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Employee Assistance Program For Teachers Counsellor Invoice Form
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A form for counsellors to submit invoices for services rendered through the Employee Assistance Program for Teachers.
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Medical consent form for receiving COVID-19 vaccination, including patient screening questions and personal information collection.
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Form for employees to request paid leave due to COVID-19 quarantine or isolation orders in New York State.
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A form for employees to request time off from work, specifying type of leave and dates.
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A form used to document workplace incidents, accidents, illnesses, or exposures for the University of New Mexico-Taos.
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Model Invoice
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A payment invoice for academic services with variable rates for clothed and nude modeling work.
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Consent And Service Agreement
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A comprehensive document outlining consent and service terms for counseling and therapy services provided by MERCI Memphis Counseling Center.
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Official form for obtaining identification cards to access CBP security areas for employees involved in importing and handling merchandise.
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2021 22 Individual Membership Dues INVOICE FORM
PDF template
Membership dues invoice for active and retired city management professionals to join the California City Management Foundation.
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PDF template
A comprehensive form for collecting student contact details, emergency contacts, and medical information for school records.
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PDF template
A form for employees to authorize automatic deposit of payroll funds into one or two bank accounts at Antioch University.
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Idaho Health Examination And Consent Form
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Required medical examination form for Idaho high school students participating in interscholastic athletics in 9th and 11th grades.
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A form used to request payment when standard invoice documentation is not available, designed for creating a Payment Request in B2P system.
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A form for employees to request Paid Time Off (PTO) or Sick Leave with supervisor approval requirements.
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IN LIEU OF INVOICE FORM
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A form used to document payments when standard invoice documentation is not available, primarily for Harvard University administrative purposes.
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Medical history and health assessment form for participants in a cross-cultural youth exchange program.
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Comprehensive medical history form for cardiology patients to document health conditions, medications, and allergies.
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2021 Respect Awards Nomination Form
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A nomination form for recognizing individuals for exceptional contributions, to be submitted to the Alabama Department of Mental Health
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A form for submitting warranty claims for air conditioning units, parts, and equipment by technicians or contractors.
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PDF template
Comprehensive guide for students to create and complete their digital health record using Privit Profile platform for Wilmington College.
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Comprehensive instructions for district employees on completing travel forms, obtaining approvals, and reimbursement procedures for business travel.
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Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
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A form for Manchester employees to request calculation of additional retirement contributions and explore retirement benefit options
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Registration form for patients seeking admission to a non-surgical program at Boone Hospital Center, collecting comprehensive personal and medical information.
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A document allowing employees to authorize direct deposit of wages and provide banking details for payroll processing.
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Medical information and emergency authorization form for adult participants of the Summit Music Festival
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A state-level application for rent reimbursement for eligible Iowa residents aged 65+ or disabled individuals with low household income.
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Long Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a long-term disability claim with Lincoln Financial Group, detailing personal, employment, and medical information.
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MEDICAL HISTORY FORM
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Comprehensive medical form for documenting student's health history, childhood illnesses, current physical conditions, and immunization records.
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Native Hawaiian Summer School Assistance Program Instructions
PDF template
Guidance for schools on submitting invoices and student grades for the Native Hawaiian Summer School Assistance Program
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Employee Timesheet
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A timesheet document for tracking employee work hours and certifying time worked for staffing and payroll purposes.
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Easter Seals Colorado Rocky Mountain Village Camper Medical Form
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A comprehensive medical form for documenting a camper's health status and medical history prior to attending camp.
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Request For Proposals A Precision Medicine Approach To Improve The Prevention, Diagnosis, And Treatm
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A research funding proposal seeking innovative precision medicine projects focused on addressing depression, targeted at California nonprofit academic research institutions.
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2023 2024 Northside ISD Medical History
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Annual medical history form required for student participation in athletic activities at Northside Independent School District.
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Annual Pre Participation Physical Evaluation
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A comprehensive medical screening form for student-athletes to assess their health and fitness for sports participation during the 2023-24 school year.
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CEA Member Scholarship Fund
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Application for scholarship for students whose parents are Columbus City Schools teachers, requiring specific membership and academic criteria.
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2023 2024 Student Emergency Form
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A comprehensive form for collecting student emergency contact details, health insurance information, and parental contact information for school records.
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2024 Application For Unrestricted Support
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A strategic plan focusing on improving mental health access and community support in rural White County through collaborative partnerships.
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Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
PDF template
A form allowing employees to request calculation of additional retirement contributions with specific authorization and salary assumptions.
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Classroom Grants Program 2023 Guidelines And Helpful Hints
PDF template
Guidelines for educators applying to the Snohomish Education Foundation's classroom grant program, providing funding for innovative educational projects.
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Flexible Spending Account (FSA) Enrollment Form
PDF template
A form for employees to elect and contribute to Flexible Spending Accounts for health care and dependent care expenses
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2023 Teen Expeditions Questionnaire And Medical Form
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Comprehensive medical questionnaire for participants of Lake Champlain Maritime Museum teen expeditions to ensure safety and proper medical support.
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Flexible Spending Account Agreement Form
PDF template
A form for employees to elect and set up Flexible Spending Accounts for healthcare and dependent care expenses.
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Preparticipation Physical Evaluation History Form
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Comprehensive medical history form for athletes to evaluate health status and potential medical concerns prior to sports participation
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SupervisorS Incident Investigation Form
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A two-part form for documenting workplace incidents and potential worker injuries for the NEWESD 101 Workers' Compensation Cooperative.
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2023 JCC Maccabi Teen Medical Form
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Medical examination form for teens participating in JCC Maccabi sports and arts activities to verify physical fitness and health status.
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Student Medical Information
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A comprehensive medical form for collecting student health details, emergency contacts, and insurance information for educational program participation.
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New Hire Active Employee Enrollment Form
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A comprehensive form for new employees to enroll in health, dental, vision, and life insurance benefits with Fulton County, Georgia.
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Native Hawaiian Summer School Assistance Program Instructions
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Detailed instructions for schools participating in ALU LIKE, Inc.'s Native Hawaiian Summer School Assistance Program for submitting invoices and student grades/attendance.
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Nomination Form Leonard W. Sandridge Outstanding Contribution Award
PDF template
A form for nominating an individual for the Leonard W. Sandridge Outstanding Contribution Award within an organization.
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Jack DanielS Operation Ride Home Command Approval Form
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A form for service members to request travel assistance through a military support program
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Invoice Form For Morphology
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A detailed medical form for collecting patient morphological diagnostic information related to hematological conditions.
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2024 2025 Benefits Enrollment Form
PDF template
Form for employees to select health benefit plans, add or remove dependents, and update personal information for the upcoming benefits year.
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CEA Member Scholarship Fund Application
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Application form for children of Columbus City Schools teachers to receive a scholarship for college attendance.
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Group Medical Plan Waiver Form
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A form for employees to waive medical plan coverage by certifying alternative health insurance coverage and understanding ACA requirements.
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RC 10 SUSTAINING MEMBERSHIP FORM
PDF template
A membership registration form for retired education professionals to join NYSUT Retiree Council 10 with options for membership and scholarship donation.
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TAPPS MEDICAL HISTORY FORM
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Annual medical history form for students participating in TAPPS athletic and fine art activities to assess health risks.
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Annual Pre Participation Physical Evaluation
PDF template
Medical evaluation form for student-athletes to assess physical fitness and health conditions for sports participation.
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Sports Physical Examination Form
PDF template
Comprehensive medical evaluation form for students participating in school sports, requiring parental authorization and medical provider assessment.
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MEDICAL EXAMINATION FORM
PDF template
Medical form to assess physical and mental fitness of individuals applying for motorcycle event participation licenses.
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MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for capturing individual health details, medical conditions, and consent for medical information sharing.
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2024 Arizona EL Teacher Of The Year Nomination Form
PDF template
Nomination form for recognizing outstanding English Language teachers in Arizona for the 2024 award year.
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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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DIRECT DEPOSIT CANCELLATION FORM
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Form for canceling direct deposit of retirement benefit payments for Hanford Employee Welfare Trust retirees.
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FULL TIME DOMESTIC PARTNERSHIP AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE Y
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Authorization form for employees to select health insurance coverage options and allow payroll deductions for Essex County health insurance plans
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2024 Guardian Dental Cancellation Form
PDF template
A form to request cancellation of Guardian Dental insurance coverage by an employee.
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Child Medical Disclosure Form
PDF template
Medical information and emergency contact form for children attending summer camp, including health history and parental consent for medical treatment.
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Kamehameha Schools Summer Programs Medical Forms
PDF template
Medical evaluation and health history form for children participating in Kamehameha Schools Summer Programs, requiring physical examination and immunization documentation.
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HPU Incoming Student Health Information And Immunization
PDF template
Comprehensive health form for incoming students at High Point University, including immunization records and medical consent.
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Permit To Install Or Alter A Sewage Treatment System
PDF template
Official permit document for installing, replacing, or altering a sewage treatment system in Ohio, issued by the Ohio Department of Health.
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Pre Employment Health Clearance Requirements
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Comprehensive health screening requirements for new medical residents and fellows, including medical history, immunizations, and occupational health screenings.
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International High School Essay Contest Application
PDF template
Annual scholarship essay contest for high school seniors offering college scholarships, focusing on social media's impact on mental health.
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2024 UNC Soccer Camp MEDICAL FORM
PDF template
Medical history and health screening form for participants of UNC Soccer Camp, required for camp participation.
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Medical History And Physical Examination Form
PDF template
Medical history and physical examination document for racing car drivers to assess fitness and health conditions for licensing.
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Jr All American Of Southern California Conference Mandatory Medical Release Form
PDF template
Medical history and physical examination form required for youth athletes participating in Jr All American of Southern California Conference sports programs
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11th Annual Mental Health Conference Exhibitor Information
PDF template
Invitation for exhibitors to participate in the 11th Annual Mental Health Conference hosted by the Correctional Management Institute of Texas.
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PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
PDF template
Enrollment form for New York City employees to participate in or terminate health benefits buy-out waiver program for plan year 2024.
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New York State Teacher Of The Year Nomination Form
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A nomination form for recognizing outstanding public school teachers in New York State for the annual Teacher of the Year program.
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Maine Teacher Scholarship Application
PDF template
Scholarship application for teachers in Maine seeking financial assistance for university courses at Husson University.
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2024 Treatment Perceptions Survey (TPS) Instruction Manual
PDF template
A comprehensive guide for administering an annual client satisfaction survey for healthcare providers participating in the DMC-ODS waiver program.
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Conference RequestTravel Reimbursement Form
PDF template
Form for employees to request and document travel expenses and reimbursement for conference or training activities.
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2024 Vanderbilt Payroll Deduction Form
PDF template
A form allowing Vanderbilt University employees to purchase season tickets via payroll deduction with specific eligibility rules and conditions.
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Combined Giving, Contribution Election Agreement
PDF template
A form for employees to authorize charitable contributions through payroll deductions for selected agencies.
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New York State Teacher Of The Year Nomination Form
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A nomination form for recognizing outstanding public school teachers in New York State for the Teacher of the Year program.
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Health Services Referral Form
PDF template
A comprehensive referral form for various health services targeting children, youth, and pregnant women in Mississippi.
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Employee HSA Payroll Deduction Form
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A form for employees to authorize payroll deductions for their Health Savings Account contributions with annual contribution limit details.
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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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U.S. Retailer Coupon Invoice Form
PDF template
A form for retailers to submit and track coupon redemptions with detailed tracking and payment information.
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MyFitRx And Kids On The Move Reimbursement Form
PDF template
A reimbursement form for members participating in MyFitRx or Kids on the Move fitness programs, offering up to $50 per benefit year.
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Physician Examination Form
PDF template
A comprehensive medical form required for students to provide health information and undergo physical examination prior to campus arrival.
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Progressive Discipline Action Form
PDF template
A structured document for documenting employee performance issues, corrective actions, and disciplinary consequences.
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CCS Administrative Procedure 2.30.05 E Confined Space Entry
PDF template
Administrative procedure outlining safety protocols and requirements for entering confined spaces at Community Colleges of Spokane.
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LEAVE REQUEST FORM
PDF template
A form for employees to request various types of leave from work, including documentation of absence type, duration, and required approvals.
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Student Medical Form
PDF template
Comprehensive medical form for collecting student health information, medical history, and emergency contact details.
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24 25 Physical Examination Form
PDF template
Medical form for student athletes to document physical fitness and health status for school sports participation.
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Invoice Check List
PDF template
A comprehensive checklist for submitting grant reimbursement documentation with detailed requirements for different expense categories.
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Use Of PCC Van (OP P 262)
PDF template
Establishes criteria and process for reservation and use of PCC vans by authorized employees for official college activities.
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Corporate Personal Pension Employee Application Form
PDF template
An employee application form for a corporate personal pension plan with Professional Provident Society Investments.
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DSS Form 2901 Medical Statement
PDF template
Medical health form for staff, volunteers, and emergency personnel working in child care services, documenting health history and tuberculosis status.
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Medical Statement
PDF template
A medical health screening form for staff, volunteers, and emergency personnel working in child care settings in South Carolina.
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Medical Statement
PDF template
Medical health screening form for staff, volunteers, and emergency personnel in child care services in South Carolina.
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Suicide Risk Assessment Forms Form Over Substance
PDF template
An academic article examining the challenges and limitations of suicide risk assessment forms in psychiatric patient evaluation and management.
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GSDCA DM Research Sample Volunteer Form
PDF template
A research form for collecting cheek-swab DNA samples from purebred German Shepherd Dogs to study degenerative myelopathy genetic factors.
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Constituent Service Request Form
PDF template
A form for constituents to request assistance from Representative Jamie Raskin's office with various federal agency issues.
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Family Guidance Center Telehealth Program
PDF template
Guidelines for remote behavioral health services using telecommunication technologies during pandemic emergency and recovery phases.
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Riverside County Mental Health Plan Provider Referral Request Form
PDF template
A confidential form for requesting mental health service referrals within Riverside County's health system.
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REGION VI WIOAITA INVOICE
PDF template
Invoice form for training providers under the Workforce Innovation and Opportunity Act (WIOA) program for adult or dislocated worker training.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients seeking holistic healthcare at the Riordan Clinic, collecting detailed personal and medical information.
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Dohn Community High School 301 Wellness Policy Compliance Form
PDF template
A form for documenting wellness committee membership, meeting dates, and policy evaluation for a community high school.
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303 Employee Compensation And Leave Time
PDF template
A policy outlining paid time off procedures, compensation, and leave time guidelines for full-time salaried employees at St. George Academy.
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UC ANR Leave Request Form
PDF template
Form for employees to request and document a leave of absence, including details of leave type, dates, and signatures.
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IRIS Travel Policy And Procedures
PDF template
Comprehensive guidelines and procedures for travel by IRIS employees, covering authorization, costs, transportation, lodging, and reimbursement.
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UCPATH DIRECT RETRO REQUEST
PDF template
A form for processing salary expense transfers for UC employees, replacing the previous UCCE Salary Expense Transfer Request form.
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Camp Blue Spruce Medical Form 2016
PDF template
A comprehensive medical form for campers to provide health and emergency contact information for Camp Blue Spruce summer camp.
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Election For Online W 2 Delivery Form
PDF template
Form for Texas State University employees to consent to or withdraw from electronic W-2 delivery via online portal
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Community Taskforce To Review Youth Corrections Systems Standards
PDF template
A community taskforce meeting to review and recommend improvements for youth corrections systems following the incident and death of Cedric Lofton.
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Administrative Procedure 323 SEPARATION
PDF template
Procedures for nonacademic, administrative, and academic employees terminating employment with the University, including handling of benefits and exit process.
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Employee Performance Review Form Appendix 324A
PDF template
A comprehensive form for evaluating employee performance, goals, and professional development
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Pension Application Form
PDF template
Comprehensive application form for pension insurance covering employer and employee details for individual or group policies.
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Performance Review
PDF template
Comprehensive guide detailing the systematic process for conducting employee performance reviews within the Unified Government organization.
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MCPS Student Suicide Risk Assessment Form
PDF template
A comprehensive form for assessing and documenting a student's potential suicide risk, including risk factors and intervention steps.
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3.4.1p. Employee Access To Facilities
PDF template
Procedure detailing key fob and access control for employees at Ogeechee Technical College, including how access is granted and managed.
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Form 3503 FR.03 Termination Checklist
PDF template
A comprehensive checklist for HR specialists and departments to follow when processing an employee's termination, covering administrative and equipment-related tasks.
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Nonreimbursable Space Act Agreement Between NASA And Pear Deck
PDF template
A collaborative agreement between NASA and Pear Deck to develop interactive learning experiences using NASA content for K-12 teachers
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ACH VENDORMISCELLANEOUS PAYMENT ENROLLMENT FORM
PDF template
A form used for enrolling in Automated Clearing House (ACH) electronic payments through the Vendor Express Program.
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Cerritos College FORMS
PDF template
Comprehensive collection of human resources forms for Cerritos College employees covering various administrative and personnel processes.
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UNC Hurricane Matthew Special Leave Request Form
PDF template
Form for UNC employees to request paid leave due to substantial damage from Hurricane Matthew
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TOWN OF MILLIS EMERGENCY CONTACT FORM
PDF template
A form for employees to provide personal contact information and emergency contact details for workplace safety purposes.
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3 Month Probationary Review
PDF template
Policy and procedure for conducting a 3-month performance review for new employees during their 6-month probationary period.
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MEDICAL HISTORY FORM
PDF template
Comprehensive medical form collecting patient personal health information, medical history, family history, and COVID-19 screening details.
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United NationsJapan Long Term Fellowship Programme Nomination Form
PDF template
Nomination form for post-graduate study fellowship program on nano-satellite technologies sponsored by United Nations and Japan.
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Claim For Temporary Relocation Expenses (Residential Moves)
PDF template
A form for families and individuals to claim reimbursement for temporary relocation expenses from the U.S. Department of Housing and Urban Development.
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Procedure 410 19 Employee Volunteer And Education Leave
PDF template
A policy providing full-time employees with 8 hours of annual leave for volunteer and educational activities in the community.
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MIP Invoice Template
PDF template
Detailed instructions for completing and submitting quarterly invoices for grant deliverables and reimbursements.
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Tobacco Free Campus Policy
PDF template
Comprehensive policy prohibiting tobacco use, smoking, and tobacco product distribution on all university property for students, faculty, staff, and visitors.
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DOH 422 066 PsychiatricPsychological ConsultantS Compliance Form
PDF template
A medical form for documenting psychiatric evaluation and patient mental health status compliance assessment.
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Hazard Incident Report Form
PDF template
A form for documenting and reporting workplace safety hazards, incidents, and recommended corrective actions.
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Request For Invoice Form
PDF template
A form for external customers to request invoices from the Newport-Mesa Unified School District's Fiscal Services department.
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Employee Benefit Plan Enrollment
PDF template
Montgomery County Public Schools form for new employees and those with qualifying life events to enroll in benefit plans
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Direct Deposit
PDF template
Procedure for processing employee direct deposit forms, including enrollment, changes, and verification steps.
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Youth Member Health History Information
PDF template
A comprehensive health information form for youth members participating in 4-H programs, collecting medical history, medications, and special needs information.
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Personnel Maintenance Request Form
PDF template
A form used by East Lake Tarpon Special Fire Control District to manage employee system access, including new user setup, security changes, and employee deactivation.
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DWS ESD 475 Change Report Form
PDF template
A form for reporting changes in various state assistance programs including financial aid, Medicaid, SNAP, and child care benefits.
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Psychology 4890 Internship
PDF template
Departmental document outlining internship details, mental health statement, land acknowledgement, and disability resources at Southern Utah University.
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Psychology 4891 Internship Capstone (12857)
PDF template
A course syllabus for a psychology internship capstone course with statements on mental health, land acknowledgement, Title IX, and student disability services.
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CID Declaration Form 24
PDF template
A form for schools to declare teacher status and positions under the Circular 0023/2015 for the 2024/25 school year.
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COVID 19 Participant Code Of Conduct And Risk Assessment Form
PDF template
A risk assessment and conduct guidelines form for Special Olympics participants during the COVID-19 pandemic
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Health Requirements For Matriculation
PDF template
Comprehensive health documentation requirements for students, detailing mandatory vaccinations and immunization guidelines.
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Drugs And Alcohol (Athletes) Policy
PDF template
Policy governing drug testing and education for student-athletes at Western Nebraska Community College to promote health and fair competition.
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Staff Movement Register
PDF template
A record-keeping tool for tracking staff movements, arrivals, departures, and visits within an organization
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Psychiatric Referral Form
PDF template
A comprehensive form for mental health professionals to refer a student for psychiatric evaluation and potential treatment.
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Authorization Form For RIPTA Wave Pass Payroll Deduction
PDF template
A form allowing state employees to authorize payroll deductions for purchasing Rhode Island Public Transit Authority (RIPTA) commuter passes.
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Performance Expectations Feedback Form
PDF template
A formal document for documenting performance deficiencies and required corrective actions for employees.
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Required NYS School Health Examination Form
PDF template
Comprehensive health examination form for New York State school students, capturing medical history and current health status.
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Housing Assistance Payments (HAP) Contract
PDF template
A standardized contract for providing Section 8 tenant-based housing assistance payments between public housing agencies and private market owners.
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Employee Emergency Contact Form
PDF template
A document for collecting employee emergency contact information and personal details for workplace safety and communication purposes.
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LEAVE REQUEST FORM
PDF template
A form for employees to request and track various types of leave including annual, sick, personal, and unpaid leave.
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DULA Leave Request Form
PDF template
A form for employees to request various types of leave including sick, vacation, and unpaid leave at Dongguk University Los Angeles.
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Fitness Reimbursement Request
PDF template
Form for members to request reimbursement for qualified fitness expenses through Blue Cross Blue Shield of Massachusetts.
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Leave Program Procedures
PDF template
Detailed procedures for vacation leave accrual and usage for employees at Owens Community College.
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Employee Estimated Expense Approval Form
PDF template
A form for employees to request approval and reimbursement for estimated travel and business expenses.
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Seasonal Survey On Influenza Vaccination Programs For Healthcare Personnel
PDF template
A survey collecting information about influenza vaccination programs and practices for healthcare personnel across different employment groups.
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F.249 (6 18) Funds Transfer Request Form
PDF template
A form for requesting fund transfers by commercial, non-commercial, and third-party organizations through the United Nations payment system.
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Medical Form
PDF template
A medical form for applicants to Notre Dame Seminary's Graduate School of Theology Priestly Formation Program, collecting health and insurance information.
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Personal Medical History
PDF template
Comprehensive medical history form for collecting patient health information, medical conditions, family history, and current health status.
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Substitute Invoice For Honoraria Fees
PDF template
A form used to document payment for services rendered by an individual without a formal invoice.
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Career Personnel Performance Review
PDF template
A comprehensive performance review document for assessing an employee's job performance, knowledge, quality, and quantity of work.
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EMPLOYEE LEAVE REQUEST FORM
PDF template
Official state form for employees to request various types of leave from work, including vacation, sick leave, and other time-off categories.
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Employee Time Off Request Form
PDF template
A form for employees to request time off for various reasons, subject to employer approval.
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TIME OFF REQUEST FORM
PDF template
Detailed guidelines for employees requesting time off and supervisors documenting vacation time
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Exit Interview For Teachers
PDF template
A comprehensive guide and form for conducting exit interviews with teachers leaving their educational institution, designed to gather feedback and insights about their employment experience.
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Procedure 4.4.3p. (III.M.I.) Employee Complaint Resolution
PDF template
A formal process for resolving work-related employee complaints within the Technical College System of Georgia, ensuring fair treatment and open communication.
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Educable Child Program Invoice
PDF template
Invoice for special education services for students with special needs, prepared for the Mississippi Department of Education
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Student Health Information Form
PDF template
Comprehensive health information form for collecting student medical and contact details at a university
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Mental Status Examination Form
PDF template
Medical evaluation form for assessing a driver's mental fitness to operate a motor vehicle in Florida.
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MSDH Motivated To Live A Better Life Referral Form
PDF template
A comprehensive referral form for patients seeking health management support through the Mississippi State Department of Health's lifestyle program.
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Sample Form Application For Assistance
PDF template
A comprehensive form for individuals seeking housing assistance, collecting personal, income, and household information.
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Section 74(B) Clean Bus Energy Grant
PDF template
A grant program to replace diesel school buses with electric, propane, and compressed natural gas buses to reduce emissions and improve air quality.
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Hazard Report Form
PDF template
A form for documenting workplace safety hazards, their severity, and corrective actions.
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Incident Investigation Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, and required follow-up actions.
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Employee Name Change Form
PDF template
A form for employees to update their name in university payroll and HR systems with required documentation.
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Vehicle Parking Registration
PDF template
Form for employees to register their vehicles for parking at UWSA (University of Wisconsin System Administration) location.
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Summary Plan Description Bargained Cash Balanced Program 2 Of The ATT Pension Benefit Plan
PDF template
A comprehensive guide to benefits for employees under the Bargained Cash Balance Program #2, detailing pension plan provisions and eligibility.
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Medical History Form
PDF template
Comprehensive medical form for students to provide health history and undergo medical screening for enrollment.
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GROUP PLANS ENROLLMENT FORM
PDF template
Comprehensive form for employees to select and enroll in group insurance and benefit plans covering life, disability, medical, and supplemental insurance options.
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Certificated Resignation Form
PDF template
Official form for Los Angeles Unified School District certificated employees to resign from service, including those retiring through CalSTRS.
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2019 Jijak Youth Camp Medical Release Form
PDF template
A comprehensive medical form for youth camp participants to provide health information, allergies, immunization status, and medical details.
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Medical History Form
PDF template
A comprehensive medical history form for sports participation, requiring detailed health information and consent statements.
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Administrative Policy And Procedures Manual 901 REIMBURSABLE BUSINESS RELATED EXPENSES
PDF template
Policy outlining the Judicial Branch's guidelines for employee reimbursement of job-related expenses and travel.
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Emergency Contact Form
PDF template
A document for collecting emergency contact information for employees to ensure quick communication during urgent situations.
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DBT Therapist Rating And Feedback Form
PDF template
A structured form for evaluating DBT therapists' performance and intervention skills during therapy sessions.
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COVID 19 Participant Code Of Conduct And Risk Assessment Form
PDF template
A comprehensive guidance document outlining participant responsibilities and precautions for COVID-19 safety during Special Olympics activities.
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POLICE CONTACT FORM
PDF template
A form used to document and detail circumstances surrounding police interaction with a mental health service recipient.
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DOT Physical Examination Form
PDF template
Medical examination form for commercial vehicle drivers to assess physical fitness for driving.
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HUD 9887A Fact Sheet
PDF template
Document package for housing assistance applicants providing consent for verification of personal information by HUD and related agencies.
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A10 Risk Assessment Policy
PDF template
A comprehensive policy outlining the school's approach to identifying and managing health and safety risks for staff, pupils, and visitors.
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Teacher Intern Attendance Form
PDF template
A form for documenting teacher intern absences, tardiness, or early departures, to be completed by the intern and signed by the clinical supervisor.
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Preparticipation Physical Evaluation Physical Examination Form
PDF template
Medical evaluation form used to assess an athlete's physical fitness and eligibility to participate in sports activities.
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Preparticipation Physical Evaluation Physical Examination Form
PDF template
A comprehensive medical evaluation form for athletes to assess physical fitness and clearance for sports participation.
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Access Assessment Centre Referral Form
PDF template
A referral form for mental health services targeting Vancouver residents, collecting comprehensive client information and assessment details.
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Veterans Administration Aid And Attendance Claim Checklist
PDF template
Comprehensive checklist of required documentation for filing a Veterans Administration Aid and Attendance benefit claim, including personal, financial, and military records.
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AAUS Medical Evaluation Of Fitness For Scuba Diving Report
PDF template
A comprehensive medical evaluation form to assess an individual's fitness for scientific scuba diving, including required medical tests and physician's assessment.
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Tradeshift Onboarding Enrollment Letter
PDF template
Enrollment agreement for Tradeshift invoice and payment integration services for business partners.
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MY BENEFIT PLAN BOOKLET
PDF template
Comprehensive benefit plan booklet providing counseling and life skills support services for plan members and their dependent children.
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Payroll Deduction Guide
PDF template
A comprehensive guide explaining how employees can contribute to ABLE United accounts through payroll deductions and the responsibilities of employees, employers, and the Plan.
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Alternate Benefits Program Mandatory Contributions 401(A) Voluntary 403(B) Loan Authorizations
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Direct Deposit Form For NYS Employees
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AccidentIncident Investigation Safety Guidance Document
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Report Of Accident Incident
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Accident Injury Report
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Wenatchee School District Accident Prevention Program
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Accident Report Form For Non Employees
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Accident Report Form
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Comprehensive form for documenting workplace accidents, injuries, and related incident details with personal and organizational information.
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AccidentIncident Report Form
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City Of Kirkland Accident Report Form
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Flamstead Pony Club Accident Reporting Protocol
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Credit Application Form
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PROCUREMENT PAYABLES MANUAL
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Payroll Cancellation Form ACC PYB001
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Direct Deposit Form ACC PYD001
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Form for employees to set up, change, or cancel direct deposit for payroll with the Government of Guam.
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Multi Location Travel Expense Reimbursement Request
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ACH AUTHORIZATION AGREEMENT FORM
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ACH PAYMENT AUTHORIZATION FORM
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Vendor ACHDirect Deposit Authorization Form
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ACH Recurring Payment Cancellation Form
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Request To Cancel Automated Clearing House (ACH) Origination
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Retirement Contribution Form
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Authorization Agreement For Automatic Deposits (ACH Credits)
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Direct Deposit Via ACH (ACH Credit)
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ACH Standing Instructions Form
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Request For Automatic Loan ACH Payment
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ACH Enrollment Form
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ACH Pre Authorization Form
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ACH PAYMENTREFUND REQUEST FORM
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Automated Clearing House (ACH) Request Form
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ACH VendorMiscellaneous Payment Enrollment Form
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ACH VENDORMISCELLANEOUS PAYMENT ENROLLMENT FORM
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Incident Report Form
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Patient Medical History Form
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Medical Information
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HEALTH ASSESSMENT FORM
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Teacher Survey Form
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Patient Intake Form Holistic Health Assessment
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New Patient Intake Form
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Employee Application For Reimbursement Of Expenses Incurred Upon Sale Or Purchase (Or Both) Of Resid
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Documentary Materials RemovalNon Removal Certification And Non Disclosure Agreement
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American Dream Downpayment Initiative Lender Participation Agreement
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Agreement between City of Columbus and lending institutions for administering downpayment assistance program for homebuyers.
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Required NYS School Health Examination Form
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NAMEADDRESSEMERGENCY CONTACT FORM
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Address Changes
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South Dakota Mentoring Program Administrators Approval Form
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Daemen College Employee Evaluation Instruction
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Discrimination Or Harassment Incident Report
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Administrator Agreement Form Teacher Induction Program
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C911CD Time Off Request Form
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Admission Agreement And Health Assessment
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Order Form
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Adoption Assistance Reimbursement Form
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ALINE Card Enrollment Form
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Emergency Medical Form ADULT
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Oklahoma 4 H Youth Development Participant Information Form
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Adult Confidential Medical Information And Emergency Notification Form
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Comprehensive medical information and emergency contact form for participants in the 2007 Big Sky Regional Science Bowl
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Adult Medical Release Form
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Medical release and consent form for adult participants in environmental education program activities, capturing health information and emergency contact details.
