital Media Buying Agency
PDF template
Request for proposals for digital media buying agency services by Harper College with submission deadline and pre-submission meeting details.
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FACT SHEET CITIZENSHIP DOCUMENTATION REQUIREMENTS UNDER THE DEFICIT REDUCTION ACT AND INTERIM FINAL
PDF template
A detailed overview of citizenship documentation requirements for Medicaid eligibility under the Deficit Reduction Act of 2005.
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Vehicle Service Inspection Checklist Form
PDF template
Comprehensive checklist for inspecting vehicle condition before and after service, covering multiple vehicle systems and components.
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QAP Out Of Area Service Agreement Form
PDF template
A form documenting service arrangements for customers outside a dealer's standard service area for mobility vehicle equipment.
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Quartermaster Corps Honors Program Hall Of Fame Nomination Form
PDF template
A form for nominating distinguished Quartermaster Corps members for hall of fame recognition based on significant military accomplishments.
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QMS Form 060 Service Request Form
PDF template
A form for customers to request service or calibration for torque tools, providing details about the tool and reason for service.
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FreemanOnline Service Information
PDF template
Comprehensive service guide for event exhibitors detailing booth setup, online tools, and show schedule
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FAX REFERRAL FORM
PDF template
A confidential referral form for patients seeking tobacco cessation services through the Nebraska Tobacco Quitline.
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Right From The Start Referral Form
PDF template
A referral form for prenatal and infant healthcare services in West Virginia for tracking maternal and child health services
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Randall ChildrenS HospitalSpecialty Referral
PDF template
A comprehensive medical referral form for various pediatric specialty services at Randall Children's Hospital across Oregon and Washington locations.
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Referral Form
PDF template
A comprehensive referral form for collecting detailed information about a child, their medical history, and family background for support services.
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Child Care Rate Declaration Form
PDF template
A form for child care providers to declare their service rates for federal and state child care subsidy compliance.
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RAYALDEE (CALCIFEDIOL) EXTENDED RELEASE 30 MCG CAPSULES SERVICE REQUEST FORM
PDF template
A service request form for patients seeking Rayaldee medication, including patient and clinical information for prescription enrollment.
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Maintenance And Repair Services Contract Template User Guide
PDF template
A comprehensive guide for Local Housing Authorities on preparing and procuring maintenance and repair service contracts for specific trades.
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SERVICE ORDER FORM
PDF template
Form for documenting refrigerant recovery, leak testing, and service of HVAC units with detailed technical information.
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Rawls College Of Business Incident Report Template Guidelines
PDF template
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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Volunteer Application Form
PDF template
Comprehensive form for individuals seeking to become volunteers, collecting personal information, skills, and availability.
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Contract Description Document
PDF template
Document listing various contracts involving Weekly Reader Corporation with multiple parties including computing systems, customer care, and web development firms.
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Student Evaluation Form
PDF template
A comprehensive form for evaluating student volunteer performance and service hours at Corban University.
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Real Estate Introduction Letter To Friends And Family
PDF template
A document providing guidance on how real estate agents can introduce themselves to friends, family, and potential clients for networking and business development.
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REFERRAL CONTRACT FORM REALTOR
PDF template
A contract between real estate brokers/agents for referring clients and managing referral fees for real estate transactions.
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Recreation Contractor Service Agreement
PDF template
A service agreement between Bainbridge Island Metropolitan Park & Recreation District and a recreational service contractor for providing instructional services.
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INVOICE FORM SMA SERVICE REBATE FOR QUALIFIED ELECTRICAL PROFESSIONALS
PDF template
Invoice form for electrical professionals to claim service rebate payments from SMA Solar Technology AG for inverter services.
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Volunteer Application Form
PDF template
A comprehensive volunteer application form for the City of Hamilton's Recreation Division, collecting personal information and volunteer preferences.
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ICS 213 General Message
PDF template
A standard incident communication form requesting on-site recycling services for a fire incident with optional recycling service selections.
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SCAN Referral Authorization Request Form
PDF template
A medical service referral and authorization form for SCAN Health Plan to request prior approval for medical services or procedures
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Lorenz Clinic Professional Referral Form
PDF template
A referral form for healthcare professionals to submit client information and request services from Lorenz Clinic.
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ASU Counseling Center Referral Form
PDF template
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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Pediatric Referral
PDF template
California Department of Public Health form for assessing pediatric eligibility and health status for the WIC program.
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COMMONWEALTH DERMATOLOGY REFERRAL REQUEST FORM
PDF template
A medical referral form for patients seeking dermatological services, to be completed by a healthcare professional.
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Referral Form
PDF template
A comprehensive form for referring children for developmental health evaluation and potential intervention services.
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Referral Form 2024
PDF template
A comprehensive referral form for patients seeking evaluation of memory loss and cognitive disorders, requiring specific documentation and lab work.
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Aetna Better Health Of Florida Referral Form
PDF template
A referral form for healthcare providers to refer patients to specialists or diagnostic services within the Aetna Better Health of Florida network.
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REFERRAL FORM
PDF template
Medical referral form for home health services detailing patient information, medical needs, and service requirements.
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Referral Form
PDF template
A form used by healthcare providers to refer a patient to another medical professional or service for specialized care or consultation.
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Department Of Human Genetics Referral Form
PDF template
Comprehensive referral form for genetic consultation and screening, listing various genetic conditions and required documentation for scheduling.
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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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BCM Referral Form
PDF template
A comprehensive form for requesting behavioral health and support services across multiple counties in Pennsylvania
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Referral Form
PDF template
A form for referring students to mental health or chemical dependency assessment services, with provisions for consent and confidentiality.
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Referral Form (Ages 18)
PDF template
Medical referral form for comprehensive ADHD, learning disabilities, and autism spectrum disorder diagnostic assessments for patients 18 and older.
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Springboard Referral Form (Ages 6 17)
PDF template
A comprehensive referral form for patients aged 6-17 seeking assessment and treatment for ADHD and related conditions at Springboard Clinic.
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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 Community Care Management
PDF template
A comprehensive referral form for client intake and service assessment in community care management.
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Community And Nursing Services Referral Form
PDF template
A comprehensive referral form for community and nursing services, capturing client demographic and health-related information.
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Referral Form CT Endoscopy
PDF template
A comprehensive referral form for veterinary diagnostic procedures including CT scan, endoscopy, and internal medicine consultation.
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Medical Respite Referral Request Form
PDF template
A comprehensive referral form for medical respite services, used to evaluate patient eligibility for admission to a medical respite program.
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Client Referral Form
PDF template
A comprehensive form for collecting client personal, contact, insurance, and referral information for healthcare or social services.
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Patient Referral Form
PDF template
A comprehensive patient referral form for medical consultations and appointments related to ear, nose, and throat medical services.
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Patient Referral Form
PDF template
A medical referral form for functional vision evaluation with multiple diagnostic and symptom checkboxes for vision-related concerns.
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REFERRAL FORM
PDF template
A referral form for the Program of All-Inclusive Care for the Elderly (PACE), designed to help seniors remain independent in their own homes.
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Client Referral For Care Coordination (Community Care Team) Form
PDF template
A comprehensive referral form for connecting clients with community care coordination services and resources.
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REFERRAL FORM
PDF template
A comprehensive referral form for healthcare services including physiotherapy, occupational therapy, and medical driving assessments.
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Medical Form For Neuropsychological Assessment
PDF template
A comprehensive medical form for requesting neuropsychological assessments, including patient information, referral reasons, and assessment details.
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Walker Memory Center Referral Form
PDF template
Medical referral form for memory evaluation and neuropsychological testing at Walker Memory Center.