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External Referral Form For Services
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GENERAL INFORMATION AND SERVICE AGREEMENT
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GENERAL INFORMATION AND SERVICE AGREEMENT
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APPLICATION FOR ADVANCED LEAVE
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Medical Information And Physician Release
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Photo ID Application Form
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Reed Insurance Agency Bill Invoice Form
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Agency Payment Instructions
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Benefits Committee Meeting Agenda
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Request For Payment
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AGS Incident Near Miss Hazard Report Form FRM067 010519
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Near Miss Hazard And Incident Reporting Guidelines
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High Adventure Activity Medical Form
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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
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AISA Risk Management Program For Local Level Sports
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6th 12th Grade Common Math Form
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Preparticipation Physical Evaluation (Interim Guidance) Physical Examination Form
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LEAVE REQUEST FORM COVID Related
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Affidavit For Spousal Coverage
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Alfred State Workshop AllergyMedical Form
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Springfield Platteview Community Schools Health Examination Form
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Alternate Work Arrangement Agreement Form
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AWL Equipment Inventory
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AWL Safety Checklist
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AME Reimbursement Request Form
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Medical Examination Report For Bus Transit System Driver
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Comprehensive medical examination form for bus transit system drivers to assess health conditions and fitness for duty.
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Enrollment Change Waiver Group Insurance Form
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Insurance form for enrolling, changing, or waiving group dental insurance coverage for employees and their dependents.
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AMI Insurance Application
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Student Health Examination Form
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Medical examination form for students, documenting health history, physical examination, and immunization status.
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Multiple Jurisdiction Tax Exemption Form
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Form for rail carrier employees to claim tax exemptions for work performed in multiple jurisdictions under federal law.
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Animal Incident Report Form
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Activity Based Risk Assessment Form
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UA Performance Evaluation Comprehensive Form
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Annual Health Evaluation Form
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Question Set G
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Survey for current and former Financial Conduct Authority employees seeking input and evidence on organizational matters.
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Short Term Disability Claim Form
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Anticipated Elementary Teacher Vacancy
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Job announcement for an elementary teaching position at Wellsboro Area School District for the 2022-23 school year.
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Administrative Order No. 3
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Administrative order revising procedures for employee discipline processing in the police department, focusing on telecommunications advances.
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PARTICIPANT MEDICAL HISTORY FORM
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Employee Expense Direct Deposit Form
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Administrative Form AP F002 STAFF TRAVEL EXPENSE CLAIM FORM
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Prescription Transfer Request Form
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NSW Health UndertakingDeclaration Form
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Appendix C Sample Letter To Parents
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Informational letter to parents about free H1N1 flu vaccination for students at a school-based clinic.
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DO IT Volunteer Application
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Application and information for volunteer opportunities supporting students with disabilities through various assistance roles.
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LMFT Supervisor Mentor Checklist
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APPROVAL FORM FOR EMPLOYEE REIMBURSEMENT
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Request For Release Of Annual Professional Performance Review Teacher Final Quality Ratings And Com
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Teacher Program Agreement Media Release Form
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OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM PHYSICAL EXAMINATION FORM
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Payroll Donation Form
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Invoice
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Official municipal invoice document for billing purposes from the Township of West Lincoln.
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Army Physical Training Risk Assessment Example
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Artist Invoice Form
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Invoice form for artists participating in the Northern Tier Partnership for Arts in Education Residency Program
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4th Annual Art Event Submission Guidelines
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An art event raising mental health awareness through creative submissions from artists with mental health service experience in Maryland.
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Referral Form
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Medical referral form for new patient intake and treatment evaluation at Ascend Health Center, focusing on mental health services.
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Employee Handbook
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Comprehensive guide outlining employment policies, employee conduct, compensation, and workplace guidelines for ASF employees.
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Teacher Evaluation Form
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Asthma Assessment Form For School
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Special Olympics Medical Form
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Comprehensive medical form for Special Olympics athletes documenting health history, conditions, and participation details.
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COMPLAINT FORM
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A form for participants to file complaints related to the Commodity Supplemental Food Program (CSFP)
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Administrative Regulation 95.91 Employee Rewards And Recognition Program ATTACHMENT 2 Employee Of T
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Waiver Service Request Form (DP 1022)
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Form FMS PY1 Direct PaymentInvoice Form
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MILES COLLEGE ATTENDANCE FORM
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Miles College Attendance Form
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A monthly form for tracking employee work hours and attendance at Miles College with spaces for detailed time tracking and signatures.
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MINOR YOUTH EMERGENCY MEDICAL CONTACT, HEALTH HISTORY AND TREATMENT AUTHORIZATION
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Long Term Disability Claim Form
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AUGUSTA UNIVERSITY FFCRA LEAVE REQUEST FORM
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Form for employees to request leave under the Families First Coronavirus Response Act (FFCRA) during the COVID-19 pandemic.
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Patient Intake Form
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Authorization For The Release Of InformationPrivacy Act Notice
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Authorization To Invoice Form
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Authorization And Driving History Form
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Authorization For Direct Deposit Via ACH
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Authorization Form For Payroll Check(S) To Be Mailed
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Authorization To Receive Compensatory TimeOvertime
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Automatic Withdrawal Payment Agreement
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Auto Repair Invoice Template In PDF Format
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A PDF template for creating professional auto repair service invoices with detailed line items and financial calculations.
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Nomination Form
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Alfond Youth Community Center New England Sports Camps Medical History Form 2023
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Comprehensive medical history and emergency contact form for children attending various sports camps in Maine.
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Request For Leave
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Exhibitions And Sponsorship Booking Form
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A form for organizations to book exhibition and sponsorship opportunities at BACP mental health conferences and events.
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Laurel High School Marching Band Medical Form
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Medical form for Laurel High School Marching Band students to provide health and emergency contact information for band activities.
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Medical History Form
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A comprehensive medical history form for collecting student health information, emergency contacts, and family medical history.
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Banner System Access Request Form
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A form for employees or individuals requesting new or modified access to the Banner system with specific access level details.
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
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Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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ACHD Bathing Place Incident Report Form
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A comprehensive form for reporting incidents and injuries at public bathing facilities, including water rescues and medical treatments.
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UCF Counseling Psychological Services Billing Form
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A billing and authorization form for counseling services at University of Central Florida, used to document service verification and release of confidential information.
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Entering Time For Astrix Benefit Hours An EmployeeS Quick Reference Guide
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A guide for employees on how to enter benefit hours including PTO, holiday, and sick leave using the online timesheet application.
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Claim Form To Pay InsuredSubscriber
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Western Carolina University Base Camp Cullowhee Health And Medical Form
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A health screening form for participants in outdoor activities, collecting medical history and emergency contact information.
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My Benefit Plan Summary
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Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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MEDICAL INFORMATION FORM
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A comprehensive medical form for participants of outdoor adventure trips, collecting health, emergency, and medical history information.
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Mental HealthSubstance Use Treatment Claim Form
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Physical Examination Form
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Self Service Employee Business Expenses
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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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Behavioral Health Service Request Form
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Healthcare form for requesting behavioral health services and treatment authorization from Molina Healthcare of Texas.
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Direct Deposit Form
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Form for employees to set up direct deposit for benefits reimbursements with bank account details and authorization.
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Benefits Billing Form
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A form for employees to elect benefits continuation options during FMLA or general leave of absence
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Benefits Cancellation Form
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Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Dental Insurance Plan
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Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
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Benefits Enrollment Form
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A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
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ENERGY BENEFIT TRANSFER REQUEST FORM
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A form for transferring energy benefits between utility vendors and documenting account changes.
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BEREAVEMENT LEAVE APPROVAL REQUEST
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A form for employees to request bereavement leave following the death of an immediate family member with specific guidelines on leave duration and eligibility.
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Bereavement Leave Request Form
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A form for employees to request paid leave following the death of an immediate family member, with specific provisions for leave duration based on funeral location.
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Bereavement Leave Request Form
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A form for employees to request paid leave following the death of an immediate family member at Northwest University.
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Bereavement Leave Request Form
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A form for employees to request time off following the death of a family member or household member, with provisions for up to ten working days of leave.
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Berger Book Bag Grant Application Form
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Financial assistance grant for Moraine Park Technical College students to help purchase required books and academic supplies.
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Butterfly Club Opportunity Drawing Ticket Deduction Form
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Employee authorization form for purchasing Butterfly Club event tickets via payroll deduction
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BOISE FIRE DEPARTMENT MEDICAL RELEASE FORM
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Medical form for evaluating and releasing firefighters to full duty after injury or medical assessment.
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Direct Deposit Enrollment For Stipends From The Ben Hudnall Memorial Trust (BHMT) Education Program
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A form for Kaiser Permanente employees to enroll, change, or terminate direct deposit of stipend payments through the Ben Hudnall Memorial Trust education program.
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Mental Health Reauthorization Request BhsMentalHealthReauthRequest
PDF template
Confidential medical form for requesting reauthorization of mental health services for an eating disorder patient
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TELEHEALTH CONSENT FORM FOR MENTAL HEALTH SERVICES
PDF template
A consent form detailing the terms, risks, and responsibilities for receiving mental health services via telehealth technology.
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BH Telehealth Vendor Analysis
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Comprehensive analysis of telehealth solutions for Medicaid mental health services, focusing on vendor capabilities and implementation strategies.
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Billing FormResearch
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Form for requesting payment and invoicing for research-related expenses from a funding organization.
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Update Personal Information
PDF template
A form for employees to update their personal contact details and emergency contact information.
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H.R. 7772
PDF template
A bill to restrict federal assistance benefits to individuals who can be verified as United States citizens.
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UH IBC Biological Laboratory Incident Report Form
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A comprehensive form for reporting biological incidents, injuries, or near misses in a laboratory setting, requiring documentation within 24 hours.
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Medication Order Form
PDF template
A comprehensive form for patients to provide medical information, contact preferences, and medication order details for Birdi pharmacy services.
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Snow College Business Cards Order Form
PDF template
A form for Snow College employees to order personalized business cards with various printing options.
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BL 2 Laboratory Inspection Form
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A comprehensive safety inspection form for biological laboratories, focusing on biosafety level 2 (BL-2) requirements and protocols.
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Blank Attendance Sheet Template
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A flexible attendance tracking template for teachers, available in multiple formats and customizable for different class sizes.
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Catering Order Form And Invoice
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A catering order form for meal services at Atlanta International School, including breakfast, lunch, and snack options.
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Employee Time Off Request Form
PDF template
A standardized form for employees to request various types of leave and obtain manager approval.
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Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for employees to authorize automatic payroll deductions into their health savings account (HSA)
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PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for collecting patient health information, medical history, and current health status.
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Performance Review Form
PDF template
A comprehensive document for assessing employee job performance, setting future goals, and providing overall performance ratings.
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Health Insurance Claim Form
PDF template
Comprehensive form for collecting patient medical insurance information, health coverage details, and claim submission details.
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Santa Monica College Confidential Medical History
PDF template
A comprehensive medical history form for students to document personal health information and medical background.
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Sul Ross State University Bacterial Meningitis Vaccination Compliance Form
PDF template
Mandatory form for students to demonstrate compliance with bacterial meningitis vaccination requirements for university enrollment.
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Belize National Teachers Union Loan Application Form
PDF template
A comprehensive loan application form for teachers in Belize, covering personal details, employment information, and loan purpose
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Bond Agreement Between Employee And Employer
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A legal document outlining the terms of employment, including potential financial obligations and restrictions for employees.
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Camp Medical Form
PDF template
A medical form for parents/guardians to provide health information and medical history for children attending summer camp.
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BRASSEl Pilar Program Medical Form
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Confidential medical history form for participants in an archaeological research program at El Pilar, collecting personal health information and emergency contact details.
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Bravo Award Nomination Form
PDF template
A multi-section form for nominating employees for performance awards with various approval levels and award amounts.
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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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Bright Directions Payroll Deduction Form
PDF template
Form for initiating, changing, or stopping payroll deductions for Bright Directions College Savings Program accounts.
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Brightline Employee Special Offers
PDF template
Transportation pass details for employees with special pricing between Miami, Fort Lauderdale, and West Palm Beach stations.
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LOEWENBERG SCHOOL OF NURSING HEALTH EXAMINATION FORM (FORM 003)
PDF template
Comprehensive health history and screening form for nursing students to document medical background and potential health concerns.
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BUILDING HEALTH AND SAFETY RISK ASSESSMENT FORM
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A comprehensive form for identifying and assessing potential hazards and risks in a building environment.
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BuildOn Medical Form
PDF template
A comprehensive medical form for participants traveling to do physical labor in a remote community, focusing on detailed health history and potential medical risks.
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BursarS Office Form 15A Application For Staff Fee Remission When Auditing A Course
PDF template
A form for qualified university staff to apply for fee-free course auditing without receiving academic credit.
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Bursar Payroll Deduction Authorization
PDF template
A form allowing employees to authorize or cancel payroll deductions for their bursar account at Xavier University.
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Business Card Order Form
PDF template
A form for employees to request and order personalized business cards through an online ordering system.
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Payroll Time And Attendance Form Preparation
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Procedure manual detailing the process for completing payroll time and attendance forms at County College of Morris.
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Employee Requisition Form
PDF template
Formal document for requesting and approving new or replacement employee positions within the university's organizational structure.
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Academy Of The Holy Angels Bus Rider INVOICE
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Annual bus transportation registration and payment form for students attending Academy of the Holy Angels for the 2024-2025 school year.
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Bus Rider INVOICE (One Form Per Student)
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Invoice for school bus transportation services for the 2024-2025 academic year, detailing payment requirements and transportation policies.
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Physical Examination Form For Driver Applicant
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Medical evaluation form for assessing a driver's physical fitness, particularly for school bus drivers in Florida.
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AccidentIncident Investigation Recording Policy
PDF template
A comprehensive policy for recording, investigating, and reporting accidents, incidents, and near misses within an educational trust.
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CADDRA Teacher Assessment Form
PDF template
A comprehensive form for educators to assess a student's academic performance, classroom behavior, and potential learning needs.
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CADDRA Teacher Assessment Form
PDF template
A standardized form for teachers to evaluate and report potential ADHD symptoms and behaviors in students
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Payroll Check Direct Deposit Authorization
PDF template
A form for employees to authorize electronic transfer of payroll funds to one or multiple bank accounts.
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EAP Case Activity And Billing Form (CAF 1)
PDF template
A comprehensive form for documenting and billing Employee Assistance Program (EAP) services, tracking participant information, services, and clinical assessments.
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Compeer Activity Reimbursement Form
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A form for mental health consumers to request reimbursement for expenses during outings with volunteer companions, up to $8.00 per week.
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CAH Termination Policy
PDF template
Comprehensive policy detailing exit procedures for employees leaving the University of Central Florida's College of Arts and Humanities.
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Camp Dina Medical Form PhysicianS Page
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Medical form for physician documentation required for camp enrollment and health tracking.
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Camp Potlatch 2020 Medical Form
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A comprehensive medical form for parents/guardians to provide health information for children attending Camp Potlatch summer camp.
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NYC Summer Camp Permitting Application Guidance
PDF template
Official guidance from NYC Health Department for summer camp operators detailing permit application requirements and COVID-19 related protocols for 2022.
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Camp Potlatch 2022 Medical Form
PDF template
A comprehensive medical form for parents to provide health details about their child attending Camp Potlatch summer camp.
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Camp Scholarship Request Form
PDF template
A scholarship request form for Jewish children to attend residential summer camps in south central Kansas.
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Payroll Deduction Authorization
PDF template
Authorization form for North Carolina A&T State University employees to deduct recreation center fees from payroll
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Cancellation Form For Direct Payments (ACH Debits)
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A form to revoke authorization for automatic loan payment debits from a bank account.
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CANINE EXPORT SUBMISSION FORM
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A veterinary diagnostic laboratory form for submitting canine export health testing and documentation for international animal transportation.
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Alabama CANS Comprehensive Multisystem Assessment ADMH Certification Process
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A procedural document outlining certification, access, and confidentiality requirements for users of the Alabama Behavioral Health Assessment System (ABHAS)
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Terra Capacity Building Grant Application Form
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A grant application form for K-12 schools and educational nonprofits seeking funding for innovative educational projects.
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MEDICAL HISTORY FORM
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A comprehensive form for patients to provide detailed medical information relevant to dental treatment and health assessment.
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CAPS Informed Consent Form
PDF template
A comprehensive informed consent document detailing services, confidentiality, and treatment approach for university counseling services.
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CareASSIST Enrollment Form
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Enrollment form for patient support program offering personalized assistance for specific Sanofi medications and related support services.
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Staff Council CARE Award Nomination Form
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A form to nominate University of Texas at Dallas staff members for recognition of outstanding performance and service.
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Parent Consultation Feedback Form
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A form for parents to provide detailed feedback and insights about their child's progress, challenges, and therapeutic process prior to a family counseling session.
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Caregiver Medical History Form
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A medical history form for caregivers to provide health background information for TNT staff review
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Cash Contract Data Field Definitions
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Comprehensive guide detailing data field requirements and definitions for creating cash contracts in Loan Selling Advisor.
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Medical History Form
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A comprehensive form for collecting medical information about a student's health conditions, medications, allergies, and parental consent for over-the-counter medication.
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Risk Assessment Policy And Procedures
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A comprehensive policy for managing and conducting risk assessments within the Community Academies Trust, outlining processes, types of risk assessment, and regulatory compliance.
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Catholic Charities Contribution Form
PDF template
A payroll form allowing University of Portland employees to initiate or terminate recurring charitable contributions to Catholic Charities.
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Animal Patient Medical Record
PDF template
Comprehensive medical intake form for documenting a veterinary patient's health status and physical examination details.
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SAP Payroll Time Management Time Entry
PDF template
Documentation for recording employee timesheet data in SAP time management system for University of Mississippi departments.
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Program Health And Waiver Form
PDF template
A comprehensive health and emergency contact form for program participants to provide medical information and consent for field station activities.
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Modified Family Assessment Form (MFAF)
PDF template
A comprehensive assessment tool for evaluating family interactions and relationships in therapeutic settings.
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Credit Card Authorization Form
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A form for authorizing a one-time credit card payment for specific invoices with processing details and authorization terms.
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CCBHC Referral Form
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A comprehensive referral form for mental health and substance use disorder services for youth and adults in Maui, Hawaii.
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Backflow Incident Report Form
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A form for reporting water system backflow incidents, detailing contamination sources, effects, and corrective actions.
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Backflow Incident Report Form
PDF template
A form for reporting water supply contamination incidents involving backflow, used to document details of potential water quality hazards.
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CCC Time Off Request Form
PDF template
A form for employees to request time off, including vacation, sick leave, or day-for-day leave for exempt employees.
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Authorization To Disclose Application Assistance Information To Authorized Individuals
PDF template
A form allowing patients to authorize specific individuals to access their healthcare application assistance information.
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Cultural Competency Professional Development (CCPD) Credit By Attendance Form
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A form for employees to document and request credit for professional development activities related to cultural competency and equity training.
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LEAVE REQUEST CERTIFIED
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A comprehensive form for employees to request various types of leave, including sick leave, personal leave, and FMLA/OFLA.
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Cottonwood Crossing Summer Institute Health Information Form
PDF template
A comprehensive medical form for student participation in summer institute activities, collecting health insurance, medical history, and emergency treatment authorization.
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Safety Committee Policy
PDF template
Policy establishing the formation, membership, and purpose of a safety committee for the Deschutes County Adult Jail to promote workplace safety and health.
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Safety Committee Policy
PDF template
Policy establishing a workplace safety committee for the Deschutes County Adult Jail to promote workplace safety and health through cooperative efforts.
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City Of Kalamazoo CDBG CV Program APPLICATION
PDF template
Application for Community Development Block Grant - Coronavirus (CDBG-CV) funding to support various assistance activities in Kalamazoo.
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Pre Employment Medical Form
PDF template
Comprehensive medical assessment form for pre-employment screening including medical history, vital signs, and tuberculosis screening.
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Cell Phone Allowance Cancellation Form
PDF template
A form to cancel cell phone reimbursement for employees of the University of Utah's Payroll Department.
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CEM Employee Travel Authorization Form
PDF template
A form for obtaining departmental approval and documenting travel expenses for employee business trips.
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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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Classified Employee Of The Month Nomination Form
PDF template
A form for nominating exceptional classified employees at the College of Southern Nevada for monthly recognition and awards.
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College Of Southern Nevada Classified Employee Of The Month Nomination Form
PDF template
A form to recognize and nominate exceptional classified employees at the College of Southern Nevada for monthly recognition.
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Housing Rehabilitation Program Application
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Application form for housing rehabilitation assistance from the Bloomington Housing and Redevelopment Authority.
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CERTIFICATED EMPLOYEE RESIGNATION FORM
PDF template
A form for certificated employees of the ABC Unified School District to submit their resignation, including details about retirement and health benefits.
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Certificate Of Residency Step By Step Instruction Sheet
PDF template
Guidance for students seeking county tuition and fee assistance through a Certificate of Residency in Idaho.
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Psychological Medical Withdrawal Re Enrollment Provider Report Part A
PDF template
A form for students seeking readmission after a medical withdrawal, requiring medical provider documentation and student consent for information release.
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MEDICAL FORM
PDF template
Confidential medical history form for collecting patient personal and health information for medical examination purposes.
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Forensic Specialist Guidelines
PDF template
Guidelines for forensic case management services for individuals charged with or at-risk of being charged with a felony offense in specific Florida counties.
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Levels Of Care Assessment Form
PDF template
A comprehensive assessment form for evaluating a child's mental health needs and behavioral challenges within the Illinois child welfare system.
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State Of Illinois Department Of Children And Family Services Employment Job Training Apprenticeshi
PDF template
Application for youth to receive employment, job training, or apprenticeship support through the Illinois Department of Children and Family Services
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EMPLOYEE PAID TIME OFF REQUEST FORM
PDF template
A form for CFS SDS employees to request and track paid time-off hours, requiring employee and HR signatures.
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CGMA Form 2 Special Needs Grant
PDF template
A form for Coast Guard members to apply for special needs financial assistance, collecting client and applicant information for potential grant support.
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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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South Country Provider Manual Chapter 22, Mental Health Substance Use Disorders Services
PDF template
Comprehensive guidelines for mental health service providers detailing Adult Rehabilitative Mental Health Services (ARMHS) requirements and eligible providers.
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Accident Investigation Appendix C Resources
PDF template
Guide for reporting and documenting workplace accidents, incidents, and injuries at Portland Community College
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MEDICAL INFORMATION AND RELEASE FORM
PDF template
A comprehensive medical form for participants in Hartwick College Challenge Programs, collecting health information and liability acknowledgment.
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CHAMP Assessment Medical History Form
PDF template
Comprehensive medical history form for fitness assessment program, collecting health and exercise background information from participants.
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Change Direct Deposit
PDF template
Instructions for changing direct deposit payment method by completing and uploading a form to the Benefits Portal.
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STANDARD CHANGE FORM
PDF template
A form used for updating employee payroll information, deductions, and status for existing employees or new hires.
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GROUP POLICY CHANGE FORM
PDF template
A form for employees to request changes to their group insurance policy details and dependent status.
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Change Of Address Or Name Form
PDF template
A form for TRS members to update personal contact information and address details.
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Change Of Address Form
PDF template
A form for TRS members to update their personal contact information and address details
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Address Change Request
PDF template
Form for employees to update their contact information in the company's HR system (PeopleSoft)
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Change Of Address Form
PDF template
Official form for employees to update personal contact information and address details with the City University of New York (CUNY) Office of Human Resources.
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Employee Change Of Address Form
PDF template
A form for employees to update their personal contact and address information with their employer.
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CHANGE OF ADDRESS FORM
PDF template
A form for employees to update their mailing address with the Office of Human Resources.
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Employee Change Of Address Form
PDF template
A form for Puyallup Tribe of Indians employees to update their personal contact and address information with Human Resources.
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Change Of Name And Address Policy
PDF template
Policy outlining the process for employees to update their personal information with the university's Human Resources department within 30 days of changes.
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Change Of Use Request
PDF template
A process for evaluating and approving changes in commercial facility use and determining septic system adequacy in Indiana.
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2020 States 4 H OB Medical Form (Non Japan)
PDF template
Medical evaluation form for chaperones participating in a cross-cultural exchange program, assessing health status and medical conditions.
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Retirement Checklist
PDF template
Comprehensive checklist for teachers preparing to retire, detailing required documentation and steps to complete before retirement.
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Safety Inspection Form For Chemistry Laboratory, Chem CU
PDF template
A comprehensive safety inspection form for evaluating laboratory safety protocols, equipment, and documentation requirements.
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Check Request Instructions
PDF template
Guidelines for submitting check requests to vendors, companies, and individuals for various payments with specific documentation requirements.
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Cherry Hill Counseling New Client Information Packet
PDF template
Comprehensive new client forms for mental health counseling services, including medical history, insurance, and privacy documentation.
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CHFA Form 375 Guide To CHFA Down Payment Assistance (DPA) Second Mortgage Loan Deferred Payment (Bal
PDF template
Guide for completing loan estimates and closing disclosures for CHFA Down Payment Assistance Second Mortgage Loans, providing lender instructions and disclosure guidance.
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Health Care Provider Exam Form
PDF template
A comprehensive medical examination form for tracking patient vaccinations, health status, and provider details.
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Immunization And Health Assessment Form
PDF template
Medical form documenting vaccination history, physical exam status, and healthcare recommendations for children.
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Idaho Conditional Attendance To Childcare Schedule Of Intended Immunizations Form
PDF template
A form documenting the intended immunization schedule for children not fully vaccinated at childcare admission
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Child Care General Health Examination Form
PDF template
A health examination form for children entering child care programs, documenting their general health status and medical information.
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Child Care General Health Examination Form
PDF template
A medical form documenting a child's health status and conditions for child care program enrollment.
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Child Care General Health Examination Form
PDF template
A medical form documenting a child's health status and conditions for child care enrollment.
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MEDICAL HISTORY CHILD
PDF template
Comprehensive medical history questionnaire for collecting pediatric health information and previous medical conditions.
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ChildYouth FSP WRAPAROUND Program Referral Form
PDF template
A referral form for children and youth mental health services targeting specific priority populations with behavioral and mental health needs.
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Health Information Form
PDF template
Confidential health information form for participants in an international research program between Alabama A&M University and Nanjing Forestry University.
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STUDENT HEALTH FORM
PDF template
Comprehensive health form for students to provide medical information and health status to an educational institution
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CLIENT REQUISITION FORM
PDF template
A comprehensive medical test requisition form for various health diagnostics including inflammation, lipids, metabolic, and other specialized tests.
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Outpatient Psychology Clinic Referral Form
PDF template
A referral form for routing pediatric patients to appropriate psychological services and clinics for evaluation, testing, and treatment.
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Choice PCA Paid Time Off Request Form
PDF template
A form for Choice PCA employees to request paid time-off from their client, requiring approval and submission to payroll.
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Enrollment Change Form (Consolidated)
PDF template
A comprehensive form for employees to enroll or change health insurance and related benefits with multiple coverage options.
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Medical Claim Form
PDF template
Form for submitting medical claims for fellows, trainees, and patients seeking international health insurance reimbursement.
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CIMERLI Solutions Enrollment Form
PDF template
Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
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Food Inspection Form
PDF template
Official form used by the Environmental Health Department to conduct food safety inspections of commercial food establishments.
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FAMILY FIRST CORONAVIRUS RESPONSE ACT (FFCRA) OREGON FAMILY LEAVE ACT (OFLA) LEAVE REQUEST FORM
PDF template
A form for employees to request leave under FFCRA and OFLA due to COVID-19 related reasons.
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Financial Affidavit Procedures
PDF template
Procedures for attorneys to complete and file Financial Affidavit Form CJA 23 for court-appointed legal representation.
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Military Medical Intake And Deployment Assessment Form
PDF template
Comprehensive medical assessment form for active duty military personnel covering health status, deployment readiness, and substance abuse screening.
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Dynamic Invoice Form BLR 05620
PDF template
Circular letter introducing a revised dynamic invoice form for local public agencies requesting reimbursement of funds through specific programs.
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CIEE Claim Form
PDF template
A comprehensive medical claim form for student health insurance reimbursement and documentation of medical conditions or treatments.
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Employee Information Checklist
PDF template
A comprehensive checklist evaluating workplace safety, ergonomics, fire safety, electrical safety, and workstation conditions for employees.
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Conference Attendance Report Form
PDF template
Form for classified employees to document conference attendance, learnings, and key insights from professional development events.
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Leave Request Form (5 Days)
PDF template
A form for employees to request extended leave of 5 or more days, to be submitted to Human Resources with supporting documentation.
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LOWER COLUMBIA COLLEGE CLASSIFIED PPE FOOTWEAR PURCHASE FORM
PDF template
A form for employees to request reimbursement or purchase of personal protective equipment (PPE) footwear up to $200 every two years.
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Payroll Deduction Form
PDF template
Form for employees to set up or modify payroll deductions for the Chaffey College Auxiliary Classified Senate account.
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Classified TransferPromotion Request Form
PDF template
A form for employees of Cutler-Orosi Joint Unified School District to request an internal job transfer or promotion.
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CCLLA Classified Leave Application
PDF template
A comprehensive form for employees to request various types of leave, including vacation, sick, FMLA, and flex time adjustments.
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Classified Employee Appraisal Process
PDF template
A comprehensive workflow for conducting performance evaluations for Administrative & Professional and Classified Employees at UTRGV.
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Patient Information Form
PDF template
Comprehensive patient intake form collecting personal, contact, medical, and insurance information for dermatology services.
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Client Contact And Supervision Hours
PDF template
A New Jersey state form for tracking professional client contact and supervision hours for marriage and family therapists.
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CLIENT And FAMILY HANDBOOK
PDF template
A comprehensive guide for clients detailing services, staff, locations, and crisis support for behavioral health services in Southwestern Pennsylvania.
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Patient Intake Form
PDF template
Comprehensive intake form for cancer patients seeking medical and support services, collecting personal, medical, and assistance request information.
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ParentalStudent Consent Form School Setting
PDF template
A consent form for parents to authorize counseling services for their child by a graduate counseling trainee at Texas A&M University-Commerce.
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Client Payment Agreement
PDF template
A legal agreement outlining payment terms, fees, and financial responsibilities for counseling services with Don Baker, MA, LMHC.
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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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CLIMBucknell MEDICAL FORM
PDF template
Medical history and emergency contact form for participants in a university climbing/ropes course activity
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Clinical Privileging Of Individual Practitioners
PDF template
Policy defining the process for reviewing and approving clinical privileges for mental health practitioners employed by or contracting with Copper Country Mental Health Services Board.
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2024 2025 Nomination Of Classified Professional
PDF template
Nomination form for classified professionals to participate in a leadership development program within the Chabot - Las Positas Community College District.
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ACHWire (Electronic Transfer) Request Form
PDF template
A form for initiating electronic fund transfers via ACH or wire transfer at the University of Virginia.
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Medical History Form
PDF template
Comprehensive medical history form collecting patient's personal health details, family medical history, and lifestyle information.
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Population Assessment Of Tobacco And Health (PATH) Study Parent Consent And Permission For Youth Int
PDF template
A consent form for parents to allow their children aged 12-17 to participate in a national tobacco and health research study.
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Health And Emergency Contact Form
PDF template
A comprehensive form for collecting student medical history, emergency contact details, and healthcare consent at Central Maine Community College.
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting patient demographic, family medical history, and personal health information.
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Volunteer Application Form
PDF template
A comprehensive volunteer application form for the Canadian Mental Health Association's Vancouver-Fraser Branch, collecting personal information and volunteer interests.
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Full Service Partnership Transfer Request Form
PDF template
Los Angeles County Department of Mental Health form for transferring client services between Full Service Partnership programs
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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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Adult Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
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College Of Education And Health Professions ACCIDENTINCIDENT REPORT
PDF template
A comprehensive form for documenting accidents, injuries, and incidents within the College of Education and Health Professions.
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Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
Form for employees to enroll in Flexible Spending Account (FSA) options for healthcare and dependent care expenses.
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Athletics Drug Education And Testing Student Athletes
PDF template
Policy for drug education and testing of student athletes in the Alabama Community College Conference, focusing on health, safety, and fair competition.
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Camp Medical Form, College Tennis Exposure Camp
PDF template
Medical form for participants of a college tennis exposure camp, capturing health history and emergency contact information.
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Employee Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave, including annual, sick, FMLA, and other leave types, requiring supervisor and HR approval.
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Information Disclosure Consent Form For UN COVID 19 Medical Evacuation (MEDEVAC) Services
PDF template
Consent form for medical information disclosure and liability release for UN COVID-19 medical evacuation services.
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Combined Safety Inspection Form
PDF template
A comprehensive safety inspection checklist for laboratory environments at Dartmouth College to ensure compliance with safety protocols and regulations.
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Community Membership Form
PDF template
A medical history and liability waiver form for campus recreation membership at Lees-McRae College, requiring personal and medical information along with a hold harmless agreement.
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Wellness Community Membership Form
PDF template
Form for enrolling in NEO Wellness community membership with health information and policy acknowledgment.
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School District Of Philadelphia Community Training Reimbursement Form
PDF template
Form for employees to request reimbursement for educational training expenses and transportation costs within the School District of Philadelphia.
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Complaint Documentation Form
PDF template
A comprehensive form for documenting and investigating employee complaints, including initial reporting, meeting details, and investigation procedures.
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Complaint Report
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A form for submitting complaints to the local health department, allowing individuals to report health or nuisance-related issues.
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StepsForms To See Dr. Senior
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Comprehensive guide for students seeking psychiatric consultation with Dr. Senior, detailing required steps and forms for scheduling and attending appointments.
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COQUILLE SCHOOL DIST. COMPENSATION PRE AUTHORIZATION
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A form for employees to request and receive pre-authorization for extra work hours and compensation
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Concussion Incident Form
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A form for documenting and reporting concussion-related incidents in sports, specifically for Ringette Canada.
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Concussion Recovery Teacher Feedback Form
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A form for teachers to provide feedback on a student's post-concussion academic performance and symptoms.
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Concussion Waiver Form
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A waiver form for student athletes acknowledging their responsibility to report concussion symptoms and potential injuries.
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Concussion Waiver Form
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A waiver form requiring student athletes to acknowledge their responsibility in reporting concussion symptoms and understanding concussion risks.
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ConferenceTravel Pre Approval Form
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A form for employees to request pre-approval for conference or travel expenses with detailed cost estimation and reimbursement guidelines.
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Confidential Employee Evaluation Process
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A comprehensive document outlining the performance evaluation procedures and process for employees at Victor Valley Community College District.
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CONFIDENTIALSUPERVISORY EMPLOYEES ABSENCE REPORT FORM
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A form for reporting employee absences, specifically detailing bereavement leave policies for supervisory employees.
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Environmental Health Safety Policy
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Policy addressing safety procedures and requirements for entering confined spaces at Connecticut College, following OSHA guidelines.
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Participant Consent Form
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A consent form for participants of a workshop, explaining survey data collection and potential Medicare study participation.
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Child Consent Form
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A comprehensive health screening form for children to assess medical history and vaccination readiness.
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Consent Form ImPACT Baseline Concussion Testing
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A consent form for participating in baseline concussion testing for student-athletes in Montgomery County Public Schools.
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Utah State Board Of Education ParentGuardian Consent Form Maturation Instruction
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A parental consent form for students participating in puberty and reproductive health education classes in Utah schools.
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Electronic Consent For W 2 Tax Form And 1095S Health Insurance Offer And Coverage Statement
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Step-by-step guide for employees to provide electronic consent for receiving W-2 and 1095-C tax and health insurance forms online
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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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Consultant Invoice Form Instructions
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Instructions for consultants submitting invoices to the Virginia Department of Transportation, detailing required documentation and invoice preparation process.
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Consumer Assistance Request Form
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A form for consumers to report complaints and seek assistance from the Minnesota Attorney General's Office regarding various consumer issues.
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Contact Information And Medical Form
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A comprehensive medical form collecting participant's personal information, emergency contacts, medical history, and health conditions for University of Maine at Presque Isle program participation.
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Determining EmployeeContractor Status
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A document used to assess and determine the worker classification status for tax and employment purposes.
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Environmental Health And Safety Contractor Incident Report
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A comprehensive form documenting workplace incidents, injuries, and safety-related events for contractors.
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ING Premier Disability Cancellation Form
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A form for employees to cancel their ING Premier Short Term Disability insurance policy and associated payroll premium deduction.
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Time Off Request Form
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A form for employees to request and track time off hours across two weeks.
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COVID 19 Incident Report Form
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A form to document and track potential COVID-19 exposure and incidents among employees.
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Corps Of Cadets Preparticipation Physical Evaluation Medical History
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Medical history and health evaluation form required for admission to the Texas A&M Corps of Cadets, verifying medical fitness for cadet program participation.
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Corrective And Disciplinary Action Form
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A formal document used to record workplace misconduct, performance issues, and potential disciplinary actions for employees.
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Employee Counseling Action Form
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A formal document for documenting employee performance issues, counseling actions, and potential consequences.
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Community Referral Form
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A guide from Curry College Counseling Center to help students find appropriate mental health resources and therapists off-campus.
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Informed Consent
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A comprehensive informed consent document outlining patient rights, therapy risks, and treatment expectations at Chadron Nebraska State College's Counseling Center.
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Counseling Services Referral Form
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A confidential form for faculty and staff to refer students who may need counseling or support services.
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Counselling Internship Application Form
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An application form for counselling internship opportunities at Pacific Centre Family Services, covering student contact and program preference information.
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Court Ordered Guardianship Evaluation Invoice Form
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A form for billing and documenting court-ordered guardianship evaluation services with detailed expense tracking.
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Court Reporter Invoice Form
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A guide for court reporters on how to complete and submit an invoice form for transcript services.
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NEW YORK STATE TRAVELER HEALTH FORM
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A required form for individuals entering New York from non-contiguous states, territories, or countries, capturing traveler health and contact information.
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Mennonite Village Covid 19 Earned Leave Request Form
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A form for employees to request sick or personal days related to COVID-19 circumstances
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Emergency Leave Request Form
PDF template
A form for employees to request emergency leave related to COVID-19 circumstances and workplace absences.
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COVID 19 Employee Report Form
PDF template
A form for employees to report COVID-19 positive tests or symptoms, used by Wichita State University for tracking and workplace safety purposes.
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Paid COVID 19 Leave Request Form
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A form for Minnesota executive branch employees to request paid leave related to COVID-19 circumstances under Executive Order 20-07.
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FFCRA 2021 PAID LEAVE REQUEST FORM
PDF template
Form for employees to request paid leave under the Families First Coronavirus Response Act (FFCRA) provisions
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COVID 19 Leave Request Form
PDF template
Form for Kansas Department of Transportation employees to request leave related to COVID-19 exposure or symptoms
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COVID 19 Case Interview Form
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A detailed medical form used by the Florida Department of Health to collect information about COVID-19 cases and patient symptoms.
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Employee COVID 19 Leave Request Form
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Form for employees to request leave related to COVID-19 circumstances, including medical diagnosis, quarantine, or childcare needs.
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COVID 19 LEAVE REQUEST FORM
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A form for employees to request leave related to COVID-19 situations, including quarantine, illness, and childcare needs.
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COVID 19 Leave Request Form
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Form for employees to request leave related to COVID-19 circumstances, including quarantine, household exposure, and vulnerable health status.
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COVID 19 Testing And Symptom Assessment For New Enrolled Student(S) From Out Of CountryState AndOr C
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A health screening form for students to assess COVID-19 symptoms and testing status before school enrollment or return from travel.
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Medical Information Request Form For COVID 19 Temporary Reasonable Accommodation For Faculty, Admini
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Form for Fordham University employees to request workplace accommodations related to COVID-19 high-risk medical conditions
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REQUEST FOR COVID 19 LEAVE
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A form for Miami-Dade County employees to request paid sick leave related to COVID-19 reasons and circumstances.
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COVID 19 Participant Code Of Conduct And Risk Assessment Form
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Comprehensive safety guidelines and risk acknowledgment for Special Olympics participants during the COVID-19 pandemic.
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COVID 19 PERSONAL HEALTH RISK ASSESSMENT FORM
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A comprehensive form to assess individual health risks and COVID-19 exposure for meeting participation and travel to Italy.
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DOH COVID 19 Vaccination Consent Form
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A comprehensive form for collecting patient information and screening for COVID-19 vaccination eligibility.
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Risk Assessment Form For COVID 19 Contact
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A form for documenting potential COVID-19 exposure and health status for university students and staff.
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Communicable Disease Related Hold Harmless, Release, Waiver Of Liability, And Indemnity Agreement
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Legal document releasing event organizers from liability related to potential communicable disease exposure during an event.
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Families First Coronavirus Response Act Emergency Paid Sick Leave Request Form
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A form for Logan City School District employees to request emergency paid sick leave under the Families First Coronavirus Response Act for COVID-19 related reasons.
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WESTFIELD PUBLIC SCHOOLS COVID 19 SICK LEAVE FORM
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Form for employees to request COVID-19 related sick leave, detailing qualifying reasons for leave under Massachusetts emergency regulations.
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COVID 19 SICK LEAVE FORM
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A form for employees to request COVID-19 related sick leave under Massachusetts temporary emergency regulations.
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Request For COVID 19 Employer Paid Leave Of Absence
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A form for employees to request paid leave related to COVID-19 circumstances including personal illness, vaccination, or childcare needs.
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COVID 19 Leave Request
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A form for employees to request leave due to COVID-19 infection, requiring documentation of a positive test and HR verification.
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COVID 19 SUPPLEMENTAL PAID SICK LEAVE REQUEST FORM
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A form for employees to request supplemental paid sick leave related to COVID-19 vaccination, quarantine, or family care needs.
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PARENTALGUARDIAN, SCOUT, LEADER COVID 19 ACKNOWLEDGEMENT CONSENT WAIVER FORM
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A waiver form acknowledging COVID-19 risks for scout activities and granting permission for participation during the pandemic.
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Medical Form For Campers
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A comprehensive medical form for documenting a camper's health status, medical history, and physical examination details for participation in Camp Promise/Jett Foundation programs.
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KSU Campus Employee Registration Form
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Registration form for KSU campus employees to request permission to attend a professional education course with supervisory approval.
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Direct Deposit Request
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A form for employees to set up or cancel direct deposit banking information for payroll purposes.
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Juror Attendance Form
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Form for LANL employees to document and verify jury duty service for payroll purposes.
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Payroll Deduction Authorization Zia Credit Union
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Authorization form for employees to set up, change, or cancel payroll deductions to Zia Credit Union
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Physical Examination Form
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Comprehensive medical examination form for assessing physical fitness, likely for occupational certification purposes.
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CRESEMBA Support Solutions Enrollment Form
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A comprehensive enrollment form for patients seeking support and prescription assistance for CRESEMBA medication through Astellas Patient Assistance Program.
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Consumer Reporting Form Training Manual
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A comprehensive guide for completing multi-part reporting forms for mental health and substance abuse programs in Delaware.
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Consumer Reporting Form Training Manual
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A training manual for consumer reporting forms used by the Delaware Department of Health and Social Services' Division of Substance Abuse and Mental Health for tracking treatment and client outcomes.
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Crisis Leave Request Form
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A form allowing employees to request leave from a Crisis Leave Pool for personal or family health conditions or extraordinary personal crises.
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New York CityS Residential Crisis Support And Respite Referral Form
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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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CROSS ACT 2020 TIMESHEET
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A document for tracking employee work hours, time worked, and payment details for record-keeping and payroll purposes.
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Classroom Check Up Feedback Form Baltimore County Public Schools
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A comprehensive evaluation form for assessing classroom management, behavior supports, and teaching practices in a school setting.
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Required Consent For Release Of Information
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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
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A comprehensive referral form for Community Service Program and outpatient services, collecting detailed client and referral information.
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CSUCI ALTERNATE WORK SCHEDULE PROGRAM APPROVAL FORM
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A form documenting employee request and approval for a 9/80 alternative work schedule at California State University Channel Islands.
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List Of Items Returned By The Employee
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A comprehensive form for documenting the return of university-owned equipment and assets by an employee upon separation or leaving the institution.
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Colorado State University Pueblo Event ParticipationMedical Form
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Comprehensive medical form for capturing participant health information, emergency contacts, and medical history for Colorado State University Pueblo events.
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SEPARATING ATTENDANCE FORM
PDF template
A form used by California State University, San Bernardino for tracking employee separation details and final attendance records.
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Commitment To Excellence Award 2024 Nomination Form
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Award nomination form recognizing outstanding university staff and administrators who demonstrate exceptional commitment and performance.
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Employee Performance Evaluation Form
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Annual performance evaluation documenting goals, objectives, and performance dimensions for an Internal Medicine Account Assistant
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Clerical And Technical Performance Feedback
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A comprehensive form for assessing employee performance across multiple dimensions including communication, customer service, dependability, and technical skills.
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SHORT TERM DISABILITY CLAIM FORM
PDF template
Form for employees to file a claim for short-term disability benefits, including personal and employment details.
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Custodial Department Time Off Request Form
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A form for Gundersen Facilities Services employees to request time off for various leave types.
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Short Tissue Repository Research Consent Form
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Consent form for patients to participate in a genetic research biorepository studying cardiovascular health and disease factors.
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Nomination Form For Children And Youth Behavioral Health Work Group
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A nomination form for individuals to join the Children and Youth Behavioral Health Work Group in Washington State, targeting youth, parents, caregivers, and system partners.
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2011 OPSEU Time Off Request Form
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A comprehensive form for employees to request vacation time during different periods, including prime time summer, non-prime time, and holiday periods.
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RCUH Form D 3
PDF template
A comprehensive form documenting employee separation from the Research Corporation of the University of Hawai'i, covering voluntary resignation and involuntary termination details.
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Salary AssignmentCancellation (Form D 60)
PDF template
Detailed instructions for completing a salary assignment or cancellation form for University of Hawaii employees
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Families First Coronavirus Response Act Leave Request Form
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Form for Kansas state employees to request leave under FFCRA for COVID-19 related reasons
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Medical Form Requirements
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Comprehensive guide for medical form requirements for Boy Scouts of America camps and activities in Colorado.
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Daily Safety Inspection Form
PDF template
A comprehensive form for documenting employee personal protective equipment (PPE) and safety gear compliance during workplace inspections.
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Matching Grant Application Form
PDF template
Application for employees experiencing severe financial need due to unexpected emergencies or catastrophic disasters, with fundraising support from co-workers.
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MEDICAL INQUIRY FORM IN RESPONSE TO AN ACCOMMODATION REQUEST
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A medical form used to assess an employee's disability status and potential need for workplace accommodations under the Americans with Disabilities Act (ADA).
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HR Records Administration Data Verification Request Form
PDF template
A form for collecting comprehensive personal and organizational information for HR record-keeping at the University of Alabama at Birmingham.
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DAWN LAFFERTY HOCHSPRUNG DOCTORAL FELLOWSHIP AWARD
PDF template
A monetary award honoring doctoral students conducting research in mental health and school safety at Russell Sage College in memory of Dawn Lafferty Hochsprung.
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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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Appointed Attorney Invoice
PDF template
A form for court-appointed attorneys to submit invoices for legal services rendered in criminal proceedings
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APPOINTED ATTORNEY INVOICE
PDF template
A legal form for attorneys appointed to criminal cases to submit billing and reimbursement information to the court.
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Appointed Attorney Invoice (DCA 123)
PDF template
Official invoice form for attorneys appointed to represent defendants in criminal proceedings, used for tracking legal services and compensation.
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APPOINTED ATTORNEY INVOICE (Form DCA 123)
PDF template
A legal form used by attorneys to invoice for court-appointed legal services in criminal proceedings.
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APPOINTED ATTORNEY INVOICE
PDF template
Official form for appointed attorneys to submit compensation and reimbursement for legal services in criminal proceedings
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DCBS Superhero Award Nomination Form
PDF template
A form to nominate DCBS employees for recognition based on exemplary professional qualities and performance.
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OVERTIME REQUEST FORM
PDF template
A form for employees to request and receive supervisor approval for overtime work hours.
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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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DD FORM 1617 Department Of Defense Transportation Agreement
PDF template
Official Department of Defense form establishing government service requirements and transportation allowances for civilian employees transferring outside the continental United States.
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DD FORM 1618, DEC 2023
PDF template
A Department of Defense form establishing government time in service requirements for travel and transportation allowances for civilian employees transferring within CONUS.
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DIRECT DEPOSIT CANCELLATION REQUEST FORM
PDF template
Form for employees to cancel their existing direct deposit banking information for payroll purposes at UNC Greensboro.
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Direct Deposit Cancellation Form
PDF template
A form used by employees to cancel their existing direct deposit payroll arrangements with Johns Hopkins institutions.
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Affidavit To Request Replacement Of SNAP Benefits
PDF template
Form for requesting replacement of SNAP benefits lost due to household misfortune or electronic benefit theft in Oregon.
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EmployeeS Withholding Allowance Certificate (DE 4)
PDF template
A form for employees to specify their state income tax withholding allowances and exemption status for California tax purposes.
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Employee Incident Investigation Form
PDF template
A formal documentation of an incident involving workplace interactions and potential inappropriate conduct between an employee and her supervisor.
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Death Benefit Application Form
PDF template
A form for Fiji Bank & Finance Sector Employees Union members to apply for death benefits for themselves or eligible family members.
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PARKING DECAL REFUND REQUEST
PDF template
A form for employees or students to request a refund for parking decals at Southern Illinois University Carbondale under specific conditions.
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Diver Medical Questionnaire Additional Declarations COVID 19
PDF template
A medical questionnaire and health declaration form for divers to assess fitness and COVID-19 risk prior to participating in diving activities.
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Decrease Election Form For Supplemental Life Insurance
PDF template
A form for active state employees to reduce their supplemental life insurance coverage in prescribed increments.
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Payroll Deduction Cancellation Form
PDF template
A form allowing employees to cancel specific payroll deductions at Western Michigan University.
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COMPENSATION AND BENEFITS TRAVEL REIMBURSEMENT
PDF template
Procedures and guidelines for travel expense reimbursement for employees, volunteers, and other individuals traveling on College business.
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Designated Eligible Individual (DEI) Enrollment Form 2024
PDF template
Form for Michigan Tech employees to enroll a non-spouse individual for health coverage under specific eligibility criteria.
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Delta Dental Of Minnesota Membership Enrollment Form
PDF template
Membership enrollment form for Delta Dental insurance coverage, allowing employees to select dental plan options and enroll dependents.
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Oral Health Assessment Form
PDF template
California-mandated form for documenting children's dental health screenings required before first year of public school.
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COBRA Dental Insurance EnrollmentWaiver Form
PDF template
A form for employees to enroll in or waive dental insurance coverage, with options for adding or dropping dependent coverage under COBRA.
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Dental Insurance EnrollmentWaiver Form
PDF template
A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
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Employee Enrollment Form
PDF template
Comprehensive form for employee insurance enrollment with personal information and coverage details.
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Proof Of School Dental Examination Form
PDF template
State of Illinois form documenting mandatory dental examination for school children in specific grade levels.
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Proof Of School Dental Examination Form
PDF template
A mandatory dental health examination form for students in specific school grades in Illinois, documenting their oral health status.
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Proof Of School Dental Examination Form
PDF template
Official form documenting student dental health examination for Illinois school children in specific grade levels as required by state law.
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Proof Of School Dental Examination Form
PDF template
Official document requiring dental examination for students in specific school grades, documenting oral health status and screenings.
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Kentucky Dental ScreeningExamination Form For School Entry
PDF template
Official form for documenting dental screening or examination required for school entry in Kentucky for five or six-year-old students.
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Proof Of School Dental Examination Form
PDF template
Official form for documenting a student's dental health examination required for school enrollment in Illinois.
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Dental Examination Waiver Form
PDF template
A form for parents or guardians to request a waiver for required dental examinations for students in Illinois schools.
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Dental Examination Waiver Form
PDF template
A form for parents/guardians to request a waiver from required dental examination for school-enrolled children in Illinois.
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Dental Examination Waiver Form
PDF template
A form allowing parents/guardians to request a waiver for required dental examinations for students due to specific insurance or access constraints.
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Dental Insurance EnrollmentChange Form
PDF template
A form for employees to enroll in or modify dental insurance coverage, including dependent information and policy details.
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Proof Of School Dental Examination Form
PDF template
Official state form documenting dental health examination for school-aged children in Illinois, mandated by state law for specific grade levels.
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PROOF OF DENTAL EXAM
PDF template
An official dental examination form for students, documenting oral health status and treatment needs.
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PATIENT MEDICAL HISTORY FORM
PDF template
A comprehensive medical and dental history form for patient intake, collecting personal health information and current medical status.
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Kentucky Dental ScreeningExamination Form For School Entry
PDF template
A mandatory dental health screening form for children entering public school in Kentucky, documenting dental health status and examination details.
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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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DentalVision Enrollment Form
PDF template
Detailed guide for completing a dental and vision insurance enrollment form with step-by-step instructions.
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Medical History Form
PDF template
Comprehensive medical history form collecting personal health information, medical background, and current health status.
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Climate Health WA Inquiry
PDF template
Submission by Department of Local Government, Sport and Cultural Industries addressing climate change health impacts in Western Australia
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Dependent Audit Form
PDF template
A form for employees to verify and update dependent insurance coverage information and personal details.
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State Of Alaska Payroll Direct Deposit Form
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A form for Alaska state employees to set up or modify direct deposit arrangements for net pay and flat amount deposits.
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Physics And Astronomy Employee Business Expense Reimbursement Form
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Guidelines for submitting expense reimbursement forms for Physics and Astronomy department employees using a new electronic process through Workday Expenses.
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Dermatology Medical History
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Comprehensive medical history form for dermatology patients to document health conditions, medications, and allergies.
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Detention Facility Termination Of Agreement Standard Operating Procedure
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Standard operating procedure detailing steps for terminating detention facility agreements and winding down ICE operations at a facility.
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EmployeeS Withholding Certificate For City Of Detroit Income Tax
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Tax withholding form for employees working in Detroit, used to determine income tax exemptions and work locations.
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Burial Billing Form
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Application for financial assistance with funeral and burial expenses for indigent individuals in West Virginia.
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DFS 405 Onsite Sewage Agency Referral Form
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Official form documenting the evaluation of a property's suitability for onsite sewage disposal systems in Kentucky.
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CONSENT FORM CONFIDENTIAL HUMAN IMMUNODEFICIENCY VIRUS (HIV) TEST Non Health Care Settings
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Official consent form for HIV testing in non-healthcare settings, documenting informed consent and explaining testing procedures.
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Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient personal information, contact details, and health status.
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Type 2 Diabetes Risk Assessment Form
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A screening tool to evaluate an individual's risk factors for developing type 2 diabetes through a points-based assessment.
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Student Record Card 6
PDF template
A health record and immunization documentation form required for student enrollment in Montgomery County Public Schools in Maryland.
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Authorization For Direct Debit (ACH Debits)
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A form authorizing Preucil School of Music to initiate automatic monthly debits for tuition and other charges from a bank account.
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COPERS Direct Deposit Form
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A form for Phoenix city employees to set up direct deposit for their pension checks with banking details and authorization.
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Direct Deposit Form
PDF template
A form for Navajo Nation employees to set up or modify direct deposit banking information for payroll purposes.
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Direct Deposit Authorization And Cancellation Form
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A form for employees to set up, change, or cancel direct deposit banking information with Kaleida Health.
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Payroll Direct Deposit Form
PDF template
Form for employees to set up or modify direct deposit payroll payments at Hope College.
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M NCPPC Direct Deposit Form
PDF template
A form for Maryland-National Capital Park and Planning Commission employees to set up or modify direct deposit banking information for payroll.
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Direct Deposit Agreement Form
PDF template
A form for setting up direct deposit of housing assistance payments with Cambridge Housing Authority.
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Direct Deposit Authorization Form
PDF template
Form authorizing automatic deposits and withdrawals to an employee's bank account by The University of the South.
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COVA Direct Deposit Form Directions
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Comprehensive guide for employees completing a direct deposit form, detailing required fields and submission process for the Commonwealth of Virginia payroll system.
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Authorization Agreement For Automatic Deposit (ACH Deposits)
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Rental assistance payment authorization form for direct deposit of funds by the Metropolitan Development and Housing Agency.
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COVA Direct Deposit Form Instructions
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Instructions for completing a direct deposit form for employees, covering required fields and submission guidelines.
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Authorization For Direct Deposit Via ACH
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A form for employees to authorize electronic wage deposits into one or two bank accounts by the Queen Anne's County Board of Education.
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Direct Deposit Form
PDF template
A form for employees to set up, modify, or cancel direct deposit of their payroll earnings with their financial institution.
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COVA Direct Deposit Form
PDF template
Guidelines for completing a direct deposit form for Commonwealth of Virginia employees, detailing required information and submission process.
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COVA Direct Deposit Form Instructions
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Detailed instructions for employees and agencies completing a direct deposit form for payroll purposes.
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CITY OF KAUKAUNA DIRECT DEPOSIT FORM
PDF template
A form for employees to set up direct deposit of their paycheck into one or multiple bank accounts.
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Direct Deposit Authorization Form
PDF template
A form allowing employees to authorize direct deposit of their paycheck into one or more bank accounts.
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Payroll Direct Deposit Form
PDF template
Form authorizing direct deposit of employee payroll payments for West Virginia University employees
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Direct Deposit Authorization Form
PDF template
A form authorizing electronic transmission of payroll funds to an employee's bank account at Widener University.
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Hollins UniversityADP Direct Deposit Authorization Form
PDF template
A form for Hollins University employees and students to set up or modify direct deposit banking information for payroll and reimbursements.
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Vanderbilt University Direct Deposit Authorization Form
PDF template
A form authorizing Vanderbilt University to deposit payroll funds into specified bank accounts
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Direct Deposit Form
PDF template
Form for employees to authorize direct deposit of flexible spending reimbursements through Auxiant.
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Authorization For Direct Deposit
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Form authorizing City of Boise employees to set up direct deposit for wage payments and reimbursements.
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Direct Deposit Form
PDF template
A form for employees to set up direct deposit of payroll checks with their employer and financial institution.
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Direct Deposit Authorization Form
PDF template
Form for employees to provide banking details for payroll direct deposit at Blue Ridge Community College.
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Direct Deposit Employee Authorization Form
PDF template
A form for employees to authorize automatic payroll deposits into bank accounts, including options for new, changed, or additional deposits.
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SPLLC Direct Deposit Form
PDF template
Form for employees to provide bank account details for direct deposit of payroll earnings.
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EMPLOYEE DIRECT DEPOSIT ENROLLMENT FORM
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A form allowing employees to set up direct deposit of their paycheck with bank account details and authorization.
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Authorization Agreement For Direct Deposits
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A form allowing employees to set up direct deposit of their paycheck with bank account details and authorization.
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Employer Authorization Direct Deposit Form
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A form allowing employees to authorize direct deposit of their payroll into a bank account at Webster Bank.
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Direct Deposit Form
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A form for employees to set up, change, or cancel direct deposit of their paycheck into a financial institution account.
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Direct Deposit Authorization For Automated Deposits (ACH Credits)
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A form authorizing Trinity University to make direct deposits into a specified bank account and enabling reimbursements, vendor payments, or student payments.
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Direct Deposit Authorization
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A form for employees to set up, modify, or cancel direct deposit banking information for payroll purposes.
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Direct Deposit Enrollment Form
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A form allowing employees to set up direct deposit of their paycheck into bank accounts with authorization and account details.
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Authorization For Direct Deposit
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A form for enrolling in direct deposit reimbursement with Family Partnerships of Central Florida, providing banking details for automatic payments.
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Authorization Agreement For Direct Deposit
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A form for employees to authorize direct deposit of their paycheck into one or more bank accounts.
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Payroll Direct Deposit Authorization Form
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A form for employees to set up or modify direct deposit banking information for payroll at Coquille School District
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Electronic Direct Deposit Authorization Agreement For Pre Authorized CreditsDebits
PDF template
A form for employees to authorize electronic direct deposit of payroll funds into their bank account(s)
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Direct Deposit Authorization Form
PDF template
A form for employees to authorize electronic paycheck direct deposit into one or more bank accounts.
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Payroll Direct Deposit Authorization Form
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Form for University System of New Hampshire employees to authorize electronic direct deposit of fixed amounts from their paycheck.
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Direct Deposit Form For Related Entity Employees
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A form for employees to provide bank account details for receiving salary payments via direct deposit.
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Direct Deposit Authorization
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A form for businesses to set up direct deposit payment method with the University of Incarnate Word's Accounts Payable Department.
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Employee Direct Deposit Authorization Instructions
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Form for employees to set up automatic paycheck deposits into one or two bank accounts with verification requirements.
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Direct Deposit Authorization Agreement
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A form for employees of Natomas Unified School District to set up electronic paycheck deposits into a bank account.
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Direct Deposit Form
PDF template
Form for employees to provide bank account details for direct deposit of payroll earnings.
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University System Of New Hampshire Payroll Direct Deposit Authorization Form
PDF template
A form for employees to authorize electronic direct deposit of payroll and reimbursement payments by the University System of New Hampshire.
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Direct Deposit Application
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A form for Harnett County employees to set up or modify direct deposit of their paychecks to their chosen financial institution.
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Direct Deposit Authorization Form
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A form for employees to authorize direct deposit of wages to a bank account, with options to start, stop, or change existing direct deposit arrangements.
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Direct Deposit Form
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Form for employees to provide bank account details for payroll direct deposit, allowing setup of primary and optional secondary accounts.
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Self Service Direct Deposit
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Instructions for employees to set up or modify direct deposit through the Employee Dashboard in Porches/HR system.
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Direct Deposit Worksheet
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A form allowing employees to set up direct deposit for their paycheck with multiple bank account options
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AUTHORIZATION AGREEMENT FOR ACCOUNTS PAYABLE ACH DIRECT DEPOSIT
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Form for authorizing electronic direct deposit payments to a financial institution account by Utah County Government.
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Request For Direct Deposit Form
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A form for employees to set up direct deposit of their payroll funds with Haverhill Public Schools.
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Direct Deposit Form Direct Deposit Switch Kit Form
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A form to authorize direct deposit of payroll or credits into an employee's Abbey Credit Union account
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Direct Deposit Worksheet
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Form for employees to set up direct deposit bank information for payroll services with multiple account options.
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Direct Deposit Form For NYS Employees
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A form for New York State employees to set up or modify direct deposit banking information for salary payments.
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Directed Quarantine Leave Request Form
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Form for Philadelphia School District employees to request paid quarantine leave due to COVID-19 exposure or positive test result.
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Columbus County Direct Deposit Form
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Form for employees to authorize direct deposit of payroll funds into their bank accounts.
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DOTM FORM DAL Request Form
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SUPPLEMENTAL DISABILITY CLAIM FORM
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Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
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Group Disability Claim Filing Instructions
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Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
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DISABILITY HEALTH WELFARE HOURS CLAIM FORM
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A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
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Disability Health Welfare Hours Claim Form
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A form for carpenters to claim disability health and welfare hours due to illness or injury, requiring participant and physician statements.
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Disability Claim Form
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A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Short Term Disability Claim Form
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A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
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Disability Claim Form
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A comprehensive disability claim form for union members to document medical conditions, work status, and employer information.
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Adapted Physical Education Program Medical Form
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Medical form documenting student's disability, exercise limitations, and physical capabilities for adapted physical education program participation.
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One Page Discharge Form
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A standardized form for documenting client discharge from mental health services, capturing key details about the discharge reason and service status.
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Discharge Form
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Discharge Form S117 PRO FORMA
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Official form for discharging a patient from Section 117 Mental Health Act 1983 aftercare services.
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Nursing Service Guidelines Discharge Planning And Continuity Of Care
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Guidelines for systematic discharge planning and continuity of care for psychiatric inpatients, ensuring effective coordination with community resources and ongoing treatment.