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Referral Form Internal Medicine
PDF template
A comprehensive referral form for veterinary internal medicine consultations, capturing patient details, medical history, and diagnostic information.
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GT Independence New Referral Form
PDF template
A referral form for collecting personal and service information for individuals seeking healthcare or support services through GT Independence.
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Community Health Referral Form
PDF template
A referral form for requesting health and support services for clients in the Charlotte area.
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Referral Form
PDF template
A comprehensive patient referral form for healthcare services with sections for patient information, insurance details, referral source, and service needs.
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Referral Form
PDF template
Medical referral form for transferring patient information between healthcare providers for specialty consultation or treatment.
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Peoples Oakland Referral Form
PDF template
A comprehensive referral form for client intake and mental health history assessment at Peoples Oakland service organization.
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RIVERSIDE PSYCHIATRIC DAY TREATMENT AT WAKEFIELD REFERRAL FORM
PDF template
A comprehensive referral form for psychiatric day treatment services, collecting detailed patient information, medical history, and treatment goals.
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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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Referral Form
PDF template
A referral form for child developmental screening and support services for children ages 0-6 in North Texas.
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Sutter Specialty Services Referral Form
PDF template
A referral form for patients seeking specialty medical services through Sutter Health network with detailed patient, physician, and insurance information.
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Outpatient Neuro Rehabilitation Referral Form
PDF template
A comprehensive referral form for various neurological rehabilitation services and clinics, enabling healthcare providers to refer patients to specialized neurological treatment programs.
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FacultyStaff Referral Form For Student Services Intervention
PDF template
A confidential form for faculty or staff to refer students to appropriate support services based on observed concerns or behavioral issues.
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EDRC 253 REFERRAL FORM
PDF template
Comprehensive medical referral form used to collect patient demographics, insurance information, and clinical details for healthcare services.
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Physician Referral Form
PDF template
A form for healthcare providers to refer patients to other medical departments or providers with patient and referral contact details.
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UCSB Refrigerant Service Order Form
PDF template
A detailed form for documenting refrigerant service, maintenance, and leak detection for UCSB facilities.
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Refrigerant Service Order Form
PDF template
Detailed service document for tracking refrigerant maintenance, repairs, and leak testing for HVAC equipment.
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HSD Property Control Contractor Form C 063 IT
PDF template
Form for tracking and managing transfer, donation, destruction, or recycling of IT equipment valued under $5,000
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Refund Request Form
PDF template
A form for requesting refunds for parking services with multiple approval stages and documentation requirements.
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Mansfield ISD Student Nutrition Refund Request Form
PDF template
A form for requesting refunds for student nutrition account balances in the Mansfield Independent School District.
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Refund Request Form
PDF template
Official form for requesting a refund from Parking Services, with multiple review stages and detailed tracking
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Student Meal Account RefundTransfer Request Form
PDF template
A form for students or parents to request a refund or transfer of meal account balance within Seattle Public Schools.
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REFUSE Insurance Form (Montana Medicaid)
PDF template
A form for students to waive student health insurance coverage and acknowledge non-coverage by Montana Medicaid at the Curry Health Center.
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Insurance Referral And Financial Responsibility Form
PDF template
A document outlining patient insurance participation, referral requirements, and financial responsibilities for medical services at Eye Associates of Utica.
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Grundy County Fair Rental Agreement Form
PDF template
A rental agreement form for various event spaces and facilities at the Grundy County Fair with detailed pricing for different types of events and spaces.
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Repairs Shipping Form
PDF template
A form for customers to request product repairs, provide shipping information, and describe repair needs.
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Terms And Conditions Of The Zara Repair Section
PDF template
Legal terms governing access and use of the Zara Repair section on Zara's platform, focusing on product circularity and repair services.
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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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SSAIRS Reporter
PDF template
A newsletter discussing the American Recovery and Reinvestment Act (ARRA) and its implications for small businesses and tax provisions.
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MAIN SERVICES AND SUBSCRIPTION AGREEMENT
PDF template
A legal agreement defining terms of service between Reprise, Inc. and a customer for platform and service usage.
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Request For Proposal (RFP) For Visa Support Services
PDF template
Request for Proposal for selecting a service provider to handle visa application collection and processing for the Embassy of India in Tokyo and Osaka-Kobe.
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RFQS For Services Non LTA
PDF template
A solicitation for professional services to digitalize training programs for healthcare workers with interactive and multimedia content.
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REQUEST FOR UTILITY SERVICES
PDF template
A form for requesting new water, sewer, and refuse utility services in the City of Lincoln, California.
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REQUEST SERVICE ORDER FORM
PDF template
A form for requesting service or repair for a machine, capturing company and equipment details along with problem description.
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Northwestern University Supplier Registration Request For Form W 8 Certificate Of Status
PDF template
A form for establishing the tax status of entities conducting transactions with Northwestern University by completing appropriate W-8 tax forms.
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Request For Taxpayer Identification Number
PDF template
A form for collecting vendor tax information and business classification details for tax reporting purposes.
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MEDICAID HOSPICE DISCHARGE FORM
PDF template
Official form documenting the discharge of a patient from a Medicaid hospice program, including reasons for termination of services.
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Vantage Learning International Channels Program
PDF template
A strategic program by Vantage Learning to expand international channels and partner with organizations for educational technology services.
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Resident Electronic Monitoring Consent FORMS AND INSTRUCTIONS
PDF template
Guidance and consent forms for electronic monitoring in residential care facilities, outlining consent requirements and options for residents and roommates.
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AireBeam 1 RES Year Agreement
PDF template
A 12-month legally binding internet service agreement between AireBeam and the customer, outlining service terms, equipment usage, and account management policies.
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Residential Joint Service Agreement
PDF template
Utility service application form for residential customers, used to establish utility services with New Braunfels Utilities.
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Residential Service Request Form
PDF template
A form for customers to request residential internet service with personal and banking details.
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Residential Rental Application For Utility Account
PDF template
Application form for setting up utility services for residential renters in the City of Spruce Grove, including water, wastewater, and solid waste services.
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RESPITE INVOICE
PDF template
Invoice form for independent contract providers of respite care services, used to document and bill for care services provided.
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Hospital Discharge Intake Form
PDF template
A form for evaluating patient eligibility for short-term respite care after hospital discharge, including medical stability and independence requirements.
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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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Retail Printing Job Order Form
PDF template
A form for requesting print services with options for quantity, page details, finishing, and paper specifications.
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Reverse Referral Form
PDF template
A form used to request consideration for a program through a local county assistance office by providing client and program information.
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Reverse Referral Form
PDF template
A form used to request consideration for county assistance program services by providing client and program information to the local county assistance office.
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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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Reverse Referral Form
PDF template
A form used to request consideration for attending a specific program through a local county assistance office.
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School Nutrition Refund Request Form
PDF template
A form for requesting a refund or balance transfer for a student's school lunch account within the Pine Bush Central School District.
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Sales Agreement For Services
PDF template
A standard services agreement between a purchaser and the Research Corporation of the University of Hawaii for professional services.
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Tree Removal Stump GrindingRemoval Bid Tabulation Sheet
PDF template
Bid document comparing multiple vendors for tree removal and stump grinding services
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Form W 9
PDF template
IRS form used to provide taxpayer identification information for income reporting and tax purposes.
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RFP 16 011 On Call Engineering Services
PDF template
Request for Proposals for on-call engineering services with multiple clarification questions and selection criteria details.
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Addendum No. 1 Request For Proposal On Call Environmental Remediation And Disposal Services
PDF template
Official addendum modifying key dates and forms for a environmental remediation services procurement proposal.