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What Are My Discharge Rights From A 24 Hour Mental Health Facility
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Documenting Discipline Issues
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A comprehensive checklist for managers to properly document employee disciplinary actions and performance issues.
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NON UNIFORM EMPLOYEE DISCIPLINARY ACTION FORM
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A formal document recording an employee's demotion and the reasons for disciplinary action.
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Waccamaw EOC, Inc. Disciplinary Action Form
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A formal document used to record and document workplace misconduct and associated disciplinary measures for an employee.
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Disciplinary Action Form
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Official form for documenting employee disciplinary actions, including details of the disciplinary process and required signatures.
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Disciplinary Action Form
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A formal document used to document workplace misconduct, disciplinary actions, and performance issues for an employee.
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Disciplinary Action Form
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A form documenting performance issues and potential disciplinary actions for non-civil service employees.
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Payroll Deduction Authorization Form
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DISCRETIONARY EXPENSE APPROVAL FORM
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A form for employees to request approval of discretionary expenses with detailed category breakdown and multiple levels of authorization.
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International Medical History Form
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Comprehensive medical form for collecting personal health information, emergency contacts, and medical history for international travel purposes.
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International Medical History Form
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Comprehensive medical history and emergency contact form for international travelers to ensure safety and medical preparedness.
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NIMH Center For Collaborative Genetic Studies Distribution Agreement
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Agreement for distribution of anonymized genetic research materials and data related to mental health disorders for scientific research purposes.
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DIVING MEDICAL HISTORY FORM
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A comprehensive medical history form designed to assess an individual's fitness and health risks for participating in scuba diving activities.
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DIY Docs
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An online legal document creation and storage tool provided by ARAG for employees to generate and manage legal documents independently.
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Employee Resignation Form
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Official form for employees to submit their resignation from College of the Mainland, documenting reasons and effective date of departure.
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Employee Resignation Form
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Official form for employees to submit their resignation from College of the Mainland, documenting reasons and effective date of departure.
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COMPLAINT FORM
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A form for filing complaints related to mental health services, clients, employees, or incidents within the Massachusetts Department of Mental Health.
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Housing Assistance Payments Contract (HAP Contract)
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Contract for providing Section 8 tenant-based housing assistance payments between public housing agencies and property owners.
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HUD Occupancy Handbook 4350.3 REV 1
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Guidelines for terminating housing assistance and tenancy in HUD-supported housing programs, including procedures for owners and tenants.
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DoctorS Signature Form
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Direct Deposit Form
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Form for employees to set up, change, or cancel direct deposit banking information for payroll at California State University Long Beach Research Foundation.
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Direct Deposit Form
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Form for employees to establish, modify, or cancel direct deposit banking instructions for payroll payments.
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HUD 9887A Fact Sheet
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Document package for obtaining consent from housing assistance applicants to verify personal information with various government agencies.
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Authorization For Use Or Disclosure Of Protected Health Information (PHI)
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A legal form allowing authorized use and disclosure of an individual's protected health information by the Hawaii State Department of Health.
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COVID 19 Emergency Paid Leave (EPL) Employee Notification And Supplemental Leave Request Form
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Form for federal employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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Donor Leave Request Form
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A form for employees to request leave for organ, blood, or other donation activities under the Kansas State Donor Program.
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Disaster Leave
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Policy prescribing procedures for granting leave for disaster relief operations in support of the American Red Cross Memorandum of Understanding.
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Spot Award Nomination Form
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First Time Home Buyer Down Payment Assistance Program
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Application for down payment assistance program for first-time homebuyers in New Rochelle, New York.
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Sample Authorization For Direct Payment Via ACH (ACH Debit)
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A consumer authorization form for electronic fund transfers via ACH debits from a bank account.
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Disciplinary Action Form
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A form used to document and submit disciplinary actions for employees within a civil service jurisdiction.
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Driver Medical History Form
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Medical history and physical examination form for taxi and limousine drivers to assess fitness for operating a motor vehicle.
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Payroll Deduction Guide
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Comprehensive guide for employees and employers on setting up payroll deductions for the DreamAhead College Investment Plan.
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Integrative Medicine Intake Form
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Comprehensive medical intake form for patients seeking integrative medicine services, collecting medical history, current health concerns, and personal health information.
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Drug Free Workplace Act Of 1988
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Policy prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances for college employees and students.
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Drug Testing Consent Form
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A comprehensive consent form for drug testing administered by the Manila Health Department Public Health Laboratory for various purposes.
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BP 5131.61 Student Athlete Drug Testing
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A school district policy establishing a drug testing program for student athletes to promote health, safety, and deterrence of substance abuse.
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Transportation Frequently Asked Questions
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Document explaining transportation funding and support services for clients of the Division of Substance Abuse and Mental Health through the Opioid Impact Fund.
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DSB 0311 Employee Administration Request Form
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Form for managing employee administrative actions for the NC Department of Health and Human Services Division of Services for the Blind.
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Medical Examination Form
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Comprehensive medical examination form documenting patient's physical condition, vision, hearing, and overall health status.
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Medical Examination For Immigrant Or Refugee Applicant (DS 2053)
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Comprehensive guide for panel physicians completing medical examinations for immigrant and refugee applicants, detailing required assessments and evaluation process.
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Student Insurance Claim Form
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A comprehensive insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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Direct Deposit Enrollment Authorization Form
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Authorization form for electronic benefit payments through direct deposit for Social Services programs in North Carolina.
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CityFHEPS Landlord Information Form Apartment Rentals
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Service Provider Feedback Form
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REFERRAL FORM
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A comprehensive referral form for children's therapeutic services including demographic, contact, and legal information.
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Informed Consent For Fitness Assessment
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Consent document for participating in a comprehensive fitness assessment conducted by exercise physiology students at the College of St. Scholastica during the City of Duluth Health Fair.
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Informed Consent For Fitness Assessment
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Consent document for a fitness assessment conducted by exercise physiology students at the College of St. Scholastica during a City of Duluth Health Fair.
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UM Employee Gift Payroll Deduction Form
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A form allowing University of Michigan employees to authorize charitable donations through payroll deduction.
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Employee Benefit Enrollment Form
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A comprehensive form for employees to select and enroll in medical, dental, and vision benefit plans.
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Name AndOr Address Change Form
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Form for employees to request name or address changes within the Central Consolidated School District's HR department.
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Employee Academic Tuition Waiver Request Form
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A form for Cameron University employees to request tuition waivers for themselves or their dependents for academic courses.
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View And Update Your Federal Tax Withholding (Form W 4) In Employee Access
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Instructions for viewing and updating federal tax withholding information online using ADP Employee Access platform.
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EAF Contribution Form
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A form for Camelback employees to voluntarily contribute to the Employee Assistance Fund through payroll deductions.
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EagleOne Payroll Deduction Form
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Form for employees to request payroll deductions for their EagleOne account with specified amount options.
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Employee Assistance Program For Teachers Counsellor Invoice Form
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A form for counsellors to submit invoices for services rendered through the Employee Assistance Program for Teachers.
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Equine Assisted Psychotherapy Informed Consent To Treat
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EAP Psychological Services Patient Service Agreement
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A consent and service agreement for psychological services provided through Oklahoma State University's Employee Assistance Program, offering confidential counseling support for employees.
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EASy Applicant Instructions Infant Mental Health Endorsement
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Instructions for professionals seeking endorsement in infant mental health through the Endorsement Application System (EASy)
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Hazard Report Form
PDF template
A standardized form for employees to report potential workplace safety hazards and risks.
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Binghamton University Eating Concerns Evaluation Referral Form
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A medical provider referral form for evaluating Binghamton University students with potential eating disorders and determining appropriate care level.
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Example Travel Health Declaration Form
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A form for collecting traveler health information, specifically related to Ebola outbreak monitoring during international travel.
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Delaware Technical Community College Emergency Contact Form
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A confidential form for employees to provide emergency contact information for use by authorized personnel in case of an emergency.
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DIRECT DEPOSIT FORM
PDF template
Form for employees to specify bank account details for paycheck direct deposit distribution across up to three accounts.
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NCAAR Drug Testing Program, 1999 2000
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Comprehensive drug testing program for student-athletes to ensure fair competition and athlete health and safety.
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Employee Declaration Form (EDF) Pay As You Earn (PAYE)
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Tax declaration form for employees in Mauritius to claim various tax reliefs, deductions, and allowances for the income year 2024-2025.
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Educational Seminar Grant Evaluation Form
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A form for documenting and evaluating educational seminars funded by the Collie Health Foundation, including event details, costs, and educational impact.
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Direct Deposit Authorization Form
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Form for employees to authorize electronic deposit of benefit reimbursements to a bank account
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Traveler Health And Medical Information
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A comprehensive guide for group leaders to collect and manage travelers' medical information and health considerations during travel programs.
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American Rescue Plan Act (ARPA) Emergency Family Medical Leave Request Form
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A form for employees to request extended family medical leave related to COVID-19 under the American Rescue Plan Act.
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Emergency Family Medical Leave Request Form
PDF template
Detailed guidance for employees on completing timesheets and tracking Emergency Family and Medical Leave (EFML) usage and compensation.
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Employee Actions EForm
PDF template
Comprehensive electronic form for managing various employee-related actions including hiring, transfers, pay changes, and terminations.
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EnhanceFitness Post Program Evaluation Form
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A survey assessing participant experience and physical activity levels in the EnhanceFitness program.
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Teacher Evaluation Form
PDF template
Confidential teacher assessment form for student admissions to Prep I and Prep II grades
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Extended Health Care Claim Form
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A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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Emergency Eye Wash Monthly Inspection Form
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Guidelines for monthly inspection and maintenance of emergency eye wash stations in laboratory settings to ensure safety and proper functionality.
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LABORATORY SAFETY INSPECTION WORK FORM
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A comprehensive checklist for evaluating safety protocols and environmental conditions in laboratory settings
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STUDENT MEDICAL HISTORY
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Comprehensive medical history form for students, covering various health aspects and potential medical conditions.
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Service Request Form
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A form for requesting environmental, health, and safety services from Environmental, Health & Safety Solutions, Inc.
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USEF Competition EHV 1 Declaration Form
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A health declaration form for horse owners and trainers to certify their horses' health status and exposure risk for EHV-1 at competitive events.
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Parent Invoice Form
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Monthly transportation reimbursement form for parents transporting children in the Erie County Early Intervention Program
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Eisai Patient Support Enrollment Form
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A comprehensive enrollment form for patients seeking support programs related to the medication LEQEMBI, including benefits investigation, patient assistance, and copay assistance.
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Consent Form For Electronic Distribution Of Benefit Materials And Notices
PDF template
A consent form allowing employees to receive electronic copies of benefit materials and notices from Michigan State University.
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RapidPayDirect Deposit Authorization Enrollment Form
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Form for Elmhurst University employees to set up direct deposit or RapidPay! Visa PayCard for receiving wages.
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Early Learning Scholarships Invoice Form SFY2024
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Invoice form for early childhood education programs serving Early Learning Scholarships Pathway I award recipient children to submit payment for eligible service expenses.
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Eye Movement Desensitization And Reprocessing (EMDR) Agency Agreement
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Application for organizations to participate in EMDR training program with specific time commitment and practitioner requirements.
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Emergency Contact Form
PDF template
Form for collecting emergency contact details and medical information for children participating in a program.
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Emergency Contact Form
PDF template
A form for collecting personal health details and emergency contact information for club or organizational trips.
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Emergency Contact Form
PDF template
A form for employees to list up to four emergency contacts to be used in case of emergencies during work hours or in town buildings.
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St. Joseph School Emergency Contact Information
PDF template
Form for collecting student emergency contact details, health information, and parental consent for medical care
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Emergency Contact Form 32018
PDF template
A form for employees to provide contact information for emergency purposes and primary/secondary emergency contacts.
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Emergency Contact Form
PDF template
A comprehensive form for collecting student emergency contact details, medical information, and guardian contact information for school records.
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Employee Emergency Contact Information
PDF template
A form for employees to provide emergency contact details for use in case of urgent situations.
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Student Emergency And Release Form
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Confidential form for collecting student medical information, emergency contacts, and special needs details for Howell Mountain Elementary School District.
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EMERGENCY CONTACT FORM
PDF template
A comprehensive form for collecting emergency contact and health information for a child enrolled in preschool
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Emergency Contact Information Form
PDF template
A document for collecting employee emergency contact details and medical information for use in urgent situations.
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Health Office Emergency Contact Form
PDF template
A comprehensive form collecting student contact, medical, and insurance information for school emergency purposes.
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Law Clerk Employee Data And Emergency Contact Form
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A form for collecting employee personal information and emergency contact details for law clerks in Maryland court system.
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Emergency Contact Form
PDF template
A form for employees to provide emergency contact details for workplace safety and communication purposes.
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Hickory Hill Member Family Emergency Contact Form
PDF template
A form for collecting emergency contact information and medical authorization for family members at a club or organization.
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Emergency Contact Information
PDF template
A form for collecting employee emergency contact details and notification preferences for campus safety purposes.
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Emergency Coronavirus Paid Leave Request Form
PDF template
Form for City of Birmingham employees to request paid leave related to COVID-19 emergency situations
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Emergency Coronavirus Paid Leave Request Form
PDF template
Form for City of Birmingham employees to request emergency paid leave related to COVID-19 pandemic circumstances.
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Mennonite Village Covid 19 Earned Leave Request Form
PDF template
A form for employees to request leave due to positive COVID-19 test or related symptoms
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Emergency Paid Sick Leave Request Form For COVID 19 Related Leave
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A form for employees to request emergency paid sick leave related to COVID-19 under the Families First Coronavirus Response Act.
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Emergency Medical Release Form
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A comprehensive medical form for collecting health information and emergency contact details for participants in adaptive or therapeutic horseback riding programs.
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Emergency Paid Sick Leave Act Leave Request Form
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Employee form for requesting paid sick leave related to COVID-19 under the Emergency Paid Sick Leave Act.
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Emergency Paid Sick Leave Request Form
PDF template
A form for employees to request paid sick leave related to COVID-19 under the Emergency Paid Sick Leave Act.
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Emergency Paid Sick Leave Request
PDF template
Form for employees to request emergency paid sick leave under the Families First Coronavirus Response Act during the COVID-19 pandemic.
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Emergency Paid Sick Leave Request Form
PDF template
Form for employees to request emergency paid sick leave related to COVID-19 circumstances
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Emeriti Retirement Health Solutions Personal Contribution Form
PDF template
A form for making personal contributions to an employer-sponsored retirement health plan managed by TIAA-CREF.
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EMERGENCY MEDICAL FORM
PDF template
A form for parents to authorize emergency medical treatment for students and provide critical medical contact and health information.
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Emory Card Eagle Dollars Employee Payroll Deduction Form
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Form for Emory University employees to authorize payroll deductions for Eagle Dollars account
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Functional Behavioral Assessment Teacher Interview Form
PDF template
A detailed form for teachers to document and analyze student behavioral concerns and potential interventions.
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Functional Behavioral Assessment Teacher Interview Form
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A comprehensive form for teachers to document and analyze student behavioral concerns in an educational setting.
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The Emotional Sobriety Inventory Revised
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A self-reflective inventory designed to help individuals identify emotional patterns and unenforceable rules in recovery
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Employee Equipment Loan Agreement
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A legal document for employees borrowing equipment from James Madison University, outlining responsibilities and conditions of equipment loan.
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HR 122 Employee Incident Report
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A detailed form for documenting workplace incidents and injuries for employees of Biggs Unified School District.
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EMPLOYEE ACKNOWLEDGEMENT FORM
PDF template
Form documenting employee understanding of background check requirements under California Assembly Bill 506 of 2021.
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Employee Acknowledgement Form
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A form acknowledging an employee's understanding of background check requirements under California Assembly Bill 506 of 2021.
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LIFT WHERE YOU STAND EMPLOYEE GIVING CAMPAIGN 2018 EMPLOYEE PAYROLL DEDUCTION FORM
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A form for employees to authorize charitable donations through payroll deductions for the annual giving campaign.
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Employee Bridge Of Service Review Form
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A form used to review an employee's service continuity and eligibility for service credit during multiple employment periods.
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Employee Change Of Address Form
PDF template
A form for employees to update their address and telephone number with the school district.
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BHSSC Employee Change Of Address Form
PDF template
A form for employees to update their personal contact information and address details with their employer.
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Complaint Form
PDF template
A form for employees to formally file workplace complaints or request informal resolution of workplace issues.
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Employee Complaint Resolution Procedure
PDF template
A formal procedure for resolving work-related employee concerns and complaints within the Technical College System of Georgia, ensuring fair treatment and communication.
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Employee Complaint Resolution Form
PDF template
A form for employees to document and submit workplace complaints, detailing issues and requested resolutions.
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EMPLOYEE COMPLAINT FORM
PDF template
A comprehensive form for employees to document workplace concerns including discrimination, harassment, ethical, or safety issues.
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VR FEE FOR SERVICE PROVIDER EMPLOYEE CONTACT FORM
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A form for documenting employee details and services for vocational rehabilitation providers
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EMPLOYEE CONTRIBUTION FORM
PDF template
A form allowing employees to establish, modify, or continue payroll deductions for foundation donations.
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Lamar Community College Foundation Employee Contribution Form
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A form allowing Lamar Community College employees to make monthly payroll donations to support student programs and college initiatives.
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Employee Course Registration Form
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Form for Gustavus employees to register for courses with tuition benefits, requiring HR and supervisor approvals.
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Employee Data Request Form
PDF template
A form for collecting comprehensive employee information to support the electronic appointment process in an organization's human resources workflow.
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NHRDeparture Employee Departure Information Sheet
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A comprehensive guide for faculty and staff leaving their position at the University of Wisconsin Madison, covering benefits, computer access, leave balances, and other departure-related information.
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Direct Deposit EnrollmentCancellation Form
PDF template
A form for employees to set up, change, or cancel direct deposit of payroll funds into bank accounts.
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EMPLOYEE DISCIPLINARY ACTION FORM
PDF template
A formal document used to record and document employee workplace violations, warnings, and disciplinary actions.
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EMPLOYEE DISCIPLINARY ACTION FORM
PDF template
A formal document used to record and document employee misconduct, performance issues, or policy violations in the workplace.
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Employee Disciplinary Action Form
PDF template
Formal document used to record and document workplace disciplinary actions and violations by employees.
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EXTERN EMERGENCY CONTACT FORM
PDF template
Form for collecting emergency contact details for external personnel or employees at a veterinary organization.
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EMPLOYEE EMERGENCY CONTACT FORM
PDF template
A form for employees to provide personal and emergency contact details for use in urgent situations.
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EMPLOYEE EMERGENCY CONTACT FORM
PDF template
A form for employees to provide emergency contact information for use in case of urgent situations.
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EMPLOYEE EMERGENCY CONTACT FORM
PDF template
A comprehensive form for collecting employee personal and emergency contact details for human resources purposes.
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Employee Emergency Medical Form
PDF template
Confidential form for collecting employee emergency contact details, medical conditions, and treatment consent.
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ENROLLMENT, CHANGE, CANCELLATION, OR OPT OUT EMPLOYEES ONLY HEALTH AND WELFARE PLANS
PDF template
A form for Lawrence Livermore National Security employees to enroll, change, cancel, or opt out of health and welfare benefit plans.
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Employee Evaluation Form
PDF template
A comprehensive employee performance assessment document with rating scales and sections for job knowledge, work quality, and goal setting.
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Employee Evaluation Form
PDF template
A comprehensive form for evaluating employee performance across multiple professional competencies and setting future goals.
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Employee Evaluation Form
PDF template
A comprehensive form for evaluating employee performance across multiple skill and competency areas.
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STATE OF KANSAS BIDDERS PREFERENCE PROGRAM EMPLOYEE EVALUATION FORM
PDF template
A form for documenting employee background, disabilities, and employment barriers for potential preference program eligibility.
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Employee Exit Checklist
PDF template
Comprehensive form documenting employee departure procedures, including credential return, benefits termination, and administrative tasks.
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Employee Exit Checklist Form
PDF template
A comprehensive form for managing employee separation process, ensuring return of district property and proper administrative procedures.
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Employee SeparationTransfer Checklist
PDF template
A comprehensive checklist for supervisors to manage employee departures or transfers, including access revocation and administrative procedures.
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Employee Travel Expense Report Form
PDF template
Form for documenting and requesting reimbursement of employee travel-related expenses by Claremore Public Schools.
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EMPLOYEE FEEDBACK FORM
PDF template
A comprehensive form for evaluating employee performance, identifying strengths, development needs, and creating an action plan for professional growth.
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Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for Health Savings Account contributions with annual contribution limits and details.
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Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for their Health Savings Account contributions with contribution limit details.
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Employee Information Change Form
PDF template
A form for employees to update their personal contact information with their employer's human resources department.
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Employee Information Form
PDF template
A comprehensive form for collecting personal, contact, demographic, veteran status, and educational background information for new employees.
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Employee Injury Report Form
PDF template
A form for documenting employee workplace injuries, incidents, and medical treatment details for workplace safety and insurance purposes.
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Employee Inquiry Form
PDF template
A form used by employees to submit inquiries to the Human Resource Services department at Newark Public Schools.
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Employee Internal Complaint Intake Form
PDF template
A form for reporting policy violations and discrimination complaints at St. Mary's College of Maryland.
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Record Of Employee Interview
PDF template
Confidential document for interviewing construction workers to verify employment details and compliance with labor standards.
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Employee Inventions Act
PDF template
Legal document governing employee inventions, service inventions, and technical improvement proposals in employment contexts.
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Warner Pacific University Employee Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave, including FMLA and OFLA leave options
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Employee Parking Policy
PDF template
Policy establishing parking provisions and regulations for county employees using county parking facilities and lots.
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Employee Of The Month Nomination Form
PDF template
A form for nominating employees in specific job categories for a monthly recognition award within an educational institution.
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Facilities And Campus Services Employees Of The Quarter Nomination Form
PDF template
A form for nominating exceptional employees or teams in the Facilities and Campus Services department who demonstrate outstanding performance and organizational values.
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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 Paid And Unpaid Time Off Request Form
PDF template
A form for employees to request paid or unpaid time off, requiring approval from their supervisor.
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Employee Paid And Unpaid Time Off Request Form
PDF template
A form for employees to request paid or unpaid time off, requiring supervisor approval and documentation.
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EMPLOYEE PAYMENT AGREEMENT FORM
PDF template
A form for documenting an employee's payment schedule and financial obligations to an organization.
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Employee Payroll Deduction Form For Full Time Employees And Staff
PDF template
Form allowing employees to set up monthly charitable contributions through payroll deduction to Missouri State University Foundation
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Current Lincoln University Employee Payroll Deduction Form
PDF template
Form for Lincoln University employees to set up recurring payroll donations to the Lincoln University Foundation of PA
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UAB GIFT RECORDS EMPLOYEE PAYROLL DEDUCTION FORM
PDF template
A form for UAB employees to authorize automatic payroll deductions for charitable contributions to specific funds or programs.
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Employee Contribution And Payroll Deduction Form
PDF template
A form for employees to specify contribution amounts, payment methods, and recognition preferences for donations.
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Employee Contribution Form
PDF template
A form allowing employees to make charitable contributions through automatic payroll deductions to support Great Basin College scholarships and programs.
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Employee Payroll Deduction Form
PDF template
A payroll deduction authorization form for employees to contribute to the Germanna Community College Educational Foundation
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Staff Appraisal
PDF template
A comprehensive employee performance review document for documenting and evaluating staff performance, goals, and development
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Employee Performance Evaluation Form
PDF template
A comprehensive performance evaluation form for assessing employee job performance, development, and potential promotion opportunities.
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Request For Prescription Delivery
PDF template
A form for employees to request prescription delivery with patient and delivery details.
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Employee Profile And Travel Form
PDF template
A comprehensive form for employees to update personal information, marital status, and travel privileges for family members.
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Employee Progress Performance Review
PDF template
A comprehensive employee performance review document for rating job performance, skills, and goal achievement.
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Employee Purchase Form
PDF template
A form allowing employees to purchase items and choose payment methods, including payroll deduction and credit card options.
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Employee 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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School Employee Resignation Form
PDF template
A form for Catholic school employees to officially resign from their teaching or staff position within the Archdiocese of Seattle.
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Employee Resignation Form
PDF template
Official form for employees to submit their resignation from Jackson County Public Schools, detailing reasons for leaving and effective date.
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Employee Resource Document
PDF template
A comprehensive guide for University of Scranton employees detailing emergency contacts, campus resources, and essential operational information.
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Employee Retirement Contribution Form
PDF template
Form for employees to start, change, or suspend retirement plan contributions at Mountainland Technical College.
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Employee Performance Review Form
PDF template
A comprehensive form for assessing employee performance across multiple competency and behavioral dimensions with rating scales.
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M NCPPC Benefits EnrollmentChange Form
PDF template
Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
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Employee Self Assessment Form
PDF template
A comprehensive self-evaluation form for employees to reflect on their job performance, achievements, and goals.
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Employee Self Service Guide
PDF template
Comprehensive guide for navigating the Employee Self Service (ESS) portal and accessing various employee-related resources and information.
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Form 43 Employee TransferSeparation Clearance Form
PDF template
A form used to document and track the clearance process for employees transferring departments or separating from the university.
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HR64 Employee Separation Checklist
PDF template
A comprehensive form documenting the process and requirements for an employee's exit from the organization, including equipment return and account deactivation.
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Employee Services FAQ Contact List
PDF template
A comprehensive contact reference for employees covering various HR topics, benefits, and service inquiries.
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Employee Status Requisition
PDF template
A document used to initiate and document changes in employee status within an organization's human resources processes.
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Employee Time Off Request
PDF template
A form for employees to request time off for various reasons, requiring supervisor approval.
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Employee Time Off Request Form
PDF template
A form for personal care assistants (PCAs) to request paid or unpaid time off, with requirements for submission and approval.
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Employee Time Off Request Form
PDF template
A form for employees to request time off, specifying type and duration of leave and requiring manager approval.
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Employee (StudentStaff) Timesheet
PDF template
A comprehensive timesheet form for tracking employee work hours across multiple weeks and shifts with absence code tracking.
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Employee And Dependent Tuition WaiverReimbursement Form
PDF template
Form for employees to request tuition waiver or reimbursement for themselves or dependents at SSU.
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Eye Care Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify eye care insurance coverage for themselves and dependents.
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Disciplinary Action Form
PDF template
A formal document used to record and document employee misconduct, policy violations, and disciplinary actions.
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Employee Write Up Forms Packet
PDF template
Comprehensive packet of forms for documenting employee workplace issues, complaints, and disciplinary actions.
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New Patient Intake Form
PDF template
Comprehensive medical form for collecting new patient health history, chronic conditions, surgical history, medications, and family medical background.
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Reasonable Accommodations For Employees Suffering From Depression
PDF template
A legal analysis of employer obligations under the Americans with Disabilities Act for employees suffering from depression.
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NEW PATIENT INTAKE FORM
PDF template
A comprehensive medical history form for new patients, capturing personal information, medical history, and current health concerns.
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EnergyShare Application Form
PDF template
Application form for individuals seeking energy assistance and support from HeartShare organization in Brooklyn, NY.
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Financial Assistance Application
PDF template
A comprehensive form for patients to provide financial details and income verification for potential medical financial assistance.
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Boulder County Homeownership Programs Common Application
PDF template
A comprehensive application form for multiple homeownership assistance programs in Boulder County, Colorado.
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Contribution Form
PDF template
A form for employees to make voluntary donations to the Enhabit Cares Foundation through payroll deduction, check, or credit card.
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ENJAYMO Patient Solutions Enrollment Form
PDF template
Comprehensive patient enrollment form for ENJAYMO patient assistance program, collecting personal and insurance information.
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SiS Enrolling In Health Insurance
PDF template
Step-by-step instructions for students to enroll in university health insurance through the Student Self Service system.
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SiS Enrolling In Health Insurance
PDF template
Step-by-step instructions for students to enroll in the university's health insurance plan through the Student Self Service system.
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Superior Dental Care Employee Enrollment Form
PDF template
Form for employees to enroll in dental and vision insurance benefits through Superior Dental Care.
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ENROLLMENT FORM GL.2017.010
PDF template
A comprehensive employee insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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NEA Membership Enrollment Form CCA
PDF template
Enrollment form for teachers to join the National Education Association, California Teachers Association, and local education unions.
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Westtown Township Health And Wellness Registration And Insurance Form
PDF template
Registration form for Westtown Township's fitness programs including Pilates and Yoga, with health history and consent sections.
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California State University, Sacramento Benefit Enrollment Worksheet
PDF template
A form for employees to complete transactions affecting health, dental, vision, and FlexCash coverage at California State University, Sacramento.
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ENROLLMENT FORM NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS
PDF template
An enrollment form for employees of the National Elevator Industry to enroll in benefit plans and update personal and dependent information.
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Non Federal Direct Deposit Enrollment Request Form
PDF template
A form for authorizing automatic direct deposit of funds into one or multiple bank accounts by an employer or company.
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Health History Examination Form South Carolina Envirothon Program
PDF template
Comprehensive health and emergency contact form for documenting medical information and insurance details for program participants.
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Vermont Town Health Officer Complaint Inspection Form
PDF template
A standardized form for documenting health-related complaints and property inspections by local town health officers in Vermont.
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Complaint Form For Filing A Protected Disclosure Of Improper Governmental Activities AndOr Significa
PDF template
A form for employees or applicants to report improper governmental activities or significant health and safety threats.
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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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Youth Sports Medical History Form
PDF template
A comprehensive medical history form for youth sports participants, requiring detailed health information and medical practitioner verification.
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Employee Organization Leave Request And Reimbursement Form
PDF template
A form for public employees to request organization leave and reimbursement for specific meetings and circumstances.
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Employee Of The Month Nomination Form
PDF template
A form for nominating Jackson County employees for monthly recognition with specific eligibility criteria and rewards.
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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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EPAR Timesheet
PDF template
A standard timesheet form for tracking employee work hours and payroll information.
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TIME OFF REQUEST FORM
PDF template
A form for employees to request vacation, sick, personal, or flex time with specific instructions and approval process.
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OMNI EPerformance Training AP EPerformance Quick Reference Supervisor And Employee Actions
PDF template
A step-by-step guide for supervisors and employees using the ePerformance evaluation system for performance reviews.
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Nomination And Declaration Form For Unexempted Exempted Establishments
PDF template
A form for employees to nominate beneficiaries for provident fund and pension scheme benefits in case of death.
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Disposition Authorities Frozen Under The Epidemiological Moratorium
PDF template
Comprehensive list of disposition authorities for health-related records under moratorium at the Department of Energy as of March 2008.
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Episodic Medical Form
PDF template
A comprehensive medical intake form for students to document current health issues and medical history at Ramapo College's Health Services.
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COVID 19 Emergency Paid Leave (EPL) Employee Notification And Leave Request Form
PDF template
Form for employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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EPOC Invoice Template
PDF template
Instructions and template for submitting quarterly invoices for the Expanding Peer Organizational Capacity (EPOC) program by Advocates For Human Potential, Inc.
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Kenyon College Employee Performance Program Guide For Supervisors
PDF template
A comprehensive guide outlining Kenyon College's performance management process, including quarterly check-ins and triennial performance reviews.
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Equipment And Personal Items Inventory Form
PDF template
A form used to document institutional assets and personal items being returned by an employee during separation from UT Health San Antonio.
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ERCS Kudos Corner Submission Form
PDF template
A form for employees to recognize and nominate colleagues for outstanding work in a monthly newsletter feature.
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College Of The Siskiyous Emergency Contact Form
PDF template
A form for collecting employee emergency contact information and contact preferences for information release.
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Employee Resource Document
PDF template
A comprehensive resource document for employees providing emergency contacts, academic information, and campus resources.
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Emergency Ride Home (ERH) Reimbursement Form
PDF template
Form for employees to request reimbursement for emergency transportation home under specific qualifying circumstances.