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RFP GC21 005 FY 2020 National School Lunch Program (NSLP) Equipment Assistance Grant For School Food
PDF template
Grant application guide for school food authorities seeking equipment assistance funding through the National School Lunch Program.
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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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Request For Proposal (RFP) For Project Development Services
PDF template
Request for proposal by the Public Building Commission of Chicago for project development services, seeking to select multiple firms.
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ConsultantContractor Services Agreement
PDF template
A service agreement between Golden Sierra Job Training Agency and a contractor defining terms of professional services, compensation, and contract duration.
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Utah County Public Works Fleet Services Approved Vendor Application
PDF template
A document requesting qualified vendors to apply for pre-approval to provide vehicle maintenance services for Utah County Public Works Fleet Services.
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Warranty Claim Form
PDF template
A form used to submit warranty claims for product returns or service requests by customers, distributors, or dealers.
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Service Request Form
PDF template
A form for requesting research services from the Radioimmunoassay and Biomarker Core at The Smilow Center for Translational Research.
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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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Outpatient Physician Visit Referral Form
PDF template
A medical referral form used to schedule patient appointments and transfer clinical information between healthcare providers.
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RIMS 2020 Official Service Providers
PDF template
Comprehensive listing of official service providers for the RIMS 2020 event, including airlines, vendors, and event support services.
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Shipping Form
PDF template
Instructions for shipping jewelry items to RMDCO for inspection, repair, or return with detailed shipping guidelines.
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ROAMview Onsite Service Request Form
PDF template
A form for requesting onsite service from ROAMview.
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RoboCamp RIT Medical And Health Insurance Form
PDF template
Comprehensive medical history and health information form for students attending RoboCamp at RIT
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Consulting Agreement
PDF template
A template agreement defining consulting services, responsibilities, and engagement terms between a company and a consultant.
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Room Naming Nomination Form
PDF template
A policy and process for nominating individuals or organizations to have college facilities named in recognition of significant contributions.
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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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Hospice Referral Form
PDF template
A comprehensive form for initiating hospice care referral, collecting patient medical, personal, and insurance information.
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Request To Purchase (RTP) FAQS
PDF template
A guide explaining the Request to Purchase (RTP) form process for non-IT supplies and services procurement in a government agency.
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Rugged Thread Repair Form
PDF template
A repair submission form for sending damaged clothing, bags, and gear to Rugged Thread for professional repair services.
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Texas 4 H And FFA Livestock Program Ethics Policy Rule 3 Approval Form
PDF template
A form documenting approved instances when livestock projects may be outside of direct exhibitor care during validation period.
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Rules Of Communications Service Provision By PJSC Rostelecom To Individuals
PDF template
Comprehensive rules governing communications service provision for individuals by PJSC Rostelecom, detailing service terms and regulatory compliance.
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BW RYSTIGGO V.I23
PDF template
Medical referral and patient information form for Rystiggo (rozanolixizumab-noli) treatment for Generalized Myasthenia Gravis
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Long Term Care Continuing Claim Form
PDF template
A claim form for submitting long-term care insurance claims through Aflac, requiring detailed policyholder and patient information.
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Safety Inspection Form
PDF template
Inspection form required by Greater Minnesota Gas for properties with interrupted natural gas service over 60 days to ensure safety before service resumption.
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Diabetes Self Management Education Referral Form
PDF template
Medical referral form for diabetes patient education and self-management training with diagnostic and healthcare details.
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Sales Services Order Form
PDF template
Registration packet for school services including extended day, food services, presentation boards, yearbook, and spirit wear
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Contract For Grantwriting Services
PDF template
A contract outlining the scope of services, compensation, and terms between a client and a grantwriting consultant.
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Health Plan Enrollment Form
PDF template
Form for selecting a Medicaid health plan and primary care provider in Louisiana
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Sample Maintenance Request Form
PDF template
A document used to submit and track maintenance requests for properties or organizations, providing a structured way to report repair or service needs.
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Purchasing Agreement
PDF template
A standard purchasing agreement between Midwestern State University and a contractor, outlining terms of service, compensation, and payment conditions.
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You Matter Referral Form
PDF template
A referral and consent form for the Tlingit and Haida Indian Tribes of Alaska Tribal Child Support Unit to address support services for noncustodial parents.
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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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Booth Service Catering Order Form
PDF template
A form for exhibitors to request catering services for their event booth at a conference or trade show.
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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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HOSPICE ORDER FORM
PDF template
A medical form for referring a patient to hospice care services, including patient information, orders, and physician details.
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Request For Proposal 11 X 21415 Telecommunications Equipment Services Solution
PDF template
A proposal detailing maintenance discounts and coverage for telecommunications equipment by Avaya for the State of New Jersey.
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Request For Proposal 11 X 21415 Telecommunications Equipment Services Solution
PDF template
Detailed document outlining maintenance discounts for various telecommunications equipment and services offered by Avaya for the State of New Jersey.
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Schedule Of Maintenance Fees
PDF template
Detailed document outlining maintenance service charges and policies for housing authority maintenance requests and services.
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Volunteer Form
PDF template
A form for registering volunteers, collecting personal information and volunteer details for the Boca Grande Woman's Club.
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School Meals Refund Request Form
PDF template
A form for parents/guardians to request refunds for school meal expenses through electronic funds transfer or paper check.
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Monthly Mileage Report
PDF template
Form for claiming mileage reimbursement for travel within Minnesota by service providers or participants.
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WARRANTY CLAIM FORM
PDF template
A form for submitting warranty repair claims, requiring details about the product, repair, and associated costs.
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Southern California Resource Services For Independent Living College Referral Form
PDF template
A referral form for students with disabilities seeking college support services through the EDGE College Support Services Program.
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Unable To AdmitDischarge Form (SLTC 158)
PDF template
A form used to document when a service provider cannot admit a member or is discharging a member from personal assistance services.
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SDA Housing Assist Inquiry Form
PDF template
A comprehensive inquiry form for collecting information about a potential specialized disability accommodation property and its service requirements.
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MultiPurpose Referral
PDF template
A Fairfax County Public Schools form for making referrals to Local Screening Committee or other student support services
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Maryland Uniform Consultation Referral Form
PDF template
A comprehensive form for medical consultation and referral between healthcare providers, capturing patient, carrier, and referral details.
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ResellerUNEP CLEC Ordering Package Selective Carrier Routing Via Advanced Intelligent Network (SCR V
PDF template
Technical document providing instructions and guidelines for provisioning Selective Carrier Routing through Advanced Intelligent Network for competitive local exchange carriers.
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DSB 0511 PHARMACY BILLING FORM
PDF template
A billing form used by pharmacies to bill for prescription drugs provided to consumers of the Division of Services for the Blind.
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F4.5 Other Services To Faculty
PDF template
Comprehensive policy detailing various services and benefits available to full-time faculty members at East Central University.
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BOOTH GUARD SERVICE ORDER FORM
PDF template
Order form for hiring security guard services for a booth at the RSNA 2017 conference in Chicago, IL.
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Seidemann Family Military Form
PDF template
A form for collecting detailed military service information about family members for a family reunion display
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Special Education Medicaid Initiative (SEMI) Parental Consent Form
PDF template
A consent form allowing school districts to bill Medicaid for special education services provided to students with individualized education programs.
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SentriLock Cancellation Form
PDF template
Form for cancelling SentriLock services, requiring subscriber signature and contact details.
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Referral For Interview Form
PDF template
A form used by hiring supervisors to document candidate selection and referral for student employment positions at Texas A&M International University.
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A3, Light Production Service Request Form
PDF template
A form for reporting and tracking service requests for Xerox A3/LP equipment that arrived with concealed damage from a distributor.
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Service Agreement Form
PDF template
Customer information and service request form for boat repairs and maintenance at Saylorville Lake Marina.
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Diventures Service Agreement
PDF template
A service agreement for equipment repair and maintenance at Diventures dive centers, including liability release and service terms.
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Diventures Service Agreement
PDF template
A service agreement for scuba and diving equipment repair, including liability release and service details.
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Community Resources For Corrections Service Agreement Form A05
PDF template
A service agreement form for external associates working with the Georgia Department of Corrections, detailing service terms and liability assurances.
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Utah.Gov Service Agreement
PDF template
Service agreement between Utah Interactive LLC and Monthly account holder for access to Utah.gov electronic government portal services.
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QBC Hematology System Service Agreement
PDF template
A service agreement for QBC hematology diagnostic equipment repair and replacement services with single or double swap options.
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ConsultantContractor Services Agreement
PDF template
A service agreement between Golden Sierra Job Training Agency and a contractor defining terms of professional services, payment, and contractual obligations.
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Service Authorization Form
PDF template
Form for authorizing service and repair of safety technology equipment by the Division of Criminal Justice Services.
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Service Complaint Reporting Form
PDF template
A formal complaint reporting form for individuals dissatisfied with service from the Metropolitan Development and Housing Agency Rental Assistance department.
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Service Complaint Resolution Form
PDF template
A form for individuals to document and submit service-related complaints or incidents with Carizon organization.
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Service Department Contact List Update Form
PDF template
A form for updating contact information for service department personnel across different organizational levels.
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Service Evaluation Form
PDF template
A form for community members to provide feedback or file commendations or complaints about police service in Piermont, NY.
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OSSBA Distinguished Service Award Nomination Form
PDF template
Nomination form for recognizing distinguished service by school board members in Oklahoma
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SERVICE REQUEST FORM
PDF template
A form for requesting service or return of motorsports parts and equipment with detailed customer and vehicle information.
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St. Gregory The Great Service Project Form
PDF template
A form for tracking community service hours for candidates preparing for the Sacrament of Confirmation, requiring 10 hours of service per year.
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St. Gregory The Great Service Project Form
PDF template
A form for tracking and reflecting on service hours required for Confirmation candidates at St. Gregory the Great church.
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NPP PRACTICUM SERVICE ENTRANCEEXIT INTERVIEW
PDF template
A two-part interview document for tracking intern expectations, goals, and insights at the beginning and end of a service practicum.
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Rules And Regulations
PDF template
Rules and pricing document for exhibitors at Kalahari Resort, covering utility, equipment, and service regulations.
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Instructions For Using UVMS Three (3) Services Agreement Templates
PDF template
Guide explaining the usage of three different service agreement templates for technology, visual media, and general services at the University of Vermont.
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ASCA Service Project Form
PDF template
A form for students to document and reflect on their community service activities.
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8th Grade Service Project Form
PDF template
A form for 8th grade students to document their voluntary service project demonstrating community engagement and Christian values.
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SERVICE REQUEST FORM
PDF template
A comprehensive form for submitting equipment for repair, service, or maintenance at Seiler Instrument Company.
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SERVICE REQUEST FORM
PDF template
A form for customers to request repair, service, or maintenance of equipment from Seiler Instrument Company.
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Great River Teens Encounter Christ Service Request
PDF template
A service request form for volunteers interested in participating in Teen Encounter Christ (TEC) or Quest religious retreats in the Great River region.
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ENMET Quote Form
PDF template
A service request and quote form for product repairs, calibration, and warranty claims for ENMET equipment.
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Service Request Form
PDF template
A form for requesting calibration, repair, or service for Sea-Bird scientific instruments and equipment.
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Service Request Form
PDF template
A form for customers to request service or report issues with a product, likely related to firearms or weapons.
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Fairfax Falls Church ChildrenS Services Act Team Based Planning Meeting Service Request Form
PDF template
A form for requesting team-based planning meetings or services for youth in the Fairfax-Falls Church area, collecting demographic and case management information.
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Service Request Form
PDF template
Form for requesting service and reporting equipment issues or malfunctions.
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Master Services Agreement
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A comprehensive service agreement defining the terms of engagement between Traeger Pellet Grills LLC and a service provider company.
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Services Agreement Quick Reference Guide
PDF template
A reference guide for accessing and completing the Services Agreement form for processing service purchases at an organization.
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Purchasing Services Checklist
PDF template
A comprehensive checklist for departments to follow when initiating a purchasing or service contract at the University of Alaska Fairbanks.
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SERVICE Requisition
PDF template
A comprehensive form for requesting and approving vendor services with financial and operational details
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SERVICE WAIVER FORM
PDF template
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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Orenco MVP Control Panel Service Inspection Form
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Detailed inspection form for evaluating septic tank and dose tank components and conditions
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Utah Senior Farmers Market Nutrition Program Self Declaration Form 2023
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A self-declaration form for seniors to qualify for farmers market nutrition program benefits based on age and income guidelines.
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HCBS And DD Billing Form SFN 1730
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Detailed instructions for completing a Medicaid billing form for healthcare service providers in North Dakota
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SFSU Incident Report Form
PDF template
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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Student Wellness Team (SWT) Referral Form For Student Deans Offices
PDF template
A referral form for students to be assessed by counseling or health services at The Claremont Colleges.
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IRS Form 990
PDF template
Official tax form used by tax-exempt organizations to report financial activities and compliance with IRS regulations.
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Shuttle Service Request Form
PDF template
A form for requesting shuttle service extensions or dedicated transportation between campus locations.
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The Silver Beaver Award Nomination Form
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Nomination form for recognizing distinguished service by registered Scouters who have made an impact on youth through Scouting.
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Service Order Form
PDF template
A form for ordering visa processing services with options for delivery, corrections, and notifications
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Exhibitor Ethernet Service Order Form
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Order form for obtaining internet and network services for exhibitors at Grand Hyatt San Diego conference venue
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Boat Service Agreement
PDF template
A comprehensive form for boat owners to provide personal details, boat specifications, and authorize repair services at a marina.
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Automatic Bank Draft Cancellation Form
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Form for cancelling automatic bank draft for utility services with St. Lucie West Services District
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Small Commercial Service Agreement
PDF template
A utility service contract for commercial customers establishing terms for electric, gas, water, and sewer services in the Greenwood service area.
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Annual Financial Report Of Expenditures
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Annual financial report detailing expenditures and budget allocation for the Scaling Up Nutrition Movement Secretariat for the year 2019.
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Seneca Nation Of Indians Standard Consulting Agreement
PDF template
A standard consulting agreement between the Seneca Nation of Indians and an external consultant outlining service terms, compensation, and engagement details.
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Snow Removal Feedback Form
PDF template
A survey to collect feedback about snow removal services or operations.
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REFERRAL FORM BARIATRIC SURGERY
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A comprehensive medical referral form for patients seeking bariatric surgery evaluation, detailing patient requirements and documentation needs.
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Social Information Interview Form
PDF template
A form used by Medicaid to collect comprehensive personal, educational, and work history information for disability determination.
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Social Service Referral Form
PDF template
A referral form for social services screening applicants through background checks and eligibility verification in Daytona Beach.
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SERVICE ORDER FORM
PDF template
A form for requesting visa and passport-related services with optional additional service selections.
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SERVICE REQUEST FORM
PDF template
A form for customers to request repair, calibration, or return of equipment from Solar Light Company.
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SOLE SOURCE JUSTIFICATION FOR SERVICES (25,000 Or More)
PDF template
A form used to document and justify procurement of unique or sole-source services with a total cost of $25,000 or more.
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Service Request Form SOL
PDF template
A form for students to request academic accommodations for exams and classroom support.