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NEW UPDATE IMPORTANT PAYROLL INFORMATION FOR ALL FACULTY AND STAFF
PDF template
Notification about the new PeopleSoft payroll system requiring all employees to submit time and leave requests electronically, eliminating traditional timecards and leave forms.
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ES 4316 EES InterviewScreen
PDF template
A screening form to evaluate employee eligibility for intervention services based on multiple risk factors
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ESCAPMCREI20222 Enabling Trade And Investment For Sustainable Development In Times Of Crisis
PDF template
A United Nations document addressing the importance of regional economic cooperation and trade in navigating global crises and promoting sustainable development.
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Payroll Deduction Authorization Form For Panther Employee ScholarshipWaiver Program
PDF template
Authorization form for Prairie View A&M University employees to have tuition and fees deducted directly from their paycheck
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ESP Performance Review
PDF template
A comprehensive evaluation form for assessing employee performance across multiple job characteristics and skills.
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OSHS ESSC Project Director Training Feedback Form
PDF template
A feedback form for participants of an OSHS ESSC Project Director Training session on student mental health support.
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Vehicle Registration Form
PDF template
A form for registering vehicles for employees at Vassar College, used to track campus parking and vehicle information.
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EMPLOYEE TIME OFF REQUEST FORM
PDF template
A form for employees to request various types of time off, including sick leave, vacation, and bereavement
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Feedback Form
PDF template
Survey collecting feedback from TV writers and producers about CDC resource materials and tip sheets for health-related storytelling.
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Carter County PERSONNEL PERFORMANCE REVIEW FORM
PDF template
A comprehensive form for evaluating employee performance across multiple job competency categories.
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Piercing Consent Release Form
PDF template
Legal document providing informed consent for body piercing procedures, detailing risks and patient acknowledgments.
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Volunteer Management Toolkit Health And Safety Information
PDF template
A comprehensive guide outlining health and safety responsibilities, reporting procedures, and expectations for volunteers in arts organizations.
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Consultant Services Invoice Form For Tasks Associated With Excavation And Soil Disposal Oversight Be
PDF template
A document for invoicing costs related to environmental investigation tasks performed before the first site investigation.
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Delaware Rotary Excellence In Teaching APPLICATION Form A
PDF template
A nomination form for recognizing outstanding teachers who demonstrate exceptional service and dedication to students.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
PDF template
A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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Exercise Waiver And Release Form
PDF template
A legal document releasing fitness facilities or trainers from liability for potential injuries during exercise activities.
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Exhibit A(X) Scope Of Work (SOW) Service Team
PDF template
Detailed scope of work for a behavioral health service contractor providing mental health and support services to adults with serious mental illness in Alameda County.
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Supervisor Safety Accident Report Form
PDF template
A comprehensive form for documenting workplace accidents, injuries, and recommended corrective actions.
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Exhibition Booking Form
PDF template
Booking form for virtual exhibition participants at the 5th High-level Ministerial Meeting on Transport, Health and Environment
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EXIT CHECKLIST
PDF template
A comprehensive form for employees to complete when leaving their position, covering key administrative and logistical tasks during the exit process.
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EMPLOYEE CLEARANCE CHECK LIST
PDF template
A comprehensive form for documenting an employee's departure from an organization, covering departmental clearance and separation details.
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Stephen F. Austin State University ADDRESSNAME CHANGE FORM
PDF template
A form for university employees to update personal information including name, address, and contact details.
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G Adventures Confidential Medical Form
PDF template
A confidential medical form for travelers with pre-existing medical conditions to assess fitness for expedition travel.
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SEMA4 EMPLOYEE EXPENSE REPORT
PDF template
A form for employees to document and request reimbursement for travel-related expenses and mileage.
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EXPENSE REIMBURSEMENT PROCEDURES
PDF template
Comprehensive guidelines for employee expense reimbursement covering business expenses and travel, aligned with IRS accountable plan regulations.
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SEMA4 Employee Expense Report
PDF template
A comprehensive form for employees to report travel expenses, mileage, and other reimbursable costs for business trips.
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EXPENSE REPORT
PDF template
A form for employees to report and request reimbursement for work-related expenses, including travel and miscellaneous costs.
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SEMA4 Employee Expense Report
PDF template
A detailed form for documenting employee travel expenses, mileage reimbursement, and other related costs.
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Payroll Deduction Authorization Form
PDF template
Form for Florida International University (FIU) employees to authorize payroll deductions for summer camp registration and related services.
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Exposure Incident Investigation Form
PDF template
A form used to document and investigate workplace exposure incidents involving potentially infectious materials.
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Exposure Incident Investigation Form
PDF template
A detailed form for documenting and investigating workplace exposure incidents, including route of exposure, materials involved, and prevention recommendations.
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EXTENDED LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request extended leave, including details about leave type, duration, and supporting documentation.
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Texas City ISD Extended Leave Request Form
PDF template
A form for employees to request extended leave with medical certification, to be submitted to Human Resources.
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Eyeglass Reimbursement Form
PDF template
A form for employees to request reimbursement for eyeglass purchases through the school district's benefits program.
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EnrollmentChange Form
PDF template
A form for enrolling or changing employee and family insurance coverage with Fidelity Security Life Insurance Company.
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EnrollmentChange Form
PDF template
Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
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EyewashDrench Hose Weekly Inspection Form
PDF template
Weekly safety inspection form for verifying proper functioning and accessibility of emergency eyewash stations in a workplace or laboratory setting.
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EYEWASH SHOWER INSPECTION RECORD
PDF template
A monthly inspection record for eyewash stations and safety showers in laboratory settings to ensure proper functioning and emergency readiness.
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Eyewash Weekly Inspection Form
PDF template
Weekly safety inspection form for verifying emergency eyewash station functionality and accessibility in workplace environments.
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Direct Deposit Request Form
PDF template
Form for employees to request direct deposit of paycheck into bank account(s)
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Change Of Address Form
PDF template
A form for members to update their mailing address for various trust fund communications and services.
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Student Evaluation Form 1 (NAAC) Teacher Assessment
PDF template
A comprehensive student assessment form for evaluating teacher performance across multiple parameters.
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Puget Sound Benefits Trust Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a short-term disability claim, requiring details from the employee, employer, and attending physician.
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Medical Dental Vision Prescription Weekly Disability Claim Form
PDF template
Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
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Change Of Address Form
PDF template
A form for employees to update their contact information with the Puget Sound Electrical Workers Trust Funds.
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Form WT 4A Worksheet For Employee Withholding Agreement
PDF template
A worksheet for employees to adjust their income tax withholding for 2015 in Wisconsin based on estimated tax liability.
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CVCP Initial Response And Assessment Form II
PDF template
A form for clinicians to provide detailed assessment of crime victims seeking counseling compensation through the Department of Labor and Industries.
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Change Of Address Form
PDF template
A form for employees to update their personal contact information with the Engineers-AGC Retirement Trust
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FAA Child Care Subsidy Program Monthly Invoice Form
PDF template
A form for FAA employees to submit monthly child care service costs and receive subsidy reimbursement.
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FAA Student Coaching And Feedback Form
PDF template
A documentation form for supervisor-employee conversations regarding performance coaching and feedback at the FAA.
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One E App Health E Arizona
PDF template
An electronic application system for assistance programs supported by One-e-App software, used by FAA, AHCCCS, and authorized organizations.
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Appendix 1 To FAA NATCA FFCRA MOU
PDF template
A document for employees to request emergency leave related to COVID-19 under the Families First Coronavirus Response Act.
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Faculty Staff Campaign Payroll Deduction
PDF template
A form for Anna Maria College employees to authorize payroll deductions for charitable giving to the institution.
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Payroll Deduction Form
PDF template
A document allowing employees to authorize monthly or one-time payroll deductions for university donations and support various campus programs and funds.
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Westtown Township Health And Fitness Registration And Insurance Form
PDF template
Registration form for fitness programs with health history and medical information collection
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Emergency Sick Leave Request
PDF template
A form for employees to request emergency sick leave due to COVID-19 related reasons between April 1 and December 31, 2020.
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Family Camp Medical Form
PDF template
Medical form for capturing health details and emergency contact information for families attending a camp
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Siskiyou County Assisted Outpatient Treatment Family Contribution Form
PDF template
A form for family members to provide information about a relative's mental health history and treatment to psychiatric and court authorities.
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Family Contribution
PDF template
A document used to verify and document financial contributions from a provider to an applicant or participant.
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Family Counseling Client Assessment Form
PDF template
A comprehensive intake form for individuals seeking family counseling services, collecting personal, financial, and demographic information.
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Family Emergency Plan
PDF template
A comprehensive document for recording family medical details, emergency contacts, and critical health information for emergency preparedness.
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Family Medical History Form
PDF template
A comprehensive form for documenting family medical history across multiple health conditions and genetic risks.
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Family Medical Leave Request Form
PDF template
A form for Rappahannock County Public Schools employees to request family or medical leave with required documentation from healthcare providers.
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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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FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
PDF template
Guidance document providing frequently asked questions about implementation of market reform provisions related to healthcare coverage, mental health parity, and women's health services.
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FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
PDF template
Frequently Asked Questions regarding implementation of market reform provisions in healthcare, covering preventive services, mental health parity, and women's health rights.
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FAS Payment Request Invoice Form
PDF template
A form for submitting payment requests for refunds, honorariums, prizes, and fellowships within an organization.
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Florida Atlantic University Standard ArchitectEngineer Invoice Form
PDF template
Standard invoice form for architects and engineers working on Florida Atlantic University projects
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FCC Form 463 Rural Health Care (RHC) Universal Service Healthcare Connect Fund Invoice And Request F
PDF template
Federal form for requesting disbursement and documenting expenses in the Rural Health Care Universal Service Healthcare Connect Fund program.
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FCC Form 474
PDF template
Official form for service providers to invoice the Universal Service Administrative Company (USAC) for schools and libraries services.
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Teacher Candidate Formative Feedback Form
PDF template
A formative evaluation document for assessing teacher candidate performance during student teaching or internship experiences.
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LSU Faculty Dental Practice Medical History Form
PDF template
Comprehensive medical history form for patients at LSU Faculty Dental Practice, collecting personal health information and medical background.
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Feedback Form For Teachers
PDF template
A comprehensive feedback survey for teachers to evaluate a contextualized learning module's components and effectiveness.
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Health Benefits Claim Form
PDF template
A comprehensive form for submitting health insurance benefits claims, including patient and insurance information.
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FAMILIES FIRST CORONAVIRUS RESPONSE ACT LEAVE REQUEST FORM
PDF template
Form for employees to request leave under the Families First Coronavirus Response Act for COVID-19 related reasons
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Leave Request Form Families First Coronavirus Response Act Employee Paid Leave
PDF template
A form for employees to request paid or unpaid leave under the Families First Coronavirus Response Act (FFCRA) during the COVID-19 pandemic.
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Families First Coronavirus Response Act (FFCRA) Leave Request
PDF template
Form for employees to request paid sick leave and expanded family medical leave related to COVID-19 pandemic
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COVID 19 LEAVE REQUEST FORM
PDF template
A form for employees to request leave due to COVID-19 related reasons under the Emergency Paid Sick Leave Act.
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FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA) LEAVE REQUEST FORM
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A form for employees to request paid leave under the Families First Coronavirus Response Act for various COVID-19 related reasons.
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Fragile Families Scales Documentation For Five Year Questionnaires
PDF template
A comprehensive document detailing questionnaire scales, question sources, and methodological information for a five-year survey on fragile families.
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Preparticipation Physical Evaluation Medical History Form
PDF template
Comprehensive medical history form for students participating in sports, requiring detailed health information and medical evaluation
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Medical History Form
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Comprehensive medical history and health screening form for student-athletes to assess fitness for sports participation
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FHSU Psychological Screening Clinic Referral Form
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A referral form for psychological screening services at Fort Hays State University Psychological Screening Clinic.
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Early Psychosis Interventions In North Carolina (EPI NC) Program Fidelity Guide
PDF template
A comprehensive guide detailing service criteria, population targeting, and measurement standards for early psychosis intervention programs in North Carolina.
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UHC WTIA (EnrollCancelWaiverChanges)
PDF template
A comprehensive form for employees to enroll, modify, or cancel health insurance benefits and personal information.
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YMCA Camp Independence 2024 Health History And Examination Form
PDF template
Medical form for collecting camper health information and emergency contact details for YMCA summer camp participation.
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AccidentIncident Report Form
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A comprehensive form for documenting workplace accidents, incidents, and related details for reporting and prevention purposes.
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Confidentiality Agreement
PDF template
A comprehensive confidentiality agreement outlining information protection requirements for employees and contractors of A & T.
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Confidentiality Policy And Consent For Therapy And Assessment Services Agreement
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A comprehensive policy document detailing therapy services, patient rights, and confidentiality guidelines for a community healthcare clinic.
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Direct Deposit Form For NYS Employees
PDF template
A form for New York State employees to set up, modify, or cancel direct deposit of their salary into bank accounts.
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Redemption Chapel Payroll Direct Deposit Form
PDF template
A form for employees to provide bank account details for direct deposit of payroll earnings.
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DOTM FORM 1024 FFCRA SICK LEAVE REQUEST
PDF template
A form for employees to request paid sick leave under the Families First Coronavirus Response Act (FFCRA) during the COVID-19 pandemic.
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An In Home Family Therapy Program Referral Form
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A comprehensive referral form for in-home and telehealth family therapy services with detailed client and insurance information collection.
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Loan Application Form
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A loan application form for University of the Philippines employees with different loan amount limits based on employee classification.
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Medical Report Health Statement And Immunizations For 2023 2024
PDF template
Medical form for documenting student health status and required immunizations for St. Paul's School enrollment
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MEDICAL HISTORY FORM
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Comprehensive medical history form for capturing patient health information, medical conditions, lifestyle factors, and current health concerns.
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Medical Information Form
PDF template
A comprehensive medical form for students to provide health information, medication details, and parental consent for school medical procedures.
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Naturopathic Patient Intake Form
PDF template
Comprehensive intake form for new patients seeking naturopathic medical consultation, collecting detailed personal and health history information.
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Osteopathy Patient Intake Form
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Comprehensive medical intake form for osteopathic patient assessment and medical history documentation.
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Sick Leave Request Form
PDF template
A form for employees to request sick leave and associated pay, to be processed by the payroll department.
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CounterPulse Invoice Form
PDF template
A comprehensive invoice form for capturing payment details, expenses, and accounting information for independent contractors and vendors.
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Accounts Payable Vendor ACH Authorization Form
PDF template
Form for vendors to authorize electronic payment and provide banking details for automatic deposits with Washtenaw Community College.
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TIME OFF REQUEST FORM
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A form for employees to request time off for various reasons including vacation, sick leave, or personal reasons.
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Request For Proposal Special Counsel Services
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A request for proposals from law firms to provide special counsel services to the Connecticut Health and Educational Facilities Authority for bond financing and legal matters.
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TELEMEDICINE INFORMED CONSENT FORM
PDF template
A consent form for students participating in telemedicine services, outlining rights, risks, and understanding of remote healthcare delivery.
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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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Finance Forum Notes
PDF template
Internal meeting notes covering student employment I-9 process, IT training, year-end fiscal activities, and department invoicing procedures.
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Financial Aid Request Form Redding Park Recreation
PDF template
A document outlining the process for requesting financial aid for local park and recreation programs in Redding, Connecticut.
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Mansfield Independent School District Business Procedures Manual, Section 6 EmployeeStudent Travel
PDF template
Detailed guidelines for travel expenses, reimbursement, and approval process for Mansfield Independent School District employees and students.
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Non Borrower Financial Contribution Form
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Form for non-borrowers to contribute income and financial information for a mortgage assistance application review.
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Type 2 Diabetes Risk Assessment Form
PDF template
A comprehensive questionnaire to assess an individual's risk of developing type 2 diabetes within the next 10 years.
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First Aid Policy
PDF template
A comprehensive policy outlining first aid requirements, responsibilities, and procedures for ensuring health and safety in school settings.
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First Time Home Buyer Housing Revolving Loan Inquiry
PDF template
Application form for first-time home buyers seeking downpayment assistance and housing loan support from Southern Iowa Development Group.
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COVID 19 Paid Sick Leave Act Request Form
PDF template
Form for employees to request paid sick leave due to COVID-19 quarantine or isolation orders in New York State.
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Employee Voluntary Payroll Deduction Authorization For Fitness Center Usage Fee
PDF template
Voluntary authorization form for employees to have fitness center usage fee deducted from their paycheck
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Payroll Deduction For Fitness Center Membership
PDF template
A form for employees to authorize payroll deductions for fitness center membership at Clayton State University.
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Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
PDF template
A form for MBF members to claim reimbursement for health and fitness expenses for themselves and their spouse/domestic partner.
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Payroll Deduction Form For The SSU Employee Fitness Plan
PDF template
Form for faculty and staff to enroll in Savannah State University's fitness plan with payroll deduction options.
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2024 Fitness Reimbursement Program
PDF template
A program offering up to $300 per family annually for eligible fitness expenses for University System of New Hampshire employees and dependents.
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HealthFitness Center Reimbursement Form
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A form for Capital Health Plan members to request reimbursement for health and fitness center memberships up to $150 per family or member.
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Standard Immunization Requirements For Admission To U.S. Schools
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A comprehensive medical form documenting vaccination history and requirements for students entering U.S. schools or programs
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Direct Deposit Authorization
PDF template
A form for employees to authorize direct deposit of payments or reimbursements with bank account details.
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MEDICAL FLEX REIMBURSEMENT FORM
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A form for employees to request reimbursement for medical and dental expenses through a flexible spending account program.
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BESTflex Plan Election Form
PDF template
Document for employees to elect participation in flexible spending accounts for healthcare and dependent care expenses
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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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Flu Vaccine Form
PDF template
A comprehensive form for patient consent and medical screening prior to receiving a flu vaccine.
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Professional Counselor Supervisor Approval Form
PDF template
A form for applicants seeking approval for professional counselor supervision, detailing supervision requirements and eligibility criteria.
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Informed Consent To Body Pierce
PDF template
Legal form for obtaining patient consent and documentation for body piercing procedures in Wisconsin.
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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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FM EXP TravelAuthorizationForm 001
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A form for obtaining prior authorization for out-of-state or out-of-country employee travel with specific conditions and usage guidelines.
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FAMILY MEDICAL LEAVE EMPLOYEE LEAVE REQUEST FORM
PDF template
A form for employees to request medical or family leave under FMLA and NJFLA regulations, documenting eligibility and reasons for leave.
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City Of Round Rock Request For FMLA Leave
PDF template
Official document for City of Round Rock employees to request Family and Medical Leave Act (FMLA) leave for various personal and family health situations.
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Leave Request Form Federal COVID 19 FFCRA
PDF template
A form for employees to request paid leave under the Families First Coronavirus Response Act (FFCRA) for COVID-19 related reasons.
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FAMILY MEDICAL LEAVE (FMLA) REQUEST FORM
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A form for employees to request Family and Medical Leave Act (FMLA) leave for various qualifying reasons including personal or family medical conditions, birth, adoption, or military-related leave.
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FAMILY OR MEDICAL LEAVE REQUEST FORM
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A form for employees to request family or medical leave for various personal and family health-related reasons.
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FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request leave under the Family and Medical Leave Act for various personal and family health-related reasons.
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Family And Medical Leave (FML)Paid Parental Leave (PPL) Request Form
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A form for employees to request family and medical leave or paid parental leave, including various qualifying reasons for absence.
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Family Medical Leave Request Form (FMLA)
PDF template
Form for employees to request Family and Medical Leave for various personal and family health-related reasons.
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Manual Billing Form Overhead Support For FMNB Physicians
PDF template
A billing form for family physicians to request up to $5,000 in annual overhead support payments from Medicare for office improvements and staffing.
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FNIS Request Form
PDF template
Form for nonresident employees and students to provide immigration and personal information for tax withholding purposes at Northwestern University.
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JANDAKOT AIRPORT HOLDINGS HAZARD REPORT FORM
PDF template
A form for reporting safety hazards and potential risks at Jandakot Airport, used by tenants, employees, and visitors to document safety concerns.
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U.S. BANK FOCUS CARD Enrollment Form
PDF template
Enrollment form for obtaining a U.S. Bank Focus Card with personal and employment information collection
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Food Establishment Inspection Report
PDF template
Official inspection report for evaluating food service establishments' compliance with health and safety regulations.
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Food Label Approval Form
PDF template
A form used by the Rhode Island Department of Health for reviewing and approving food product labels.
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Food Service Request Form
PDF template
A form for requesting food service items with billing and payment instructions for Montrose Community Schools.
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FOOT Medical And Insurance Form
PDF template
Medical and insurance form for participants in the Yale First-Year Outdoor Orientation Trips (FOOT) program, collecting health and emergency contact information.
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FOOTWEAR SELECTION AND PROCUREMENT PROCEDURE
PDF template
Procedure for selecting and procuring protective footwear for employees with safety requirements and reimbursement guidelines.
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Foreign Change Of Address Form
PDF template
Form for updating international employee address and tax document delivery preferences at the University of Pittsburgh.
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Foresight Carrier Screen Requisition Form
PDF template
A medical form for requesting genetic carrier screening, collecting patient and clinic information, and processing billing details.
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Form 11 LEAVE REQUEST FORM
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A form for employees to request various types of leave, including vacation, sick, and compensation time, with supervisor approval.
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LASER DEVICE REGISTRATION FORM
PDF template
Official form for registering laser devices with the Florida Department of Health Bureau of Radiation Control.
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Health And Immunization Form
PDF template
Comprehensive health form required for all undergraduate students detailing medical history, immunizations, and emergency contact information.
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New Mexico Water Service Company Billing Form
PDF template
A billing form for water service provided by New Mexico Water Service Company in Belen, New Mexico.
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Inquiry To Become Contributory
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Form for Arkansas Teachers' Retirement System members to initiate the process of changing their membership status from Noncontributory to Contributory.
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Johnson Wales University Health Services Requirements
PDF template
Comprehensive health documentation and vaccination requirements for new students enrolling at Johnson & Wales University
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FORM 68 EMPLOYEE DISCIPLINARY ACTION FORM
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A formal document used to record and document employee workplace violations and disciplinary actions.
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Acceptance Of Site Specific Health And Safety Plan (SSHASP) Form
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Internal form for documenting compliance and acceptance of a contractor's site-specific health and safety plan by an NJSDA Field Compliance Inspector.
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Energy Assistance Program Change Of Address Form
PDF template
Form for updating contact and utility information when moving to a new address while receiving energy assistance benefits.
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Adoption Assistance Reimbursement Request Form
PDF template
A form for employees to request reimbursement for eligible adoption expenses up to $10,000.
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Alaska Travel Declaration Form
PDF template
Required form for travelers entering Alaska, documenting health status and travel details during COVID-19 pandemic.
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Assignment Of Housing Assistance Payments Contract Lease
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A form for transferring housing assistance payments between property owners or management companies for a Housing Choice Voucher participant.
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Health Exam Form B
PDF template
A medical form for student athletes to obtain health clearance for participation in school athletic activities in Utah.
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SEIU Michigan Health And Welfare Fund MemberS Change Of Address Form
PDF template
A form for SEIU Michigan Health and Welfare Fund members to update their personal and employment information.
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Commonwealth Of Massachusetts EMPLOYEE REIMBURSEMENT FORM
PDF template
A form for Massachusetts state employees to submit expenses and mileage for reimbursement, including private auto mileage, meals, fares, and other expenses.
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FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request family or medical leave, documenting leave details and employee information.
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Maryland Schools Record Of Physical Examination
PDF template
Document outlining physical examination, immunization, and blood lead testing requirements for students entering Maryland public schools.
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COVID 19 LEAVE REQUEST FORM
PDF template
A form for employees to request leave related to COVID-19 situations and circumstances
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Informal Supervisory Referral Form
PDF template
A form for supervisors to document and refer employees with job performance or workplace behavioral concerns to the Employee Assistance Program.
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Accident Investigation Form (Example 2)
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A comprehensive form for documenting and investigating workplace accidents, collecting details about the incident, affected employee, and supervisor's assessment.
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Physical Examination Form
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Medical form for students at American School of Warsaw to document health status and medical clearance for school attendance and sports participation.
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Medical History Form
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Required medical history form for students living on campus or participating in sports, documenting health conditions and physical readiness.
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Nebraska FBLA Medical Release Form
PDF template
Medical consent and emergency information form for FBLA chapter members, providing authorization for medical treatment and contact details.
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MENTORSHIP INDUCTION EVALUATION FORM
PDF template
A form for documenting mentorship, induction, and performance evaluation for applicants in the MS Alternate Path to Quality Teachers Program.
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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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Planning And Evaluation Form
PDF template
A comprehensive form for documenting employee performance goals, objectives, and achievements for an annual performance review cycle.
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Physical Examination
PDF template
A comprehensive medical examination form for girls participating in multi-day trips, documenting health status and medical clearance.
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Form R Retiree Request Form
PDF template
A form for FedEx retirees to request travel tickets for themselves and eligible dependents using travel benefits.
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Messiah University Form Collection
PDF template
A comprehensive list of administrative forms used across various departments at Messiah University for different financial and administrative purposes.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal and health information for medical treatment purposes.
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StudentSADD Dataset End User License Agreement
PDF template
License agreement for accessing and using the StudentSADD research database on student mental health during the COVID-19 pandemic.
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Psychiatric Inpatient Discharge Form
PDF template
A comprehensive form documenting patient discharge details from psychiatric inpatient care, including follow-up care instructions.
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Workplace Complaint Form
PDF template
A form for filing workplace complaints by employees at a university medical center, detailing procedures for submitting grievances through Employee and Labor Relations.
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Gift Authorization Form Employee Payroll Deduction
PDF template
A form allowing employees of Yuba Community College District to authorize recurring payroll deductions for foundation gifts and scholarships.
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Employee Donation Payroll Deduction Form
PDF template
A form for employees to make charitable donations to support various initiatives at the OCCC Foundation through payroll deductions or one-time gifts.
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Employee Payroll Deduction Pledge Form
PDF template
A form allowing employees to authorize recurring payroll deductions for charitable donations to the college foundation.
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Payroll Deduction AuthorizationChange Form
PDF template
A form for Pierce College employees to authorize payroll deductions for charitable donations to the Legacy of Excellence Fund.
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PATIENT INTAKE FORM
PDF template
Comprehensive medical history and current health status form for patient therapy intake and medical assessment.
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Employee Performance Review
PDF template
A comprehensive form for assessing employee performance across multiple professional competencies and skills.
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Employee Performance Review
PDF template
A comprehensive document for assessing employee job performance across multiple professional competencies and behaviors
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Invoice
PDF template
A standard invoice template for recording business transactions, line items, and payment details.
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Time Off Request Form
PDF template
A form for employees to request and record time off from work, requiring supervisor and manager approval.
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Time Off Request Form Hourly
PDF template
A form for hourly employees to request and track paid time off hours based on service tenure and average worked hours.
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Inmate Medication Information Form
PDF template
A comprehensive medical form capturing medication history, psychiatric treatment details, and contact information for incarcerated individuals.
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Service Complaint Resolution Form
PDF template
A form for individuals to document and submit complaints related to child and youth mental health services at Front Door.
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FAMILY FIRST CORONAVIRUS RESPONSE ACT (FFCRA) OREGON FAMILY LEAVE ACT (OFLA) LEAVE REQUEST FORM
PDF template
A form for employees to request leave under FFCRA and OFLA due to COVID-19 related circumstances
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Section 125 Flexible Benefit Plan Direct Deposit Form
PDF template
A form for employees to authorize direct deposit of flexible benefit plan funds to a designated bank account.
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2024 Flexible Spending Account EnrollmentChange Form
PDF template
A form for employees to enroll in or modify their Flexible Spending Account benefits for healthcare and dependent care expenses
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Fraternity And Sorority Affairs Invoice Form
PDF template
A form for recording financial transactions related to fraternity and sorority organizations.
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Recurring Claim Form
PDF template
A form for employees to automate reimbursement of qualified expenses with fixed payments to a service provider.
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Discrimination Complaint Form
PDF template
Form for reporting discrimination complaints by students, employees, or other individuals within the college community.
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Fit Strong Data Collection Checklist
PDF template
Comprehensive checklist for leaders to manage Fit & Strong! workshop registration, participant tracking, and data collection processes.
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Fraser Street Medical Clinic New Patient Registration Form
PDF template
Comprehensive medical intake form for new patients collecting personal information, medical history, and current health symptoms.
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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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Medical Release For Training Programs
PDF template
Policy outlining medical clearance requirements for students participating in firefighter training programs with strenuous activities.
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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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Funds Transfer Request Form
PDF template
A form for requesting non-payroll payments to be transferred to a bank account at the United Nations.
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Maryland Statewide Medical Assistance Transport TransferDischarge Form
PDF template
A county health department form for documenting medical transportation needs and patient transfer details for medical assistance recipients.
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DIRRF Form Update Memo
PDF template
Memo detailing updates to the Deliverable Invoice-Receivable Request Form by Sponsored Projects Accounting and Compliance.
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Benefits Open Enrollment Form 2020
PDF template
Form for employees to select or modify healthcare coverage options and provide personal information for benefits enrollment.
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FY2025 Missouri Arts Council Invoice For Reimbursement
PDF template
Invoice form for arts organizations to request reimbursement for funded projects from the Missouri Arts Council for fiscal year 2025.
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Program Solicitation Sound Health Network
PDF template
Grant proposal guidelines for a program exploring connections between music, neuroscience, and health research and wellness
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General Anxiety Disorder (GAD 7)
PDF template
A standardized screening tool for assessing symptoms and severity of generalized anxiety disorder over a two-week period.
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ACHDIRECT DEPOSIT AUTHORIZATION FOR VENDOR PAYMENTS
PDF template
A form for vendors to set up or modify direct deposit banking information for payments from the State of Maryland.
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West Virginia Guardian Ad Litem Invoice Submission Requirements
PDF template
Guidelines for submitting invoices for Guardian Ad Litem services in West Virginia courts, covering form requirements and payment information.
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Gannon University Health Examination Form
PDF template
A comprehensive health form required for students to access university health services and on-campus housing at Gannon University.
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Time Off Request Form
PDF template
A form for employees to request personal or sick time off, with details about coverage and documentation.
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Hopelink Gas Card Reimbursement Form
PDF template
Form for requesting reimbursement for medical transportation gas expenses through Hopelink transportation services.
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patients at Gateway ENT to collect personal health information, medical history, and family health background.
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GBRPP Land Protection Transaction Grant Program Invoice Form
PDF template
An invoice form for submitting appraisal costs and matching funds for a land protection grant program.
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Global Counseling Patient Intake Form
PDF template
Comprehensive medical intake form for counseling services, collecting patient personal and insurance information.
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EBLEN CHARITIES GENERAL MEDICAL INTAKE PROCESS
PDF template
A comprehensive intake form for applicants seeking assistance from Eblen Charities, requiring personal and financial documentation.
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YMAHE Health Assessment Form
PDF template
Comprehensive health assessment form for first-year students requiring medical history, vaccination records, and physical examination details.
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Request For Leave Of Absence Form
PDF template
A comprehensive form for employees to request leave of absence for various personal and family reasons, including documentation requirements.
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Bridge To Wellness Wellbeing Program General Medical Form
PDF template
A form for employees to document preventative medical, dental, eye, and dermatology examinations for a workplace wellness program.
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GeneralOffice Inspection Checklist
PDF template
A comprehensive checklist for periodic workplace safety and facility inspection covering general office conditions and potential hazards.
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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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NatWest Mentor Services General Risk Assessment Form
PDF template
Risk assessment document for Covid-19 workplace safety at NatWest Mentor Services Main Building
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GENERAL CLAIM SUBMISSION FORM
PDF template
A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
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University Health Report
PDF template
Comprehensive health form for Northeastern University students requiring vaccination documentation and personal health information
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General Assessment Form
PDF template
A comprehensive form assessing patient's sleep, mental health, work performance, chronic condition management, and medication adherence.