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Sales Order Form
PDF template
Sales order form for purchasing Netcore's Customer Engagement Experience service subscription with detailed pricing and terms.
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Sales Order Form
PDF template
A sales order form for purchasing Netcore cloud services including email, CEE, and WhatsApp subscriptions.
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Customer Feedback Form
PDF template
A document used to collect and track customer complaints, product issues, and corrective actions.
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PSYCHOEDUCATIONAL SERVICES REFERRAL FORM
PDF template
A comprehensive referral form for individuals seeking assessment and support from the School Psychology Assessment Center, designed to capture detailed client information and educational/psychological challenges.
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Spaghetti Dinner Order Form
PDF template
A fundraising dinner event with spaghetti meal options for dine-in or pickup to support a 7th grade ski trip.
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Creighton Therapy And Wellness Referral Form
PDF template
Medical referral form for therapy services focusing on specialized musculoskeletal and pelvic health treatments
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Speaker Service Agreement
PDF template
A contract document for compensating speakers for services provided at university events, detailing honorarium and potential additional expenses.
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SPEAKER SERVICE REQUEST FORM
PDF template
A form for requesting an athlete or speaker for an event, including event details, speaker requirements, and budget information.
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SPECIAL SERVICES BILLING FORM
PDF template
A form for documenting and billing special agricultural inspection, sampling, and treatment services with various hourly and per-sample rates.
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Wisconsin Medicaid Information Update Bulletin
PDF template
Bulletin explaining how Wisconsin's Medicaid program interfaces with special education services and IDEA regulations.
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Special Print Copy Order Form
PDF template
Form for customers to request printing and copying services with document specification details.
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Specialty Referral Form
PDF template
A medical referral form for patients being referred to a specialist within the Holston Medical Group network.
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Specialty Care Referral Form
PDF template
A medical referral form for patients seeking specialized dental care at Creighton Dental Clinic.
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Specialty Referral Form
PDF template
A medical referral form for specialty healthcare services, including periodontics and endodontics referrals.
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Specifications For Consulting Services
PDF template
Framework document outlining how the Franklin County Engineer's Office works with professional consultants for infrastructure projects.
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Waco Convention Center Booth Service Order Form
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Order form for electrical services, internet, and booth resources for event at Waco Convention Center
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Boston University Request For Spousal Travel
PDF template
A form for Boston University faculty and staff to request approval for spouse travel expenses with detailed IRS tax compliance guidelines.
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Sprint Discount Program Eligibility Verification And Service Agreement Form
PDF template
A form for verifying eligibility for corporate, university, and organizational discounts with Sprint mobile services.
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Sprint Solutions, Inc. Terms And Conditions Of Service
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Comprehensive terms and conditions for Sprint wireless service covering pricing, service agreements, and customer obligations
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Service Request Form
PDF template
A form for part-time and adjunct faculty to request and detail service assignments for upcoming semesters.
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Service Request Form
PDF template
Form for requesting service and repair of environmental instruments with details about shipping, contact, and equipment information.
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INSTRUMENTATION SERVICES SERVICE REQUEST FORM
PDF template
A form for requesting equipment service, maintenance, or repair at the University of Texas Health Science Center at San Antonio
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AP 12.204 Attachment 1 Special Fund Research Recharge Center (SRRC) Proposal
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A comprehensive form for establishing or modifying a Special Fund Research Recharge Center at the University of Hawai'i, detailing project specifics, operating budget, and user rates.
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TRIO Student Support Services Referral Form
PDF template
A form for referring students to academic support services based on identified areas of concern or need.
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Staff Excellence Award Nomination Form
PDF template
A form for nominating MSU staff members who have provided extraordinary service to the university community.
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Standard Construction Agreement
PDF template
A standard construction agreement between Northern Kentucky University and a contractor defining terms of service, compensation, and contract duration.
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AGREEMENT BETWEEN THE SILICON VALLEY CLEAN ENERGY AUTHORITY AND CONSULTANT
PDF template
A standard consulting services agreement between Silicon Valley Clean Energy Authority and an external consultant for specified professional services.
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Standard Equipment Request Form
PDF template
A form for requesting computer equipment and accessories for staff, faculty, and labs at an educational institution.
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AIGA Standard Form Of Agreement For Design Services
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A modular contract template designed for design firms to clarify expectations and protect interests in client projects.
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AIGA Standard Form Of Agreement For Design Services
PDF template
A modular contract template for design professionals to help clarify project expectations and protect interests of all parties involved.
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Texas Southern University Standard Purchasing Agreement For Goods And Services Under 5,000
PDF template
A standard purchasing agreement for goods and services valued under $5,000 at Texas Southern University.
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USA Health Referral Form
PDF template
A comprehensive referral form for patient transfer and medical consultation between healthcare providers at USA Health University of South Alabama.
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Standing Frame Evaluation
PDF template
Medical form used to evaluate and request a standing frame for Medicaid recipients with medical needs requiring assistive equipment.
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Standing Order Request Form
PDF template
Form for requesting transportation services with specific pick-up and drop-off details for Harbor Transit.
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Indiana Standing Order Request Form
PDF template
A form for requesting medical transportation services with patient and transport details for Verida healthcare services.
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Virginia Standing Order Request Form
PDF template
A form for requesting medical transportation services with detailed patient and trip information for Medicaid recipients.
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Virginia Standing Order Request Form
PDF template
A form for requesting medical transportation services with patient and trip details for Medicaid-covered transportation.
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Physician Referral Form
PDF template
Confidential form for referring children and adolescents for behavioral and developmental health services.
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Contract Search Sorted By Agency
PDF template
A comprehensive report listing active government contracts sorted by agency with contract details.
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St. Jude Affiliate Clinic Referral Form
PDF template
A referral form for patients seeking medical consultation at St. Jude Affiliate Clinic at Huntsville Hospital for Women and Children
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PRODUCT SERVICE GUIDE 2018
PDF template
A comprehensive sales order document for tracking customer orders, product details, and delivery information.
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SALES ORDER FORM
PDF template
A comprehensive sales order form for documenting customer purchase details and product specifications.
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Recreational Vehicle Registration Form
PDF template
A form for registering a recreational vehicle with a homeowners association and obtaining a parking permit for the vehicle.
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Service Request Form
PDF template
A form for submitting service requests for equipment and parts, used by customers to request technical service or parts replacement.
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Complaint Form
PDF template
A form for reporting incidents or potential violations within Northeastern State University's student community.
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CHILD NUTRITION PROGRAMS SCHOOL MEALS REFUND REQUEST FORM
PDF template
A form for parents/guardians to request a refund for school meal expenses for the 2024-2025 academic year.
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Student Referral Form
PDF template
A comprehensive form for referring students to various academic programs and student services within the college.
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Student Referral Form
PDF template
A comprehensive form for instructors to refer students to support services for academic, personal, and social challenges.
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Student Success Referral Form
PDF template
A form used by instructors to refer students to the Student Academic Success Team for academic support and intervention.
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Manufactured Housing Warranty Claim Form
PDF template
A warranty claim form for manufactured housing repair services with detailed service and part information requirements.
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SuperCopy Job Request Form
PDF template
A form for requesting copying, printing, and document production services with multiple options for paper, binding, and special instructions.
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Supervisor Referral Form
PDF template
A confidential form for supervisors to provide detailed performance assessment and referral for an employee
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Environmental Service Request (ESR) Form
PDF template
A form for requesting environmental review for projects using federal funds administered by the Los Angeles County Development Authority (LACDA)
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SUPPLIER AGREEMENT GOODS AND SERVICES
PDF template
A confidential agreement defining terms for goods and services procurement between NRG Systems and a supplier.
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Supervisor Referral Form
PDF template
A confidential form for supervisors to refer employees to the Employee Assistance Program due to performance, behavioral, or substance abuse concerns.
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Dependent Care Reimbursements
PDF template
A guide explaining IRS requirements and reimbursement methods for dependent care expenses through Surency Flex.
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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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Request For Proposal Genesys Licensing, Support, And Teams
PDF template
A formal request for proposal seeking licensing, support, and teams services for SURS organization with specific submission requirements and evaluation process.
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SHCSA Quarterly Survey Instructions
PDF template
Instructions for healthcare personnel reporting in Missouri for facilities participating in Medicare or Medicaid
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United States Of America V. David Marvin Swanson
PDF template
Legal document seeking court injunction against David Marvin Swanson for promoting abusive tax reduction schemes that falsely promise tax liability elimination.
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WARRANTY CLAIM FORM
PDF template
A form used to document and submit warranty claims for Swaploader equipment and parts.
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Transportation Service Request Form
PDF template
Form for requesting student transportation services for Chicago Public Schools for the 2024-2025 school year for designated programs.
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Universal Referral Form
PDF template
A comprehensive medical referral form for specialty pharmacy services, collecting patient, insurance, and medical criteria information.
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T3 Logistics Shipping Request
PDF template
A shipping request and quote form for logistics services with options for various shipping methods and service levels.
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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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Taiz Volunteer Form 2002 2003
PDF template
Volunteer form for individuals interested in assisting with Taiz Contemplative Worship Services through various roles like musicianship, reading, and service preparation.
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Service Request Form
PDF template
A form for requesting research services at Stanford, capturing requester details, service specifications, and pricing information.
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1095 Forms What You Need To Know
PDF template
Comprehensive overview of 1095 tax forms used to report health insurance coverage under the Affordable Care Act.
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Tax Form Filing Instructions
PDF template
Instructions for mailing federal and state tax forms, including specific mailing addresses based on tax payment status.
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Form 1098 T Tuition Statement
PDF template
Comprehensive guide explaining the Form 1098-T, a tax document related to educational expenses and potential tax credits for students.
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Tax Information For International Students And Scholars
PDF template
Comprehensive guide for international students and scholars on filing U.S. tax returns and using Sprintax tax preparation software.
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Tax Return Transcript Request
PDF template
Guide for requesting IRS tax return transcripts through online, phone, and mail methods for various tax filing circumstances.
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Form W 9
PDF template
IRS form used to provide taxpayer identification information for income reporting and tax purposes.
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CSVP FREE INCOME TAX PROGRAM CHECKLIST
PDF template
A comprehensive checklist of documents and information required for a free income tax preparation appointment.
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Form 4506 T
PDF template
IRS form used to request a transcript of tax return information, which can be obtained free of charge.
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Federal Income Tax Withholding Form
PDF template
Form for electing federal income tax withholding options for National Electrical Benefit Fund pension payments
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Referral Form
PDF template
A comprehensive medical referral form for mental health assessment and treatment, collecting patient information and psychiatric symptoms.
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TechNET IT Timesheet Portal Guide
PDF template
A comprehensive guide for using TechNET's online timesheet submission and tracking portal for employees.
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Young Technology Scholar Award Application
PDF template
Scholarship award for high school seniors in Utah demonstrating technology skills and leadership in computer information technology courses.
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Technical Inspection, Helmet Acknowledgement, And Waivers
PDF template
Comprehensive safety inspection checklist for racing or high-performance driving events, covering vehicle systems and driver safety requirements.
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Wyoming Telecommunications Act
PDF template
Legal document defining telecommunications definitions, services, and regulatory framework for telecommunications companies in Wyoming.
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Telecommunications Service Request Form
PDF template
A form for requesting telecommunications services including phone installations, moves, and removals at an organization.
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Telephone Activation Cancellation Form
PDF template
A form for activating or cancelling telephone service in student housing at San Jose State University
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Telephone Change Request Form
PDF template
Form for modifying existing telephone settings or requesting changes to phone services at Bergen Community College.
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Telephone Service Request (TSR)
PDF template
A form for requesting telephone equipment, services, and line relocations within an organization.
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Saint Xavier University Landline Telephone Service Terms And Conditions
PDF template
Terms and conditions for students opting to receive landline telephone service in university residence halls for one academic year.
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Temporary Child Care Attendance Form (CCAF)
PDF template
A form used by parents and child care providers to document and track child care services for potential reimbursement through Solano Family & Children's Services.
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Proposal And Field Contract
PDF template
A contract between Mt. San Antonio Community College District and a contractor for specified work, detailing project scope, payment, and terms.
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Tenant Water Account Move Form
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A form for customers moving and transferring water utility services in the City of Niagara Falls, with options for refund and account transfer.
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Low Code Interactive Classroom Service Agreement
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A service agreement document detailing the terms and conditions for Tencent Cloud's Low-code Interactive Classroom product.
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Termination Of Utility Service
PDF template
A form for customers to request termination of utility services and provide forwarding contact information.
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Termination Of Utility Service
PDF template
Form for customers to request termination of utility services and provide forwarding contact information.
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Terms And Conditions For Training Services
PDF template
Legal document outlining the terms and conditions for training services provided to Robert Bosch GmbH, covering educational events and training materials.
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Psychological Testing Referral Form
PDF template
A comprehensive form for requesting psychological testing and evaluations for patients of all ages, including patient and insurance information.
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TESTING REFERRAL FORM
PDF template
A form used by instructors to refer students for testing at the ACTT Center's Gainesville Campus, including details for test administration and student verification.
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TARGET FITNESS CARDIOMETABOLIC SERIES INTEGRATIVE NUTRITION THERAPY FOR HEART HEALTH
PDF template
A 4-week group nutrition program designed to improve cardiovascular and metabolic health through personalized nutrition strategies and expert guidance.
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Self Directed Services Mileage Reimbursement
PDF template
Form for tracking and requesting mileage reimbursement for self-directed services by employees under Maryland DDA guidelines.
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Event Inquiry Form
PDF template
A form for collecting preliminary details about an event, including date, guests, catering, and technical requirements.
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OCFS 5014 Parental Consent Form
PDF template
A form for parents and service providers to consent to individual services for children in child care settings under specific educational disability laws.
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PRESCRIPTION REFERRAL FORM
PDF template
A comprehensive medical form for referring patients to various physical, occupational, and speech therapy services with multiple treatment options.
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COLOCATION MASTER SERVICES AGREEMENT
PDF template
Legal agreement outlining terms for customer equipment placement in a data center facility managed by a city entity.
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Ticket Service Request Form
PDF template
Form for University of Washington student organizations to request ticket sales and services for events at the Husky Union Building
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Electrical Service Order Form
PDF template
Form for ordering electrical services for event exhibitors at Treasure Island Resort & Casino, including power requirements and payment details.
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2 Week Timesheet For Payment
PDF template
A two-week timesheet document for tracking employee work hours and services provided.
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Non Emergency Medical Travel Reimbursement
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A guide for Medicaid recipients explaining how to claim reimbursement for non-emergency medical travel expenses including mileage, lodging, and meals.
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Master Services Agreement Americas EMEA Customers
PDF template
Master service agreement defining terms and conditions for service provision between Trajectory America, Inc. and its customers.
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TLC Recess Cancellation Request
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A form for parents to request cancellation of paid TLC recess programs with specific refund and re-enrollment conditions.
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TLC Referral Form
PDF template
A form used by instructors to refer students to the Teaching and Learning Center for additional academic support.
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TMS Referral Form
PDF template
Comprehensive medical referral form for evaluating patient eligibility for Transcranial Magnetic Stimulation therapy, focusing on mental health history and treatment trials.