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Invoice
PDF template
A form for submitting payment requests or reimbursements at California State University, Sacramento
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Invoice
PDF template
A form for submitting service reimbursement requests to the CSU San Bernardino Accounting Office.
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MEDICAL HISTORY AND RELEASE FORM
PDF template
Medical history and consent form for DeMolay participants under 21 years of age, including health history and liability release.
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Personal Vehicle Use Form
PDF template
Form documenting employee personal vehicle usage and insurance details for official district business and field trips.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new chiropractic patients, collecting personal information and detailed health history.
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Employer Notice Of Claim Long Term Disability
PDF template
A comprehensive claim package for employers to submit long-term disability claims for employees, including detailed instructions and employee information sections.
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Short Term Disability Claim Form
PDF template
A form for employees to file a claim for short-term disability benefits, documenting medical leave and disability details.
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Pre Participation Physical Evaluation History Form
PDF template
Official medical evaluation form for student-athletes participating in Georgia high school sports, detailing medical history and physical examination requirements.
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Michigan Gastrointestinal Illness Complaint Interview Form
PDF template
A comprehensive form for documenting and investigating gastrointestinal illness complaints, patient information, and medical details.
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Payroll Deduction Form For Charitable Contributions To The University Of California, Santa Barbara
PDF template
A form allowing employees to set up monthly charitable contributions to the UCSB Foundation's Sustainable Transportation Fund through payroll deduction.
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Camper Medical Form
PDF template
Medical form for assessing a camper's health status, medical conditions, and fitness for camp participation.
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Health And Medical History Form
PDF template
A comprehensive medical history and health information form for American Heritage Girls members, valid for 12 months.
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Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical and health history form for Girl Scout participants to capture essential health information and emergency contact details.
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Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical form for collecting health information and medical history for Girl Scouts participants under 18 years old.
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Request For Benefits ClaimantS Report Of Loss
PDF template
A claim form for filing disability benefits for Glaziers, Architectural Metal and Glass Workers Local Union 1399 members.
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Global Mamas Health Emergency Contact Form
PDF template
A comprehensive medical and contact information form for Global Mamas organization, collecting personal details and health history.
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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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GPLN Laboratory Submission Form
PDF template
Comprehensive form for submitting laboratory specimens related to poultry and avian health testing and research.
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GPTC Employee Complaint Resolution
PDF template
A procedure establishing a uniform process for resolving employment concerns and encouraging fair communication between employees and supervisors.
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GrantScholarship Agreement Form
PDF template
Document outlining conditions and terms for mental health treatment scholarships funded by state grants for individuals without insurance or financial means.
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FINAL INVOICE FORM
PDF template
A grant reporting form for documenting service metrics, geographic engagement, and participant demographics for cultural grant recipients.
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GRIEVANT INTERVIEW FORM
PDF template
A detailed form for documenting and assessing employee grievances and potential contractual disputes.
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San Luis Coastal Teachers Association Grievant Interview
PDF template
A formal document used to document details of a teacher's workplace grievance and potential contract violation.
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Employee GrievanceComplaint Form
PDF template
A formal document for employees to file workplace grievances or complaints through a structured escalation process.
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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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Group Counseling Intake Form
PDF template
Comprehensive intake form for registering children in group counseling programs focusing on emotional wellness and support.
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Group Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
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Payroll Delivery Form
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Form for employees to select their preferred method of receiving payroll payments, including direct deposit, pay card, or Western Union transfer.
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Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive health history and medical examination form for Girl Scout participants to document medical information and insurance details.
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Shared Sick Leave Request Form
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A form that allows Georgia Tech employees to request donated sick leave when they have exhausted their own paid leave due to serious health conditions.
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Accident Claim Form
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Insurance claim form for documenting student accident details and health information authorization
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Guardian Life Insurance Enrollment Form
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Insurance enrollment form for University of Massachusetts Medical School employees to select benefits and coverage options.
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Guest Medical Information Form
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Confidential medical form for assessing guest fitness and suitability for an Antarctic expedition, collecting comprehensive health history.
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Medical History Form
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A comprehensive form for collecting patient medical history, health details, and emergency contact information for dental service purposes.
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Gym Reimbursement Form
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A form to help employees get reimbursed for fitness facility memberships and track workout sessions.
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Functional Assessment Interview FormYoung Child
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A detailed interview form documenting challenging behaviors of a young child named Tim, including types and frequency of aggressive actions.
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Homeowner Assistance Fund Plan
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A submission portal for eligible entities to apply for homeowner assistance funding from the U.S. Treasury Department's Homeowner Assistance Fund program.
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ApplicantLicenseeS Psychiatric History
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Medical evaluation form assessing an applicant's psychiatric history and potential mental health conditions that might impact handgun licensure in Texas.
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XAVIER HAP 2024 Personal Health History
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A comprehensive medical history form for students, to be completed by parents or guardians before submitting to a medical provider.
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Interview Form
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A document used to collect details about alleged harassment incidents within a school district.
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SERVICE AGREEMENT
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A service agreement outlining procedures, payment expectations, and terms for psychotherapy services at Madison Center for Psychotherapy.
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Registration Form
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Comprehensive intake form for collecting patient personal, contact, insurance, and medical history information for mental health services.
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HAZARD REPORT FORM
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A standardized form for documenting workplace safety hazards, observations, and recommended corrective actions.
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HAZARD REPORT FORM
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A document for employees to report workplace safety hazards and for management to investigate and resolve potential risks.
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Hazard Report Form
PDF template
A comprehensive form for identifying, assessing, and reporting workplace safety hazards with risk assessment matrix.
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HAZARD REPORT FORM
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A comprehensive form for documenting workplace safety hazards, potential risks, and immediate actions taken to mitigate dangers.
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Hiram College Enrollment Form
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A comprehensive benefits enrollment form for Hiram College employees covering medical, dental, vision, and supplemental insurance options.
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HEALTHCARE ADVOCATE TOOLS LINKS PHONE NUMBERS
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Comprehensive guide for AlaskaCare employees and retirees with contact information and resources for health insurance plans and provider networks.
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Declaration For Mental Health Treatment
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Comprehensive guide for completing a legal mental health treatment declaration form, detailing requirements and process for creating an advance directive for mental health care.
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HOME STRETCH HOUSING ASSISTANCE FUND APPLICATION
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A confidential application for housing assistance funds for individuals experiencing or recently experiencing homelessness in Alameda County.
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Teacher Application Instructions
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Detailed instructions for downloading, completing, and submitting a teacher job application online.
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Mandatory Tuberculosis (TB) Risk Assessment Form
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A comprehensive medical form to assess tuberculosis risk factors and required testing for students, particularly those from high-risk regions or with specific exposure history.
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Role And Function Of The Joint Health Safety Environmental Committee Of The Mona Campus
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A comprehensive document outlining the establishment, role, and function of the Joint Health and Safety Environmental Committee at the University of the West Indies Mona Campus.
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Western Carolina University Base Camp Cullowhee Health And Medical Form
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A health screening form for participants in outdoor activities, collecting medical history and current health status details for safety purposes.
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Health And Temperament Agreement
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A legal agreement outlining owner responsibilities and liability waivers for dogs attending a dog daycare facility.
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SUNY State College Of Optometry Health Assessment
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Medical immunization and health screening form for SUNY State College of Optometry credentialing purposes.
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Health Assessment Form For Compliance With K.S.A. 72 5214
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A comprehensive health screening form for children entering school, requiring parental consent and medical provider certification.
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Software Solutions For The School Setting
PDF template
A software solution for tracking student and staff health information, designed to support schools during pandemic return-to-school protocols.
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Eligibility And Enrollment Information For Employees
PDF template
A comprehensive form for employees to provide personal information and make flexible spending account elections.
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Health Examination Form (Form 003)
PDF template
Comprehensive health examination and immunization requirements form for nursing students entering a clinical program.
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Guam Travelers Health Declaration Form
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Health screening form for travelers entering Guam, tracking travel history, health symptoms, and potential exposure risks.
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HEALTH DECLARATION FORM
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A form for travelers to declare their COVID-19 health status and potential exposure prior to travel.
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Student Health Services Health Evaluation Form
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Medical form used by students to document health status, current conditions, and activity clearance for university health services.
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Required NYS School Health Examination Form
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Comprehensive health assessment form for students in New York State, documenting medical history and physical examination details.
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CHILDCARE GENERAL HEALTH EXAMINATION FORM
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A health examination form for children enrolling in early education programs to document their medical status and health conditions.
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Student Health Fee Reimbursement Form
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Form for Florida A&M University law students to request reimbursement for health service fees
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HealthFlex Mandatory Premium And Coverage Waiver Form
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A form for employees to decline health insurance coverage and declare reasons for waiving enrollment in the HealthFlex plan.
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Health Form
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Medical health assessment form for participants in wilderness expeditions with Alaska Mountain Guides and Climbing School Inc.
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Girl Scouts Of West Central Florida Health Examination Form
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Comprehensive health form for documenting medical history and emergency contact information for Girl Scouts participants and volunteers.
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Emergency And Health Forms Checklist
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Comprehensive checklist of required health and emergency forms for new and returning students to complete before the school year
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Medical History Form
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Comprehensive medical history form for students collecting personal health information, medical conditions, and health maintenance details.
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Medical History Form
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Comprehensive medical history form capturing patient's health status, previous illnesses, and current medical conditions.
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Health History Physical Exam Form
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Confidential medical history form for Allied Health and Nursing students at Minnesota West Community and Technical College to document health status and medical background.
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Health History Form
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Comprehensive health form for students to provide medical history, insurance, and emergency contact information to the university's student health center.
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Student Athlete Health History Questionnaire
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Comprehensive medical history questionnaire for student-athletes at State University of New York at Potsdam, focusing on orthopedic and head injury history.
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Male Health History Questionnaire
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Comprehensive medical questionnaire for collecting a male patient's health history, current concerns, and personal details.
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Health Incident Report Form
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A form for documenting health and safety incidents involving nursing students and faculty, to be completed within 24 hours of an occurrence.
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Health Information Form
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Detailed medical history and personal health form for participants, collecting comprehensive health information and emergency contact details.
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Retiree Health Cancellation Form
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A form for retirees to cancel their health coverage and dependent coverage through Blue Cross Blue Shield.
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School Health Inspection Form
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Official form for documenting health and safety inspections of school facilities in New Hampshire, ensuring compliance with state education standards.
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School Health Inspection Form
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Official form for documenting health and safety inspections of school facilities by local health officials in New Hampshire.
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Maryland State Department Of Education Health Inventory
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A comprehensive health documentation form for children enrolling in Maryland child care facilities, requiring physical examination, immunization records, and blood-lead testing information.
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HEALTH INVENTORY FORM
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A comprehensive medical history form for collecting student health information, including past diseases, treatments, and current medical status.
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Authorization For Use Or Disclosure Of Protected Health Information
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A confidential form authorizing the disclosure of protected health information by The Episcopal Church Medical Trust
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HEALTHPHYSICAL EXAMINATION FORM
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Medical examination form for students enrolling in various healthcare and child care educational programs to assess physical fitness and health status.
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Lindgren Child Care Center Health Procedures
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Comprehensive guidelines for handwashing and managing child health procedures in a child care center, focusing on preventing illness spread.
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HEALTH PROFESSIONS STUDENT HEALTH FORM
PDF template
Medical documentation form for students in nursing, pharmacy, physician assistant, and dietetic internship programs, requiring immunization history and verification.
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ETA FORM 653 Job Corps Health Questionnaire
PDF template
A health assessment form for Job Corps applicants to provide medical information and authorize basic healthcare services
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Health Risk Assessment Form
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A comprehensive form that evaluates an individual's physical health, personal safety, fitness, nutrition, work environment, and social-emotional well-being.
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Health And Safety Student Waiver Form Part A
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COVID-19 safety waiver for students participating in boot camp activities at the Bahamas Technical and Vocational Institute.
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Physical Examination Form
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A comprehensive medical examination form required for admission to health science programs at Laredo College.
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MCPS Form SRS 6 Student Record Card 6
PDF template
A comprehensive health form for students entering Maryland public schools, requiring medical examination and immunization documentation.
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Meningitis And Hepatitis B Immunization Health History Form
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Comprehensive form detailing immunization requirements for students, including MMR, Varicella, and Tuberculosis skin test documentation guidelines.
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School Health Services Health Survey Form
PDF template
A comprehensive health information form for students entering school, collecting medical history, contact information, and health service needs.
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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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DCH 1315 Health Risk Assessment
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A confidential form for collecting personal health information to help individuals improve their health and healthcare coverage through the Healthy Michigan Plan.
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STUDENT RECORD CARD SR 6 (Local)
PDF template
A mandatory health form for students entering Maryland public schools, documenting physical examinations and immunization requirements.
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Medical Form
PDF template
Medical history and immunization form for students, requiring detailed health information and parental consent.
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Medical Form
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Comprehensive medical history and immunization form for students, requiring detailed health information to be completed by parents/guardians and physicians.
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Faculty Staff Payroll Deduction Form
PDF template
A form for faculty and staff to authorize recurring payroll deductions to support the Herd Rises Campaign scholarship fund.
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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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Patient Intake Form
PDF template
Comprehensive medical questionnaire collecting patient personal, insurance, and health history information for medical providers.
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Privacy Complaint Form
PDF template
A form for patients to submit written complaints regarding privacy and confidentiality of protected health information.
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Time Off Request Form
PDF template
A form for employees to request various types of time off including vacation, sick pay, bereavement, and medical/dental leave
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Hiring Official Checklist
PDF template
Comprehensive guide for hiring managers outlining steps to successfully onboard a new employee from interview through first 90 days.
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Medical History Form
PDF template
Comprehensive medical form for capturing patient health history, symptoms, and medical conditions across various body systems.
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Hmsa Travel Assistance Request Form
PDF template
A form for requesting travel-related medical assistance or coverage through HMSA health plan
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Harvard Outing Club Medical Form
PDF template
A comprehensive medical form for Outing Club members to provide emergency medical information and disclose health conditions that might impact trip participation.
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Holiday Time Off Request Form
PDF template
Internal communication about holiday time off requests and current MVP recognition counts for employees.
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Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program to assist low-income households in Leeds and Grenville with housing stability and prevention of homelessness.
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Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program assisting low-income households in Leeds and Grenville to obtain and retain housing, supporting those at risk of homelessness.
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Hope And Help Campaign Video PSA Contest
PDF template
A creative video PSA contest encouraging community awareness about opioid issues, with themes of hope, change, and help.
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Hospitality Entertainment Program Information Invoice Form
PDF template
A form for collecting performer details and payment information for campus entertainment events at William Paterson University.
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Exemption Certificate
PDF template
A form for federal employees to certify tax-exempt purchases made on behalf of their government agency.
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Hourly Time Sheet Form
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A form for tracking employee work hours, client activities, and mileage for a service organization.
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CHIP Housing Program Application Checklist
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A comprehensive checklist and application package for low- and moderate-income home buyers seeking housing assistance through the CHIP program.
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Housing For Texas Heroes Grant Project Form
PDF template
A grant project form for home modifications and repairs for veterans and surviving spouses in Texas, documenting project details and beneficiary eligibility.
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Program Eligibility Application
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Application for determining eligibility for Housing Trust Silicon Valley Homebuyer Programs, detailing submission requirements and process.
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Short Term Disability Claim Form
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Instructions for filing a short-term disability insurance claim through Mutual of Omaha, detailing submission methods and required sections.
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Employee Travel Authorization Settlement Form
PDF template
Comprehensive guide for employees to complete a travel authorization and expense settlement document for organizational travel.
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Stationary Order Form
PDF template
Step-by-step guide for employees to order business cards, stationary, and name badges through the SLCC employee portal.
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Accident Investigation Report
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A comprehensive form for documenting workplace accidents, including details of injury, witness statements, and reporting procedures.
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Medical History Form
PDF template
Comprehensive form for documenting patient medical history, conditions, and potential health issues
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Declaration Of Payroll Deduction
PDF template
Form for employees to authorize payroll deductions for retirement accounts, contributions, and miscellaneous purposes.
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EXIT INTERVIEW
PDF template
A comprehensive interview form for employees leaving an organization, capturing insights about their work experience and reasons for departure.
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Safety Inspections Policy
PDF template
Policy detailing monthly safety inspection requirements for all CCLA sites and facilities by safety administrators or Health & Safety Manager.
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HR 8 Leave Request Form
PDF template
A form for employees to request and allocate leave hours across different leave types for a specific pay period.
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Change Of Address Form
PDF template
Document for employees to update their address for health benefits and pension purposes
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Employee Evaluation Form
PDF template
A comprehensive form for assessing employee performance, strengths, goals, and development needs.
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EmployeeS InjuryIllness Report Form
PDF template
A comprehensive form for documenting workplace injuries or illnesses at the Fashion Institute of Technology.
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Employee Time Off Request
PDF template
A form for employees to request time off, to be submitted at least one week prior to the first day of leave.
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CSEA Leave Request Form
PDF template
A form for employees to request various types of leave from work, including sick, vacation, personal, and other leave types.
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MSC Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave from their employer, covering sick, vacation, personal, and specialized leave types.
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Supplemental Insurance Cancellation Form
PDF template
A form for employees to cancel pre-tax and post-tax supplemental insurance deductions with specified effective date.
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Sample Employee Resignation Form
PDF template
A comprehensive guide for managing employee resignation or termination processes, covering administrative, legal, and IT-related tasks.
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HSA Payroll Deduction Form
PDF template
Employee form for setting up pre-tax payroll deductions to a Health Savings Account (HSA) through Grand Rapids Community College.
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Health Research Institute Membership Form
PDF template
Form for faculty members to apply for membership in the Health Research Institute, requiring personal details and departmental approval.
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SUNY GENESEO LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including Family Medical Leave, Paid Family Leave, and Parental Leave.
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SUNY Geneseo Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave, including FMLA, NYS Paid Family Leave, and NYS Paid Parental Leave
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Changing Your Name AndOr Address
PDF template
Comprehensive guide detailing the forms and departments employees must notify when changing personal information such as name or address.
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Performance Review Form Hourly Employees
PDF template
A comprehensive performance review form for evaluating hourly employees across competencies and performance expectations.
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Performance Assessment Form For Classified Exempt Employees
PDF template
A standardized form for evaluating performance of classified and non-classified employees at Marshall University
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Wellness Program Reimbursement Form
PDF template
Form for full-time employees to request up to $50 annual reimbursement for health and fitness program costs for themselves and dependents.
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HSA Contribution Form
PDF template
A form for employees to adjust their Health Savings Account contributions through payroll deductions, specifying contribution amounts and frequency.
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Health Savings Account (HSA) Contribution Form
PDF template
A form for employees to enroll in and specify Health Savings Account (HSA) contributions, including eligibility requirements and tax considerations.
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Health Savings Account (HSA) Payroll Deduction Form
PDF template
A form for employees to establish, change, or stop payroll deductions for their health savings account (HSA)
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HSA Payroll Deduction Authorization Form
PDF template
Form for employees to authorize payroll deductions for health savings account contributions through the City of Wisconsin Rapids.
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Disciplinary Action Form
PDF template
A formal document used to record and track employee performance issues, misconduct, and potential disciplinary actions at the University Health Science Center.
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Health Contact Form
PDF template
A bilingual form for tracking medical, dental, and health visits for foster children in Sonoma County
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HEALTH CONCERN SAFETY HAZARD CHEMICAL SPILL REPORT FORM
PDF template
A form for reporting health concerns, safety hazards, or chemical spills with details and recommended actions.
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Health And Safety Form General Risk Assessment (Dynamic)
PDF template
A comprehensive document for assessing workplace health and safety risks across multiple potential hazard categories.
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Health And Safety Form Incident Investigation Form
PDF template
A confidential form used to document and investigate workplace incidents and accidents for North Lanarkshire Council.
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INCIDENT REPORTING FORM
PDF template
Official form for documenting work-related injuries, illnesses, or near-miss events in a workplace setting.
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PRESCHOOL TEACHER STUDENT EVALUATION FORM
PDF template
A comprehensive evaluation form for teachers to assess a preschool student's developmental traits and behaviors for admission to Esformes Hebrew Academy.
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Manual Handling Risk Assessment Form
PDF template
A comprehensive form for assessing potential risks in manual handling tasks for employees and students.
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Physical Examination Form
PDF template
A comprehensive medical physical examination form for nursing students at Mennonite College of Nursing, Illinois State University.
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Health Standards Post Event Assessment Form
PDF template
A comprehensive form for assessing facility conditions and readiness after an emergency event, specifically for healthcare facilities and nursing homes.
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BARBADOS LOGISTICS INFORMATION
PDF template
Provides travel and entry information for participants attending health services seminars in Barbados in October 2012.
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Drug Alcohol Education And Testing Program
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Policy outlining drug and alcohol testing requirements for student-athletes, focusing on health, safety, and athletic integrity.
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AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS (ACH CREDITS)
PDF template
A form for employees to authorize automatic electronic deposits of funds into their bank accounts by the College.
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Huron Valley Percussion Physical Examination Form
PDF template
Comprehensive health screening form for student musicians detailing medical history and physician examination findings.
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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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Disciplinary Action Form
PDF template
A standard form for documenting workplace misconduct and corresponding disciplinary measures for employees.
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Employee Classification And Hiring Processes Audit Report 19 02
PDF template
An internal audit examining the Department's human resources hiring processes, job classification reviews, and associated procedural effectiveness.
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IAT (International ACH Transactions) Compliance Form
PDF template
Form for documenting international ACH transactions and fund transfers from Florida Atlantic University to foreign bank accounts.
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Construction Invoice Form Template
PDF template
A standardized template for creating invoices for construction-related services and materials.
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Employee Emergency Contact Form
PDF template
A form for collecting employee personal and emergency contact details for workplace safety and emergency response purposes.
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EMPLOYEE LEAVE REQUEST FORM
PDF template
A form for employees to request time off, specifying leave type, dates, and obtaining supervisor approval.
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MEDICAL HISTORY FORM TEMPLATE
PDF template
A comprehensive form for collecting patient medical information including medications, surgical procedures, illnesses, and vaccination history.
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Simple Printable Expense Report Form
PDF template
A form for employees to document and submit work-related expenses for reimbursement.
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ICSVEBA 2021 Back To School E Kit Guide
PDF template
Comprehensive benefits enrollment guide for San Pasqual Valley Unified School District employees for the 2021-2022 school year
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Preparticipation Physical Evaluation Medical Eligibility Form
PDF template
Medical form for evaluating student-athlete's health and sports participation eligibility, including medical history and emergency contact information.
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Saint Ignatius High School FreshmanTransfer PHYSICAL EXAMINATION FORM
PDF template
Required medical examination form for freshmen and transfer students at Saint Ignatius High School, including health screening and medical history details.
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Employee SystemsAccess Checklist Form
PDF template
A form for tracking and managing system access and resources for new or transitioning employees in an educational or administrative setting.
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Procedure III.3001.G.A, Employee Travel
PDF template
Comprehensive policy governing official college travel, including expenditure guidelines, approval processes, and reimbursement procedures for employees.
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IncidentHazard Report Program
PDF template
A comprehensive program for employees to report workplace hazards and potential safety risks within county departments.
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T. Gerding Construction Company Injury Illness Prevention Program
PDF template
Comprehensive safety and health management manual for construction company covering administrative procedures, occupational health, and safety protocols.
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Proof Of School Dental Examination Form
PDF template
A mandatory dental examination form for students in kindergarten, 2nd, 6th, and 9th grades in Illinois, documenting oral health status.
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Proof Of School Dental Examination Form
PDF template
A comprehensive dental health form for documenting a student's oral health status and treatment needs for school enrollment.
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Developmental Disabilities Supports Division (DDSD) Regional Office Request For Assistance RORA
PDF template
A form used to request assistance for individuals with developmental disabilities, addressing various service and support needs.
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Required Certificate Of Immunization
PDF template
A comprehensive form documenting required immunizations for students, including vaccination history and personal information.
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Immunization Record Form
PDF template
A comprehensive form for documenting student immunization history and requirements for university enrollment.
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Immunization Request For ExemptionWaiver Form
PDF template
A form allowing students to request medical or personal exemptions from required immunizations for university admission.
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South Dakota Immunization Order Form
PDF template
Order form for immunization-related supplies, forms, and resources for healthcare providers in South Dakota.
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Authorization For Release Of MedicalHealth Information
PDF template
Missouri Department of Social Services form authorizing the release of an individual's medical and health information to specified parties.
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Parental Consent Form
PDF template
Consent form for students to participate in computerized concussion baseline testing program for athletic participation.
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Inactive Employee Change Of Address Form
PDF template
Form for updating mailing address for inactive employees at George Washington University for W2 tax purposes.
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Inactive Employee Change Of Address Form
PDF template
Form for inactive employees to update their mailing address for W2 tax documents at George Washington University.
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Incident And Hazard Report Physical And Psychosocial
PDF template
A comprehensive form for documenting workplace incidents, hazards, injuries, and required corrective actions.
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Workplace Violence Incident Investigation Form
PDF template
A comprehensive form for documenting and investigating workplace violence incidents, including details about the event, parties involved, and preventative recommendations.
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INCIDENT INJURY HAZARD REPORTING PROCEDURE
PDF template
A comprehensive procedure for reporting, investigating, and preventing workplace incidents, injuries, and hazards to ensure health and safety.
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Incident Report Form
PDF template
A comprehensive form for reporting workplace or campus-related incidents, injuries, and potential safety issues.
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Wildlife Incident Report Form
PDF template
A comprehensive form for documenting and reporting wildlife health incidents, including species details, environmental conditions, and collected specimens.
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Incident Report
PDF template
A comprehensive form for documenting workplace incidents, accidents, and potential injuries at Upper Merion Township.
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Employee, Volunteer Youth AccidentIncident Report Form
PDF template
A comprehensive form for documenting accidents, incidents, and injuries involving employees, volunteers, and youth participants at the University of Kentucky Cooperative Extension Service.
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Employee, Volunteer Youth AccidentIncident Report Form
PDF template
A comprehensive form for documenting accidents, incidents, and injuries involving employees, volunteers, and youth participants at the University of Kentucky Cooperative Extension Service.
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How To File An Incident Report
PDF template
Comprehensive guide for reporting workplace, student, and visitor incidents at Clark College, detailing the proper procedures for documenting accidents and near misses.
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CANTON PUBLIC SCHOOLS INCIDENT REPORTS FOR STUDENTS AND STAFF
PDF template
Guidelines for documenting and reporting accidents, injuries, and significant health incidents involving students and staff at Canton Public Schools.
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Income Tax Withholding Instructions
PDF template
Instructions for employees on state and federal tax withholding procedures and submission requirements for Occidental Petroleum Corporation.
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Molloy University EmployeeIndependent Contractor Checklist
PDF template
A form used to determine whether an individual should be classified as an employee or independent contractor at Molloy University.
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Section 900 INDEX
PDF template
Comprehensive index of employee policies and workplace guidelines for a county government organization.
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Individual Membership Form
PDF template
A confidential membership form for individuals interested in joining the Narcolepsy Network organization with various membership levels and donation options.
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State Of Texas Emergency Assistance Registry (STEAR) Individual Registration Form
PDF template
A form for individuals to register with local emergency services to assist in disaster planning and response.
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General Terms Conditions (Individuals)
PDF template
Terms and conditions for individual service providers outlining payment, invoicing, and compensation rules.
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Individual Reimbursement Form
PDF template
A comprehensive form for processing individual reimbursements and verifying employment and citizenship status for the Texas A&M University System.
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INVOICE FORM
PDF template
Invoice documenting grant funds allocation and expenses for a tourism-related project
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JOINT PROMOTIONAL PROGRAM INVOICE FORM
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Invoice form for submitting grant-related expenses by a tourism grantee for reimbursement from the New Hampshire Division of Travel and Tourism Development.
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Influenza Sample Submission Form
PDF template
A detailed form for submitting influenza test samples to the South Dakota Public Health Laboratory with comprehensive patient and specimen information.
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Informed Consent And Service Agreement Form
PDF template
Professional document outlining counseling services, client-therapist relationship, and terms of engagement for therapeutic services.
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New Batch Invoice Form
PDF template
Notification about a revised Batch Invoice Form for the West Virginia Breast and Cervical Cancer Screening Program with a new 'Invoice #' line.
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Minnesota State University Moorhead Infuse Mental Health Grant Service Agreement
PDF template
Grant service agreement for students receiving mental health service scholarship at Minnesota State University Moorhead, outlining service obligations and requirements.
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Initial Interview Form Children
PDF template
A detailed intake form for gathering comprehensive information about a child's medical, psychological, and personal background for counseling purposes.
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Medical History Form
PDF template
Comprehensive medical history questionnaire used by Egea Medical Weight Loss Center to collect patient health information and background.
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Risk Assessment For Hazardous Agents And Animal Contact
PDF template
A comprehensive form for evaluating occupational health risks associated with hazardous agents and animal contact in a research environment.
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Field Experience Assessment Form
PDF template
A comprehensive assessment form for evaluating teacher candidates during their field experience, focusing on teaching strategies and student engagement.
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Injury And Illness Prevention Program
PDF template
Comprehensive safety policy and procedures manual for preventing workplace injuries and addressing health risks in a school district setting.
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INJURY AND ILLNESS PREVENTION PROGRAM
PDF template
Comprehensive safety and health program detailing hazard prevention, training, and workplace safety protocols for school district employees.
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IncidentInjuryHazard Notification Form
PDF template
A comprehensive form for reporting workplace incidents, injuries, illnesses, hazards, or near misses within a university setting.
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Injury Incident Report Workers Compensation
PDF template
A form documenting workplace injury incidents with no medical treatment required, used for tracking workplace safety and potential compensation claims.
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PUBLIC POOL AND SPA INJURY INCIDENT REPORT FORM
PDF template
A standardized form for reporting injuries, drownings, or near-drownings at public pools and spas to local health districts.
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UVU Injury Accident Report Form
PDF template
Comprehensive form for documenting accidents and injuries occurring at Utah Valley University or during university-sponsored activities.
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Injury And Third Party Liability Form
PDF template
A form for documenting injuries potentially involving third-party liability for the Southern California Pipe Trades Health & Welfare Fund.
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ABB Supplier Inquiry Form
PDF template
Instructions for suppliers to submit inquiries about open invoices using the ABB Supplier Inquiry Form.
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LABORATORY SAFETY INSPECTION FORM
PDF template
Comprehensive safety inspection form for evaluating laboratory safety protocols, equipment, and compliance with safety standards.
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Lab Safety Inspection Form
PDF template
Comprehensive safety inspection form for evaluating laboratory safety conditions and compliance with environmental health standards.
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Adolescent Partial Fax Referral Form
PDF template
A referral form for Fuller Hospital's Inspire Program, an intensive group therapy program for adolescents ages 12-18.
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Individual Request For Approval For Out Of State Travel
PDF template
A form for university employees to request approval and document details for out-of-state travel
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West Virginia Guardian Ad Litem Invoice Submission Requirements
PDF template
Detailed instructions for Guardian Ad Litem professionals submitting invoices for payment in West Virginia courts.
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Instructions For Invoicing For Juvenile Justice Education Special Appropriation 103 Funds
PDF template
Detailed instructions for providers to submit reimbursement invoices for high school equivalency and postsecondary education services for juvenile justice programs.
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INSTRUCTIONS FOR MEDICAL REQUIREMENTS FOR CONDITIONALLY APPOINTED APPLICANTS
PDF template
Detailed guidelines for completing medical forms for conditionally appointed VMI applicants through the Medicat Portal.
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Insurance Form For Residence Hall Students
PDF template
Form for collecting student health insurance information for residential students at Monroe Community College.