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Tennessee Extension Volunteer Application Form
PDF template
A volunteer application form for Tennessee Extension to match applicants' skills with organizational needs and ensure a safe environment.
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REFERRAL FORM
PDF template
A comprehensive form for referring clients to health and human services, capturing client details, living situation, and support needs.
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Assessment Form
PDF template
A form for collecting household information to identify potential utility assistance programs for Tacoma Public Utilities (TPU) customers.
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SERVICE REQUEST
PDF template
A service request form for lens inspection and delivery options from Spec-Care, a specialized care services company.
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Trading Partner Agreement
PDF template
A legal agreement establishing terms for trading partners in the energy services industry, specifically for Electronic Data Interchange (EDI) compliance.
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PWC Transfer Request Form
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A form for transferring vehicle service contract ownership from an original owner to a new owner, including important transfer conditions and acknowledgments.
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Transition To Community Referral Form
PDF template
A form for referring and documenting client transitions from facility to community-based services and support.
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Early ACCESS Transition Toolbox
PDF template
A guide for families navigating the transition from Early ACCESS services to preschool and special education programs.
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DHS Early Intervention Transportation Billing Form
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A billing form for transportation services provided to children in early intervention programs in Illinois.
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TRA Order Request Form
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Order form for telecommunications routing administration services from iconectiv's TRA division.
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Travel And Reimbursement Procedures
PDF template
Comprehensive guidelines for employee travel expenses, reimbursement procedures, and documentation requirements for school district staff.
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Travel Business Expense Reimbursement Policy
PDF template
Policy for reimbursing travel and business expenses for university representatives according to IRS regulations and creating a uniform reimbursement process.
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Travel Expense Policy
PDF template
Policy governing travel expense reimbursement for university faculty, staff, students, and other travelers seeking compensation for business-related travel expenses.
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Travel Service Agreement
PDF template
A legal agreement defining terms and conditions for a participant's enrollment in a travel program, including responsibilities, reservation process, and participation requirements.
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Service Order Form
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Form for ordering visa and passport services for international travel through Travel the World Visas, Inc.
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Travel Tips For Reimbursement
PDF template
Comprehensive guide for travel expense reimbursement, including mileage rates, per diem meal allowances, and documentation requirements.
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Travel Trailer Rental Agreement
PDF template
A legal agreement for renting a travel trailer, specifying terms of rental, location, and responsibilities of both owner and renter.
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Trust Funded Prepaid Funeral Benefits Contract
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A contract allowing advance payment and cost freezing for funeral goods and services selected by the purchaser.
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County Realignment Provider Service Request Form
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A form for healthcare providers to request service alignment with Trillium Health Resources across Bladen and Halifax Counties.
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Referral Form
PDF template
A comprehensive medical form for documenting patient wound details, diagnosis, and referral information for healthcare professionals.
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Comparative Medicine Technical Service Request Form
PDF template
Form for requesting technical services and supplies from the University of Maryland Baltimore's Comparative Medicine department
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Alumni Volunteer Service Hours Tracking Form
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A tracking form for Texas Southern University alumni to document and report their volunteer service hours and activities.
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Turnip The Beet High Quality Meals In The Summer Meal Programs 2024 Nomination Form
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Nomination form for recognizing high-quality meal services in summer food programs across the United States.
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Warranty Claim Form
PDF template
A form for submitting warranty claims for Tube-Line equipment and products with required details about the product and failure.
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Tuition Waiver Proof Of Dependency Affidavit Instructions
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Detailed instructions for determining tax dependent eligibility for tuition waiver under IRC Section 117(d)
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Student Referral Form
PDF template
A form for instructors to refer students to tutoring services and track tutoring session outcomes.
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Texas Medicaid Estate Recovery Program (MERP) Authorization And Certification Form
PDF template
A form used to determine and document Medicaid estate recovery claims against a deceased Medicaid recipient's estate in Texas.
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Newborn Notification Of Delivery Form
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A form for healthcare providers to report newborn information to Wellpoint within 24 hours of delivery for Medicaid members.
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AARP Foundation Tax Aide Tax Preparation Documents We Need To Prepare Your Tax Return
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A comprehensive list of documents required for tax return preparation by AARP Foundation Tax-Aide program.
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Entertainment Services Agreement
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A legal agreement between the University of Hartford and an artist for providing entertainment services at a specific event.
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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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UNC Health Endocrinology Physician Referral Form
PDF template
Medical referral form for patients requiring endocrinology consultation, specifying patient information and diagnostic requirements.
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Parental Consent Form
PDF template
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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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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Maryland Uniform Consultation Referral Form
PDF template
A standardized form for healthcare providers to request medical consultations, referrals, and services between healthcare providers and facilities.
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Uniform Consultation Referral Form
PDF template
A standardized form for healthcare providers to submit patient referrals and consultation requests through CareFirst insurance plans.
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Union College Contractor Service Agreement
PDF template
A legal agreement between Union College and a contractor defining the scope, terms, and conditions of contracted services.
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Independent Contractor Contract
PDF template
A contract defining the terms of an independent contractor's engagement with Union College, including services, compensation, and intellectual property rights.
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Unique Services Reimbursement Program Claim Form
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A claim form for submitting reimbursement requests for unique healthcare services through Presbyterian Health Plan for the City of Albuquerque.
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American Legion Auxiliary Year End Impact Report Forms
PDF template
Comprehensive reporting form for documenting volunteer hours, service, and contributions of American Legion Auxiliary members supporting veterans and military families.
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Universal Referral Form
PDF template
A referral form for connecting parents and providers to child development resources and screenings in Alabama.
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School Based Universal Referral Form
PDF template
A comprehensive form for school professionals to refer students for support services or intervention.
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University Printing Order Form
PDF template
Form for submitting print job requests to university printing services with details about job specifications and delivery requirements.
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Contract For Consultant Services For Works
PDF template
A template contract for engaging consultants for various professional services such as design, construction management, and technical investigations.
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UNSOLICITED PROPOSAL FORM
PDF template
A comprehensive form for submitting an unsolicited business proposal to an organization, capturing proposer details and proposal specifics.
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UOIG Form 01.01 Referral Form
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A form for reporting potential fraud, waste, and abuse in the Utah Medicaid program by non-provider individuals.
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Alabama UPC Submission Form
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Form for submitting product UPC codes for approval in the Alabama WIC (Women, Infants, and Children) program.
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PER11 Appointment Request Form
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Instructions for scheduling manual or specialized appointments with NYC Department of Buildings Plan Examiners or Borough Commissioner's office using a new PER11 form.
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Referral Form
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A form for referring patients to ophthalmology services with multiple evaluation options and contact details.
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TMJ Patient Referral Form
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A medical referral form for patients seeking consultation at the IU School of Dentistry TMJ Institute for temporomandibular joint (TMJ) issues.
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Louisiana Register Vol. 41, No. 3
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Regulations governing long-term personal care services in Louisiana, including service delivery restrictions and provider guidelines.
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UAB Urology New Patient Referral Form
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Medical referral form for new patients seeking urology services at UAB Department of Urology in Birmingham, Alabama.
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FCC Form 471
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FCC form for library system funding application detailing service categories and entity information
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USAT Referral Form
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A referral form for connecting clients to health and addiction services through a mobile outreach team in Ontario, Canada.
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USA Warranty Labor Claim
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Instructions and guidelines for submitting warranty labor claims for equipment repairs with True Manufacturing Company.
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IT Purchase Request Form
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A form for requesting and approving IT equipment purchases within an organization, including details about the item, purpose, and funding.
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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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Outpatient Referral Form
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A referral form for patients seeking specialist medical care within the USFHP network, requiring physician completion and details about the referral.
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Budget Consultant Form And Attestation
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A form for requesting and justifying external consultant services for educational purposes.
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United States Postal Service International Postage Order Form
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A form for processing international mail shipments through postal services, used by Smith College departments for sending international mail.
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US Delegated Manager Agreement
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Agreement between NeuStar, Inc. and delegated managers for .US domain name registration services and administration of locality domain names.
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Music City Center Natural Gas, Compressed Air, Water, Drain Service Order Form
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Form for ordering utility services including compressed air and water connections for events at Music City Center
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UTILITY CHANGE SERVICE APPLICATION
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Application for setting up or stopping utility services in Waterford and Hickman, California.
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Utility Deposit Form
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A form for establishing utility service with deposit requirements for new residential customers in Richmond, Missouri.
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REQUEST FOR UTILITY SERVICES
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City of Lincoln form for establishing new water, sewer, and refuse utility services for property owners or tenants.
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SUN N LAKE OF SEBRING IMPROVEMENT DISTRICT Utility Request Form
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A form for requesting utility service turn on, turn off, or read-only status for a property in Sebring, Florida.
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Utility Service Request Form
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A comprehensive form for requesting utility services, including electric, gas, water, and sewer connections for various property types.
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Exhibitor Services Form Utility Service Order Form
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A form for exhibitors to order utility services and electrical connections for events at the Charleston Coliseum & Convention Center.
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Utility Service Transfer
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A municipal form for transferring utility services when changing residence, requiring personal and property details.
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UTRGV Print Service Request Form
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A comprehensive form for requesting print, copying, and related document production services at the University of Texas Rio Grande Valley (UTRGV).
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University Of Washington Claim Form
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Official form for filing claims with the University of Washington's Claim Services department, used to document potential damages or incidents.
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Utah Work Incentive Planning Services (UWIPS) Referral Form
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A referral form for current SSI or SSDI recipients under full retirement age seeking work incentive planning services in Utah.
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Mobile Service Cancellation Form
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Form for cancelling mobile device services and equipment for university employees
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Primary Identity Source Document
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A comprehensive list of acceptable identity source documents for verification purposes, including government-issued IDs, passports, and employment authorization documents.
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Volunteer Application Form
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A comprehensive form for individuals interested in volunteering at Christ Journey Church, covering personal details, church involvement, and serving preferences.
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VOLUNTEER APPLICATION FORM
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Comprehensive form for individuals interested in volunteering at a museum, collecting personal, contact, educational, and employment information.
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Volunteer Interview Form
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A comprehensive form for screening and tracking potential volunteers for a long-term care ombudsman program, assessing their motivation, skills, and suitability.
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FORM 11 VBCC Utility Service Order Form
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Order form for electrical and utility services for events at the Virginia Beach Convention Center with pricing details and payment instructions.
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Vermont Chronic Care Initiative Referral Form
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Referral form for Vermont Medicaid members to access short-term, intensive case management services for chronic care coordination.
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Valley ChildrenS Referral Form
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A comprehensive medical referral form for patient consultation and diagnostic services at Valley Children's healthcare facility.
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Vehicle Lock Out Waiver Form
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Waiver form for Manawa Police Department vehicle lockout service with liability release and fee acknowledgment.
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Physician Referral Fax Form
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A comprehensive medical referral form for patient information, insurance details, and physician contact for vascular specialist consultation.
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Vending Machine Audit Form
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A comprehensive audit form for documenting details about vending machine locations, accessibility, inventory, and advertising in Alabama state government buildings.
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South Dakota WIC Vendor Agreement
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Agreement between South Dakota Department of Health and a food vendor to participate in the WIC Program for providing supplemental nutrition to eligible women, infants, and children.
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Vendor Application Form
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A comprehensive form for collecting vendor tax and business information for payment and tax reporting purposes.
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IRIS Vendor Claim Form
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Form for providers to submit non-HIPAA claims for IRIS-funded healthcare services.
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Form W 9
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IRS form used to provide taxpayer identification information for income reporting and tax purposes.
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Vendor Training
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Document outlining training requirements and procedures for WIC program vendors in Utah.
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Verizon Customer Agreement
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Legal agreement defining terms and conditions for Verizon Fios Internet, TV, and Home Phone services with binding arbitration clause.
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Credit Application For Parts And Service
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A comprehensive credit application form for businesses seeking credit for parts and service purchases from Vermeer-Wisconsin, Inc.
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Referral Form
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A form for patients to specify preferred therapy session times and clinic locations across multiple Maryland locations.
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Veteran Or Active Duty Military Form
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A form to verify military status for students seeking financial aid, requiring documentation of veteran or active duty service.
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Home Health Service Form
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Comprehensive form for requesting skilled nursing services and home health care under Medicare and Medicaid programs, collecting patient, insurance, and medical information.
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STANDARDIZED CLIENT REFERRAL FORM FOR VICTORY PROGRAMS RECOVERY HOMES
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A comprehensive referral form for admission to recovery homes, collecting detailed client information for substance abuse treatment programs.
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UMCES Policy VIII 3.00
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Guidelines for procurement of goods and services for the University of Maryland Center for Environmental Science, using University of Maryland procurement services.
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Buckhannon City Police Volunteers In Police Service (VIPS) Service Request Form
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A form for requesting volunteer police service support for various community events in Buckhannon, West Virginia
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Rehabilitation Referral Form
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A comprehensive form for referring veterinary patients to rehabilitation services at the University of Minnesota Veterinary Medical Center.
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Nutrition Referral Form
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A comprehensive form for veterinary professionals to request nutrition consultation and provide detailed patient medical information.
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Referral Form
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A comprehensive referral form for animal patients seeking specialized veterinary services at the University of Tennessee Veterinary Medical Center.
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VNSNY Physician Referral Form
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Comprehensive medical referral form for home care services, collecting patient information, insurance details, and physician certification.
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Volunteer Agreement Form
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A legal document outlining the terms and conditions for volunteering at a Catholic parish or school location.
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Volunteer Application Form
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A comprehensive form for individuals seeking to volunteer at Catholic parish, school, or agency locations with screening questions for child-related roles.
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Town Of Perinton Volunteer Application Form
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A comprehensive volunteer application form for individuals interested in various community recreation programs and services.
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VOLUNTEER APPLICATION FORM
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Comprehensive form for potential volunteers to apply and provide personal, educational, and background information for volunteering at Stanford Blood Center.
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Volunteer Application Form
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Comprehensive form for collecting personal, contact, and background information from potential volunteers at South Burnaby Neighborhood House.
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Volunteer Application Form
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Comprehensive form for potential volunteers to provide personal information, availability, and references for volunteering at a community organization.
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Volunteer Application Form
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A comprehensive form for individuals interested in volunteering, collecting personal information, skills, and volunteer preferences.
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Volunteer Appreciation Award Nomination Form
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A form to nominate volunteers who have made significant contributions to the Greater Madawaska community during National Volunteer Week.
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New Milford Health Department Volunteer Contact Form
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A form for collecting contact and professional information from potential health department volunteers
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Volunteer Information Form
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A form for collecting volunteer details, contact information, and service parameters at Cal Poly Pomona university.
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Agreement For Non Reimbursed Volunteer Services
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A legal document outlining volunteer service terms and conditions for University of Montana Western volunteers.
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Volunteer Application Form
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A form for individuals interested in volunteering at the Winston-Salem Rescue Mission, covering personal details and volunteer service preferences.
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Volunteer Form
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An application form for individuals seeking to volunteer at Mattawan Consolidated School, covering various volunteer roles and background information.
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FIU VolunteerIntern Application (A)
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Application form for individuals seeking to volunteer or intern at Florida International University (FIU)
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