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EMPLOYEE WAIVER OF HEALTH INSURANCE FORM
PDF template
Form for employees to waive group health insurance coverage due to alternative coverage.
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Patient Intake Form
PDF template
Comprehensive medical intake form for new chiropractic patients to document personal information, health history, and current medical conditions.
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Checklist For TPI, Inc. Clinical Business Files
PDF template
A comprehensive checklist for documenting and organizing clinical client files for a therapy practice in Southwest Iowa.
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IntakeReferral Form
PDF template
A form for reporting workplace incidents, complaints, or potential misconduct within a Tennessee state agency.
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Interdepartmental Invoice
PDF template
An internal financial document for tracking interdepartmental transactions and charges at Oklahoma Baptist University.
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Mississippi Department Of Mental Health Interested Provider Application Checklist
PDF template
A checklist for mental health service providers seeking certification to provide services within Mississippi's public mental health system.
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Interim Evaluation Form
PDF template
A form for documenting an employee's interim performance review, highlighting areas of achievement and improvement.
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Internal Employee Transfer Request Form
PDF template
A form for employees to request an internal transfer to an open position within the organization.
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Internal Mobility Applicant Interview Form
PDF template
A detailed form for collecting employment history, qualifications, and performance information for internal job mobility candidates.
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Internal Transfer Request Form
PDF template
A formal document for employees seeking to transfer to another position within an organization, outlining required procedures and qualifications.
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RESIDENCY APPLICATION FORM
PDF template
Comprehensive application form for professional residency in marriage and family counseling, collecting personal, educational, and professional background information.
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International Claim Form
PDF template
A comprehensive form for submitting international healthcare insurance claims with patient and coverage details.
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International Student Insurance Refund Request
PDF template
A form for international students studying remotely due to COVID-19 to request a health insurance refund for the Spring 2023 semester.
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Therapist Intern Job Description
PDF template
Unpaid clinical internship for graduate students in counseling, psychology, or social work, providing services to children, youth, and families.
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Therapist Intern Job Description
PDF template
An unpaid clinical internship position for graduate students in counseling, psychology, or social work, providing services to children, youth, and families.
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StudentInternPracticum Application
PDF template
Application form for students seeking internship placement at Vera French Community Mental Health Center in Davenport, Iowa.
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StudentInternPracticum Application
PDF template
Application form for students seeking internship or practicum placement at a community mental health center
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Counselor Internship Application
PDF template
An internship opportunity for graduate students in mental health counseling at the Counseling and Resource Center, offering comprehensive clinical experience and training.
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Minnesota Court Interpreter Program Interpreter Invoice Submission User Guide
PDF template
A user guide for Minnesota court interpreters to submit invoices through an online system, providing step-by-step instructions for accessing and using the invoice entry site.
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Interpreter Invoice
PDF template
Invoice form for language interpreters providing services to Ada County Trial Court Administration Office
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Interpreter Invoice Submission User Guide
PDF template
Detailed instructions for court interpreters to submit invoices online through the Minnesota Court system's invoice entry site.
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Entry Medical Examination United Nations And Specialized Agencies
PDF template
Medical examination form for employment candidates seeking positions with United Nations and specialized agencies, requiring comprehensive health disclosure and authorization for medical record review.
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Employee Direct Deposit Authorization Form
PDF template
A form for employees to authorize direct deposit of their paychecks into one or two bank accounts by providing account details and signature.
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Investigation Checklist Form
PDF template
A structured guide for conducting neutral and confidential workplace investigations into employee complaints or harassment concerns.
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Durham Technical Community College Invoice Approval Form
PDF template
Internal document used for approving and processing vendor invoices at Durham Technical Community College.
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INVOICE GENERAL CHECKLIST
PDF template
Comprehensive guidelines for consultants submitting invoices to the City of Miami, detailing required documentation and submission process.
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Invoice Form
PDF template
A form for documenting consultant services and payment details for the Institute for Human Development at UMKC.
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CACFP Training Manual
PDF template
A training manual section covering invoice documentation for the Child and Adult Care Food Program (CACFP)
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Invoice Form
PDF template
A document used for tracking shipping details, quantities, and values for shipments.
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Invoice Form For All Grantees
PDF template
A standardized invoice form for grantees to request payment for services provided under a cultural grant contract with the Department of Cultural Affairs.
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INVOICE FORM LITIGATION AND LEGAL INTERVENTIONS
PDF template
Form for requesting reimbursement of legal and administrative expenses from the CCP with detailed expense categories and rate limitations.
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Invoice Form
PDF template
An invoice form from Avon Township with billing details and payment instructions.
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California State University, Fullerton Invoice
PDF template
Official invoice document for tracking financial transactions and service payments at California State University, Fullerton.
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INVOICE FORM Identity, Boundaries And Social Divisions. Reconciling Competing Frames
PDF template
Registration form for an academic conference at the University of Pisa covering topics of identity and social divisions.
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INVOICE FORM TEST CASE DEVELOPMENT
PDF template
Invoice form for requesting reimbursement of legal and administrative expenses from the CCP with specified expense categories and rate limitations.
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LIONS CLUB INVOICE GUIDELINES
PDF template
Guidelines for using an invoice template designed to support fund collection for Lions Club activities, including dues and donor invoicing.
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Invoice Inquiry Quick Reference Guide
PDF template
A guide for finding invoice information in the UNI e-Business Suite system using various search criteria like invoice number, supplier name, or date range.
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Instructions For Submittal Of AE Consultant Invoice For Payment
PDF template
Detailed guidance for architects and engineers on preparing and submitting invoices for payment to the State of Washington.
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Instructions For Submittal Of Contractor Invoice For Payment
PDF template
Detailed instructions for Washington state vendors on submitting invoices and registering in the statewide vendor system.
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Legal Invoice Submission Portal (For LEDES Format) Quick Reference Guide
PDF template
A guide for submitting legal invoices through Cisco's online portal, providing instructions for LEDES and non-LEDES invoice formats.
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Invoicing For Foster Parent Travel (Receiving Per Diem)
PDF template
Detailed guidelines for foster parents to invoice and log reimbursable travel expenses related to foster children.
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Invoicing For Relative Placement Travel (NOT Receiving Per Diem)
PDF template
Guide for completing travel invoices for relative placement travel with detailed mileage reimbursement instructions.
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Victim Of Trafficking Screening Interview Form
PDF template
Confidential interview form for identifying and documenting potential victims of human trafficking for support and assistance purposes.
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Incident Report Form
PDF template
A standardized form for documenting workplace incidents, injuries, or damages involving employees or volunteers.
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3.3 Incident Investigation Form
PDF template
A comprehensive form for documenting and investigating workplace incidents, accidents, and near misses, designed to capture detailed information about safety events.
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GOLD COAST TRANSIT TRAVEL OTHER EXPENSE REPORT FORM
PDF template
A form for employees to report and request reimbursement for travel and miscellaneous expenses.
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GOLD COAST TRANSIT TRAVEL OTHER EXPENSE REPORT FORM
PDF template
A form for documenting employee travel expenses and reimbursement claims for Gold Coast Transit.
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Invoice For Investment Consulting Services
PDF template
Invoice from Investment Solutions for investment consulting services provided to the City of Cartersville, Georgia Retirement Board
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Customer Services Agreement
PDF template
A service agreement between Triad Resource Group and Huerfano County for employee assistance program services.
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Payroll Deduction Authorization Form
PDF template
Form for employees to authorize ongoing or one-time payroll deductions to the Wesleyan Fund
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Joe Burrow Foundation Do Good Grant Application
PDF template
A grant application process for supporting projects addressing mental health and food insecurity in Ohio and Louisiana.
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Joe Burrow Foundation Do Good Grant Application
PDF template
A grant application process for supporting underprivileged and underserved communities, focusing on children with mental illness and food insecurity in Ohio, Kentucky, Indiana, and Louisiana.
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Medical Release Form
PDF template
A form for documenting participant medical history, conditions, medications, and emergency contact information.
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Job Related Training And Education Employee Request Form
PDF template
Form for employees to request tuition reimbursement and time off for job-related educational programs at UTHealth.
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Invoice 134911
PDF template
Invoice for a toggle switch part from Johnson Mechanical Service to Morton High School
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Medical Alert Form
PDF template
Medical information form for students using Johnson Bus Company transportation services in Menomonee Falls School District.
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University SystemEmployee Intellectual Property Joint Participation MUSP 407
PDF template
A form for university employees to seek approval for intellectual property arrangements involving business entities and potential conflicts of interest.
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Authorization, Agreement, And Certification Of Training
PDF template
A comprehensive document for recording employee training details, course information, and agency-specific training data.
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Jamestown Injury And Illness Prevention Program
PDF template
Comprehensive safety program outlining injury prevention, hazard identification, and employee health protocols for Jamestown School District.
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JAMESTOWN INJURY AND ILLNESS PREVENTION PROGRAM
PDF template
Comprehensive safety and health program outlining hazard prevention, employee training, and communication protocols for Jamestown School District.
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WHS Forms Register
PDF template
Comprehensive register of workplace health and safety documentation with revision details and version tracking.
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HR Change Of Address Form
PDF template
A form for employees to update their personal contact information and notify benefits vendors of address changes.
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Payment Request Form
PDF template
A guide for processing payments for suppliers without traditional invoices, including steps to complete a payment request form.
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Physical Examination Form
PDF template
Required medical form for participants in Junior Hilltoppers Sports Clubs, documenting health status and emergency contact information.
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Jury DutyPre Trial Attendance Form
PDF template
Form for documenting an employee's attendance and time spent for jury duty or pre-trial proceedings.
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Medical Form
PDF template
A comprehensive medical history form for applicants to the JVC Northwest program, to be completed by a healthcare professional.
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Peralta Community College District Reimbursement Form
PDF template
Form for Peralta Community College District employees and retirees to claim medical expense reimbursements based on specific eligibility criteria.
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COVID 19 Leave Request Form
PDF template
Form for Kansas Department of Transportation employees to request leave related to COVID-19 testing and isolation
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KeyAccess Card Request Form
PDF template
Form for requesting keys and access cards for college employees, outlining access and usage requirements.
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Key Electronic Access Request Form
PDF template
Form for requesting building, room, and electronic access for employees at an organization, including key and FOB/PROX card requests.
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KEY AUTHORIZATION FORM FOR FAU JUPITER CAMPUS KEY(S)
PDF template
A form for requesting and tracking key issuance to employees at Florida Atlantic University's Jupiter Campus, detailing key distribution and return procedures.
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KEY (ACCESS) REQUISITION
PDF template
Form used to request new keys or access changes for employees at an educational institution
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Fertility Assessment Form
PDF template
A detailed medical form for couples assessing fertility challenges and medical history related to reproductive health.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for collecting new patient personal, contact, and health provider information
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Consent For Administration Of Health Treatment AndOr Medication At School
PDF template
A form for parents and healthcare providers to authorize medical treatments and medication administration during school hours.
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Kindergarten Oral Health Assessment Form
PDF template
California mandated form for documenting kindergarten students' dental health assessment as required by state education law.
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Office Policies
PDF template
Confidentiality and practice policies for a licensed clinical psychologist in Pendleton, Oregon.
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KUDOS Nomination Form
PDF template
A form for nominating employees in the Office of Human Resources for outstanding performance in specific award categories.
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Campus Kudos Nomination Form
PDF template
A form for recognizing and nominating UNM-Gallup employees who demonstrate exceptional service and positive behaviors.
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Consumer Cancellation For Direct Payment Via ACH
PDF template
A form to cancel direct payment authorization for Kyber, LLC at Bemidji Professional Building
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
PDF template
A comprehensive health screening form for students entering Kentucky public schools, documenting medical history and physical examination results.
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
PDF template
Required health examination form for Kentucky public school students entering school or sixth grade, documenting medical history and physical screening results.
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2023 2024 Enrollment Form
PDF template
Enrollment form for members of the Arizona Education Association, covering membership classification and dues for the academic year.
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Benefit Application Form For Ontario Works
PDF template
A comprehensive application form for accessing various social assistance benefits and support services in Ontario, specifically for Gull Bay First Nation.
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CAMERON UNIVERSITY LEAVE REQUEST FORM
PDF template
A form for employees to request various types of leave including vacation, sick, or special leave at Cameron University.
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Laboratory Contact Information And Emergency Procedures
PDF template
A document detailing emergency contact information and procedures for laboratory settings, including emergency contact details and reporting protocols.
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Emergency Procedures And Contact Information
PDF template
A document outlining emergency contact details and procedures for laboratory safety and emergency response.
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LABORATORY SAFETY CHECKLIST (FORM 3010)
PDF template
A comprehensive safety checklist designed to ensure awareness and compliance with laboratory safety policies and procedures for employees and visitors.
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Lab Biosafety Self Audit Form
PDF template
A comprehensive form for documenting biosafety practices and microbiological materials used in a research laboratory setting.
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Lab Safety Checklist
PDF template
A comprehensive safety inspection form for evaluating laboratory safety conditions and compliance with workplace safety standards.
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My Medical Info
PDF template
A comprehensive medical information form designed to provide critical health details for emergency personnel in case of medical emergencies.
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Health Declaration Form For Applicants
PDF template
A health declaration form for international students applying to study in Malaysia, requiring disclosure of medical conditions and agreeing to health examinations.
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Ladies Auxiliary To The Maryland State FiremenS Association Bessie Marshall Benefit Fund Instructi
PDF template
Benefit fund guidelines for sick or injured members of the Maryland State Firemen's Association providing weekly financial assistance under specific conditions.
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Instructions For Completing The UW Madison Laboratory Chemical Hygiene Plan Template
PDF template
Guidance for creating a laboratory chemical hygiene plan to ensure compliance with OSHA Laboratory Standard and workplace safety requirements.
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MCDSS 236 Dwelling Information Form
PDF template
A comprehensive form for documenting rental property details, tenant information, and housing assistance eligibility.
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Continuing Studies Appointment Form
PDF template
A comprehensive form for new employee appointments and continuing studies staff documentation at Langara College.
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Laser Safety Inventory Form
PDF template
A form for documenting laser equipment details and safety information for The George Washington University laboratory environments.
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WIC Vendor Agreement
PDF template
Agreement between Louisiana Department of Health and WIC food vendors detailing participation requirements and terms for accepting WIC benefits.
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Associate Payroll Deduction Form
PDF template
A form for employees to authorize recurring or one-time payroll deductions for charitable contributions.
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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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Mental Health Care Power Of Attorney
PDF template
A legal document allowing an individual to appoint an agent to make mental health care decisions on their behalf if they become incapable of making informed decisions.
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Universal Referral Form
PDF template
A referral form for individuals seeking Assertive Community Treatment services, assessing eligibility and gathering comprehensive participant information.
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Department Leave Audit Form
PDF template
A comprehensive form for auditing and documenting employee leave balances, accruals, and usage within a department.
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Leave Request Form
PDF template
A form for employees to request leave under FFCRA, ADA, or discretionary leave policies related to COVID-19 circumstances.
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Leave Request Form
PDF template
A comprehensive form for Wellesley Public Schools employees to request various types of leave of absence.
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LEAVE OF ABSENCE REQUEST FORM
PDF template
Detailed guidelines for employees requesting a leave of absence, including required documentation for various types of leave.
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LEAVE REQUEST FORM
PDF template
A form for employees to request various types of leave including personal, vacation, sick, bereavement, and other leave types.
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Leave Request Form
PDF template
A form for employees to request various types of leave, including family medical, annual, compensatory, and sick leave.
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Leave Request And Approval
PDF template
Official form for requesting and documenting various types of employee leave in the Alabama Unified Judicial System
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EMPLOYEE LEAVE REQUEST FORM
PDF template
Procedural guidelines for employees to request leave, including submission, supervisor approval, and HR processing steps.
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Leave Request Form
PDF template
Form for employees to request paid family and sick leave under COVID-19 emergency provisions.
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Middlesex Community College Leave Request Form
PDF template
A form for employees to request various types of leave and obtain supervisor approval at Middlesex Community College.
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K State Student Union Leave Request Form
PDF template
A form for employees to request time off, documenting leave details and supervisor approval.
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Leave Request Form
PDF template
A form for employees to request time off, specifying type and duration of leave.
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Leave Request Form 12 Month Employees
PDF template
A form for 12-month employees to request and document different types of leave, including vacation, sick leave, and family medical leave.
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COVID19 Leave Request Form
PDF template
A form for employees to request leave related to COVID-19 public health emergency situations
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Leave Request Form
PDF template
A form for employees of Huron-Superior Catholic District School Board to request various types of leave and time off.
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Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave, including annual, sick, compensatory, military, and witness/jury leave.
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LEAVE REQUEST FORM
PDF template
A form for employees to document and request various types of leave including vacation, sick leave, and special leave.
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Leave Request Form Management
PDF template
A comprehensive form for employees to request various types of leave, including medical, family, and parental leave.
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NAUSET PUBLIC SCHOOLS LEAVE REQUEST FORM
PDF template
A comprehensive form for Nauset Public Schools employees to request various types of leave, including personal, sick, vacation, and other leave types.
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LEAVE REQUEST FORM
PDF template
A form for employees to request time off work for various leave types including vacation, sick leave, and personal leave.
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Vacation Personal Leave Request
PDF template
Form for employees to request vacation or personal leave time with supervisor approval
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Leave Request Form
PDF template
A form for employees to request time off, including vacation, unpaid leave, or other types of leave.
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CORVALLIS SCHOOL DISTRICTLEAVE REQUEST
PDF template
A comprehensive form for employees to request various types of leave, including bereavement, professional, sick, and vacation leave.
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Time Off Request Policy
PDF template
Comprehensive policy and form detailing the process for employees to request and document various types of leave from their organization.
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Transportation Time Off Request Form
PDF template
A form for transportation employees to request time off, with specific guidelines for drivers and monitors.
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CITY OF SOCORRO LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave and for HR to track and approve leave requests.
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Certification Of Trust For Beneficiary Designations
PDF template
A form for certifying a trust as a beneficiary for death benefits or lump sum payments from the New York State Teachers' Retirement System.
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Attorney Fee Invoice Template
PDF template
Invoice form for attorneys billing legal services in child-related legal proceedings with detailed time and expense tracking.
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Legal Form Help Line
PDF template
A resource providing help for self-represented litigants in navigating court forms through a student-staffed helpline.
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Extra Duty And Overtime Timesheets Instructions
PDF template
Detailed instructions for employees to complete and submit extra duty and overtime timesheets for payment processing.
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LHC Supplemental Medical 2023 Update23
PDF template
Medical form for Laurel Highlands Council camp registration requiring health information and medication permissions for scouts
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Preparticipation Physical Evaluation Physical Examination Form
PDF template
A comprehensive medical evaluation form for athletes to assess physical fitness and health status prior to participation in sports activities.
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LIHEAP INVOICE PAYMENT REQUEST FORM
PDF template
A form for submitting payment requests and financial documentation for the Low Income Home Energy Assistance Program (LIHEAP)
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Disability Claim Form
PDF template
A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
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PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for health assessment and licensing purposes.
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TCC Child Care Assistance Program Attendance Verification Form
PDF template
A form for child care providers to document and verify child attendance for reimbursement through the TCC Child Care Assistance Program.
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Form OEL 09 06 Licensure Instructions
PDF template
Instructions and checklist for obtaining an educator license from the Mississippi Department of Education's Office of Educator Licensure.
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LIFE INSURANCE FORM
PDF template
A form for employees to designate primary and contingent life insurance beneficiaries with personal and contact information.
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Retiree Life Cancellation Form
PDF template
Form for cancelling retiree life insurance coverage with UCM Benefits Group, with a warning that once cancelled, participation cannot be reinstated.
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PAID TIME OFF (PTO) REQUEST
PDF template
A form for employees to request and track paid time off (PTO) hours within the LifeWorks organization.
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Medical Release Form
PDF template
A comprehensive medical consent and release form for students at Lyndon Institute's Boarding or Summer Program, granting medical treatment permissions and health information sharing.
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Limestone College Medical Consent Form
PDF template
A medical consent form for collecting student medical history and immunization records to support health monitoring and campus safety.
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State Of Florida Group Long Term Disability Claim Form
PDF template
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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Adult LIPOS Private BedPHPAdmissionUtilization Form
PDF template
A form for documenting admission and utilization details for mental health hospital or partial hospitalization program (PHP) services.
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ADULT LIPOS PRIVATE BED PHP DISCHARGE FORM
PDF template
A discharge form for inpatient psychiatric or Partial Hospitalization Program services documenting patient transfer and clinical disposition.
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Youth LIPOS Funding Discharge Form
PDF template
Form for documenting discharge and funding verification for youth psychiatric inpatient or partial hospitalization services without insurance coverage.
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Medical IncidentAccident Report
PDF template
A comprehensive form for documenting medical incidents or accidents, detailing injury specifics and first aid procedures.
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UNall HR Service Requests
PDF template
Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
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Medium Term Loan Application Form
PDF template
A loan application form for bank employees seeking a medium-term loan from their cooperative society, requiring personal and employment details.
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Leave Of Absence Request Form
PDF template
A comprehensive form for employees to request extended time off for various personal, medical, or family-related reasons.
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Locomotive Compliance Form
PDF template
A detailed inspection form for documenting locomotive sanitation, equipment condition, and compliance with occupational health and safety regulations.
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Student Blanket Insurance Policy Disability Claim Form
PDF template
A comprehensive form for students to file a disability insurance claim, documenting medical conditions, educational status, and treatment details.
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LOTUS RECOVERY HOUSE EMERGENCY, SAFETY AND PROPERTY POLICY
PDF template
Comprehensive policy outlining safety, emergency protocols, and property management guidelines for Lotus Recovery House.
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RISK ASSESSMENT FORM
PDF template
Comprehensive risk assessment form for evaluating potential hazards and safety risks during travel.
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Trips And Visits Medical And Consent Form
PDF template
A comprehensive medical and consent form for students participating in a school trip, collecting health and emergency contact information.
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A.C.E Award Nomination Form
PDF template
A form for nominating employees for outstanding performance in specific professional categories.
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MEMBERSHIP FORM
PDF template
Membership enrollment form for Los Rios College Federation of Teachers (LRCFT) with dues authorization and personal information collection.
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Los Rios College Federation Of Teachers Membership Form
PDF template
Membership form for joining the Los Rios College Federation of Teachers union, allowing payroll deduction of membership dues
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Long Term Care Insurance Medical History Form
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Form for employees to cancel voluntary long-term disability insurance coverage with Tennessee Board of Regents
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Long Term Disability Claim Form
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A claim form for employees to submit long-term disability insurance claims with personal and medical information.
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Group Long Term Disability Claim Form
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Long Term Disability Claim Form Employer Statement
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Lutheridge Adult Medical Form
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Lutheridge Camper Medical Form
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Lutherock Camper Medical Form
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Comprehensive medical and emergency contact form for children attending Lutheran summer camp programs
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Luther Springs Camper Medical Form
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Medical and emergency information form for children attending Luther Springs summer camp programs
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Changes To The Permanent Change Of Station (PCS) Authorization Process
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Department of the Interior memorandum detailing new procedures for creating Permanent Change of Station authorizations using the Financial and Business Management System (FBMS).
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Massachusetts EmployeeS Withholding Exemption Certificate
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State tax form for employees to claim withholding exemptions and personal tax information in Massachusetts
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Massachusetts COVID 19 Temporary Emergency Paid Sick Leave Request Form
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NBPS Magnus Instruction Changing Credentials
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Comprehensive guide for parents to complete online health documentation and enrollment forms for students at Notre Dame school
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Health Care Power Of Attorney
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Legal document allowing an individual to designate an agent to make mental health care decisions on their behalf under Maine state law.
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Employee Emergency Contact Form
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Male Medical History Form
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A comprehensive medical history form specifically designed for male patients to record personal and family health information.
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Male Medical History Form
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Comprehensive medical history form specifically designed for male patients, covering sexual health, medical conditions, and personal health background.
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Massachusetts EmployeeS Withholding Exemption Certificate
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Tax form for employees to claim withholding exemptions in Massachusetts for state income tax purposes.
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MAMI Assessment Form
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Management Evaluation Form
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Medical History Form
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A comprehensive medical form for camp participants to document health information, emergency contacts, and treatment authorization.
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Extended Health Care Claim
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Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
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Department Of State Academic Exchanges Participant Medical History And Examination Form
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A medical form required for participants in U.S. Department of State educational exchange programs to confirm health status and obtain medical clearance.
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Student Physical Exam Information Form
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Financial document for requesting invoice financing through Murabaha transaction at Masraf Al Rayan bank
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Employee Expense Report
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Master Medical Form
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Adult TB Risk Assessment And Screening Form
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MetroPlusHealth Wellness And Fitness App Reimbursement Program
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Miami Dade County Employee Benefits
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Comprehensive overview of employee benefits package for Miami-Dade County employees, including insurance, retirement, and support services.
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NJCAA Medical Evaluation Form
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Medical History Form
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Instructions and form for students to provide medical history, immunization records, and insurance information for campus health services.
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NAUI Medical Form
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Medical Clearance Form
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Medical Emergency Contact Form For StudyInternTeach Away
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Easterseals Wisconsin Camps Medical Examination Form
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Medical form for documenting a camper's health status, medical history, and immunization records for participation in Easterseals Wisconsin Camps.
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Form MCSA 5875 Medical Examination Report Form
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Medical examination form for commercial driver license (CDL) applicants to assess medical fitness for driving.
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Medical History Form
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Seoul International School Authorization For Medical Procedure Student Medical History Health Fo
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Medical authorization and health history document for students at Seoul International School, covering emergency care permissions and medical history details.
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Medical form for students attending the UCF iSTEM Summer Program, collecting personal, emergency, and health information.
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Medical Information Form
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Comprehensive medical history form for student members of a drum and bugle corps, covering personal health history and potential medical conditions.
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Emergency Contact And Medical Information
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Medical Form
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Comprehensive medical history and health information form for students at St. Mary's College.
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Medical Consent Form
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Comprehensive medical form for collecting a child's health history, emergency contact information, and medication permissions.
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New York State Science Olympiad Medical Form
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Medical form for participants and alternates in Science Olympiad tournament, requiring comprehensive health and emergency contact information.
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Diving Medical History Form
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MEDICAL FORM SELF REPORT
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Camp Mak A Dream Summer Staff Medical Information Form 2023
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Comprehensive medical information form for summer camp staff to document health history, immunizations, medical conditions, and emergency contacts.
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Camp Mak A Dream Summer Staff Medical Information Form 2024
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Comprehensive medical history and health information form for summer camp staff members, collecting details about medical conditions, immunizations, and emergency contacts.
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A comprehensive medical information form for students to provide health details, emergency contact information, and medical treatment permissions.
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Medical History Form
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Comprehensive medical history questionnaire for patient medical assessment, including health conditions, personal details, and examination data.
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Cottonwood Crossing Summer Institute Health Insurance And Medical History Form
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A form collecting student health information, insurance details, and medical emergency consent for a summer program participation.
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Comprehensive medical history form covering personal health, medical conditions, medications, allergies, lifestyle, and previous medical procedures.
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MEDICAL HISTORY FORM
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A comprehensive form for collecting patient personal and insurance information for medical purposes.
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Sport Club Medical History Form
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Medical history and health screening form for participants in sport club activities at CSU Recreation Services.
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MEDICAL HISTORY FORM
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Comprehensive medical history and personal health information form for students at Vanguard University's Health Center.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for collecting patient personal details, health conditions, and contact information.
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Student Health History Form
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Comprehensive health history form for students enrolling at Watertown campus, collecting personal and family medical information.
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PARTICIPANT MEDICAL HISTORY FORM
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Comprehensive medical history form for participant health information, emergency contacts, and authorization details for a camp or program.
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Medical History
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Comprehensive medical history form for collecting patient health information, medical conditions, and lifestyle details.
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Medical History
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Detailed medical history document capturing patient health information across multiple body systems and medical conditions.
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Health History Form
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A comprehensive medical history form for students to document their personal health information and medical conditions.
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Medical History Form (For Immigration Examination)
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Comprehensive medical history form for immigration purposes, covering various health conditions and medical background
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Medical History Form
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Comprehensive medical form for collecting patient's personal and family medical history, including past diagnoses, allergies, and health conditions.
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Medical History Form
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Comprehensive medical form for collecting patient's personal health information, medical history, current symptoms, and social history.
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UVM OUTING CLUB MEDICAL HISTORY FORM
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Comprehensive medical information form for University of Vermont Outing Club participants to assess health status and potential risks during outdoor activities.
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Medical History Form
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Comprehensive medical history form for dental patients to provide health background and current medical status.
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Medical History Form
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Comprehensive medical history and health status documentation form for patients at Freedom House for Women
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Comprehensive medical history form for patients undergoing sleep studies, collecting personal health information and symptoms.
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Personal Medical History
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Comprehensive form for collecting patient's personal medical history, surgical history, allergies, and family medical background.
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MEDICAL HISTORY FORM
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Medical History Form
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Comprehensive medical history form for dermatology patients collecting personal health information, medical background, and contact details.
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Andrew College Medical History Form
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Medical History And Physical Examination Form
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Comprehensive medical history and physical examination form for students, collecting personal health information and examination results.
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University Of Alaska Southeast Outdoor Education Medical Information Questionnaire
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A confidential medical form for participants in University of Alaska Southeast outdoor education courses, collecting personal and medical details for safety purposes.
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Medical Inquiry Form In Response To An Exemption Request To In Person Work For Medical Reasons
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Medical Leave Request Form
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Campus Guest Medical Release Form
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Medical authorization form for campus visitors allowing emergency medical treatment and documenting health information.
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MEDICAL HISTORY QUESTIONNAIRE ILEA Students
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MEDICAL HISTORY QUESTIONNAIRE ILEA Students
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A comprehensive medical history form for students to assess health status and readiness for training, ensuring medical confidentiality.
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H.P.T.R. 6 MEDICAL CHARGES REIMBURSEMENT FORM
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MEDICAL RELEASE FORM 2024 2025 Lifetime Fitness Program
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Medical Release Form
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Authorization For Disclosure Of Health Information
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IM, Inc. ETEAM MEDICAL RELEASE FORM
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Medical Release Form
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Medical Release Form
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Medical release and health information form for adult participants in Eagle Bluff activities, requiring personal and medical details.
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Medical Release Form
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A form to authorize the release of patient medical information for insurance claim processing.
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Authorization form for releasing protected health information for St. John Fisher College students, complying with HIPAA regulations.
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Honors Symposium Medical Release Form
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Medical release and health history form for students participating in the Harding University Honors Symposium program
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MEDICAL LIABILITY RELEASE
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Comprehensive medical and liability release form for camp registration, including health information, emergency contacts, and photo/transportation permissions.
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MEDICAL RELEASE FORM
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Medical form for seniors to obtain physician approval for exercise program participation at Teaneck Senior Services Center.
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FALAB Medical Form
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Medical examination form for firearm license applicants to assess physical and mental fitness for weapon ownership.
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Authorization For The Administration Of Medication By School, Child Care, And Youth Camp Personnel
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Medication Authorization
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A form for parents/guardians to request school personnel to administer medication to students during school hours or field trips.
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SGLGSAMedicationConsent20100122
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A form for parents/guardians to authorize medication administration for children in early education and care settings.
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Medication Consent Form
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A form for parents and practitioners to authorize medication administration for students at school, including prescription and emergency medications.
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MEDICAL HISTORY FORM
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A form for patients to document their current medications and medical history details.
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MIT Student Medical Report Form 20242025
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Medical report form for new and returning MIT students requiring health documentation, immunization records, and medical screening information.
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Nouveau Medispa Medical History Form
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Comprehensive medical history form for patients seeking medical spa treatments, collecting personal and health information.
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Member Cancellation Form
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Form for members to request cancellation of their fitness facility membership with required details and survey feedback.
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4 H Youth Development 2018 2019 Member Health Information Form
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A comprehensive health form for 4-H youth members to document medical history, conditions, medications, allergies, and emergency information.
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4 H Youth Development 2019 2020 MEMBER HEALTH INFORMATION FORM
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A comprehensive health form for 4-H youth members to record medical history, medications, allergies, and emergency information.
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Membership Record Form
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Cancellation Request Membership Payroll Deduction
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NEA Membership Enrollment Form Certificated
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Enrollment form for teachers to join the National Education Association, California Teachers Association, and local union chapter.
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Center For Healthy Living Membership Form
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Membership form for University of Nebraska Medical Center (UNMC) employees and affiliated individuals to join the Center for Healthy Living fitness facility.
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Cincinnati ChildrenS Hospital Mental Health Music Therapy Internship Application
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Application form for music therapy internship at Cincinnati Children's Hospital Mental Health program, requiring multiple supporting documents and recommendations.
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Presbyterian Mental Health Ministry Grant Program Application Form
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A grant application for Presbyterian organizations seeking funding to support mental health ministry initiatives and awareness programs.
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Presbyterian Mental Health Ministry Grant Program Application Form
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A grant application form for Presbyterian organizations seeking funding to support mental health ministry initiatives and reduce mental health stigma.
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Mental Residual Functional Capacity Assessment
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A comprehensive assessment form evaluating an individual's mental capabilities for Social Security disability determination.
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Comprehensive form for employees to enroll in various insurance coverages including life, disability, dental, and vision.
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MetLife Legal Plans EnrollmentCancellation Form
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Form for enrolling in or canceling MetLife Legal Plans insurance coverage for San Diego and Imperial County Schools employees.
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EAN INVOICE FORM
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Invoice form for documenting client services, therapist information, and payment details for a healthcare service provider.
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Medical History Form
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Comprehensive form for collecting patient medical background and consent for massage therapy services.
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Monthly Contact Form For Children Receiving Mental HealthBehavioral Treatment
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Mental Health Care Declaration Form
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A legal document allowing an individual to specify preferences and consent for mental health treatment in case of future incapacity.
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Mental Health Power Of Attorney
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Legal document authorizing a designated agent to make mental health care decisions on behalf of an individual in case of incapacity.
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Form To Request Documentation From An Employer Sponsored Health Plan Or A Group Or Individual Market
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MHSAA Annual Sports Health Questionnaire
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Guidelines for student-athletes regarding physical examinations and health requirements for the 2020-2021 school year during COVID-19 pandemic.
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Medical History Form
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Detailed medical form focusing on patient's sleep habits, including snoring, breathing during sleep, daytime sleepiness, and overall sleep quality.
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HEALTH SUPPLY REQUISITION FORM
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A form for requesting health-related laboratory supplies and test forms from the Florida Department of Health's Bureau of Public Health Laboratories.
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Mileage Reimbursement Form
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Form for employees to document and request reimbursement for business-related vehicle mileage and associated expenses.
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MILEAGE REIMBURSEMENT FORM
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A form for employees to document and request reimbursement for travel between school buildings or outside the district.
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Payroll Deduction Authorization Form
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Form authorizing the University of North Carolina to deduct course fees from an employee's paycheck over multiple pay periods.
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Mini Grant Application Form
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Application form for educators to request funding between $100 and $2,500 for educational projects and resources.
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Minor Contracted Service Invoice
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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
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A school form documenting minor student disciplinary infractions and initial intervention steps by teachers.
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Minor Consent Medical Form
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Medical consent form for students, allowing medical treatment and over-the-counter medication authorization by Caada College Health Center
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MIP Invoice Template
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Detailed instructions for completing and submitting quarterly invoices for grantees working with Advocates for Human Potential, Inc.
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MIP Enrollment Form
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Comprehensive form for UN staff members to enroll in medical insurance coverage for themselves and their dependents.
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Miscellaneous Payroll Deduction Form
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Form allowing employees to authorize payroll deductions for replacement of work-related items such as ID badges, cell phones, and other equipment.
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Mission And Community Service Leave Request Form
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A form for employees to request time off for mission, community service, or spiritual activities as part of an organizational leave benefit.
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EMPLOYEE TIME OFF REQUEST FORM
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A form for employees to request time off, specifying dates, duration, and reason for absence.
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Missouri Model Districts Behavior (MMD B) District Invoice Form
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Missouri Department of Elementary and Secondary Education invoice form for districts participating in behavioral support program activities
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Patient And Insurance Claim Form
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A standardized form for submitting medical insurance claims with patient and subscriber information details.
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Measles, Mumps Rubella Requirement Form
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A form for students to provide proof of immunity to measles, mumps, and rubella as required by New York State Public Health Law 2165.
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General Risk Assessment Form
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A comprehensive risk assessment document covering various workplace health and safety hazards for the MND Association
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LEAVE REQUEST FORM
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A form for employees to request and document various types of leave, including approval from supervisor
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Emergency Repairs Program (ERP) Application
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A housing assistance program providing funding for critical home repairs for eligible Mtis citizens in Saskatchewan, with different funding levels for northern and central/southern regions.
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MISSOURI MODEL DISTRICTS BEHAVIOR (MMD B) DISTRICT INVOICE FORM
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A form for Missouri school districts to document and invoice behavioral support program activities and implementation.
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Mobile Mammography Unit Registration Form
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A comprehensive registration form for patients seeking a mobile mammography screening, collecting medical history, personal, and insurance information.
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Patient Intake Form
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Comprehensive medical intake form for new chiropractic patients to collect personal, medical, and health history information.
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Self Declaration Form For Travel To Italy From Abroad
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A mandatory form for travelers entering Italy, documenting COVID-19 health status and travel details during the pandemic.
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ON THE JOB TRAINING MONTHLY EVALUATION FORM
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A comprehensive monthly evaluation form for assessing trainee performance across multiple professional competency areas.
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Health And Safety For Field Researchers Risk Assessment Form
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A document for identifying and mitigating potential safety risks during field research activities.
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Asbestos Inspection (MOP P006)
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Procedure for conducting three-year and six-month asbestos inspections at Sacramento City Unified School District sites, prioritizing health and safety.
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EWOG MDSSAA Invoice Form For Morphology
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A medical form for collecting patient morphology data, laboratory samples, and clinical information related to hematological conditions.
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MOVING EXPENSE REIMBURSEMENT FORM
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A form for employees to request reimbursement for moving expenses when relocating for work at Idaho State University.
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MOVING EXPENSES REIMBURSEMENT FORM
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A form for employees to claim reimbursement for moving-related expenses and travel costs at Colorado State University-Pueblo.
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MR089S Annual Medical Examinations
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Detailed medical examination requirements and procedures for U.S. Astronauts including annual health evaluations and audiometry testing.
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WebTA Access Request Form (MRP 352)
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Form for USDA-APHIS employees to request or terminate timekeeper web access with detailed user and supervisor information.
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Medicaid Provider ACHEFT Enrollment Form
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A form for Medicaid providers to enroll in electronic fund transfer (EFT) payments in the state of Nebraska.
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PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
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Form for NYC employees to enroll in or change health benefits buy-out waiver program for plan year 2024.
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MSHSAA Preparticipation Physical FormsProcedure Medical History Form
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A comprehensive medical history form for student athletes to be completed by students or parents and reviewed by healthcare professionals.
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Purchase Order Form
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Form for submitting purchase orders for goods and services through MSPIA unit at Baruch College.
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New York State Religious And Independent School Reimbursement Request Form
PDF template
Form for requesting reimbursement for Mathematics, Science, and Technology teachers in religious and independent schools in New York State for the 2022-2023 academic year.
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Michigan State University 403(B) Retirement Plan Loan Policy Statement
PDF template
Detailed explanation of rules and criteria for taking participant loans from the Michigan State University 403(b) Retirement Plan
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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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Mudstock Registration Form
PDF template
Community event for youth featuring a mud-filled activity designed as a healthy alternative to drugs and alcohol, hosted by The Alliance of Southwest Missouri.
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Employee Disability Claim Form
PDF template
Comprehensive guidelines for completing an employee disability claim form with detailed instructions for each section.
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Marshall University Invoice Receiving Report
PDF template
An internal form for charging departments within Marshall University for services, materials, and other inter-departmental transactions.
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Municipal Income Tax Withholding Form
PDF template
A form for employees to provide tax withholding information and authorize municipal income tax deductions in Ohio.
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Accessing Claims Online Using The Employee Portal
PDF template
A guide for employees on how to access and manage insurance claims through Mutual of Omaha's online employee portal.
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Enrollment Form
PDF template
Insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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Employee Change Of Personal Information Procedure
PDF template
Procedure for employees to update personal information across multiple organizational systems and departments
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HR Systems General Access Request Form
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A form for requesting access to HR systems, with options for new access, adding roles, replacing access, or inactivating access.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical evaluation form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Health Examination Form
PDF template
A comprehensive medical evaluation form for documenting a child's health status and medical history for school or sports participation.
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ACH AUTHORIZATION FORM
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A form for vendors to provide banking details for electronic payment processing via Automated Clearing House (ACH)
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Waiver And Release Of Liability
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Legal document waiving liability for potential COVID-19 exposure at Naish Scout Reservation during Boy Scouts activities.
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CHANGE OF ADDRESS NAME CHANGE FORM
PDF template
Form for employees to update personal information, address, name, and benefit details with their employer.
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Request For Change Of AddressName Change
PDF template
A form for Yosemite Community College District employees to update their personal contact information and legal name.
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Employee Name Change Request Form
PDF template
A form for employees to officially change their name in company records and update associated vendor contacts and access credentials.
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Naming The New Adult Mental Health And Addictions Facility Submission Form
PDF template
A form for submitting suggested names for a new mental health and addictions facility, focusing on representing care environment and mental wellness.
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In Our Own Voice Presentation Booking Form For Virtual Or In Person Presentations
PDF template
A booking form for requesting a free In Our Own Voice presentation from NAMI Massachusetts, which can be virtual or in-person.
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Sharing Our Stories (SOS) Presentation Booking Form For Virtual Or In Person Presentations
PDF template
A form for requesting a Sharing Our Stories (SOS) presentation from NAMI Massachusetts, covering basic event details and contact information.
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Volunteer Application
PDF template
Comprehensive form for individuals interested in volunteering with NAMI Metro Baltimore, collecting personal, professional, and skills information.
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Media Release Form
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A legal document granting permission for recording, photographing, and using an individual's likeness for media purposes by C.A.S.E. and the National Center.
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PAYROLL DEDUCTION FORM
PDF template
A form for NAU employees to authorize voluntary payroll deductions for donations to the President's Fund for Excellence.
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Claim Form
PDF template
A form for employees to submit healthcare and dependent care expenses for reimbursement through flexible spending accounts.
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National Board For Professional Teaching Standards Assessor Course Enrollment Form
PDF template
Enrollment form for professional teachers seeking to become National Board assessors through a specialized university course
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Sanitation Of Child Care Centers Definitions
PDF template
Comprehensive definitions related to sanitation standards and requirements for child care centers in North Carolina.
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Community College System Of New Hampshire Employee Emergency Contact Form
PDF template
A form for collecting employee personal information and emergency contact details for the Community College System of New Hampshire.
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Authorization To Release AndOr Disclose Protected Health Information
PDF template
A form authorizing the release of protected health information between NCCU Student Health and Counseling Services and specified parties.
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DHHS Incident And Death Report
PDF template
Official form for reporting incidents and deaths involving individuals receiving publicly funded mental health, developmental disabilities, and substance abuse services in North Carolina.
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BHWD PWI Invoice Template
PDF template
Detailed instructions for submitting quarterly invoices for grantees, including guidelines for completing and processing invoices with Advocates For Human Potential, Inc.
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N.C. Forest Service Urban And Community Forestry Financial Assistance Program REQUEST FOR REIMBURSEM
PDF template
Financial request form for Urban and Community Forestry grant reimbursements with options for cost share and match share funding.
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NC Psychology Board Change Of Address Form
PDF template
A form for North Carolina psychology licensees to update their professional contact information and address with the state licensing board.
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Health Examination Certificate North Carolina Public Schools
PDF template
Required medical certification form for school employees verifying health status and ability to perform job duties
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NDIAWID Chapter Invoice Form
PDF template
A form for submitting invoices for National Defense Industrial Association (NDIA) chapter events and expenses.
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NDIAWID Chapter Invoice Form
PDF template
A form for submitting invoices and payment details for chapters of the National Defense Industrial Association (NDIA)
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NDOT Form 39 Notification Of Completion Of Professional Services
PDF template
Instructions for completing and submitting the NDOT Form 39 to initiate the closeout process for professional services agreements.
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Near Miss Report Form
PDF template
A form for documenting workplace safety incidents and near-miss events with potential hazards or safety concerns.
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National Eating DisorderS Awareness Week Art Competition Rules
PDF template
An art competition hosted by Andrews University Counseling and Testing Center to promote healthy body image and raise awareness about eating disorders.
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New England Food Allergy Treatment Center Medical History Form
PDF template
Comprehensive medical history form for documenting patient's food allergies, medical history, and current health status.
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ACH VENDORMISCELLANEOUS PAYMENT ENROLLMENT FORM
PDF template
A form used for setting up automated electronic payments through the Vendor Express Program with required payee and financial institution information.
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Neighbors Helping Neighbors Contribution Form
PDF template
A form allowing customers to make monthly or direct contributions to help neighbors with utility bill assistance through the Salvation Army.
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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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IN LIEU OF INVOICE FORM
PDF template
A form used to request payment when standard invoice documentation is not available, for use in Harvard's B2P system.
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Mennonite Village New Scholarship Program Application
PDF template
A scholarship application form for Mennonite Village employees seeking tuition assistance for professional development and educational courses.
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Preparticipation Physical Evaluation
PDF template
Comprehensive medical evaluation form for assessing an individual's physical fitness and health status prior to participation in an activity.
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NYC Summer Camp Permit Application Guidance
PDF template
Official guidance from NYC Health Department for obtaining summer camp permits, including application steps and COVID-19 requirements.
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New Client Information
PDF template
Comprehensive intake form for new clients seeking psychological services, collecting personal, contact, and insurance information.
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NEW CLIENT INQUIRY FORM
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Confidential form for potential therapy clients to provide personal details and explore counseling service needs.
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Legal Form Of A New Climate Agreement Avenues And Options
PDF template
Analysis of potential legal approaches for a new international climate change agreement to succeed the Kyoto Protocol.
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Food Establishment Inspection Report Continuation Sheet
PDF template
Detailed document for recording observations, temperature measurements, and corrective actions during a food establishment inspection.
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DIRECT DEPOSIT FORM
PDF template
A form used to set up direct deposit for employee payroll or other payments, with specific instructions for completion.
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NEW EMPLOYEE CHECKLIST
PDF template
A comprehensive checklist for new employees to complete necessary documentation and understand organizational policies and procedures.
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New Employee Orientation Attestation
PDF template
A document for new employees to confirm receipt and understanding of orientation materials and organizational policies at El Rio Community Health Center.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient medical history, symptoms, and personal health information.
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New Hire Assessment Form Attachment B
PDF template
A form for new hires to disclose medical conditions, restrictions, and potential job-related health exposures prior to starting employment.
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New Hire Emergency Contact Information
PDF template
A form for collecting emergency contact details for new employees in case of urgent situations.
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Annual Minor Participant Health And Medical Form
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Comprehensive medical information form for minors under 18 years old, collecting health details, emergency contacts, and medical consent.
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New Patient Intake Form
PDF template
Comprehensive form for collecting new patient medical information, health history, and insurance details.
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TRI COUNTY FAMILY MEDICINE NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical form for collecting patient medical history, current medications, allergies, and recent medical history
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New Patient Intake Form
PDF template
Comprehensive form for collecting new patient medical history, personal information, and health status for medical practice intake.
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New Patient Information Form
PDF template
Comprehensive medical intake form for new patients seeking mental health services at Triad Psychiatric Practice.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for collecting patient personal, insurance, and health information for a medical clinic or practice.
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New Patient Intake Form
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Comprehensive medical history form for new psychiatric patients covering personal, medical, psychiatric, and substance use information.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients to document medical history, current medications, and pain assessment details.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for documenting patient medical history, pain assessment, and physical limitations.
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New Patient Questionnaire
PDF template
Comprehensive medical history intake form for new patients covering various health conditions and medical background.
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PFC Reimbursement Form
PDF template
Form for submitting an invoice and requesting reimbursement from the PFC committee for an approved activity.
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New User Setup Request Form
PDF template
Form for requesting setup of new employee technology access and resources
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NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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A standardized medical form developed by NFHS Sports Medicine Advisory Committee to manage skin lesions and communicable skin disorders in wrestling.
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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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Payroll Deduction Authorization
PDF template
A form for employees to authorize payroll deductions for NIU Foundation contributions and specify donation allocations.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical form for evaluating an individual's physical fitness and health status prior to participating in sports or athletic activities.
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NJ Employee Earned Sick Leave Request Form
PDF template
A form for Ramapo College employees to request sick leave under the New Jersey Earned Sick Leave Law.
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HEALTH, ACCIDENT, DISABILITY CLAIM FORM
PDF template
Comprehensive claim form for health, accident, and disability insurance claims from National Teachers Associates Life Insurance Company.
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Part I Medical History And Release Form
PDF template
A comprehensive medical history form for participants in the National Leadership Challenge, designed to aid medical treatment and emergency response.
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NOAA Form 57 10 20 OMAO Privacy And Consent Form
PDF template
Privacy act statement for collecting health and medical records at the National Oceanic and Atmospheric Administration (NOAA)
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Staff Performance Evaluation
PDF template
A comprehensive performance evaluation form for staff employees at Northern Oklahoma College, designed to provide impartial assessment of job performance and potential for advancement.
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Common Nomination Form For Gratuity, General Provident Fund And Central Government Employees Group I
PDF template
A comprehensive form for Central Government employees to nominate beneficiaries for gratuity, provident fund, and group insurance benefits.
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MASON STAFF SENATE Candidate Nomination Form
PDF template
A form for nominating staff members to serve on the Mason Staff Senate for a two-year term.
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Appointment Nomination Form
PDF template
Form for nominating and approving a staff employee to serve on the University of Central Florida USPS Staff Council for a two-year term.
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United Nations Prize In The Field Of Human Rights 2013 Nomination Form
PDF template
Official nomination form for the United Nations Prize in the Field of Human Rights recognizing significant contributions to human rights
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Hall Of Fame Nomination Form
PDF template
A nomination form for recognizing outstanding educators who have contributed to Harford County Public Schools system.
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GovernorS Educator Of The Year (GEOY) Nomination Form Scoring Guide
PDF template
A scoring guide for evaluating and selecting outstanding educators through a panel-based nomination process.
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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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Non Employee InjuryIncident Report
PDF template
A comprehensive form for reporting incidents and injuries involving students or visitors on campus.
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Non Exempt Employee Travel Approval Form
PDF template
A form for non-exempt employees to document and request compensation for business travel time and expenses
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Non Medical Leave Of Absence Request Form
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A form for employees to request different types of leave, including educational, personal, and military leave
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Quarterly Report And Non Participant Supplemental Invoice
PDF template
A form for reporting quarterly research personnel activities, financial information, and invoicing for grant-funded projects.
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Northwell Health, Health Welfare Flex Benefit Program Summary Plan Description
PDF template
Comprehensive overview of short-term and long-term disability options for Northwell Health employees administered by Sedgwick and The Hartford.
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Preauthorized Payment Agreement
PDF template
A form allowing employees to authorize automatic financial deductions for various services through Tower Administrative Services, Inc.
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2024 2025 Northside ISD Medical History
PDF template
Annual medical history form required for student athletes to participate in school sports activities
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Grand Bargain Self Reporting Explanatory Guidance
PDF template
Guidance document for signatories to complete annual self-reporting on humanitarian commitments and progress.
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Narrow Ridge Earth Literacy Center Confidential Health Information And Medical Release Form
PDF template
Comprehensive medical history questionnaire for participants in Narrow Ridge Earth Literacy Center activities, including medical release authorization.
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NATIONAL SCIENCE FOUNDATION POLAR PHYSICAL EXAMINATION
PDF template
Medical examination form for individuals participating in polar research or expeditions, including comprehensive health assessment.
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NSHE SupervisorS Incident Investigation Report
PDF template
A detailed workplace incident reporting form used by the Nevada System of Higher Education to document employee incidents and injuries.
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COVID 19 EMPLOYEE LEAVE REQUEST FORM
PDF template
Form for employees to request leave related to COVID-19 under the Family First Coronavirus Response Act (FFCRA)
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COVID 19 EMPLOYEE LEAVE REQUEST FORM
PDF template
A form for employees to request leave related to COVID-19 circumstances under the Consolidated Appropriations Act, 2021
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Nuisance Complaint Form
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A form for reporting nuisance complaints to the local health department, allowing citizens to document potential health or safety issues.
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New Student Athlete Health History Questionnaire Form
PDF template
Confidential medical history questionnaire for student-athletes at Northwest University, focusing on cardiovascular risk factors and health screening.
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Medical Rehabilitation Nurses Section Referral Form
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A form for documenting medical rehabilitation referrals for injured employees through the North Carolina Industrial Commission.
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CLINICAL ASSESSMENT FORM FIRST YEAR
PDF template
A comprehensive healthcare assessment form for collecting patient medical information, history, and current health status for first-year health sciences students.
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Nursing Student Physical Examination Form
PDF template
Comprehensive medical history and health screening form for nursing students at Freed-Hardeman University
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Nutritional Patient Intake Form
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Comprehensive intake form for collecting patient health, lifestyle, and medical history information for nutritional assessment.
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NORTHWEST DANCE AND ACRO CREDIT CARDACH AUTHORIZATION AGREEMENT
PDF template
Authorization form for automatic monthly payments for dance studio services from August through June.
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Continuation Of Disability Claim Form
PDF template
A form for reporting ongoing disability status, medical treatments, and work return details for an insurance claim.
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NYS School Health Examination Form
PDF template
Required health examination form for New York State school students documenting medical history and physical assessment.
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Required NYS School Health Examination Form
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Comprehensive health examination form for New York State school students documenting medical history, physical exam, and health status.
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New York State Continuing Teacher And Leader Education (CTLE) Professional Development Continuing Ed
PDF template
Instructions for obtaining continuing teacher education credits for professional development events conducted by the IIRP in New York State.
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NYU Expense Reimbursement Form
PDF template
Form for NYU employees to request reimbursement of business expenses or clear cash advances.
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Agency Policies And Procedures Manual Chapter 11. Leave And Absences
PDF template
Comprehensive policy detailing employee leave record management and responsibilities for maintaining accurate electronic leave system entries in the Office of the Attorney General.
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Oath And Consent Form
PDF template
Application form for teacher education licensure program, requiring disclosure of criminal history and personal information.
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Patient Medical History Form
PDF template
A comprehensive form for capturing patient's current health status, medical conditions, medications, and medical history.
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Training Attendance Form
PDF template
Official record of employee attendance for a training course on Concur/OBT system
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DAILY ATTENDANCE FORM
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A form for recording daily attendance, arrival and departure times, and health observations for children in a childcare setting.
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Application For Employee Refund Of Occupational Taxes Withheld
PDF template
Form for employees to request refund of occupational taxes withheld in Warren County, Kentucky.
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Occupant Interview Form
PDF template
A form designed to collect detailed information about occupant health symptoms and potential environmental factors in a building or workplace.
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Notice Of Accidental Injury Or Occupational Disease
PDF template
Official form for reporting workplace injuries or occupational diseases to the New Hampshire Department of Labor
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Employee Medical Condition Questionnaire
PDF template
Comprehensive medical history and health status form for employees, covering medical conditions, treatments, and workplace accommodations
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Contract Payment Checklist
PDF template
Detailed instructions for contractors submitting payment requisitions to the City of Miami, specifying required documentation and submission process.
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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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Trinity College Outdoor Programs Medical History Form
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A comprehensive medical history form for participants in Trinity College outdoor programs, designed to assess health risks and preparedness for wilderness activities.
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Expense Reimbursement Form
PDF template
A form for employees to submit detailed expense claims with receipts for reimbursement.
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Office Self Inspection Form
PDF template
A standardized form for conducting annual safety inspections of individual office workspaces to comply with Cal/OSHA regulations.
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Official Personnel Folder (OPF) Request Form Instructions
PDF template
Detailed instructions for requesting and accessing an Official Personnel Folder through the Department of Compensation and Human Resources (DCHR)
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Off Year Visit Checklist
PDF template
A comprehensive checklist for ensuring child care facility safety, covering emergency preparedness, health, and environmental standards.
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EmployeeS Withholding Exemption Certificate
PDF template
Official tax form for declaring employee withholding exemptions in Ohio
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OHSC Safety Inspection Form
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Comprehensive safety inspection form covering exiting, tools and equipment, and fire safety across various building areas.
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Hazard Inspection Hazard Identified Report Form
PDF template
A comprehensive form for reporting and assessing workplace safety hazards and recommended corrective actions.
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Audit Of Employee Expense Reimbursement New ACH Payment Process
PDF template
An internal audit examining the new ACH payment process for reimbursing employee expenses at the Delaware River Port Authority.
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On The Job Injury Illness Program Incident Report Form
PDF template
A comprehensive form for documenting workplace, student, or visitor incidents involving injury or illness at the organization.
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Followup Patient Intake Form
PDF template
A comprehensive medical form for tracking patient status, medications, pain levels, and post-operative health details.
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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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OMRF Online Timesheet Forms How To Submit Your Exempt Timesheet
PDF template
Step-by-step instructions for submitting an exempt timesheet through the OMRF online system.
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OMRF Online Timesheet Forms
PDF template
Instructions for non-exempt employees submitting timesheets through the OMRF online system.
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OMSI Outdoors Health And Medical Form
PDF template
A comprehensive health and medical form for students and adults participating in OMSI Outdoors programs, collecting personal, medical, and emergency contact information.
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On Duty Death Or Catastrophic Injury To City Of Pittsburgh Employees
PDF template
Policy outlining procedures and support for handling employee deaths or catastrophic injuries in the line of duty, including notification and benefits processes.
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Online Invoice Form Instructions
PDF template
Instructions for completing an online invoice form for reporting accounts receivable at Millersville University.
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Request For Authorization Of Out Of Country Travel
PDF template
Official form for University of Louisville employees seeking approval for international travel, requiring departmental and administrative signatures.
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Vision Plan Out Of Network Claim Form
PDF template
Form for employees to submit out-of-network vision care expenses for reimbursement from their employer's vision plan.
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Direct Deposit Authorization Agreement
PDF template
A form to authorize automatic deposit of recurring income into a Fremont Bank account through ACH credits.
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Texas Tech University HSC El Paso Requisition Form Identification Security Access
PDF template
Form for requesting a new or modified security access badge for Texas Tech University Health Sciences Center employees and volunteers.
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LEAVE REQUEST FORM
PDF template
A form for employees to request time off, documenting leave type, dates, and obtaining necessary approvals.
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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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QuarkNet Opportunities Feb Mar 2022
PDF template
Information about virtual teacher institutes, mini-grants, and stipends for QuarkNet program participation
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Student Drug Testing Consent Form
PDF template
A consent form for parents and students participating in the school district's mandatory drug testing program for students involved in extracurricular activities.
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Performance Improvement Plan
PDF template
A formal document for addressing employee performance issues and outlining specific improvement steps for unsatisfactory performance.
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Oral Health Assessment Form
PDF template
Mandatory dental health assessment form for children entering public school in California, documenting oral health status and compliance with state education code.
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Oral Health Assessment Form
PDF template
A mandatory form for documenting children's dental health status upon entering public school in California.
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Oral Health Assessment Form
PDF template
Required dental assessment form for children entering public school in California, documenting oral health status and check-up compliance.
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NON UNIFORM EMPLOYEE DISCIPLINARY ACTION FORM
PDF template
A formal document used to record an oral disciplinary warning for a non-uniform employee, detailing the reason for reprimand and potential consequences.
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Order Cancellation Form
PDF template
A form used to request cancellation of an entire MLE order with specific requirements and reasons for cancellation.
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Order Invoice Form
PDF template
An order form for purchasing the 2023-2024 South Dakota County Directory from the state association of county commissioners.
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Medical Form
PDF template
Confidential medical form for collecting student health information prior to educational travel programs, enabling emergency preparedness and medical screening.
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Pedicab Medical Form
PDF template
A medical examination form to determine physical fitness for pedicab operation, completed by a licensed physician.
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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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Health Examination Form
PDF template
A comprehensive medical history and physical examination form for students entering the Occupational Therapy Assistant program at Delgado Community College.
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Leave Request Form
PDF template
A form for employees to request leave for various reasons, excluding Family Medical Leave (FMLA)
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OtolaryngologyENT Medical History Form
PDF template
Comprehensive medical history form for children visiting an Ear, Nose, and Throat (ENT) specialist, collecting patient details, medical history, medications, and allergies.
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Otolaryngology Head And Neck Surgery Patient Medical History Form
PDF template
Comprehensive medical history form for patients visiting an Ear, Nose, and Throat (ENT) clinic, collecting patient details, medical conditions, and past surgical history.
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EXTRA WORKOVER TIME PRE APPROVAL FORM
PDF template
A form used by employees to request and receive approval for additional work hours beyond standard schedule.
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Out Of Network Pre Authorization Form
PDF template
A form required for patient admission for substance abuse or mental health treatment outside of network healthcare providers.
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OVERTIMECOMPENSATORY TIME PRE AUTHORIZATION FORM
PDF template
A form for non-exempt employees to request and obtain pre-authorization for overtime or compensatory time work beyond 37.5 hours per week.
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OVERTIME PRE AUTHORIZATION FORM
PDF template
A form for employees to request and receive prior approval for working overtime hours beyond the standard 40-hour work week.
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Overtime Pre Authorization Form
PDF template
A form for employees to request and obtain pre-approval for working overtime hours beyond their standard work week.
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OVERTIME PRE AUTHORIZATION FORM
PDF template
A formal document for employees to request and obtain pre-approval for overtime work beyond standard 40-hour work week.
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Employee Enrollment Form
PDF template
A comprehensive form for employees to enroll in or waive health insurance coverage with detailed personal and employment information.
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Aftercare Plan Summary And Discharge Form
PDF template
A comprehensive form for documenting patient discharge details, medical referrals, and post-discharge care instructions for mental health facilities.
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P 14 Evaluation Form
PDF template
A performance review document for evaluating employee progress and development at Thomas Nelson Community College.
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PAC Physical Examination Form
PDF template
Comprehensive medical assessment form for documenting a child's physical health, medical history, and screening results.
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Request For Paid Sick Leave Staying Home Or Self Quarantining Based On Medical Advice Because Of Co
PDF template
A form for employees to request paid sick leave under the Families First Coronavirus Response Act for self-quarantine based on medical advice.
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Time Off Request Form
PDF template
A form for employees to request time off, specifying leave type and dates, requiring manager approval and HR submission.
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City Of Palo Alto Direct Deposit Form
PDF template
A form for employees to set up or modify direct deposit banking information for payroll purposes.
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Pandemic Flu Health Education Materials Order
PDF template
Order form for multilingual pandemic flu health education posters provided by Los Angeles County Department of Public Health
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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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Supplementary Health Form
PDF template
A health screening form for foreign nationals applying for a PNG visa, focusing on COVID-19 exposure and symptoms
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Parental Consent Form
PDF template
A consent form for parents to authorize counseling services for their child at the University of North Texas Counseling and Testing Services.
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Parental Consent Form
PDF template
A consent form for parents to authorize counselling services for their children by Positive Kids Inc., detailing confidentiality parameters.
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Parental Leave Request Form
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A form for employees to request parental leave, documenting eligibility and leave details for state service employees.
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Parental Consent Health Declaration Form
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A comprehensive form for parental consent and emergency contact information for students traveling to educational programs.
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Utah State Board Of Education ParentGuardian Consent Form Maturation Instruction
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Parental consent form for student participation in puberty and reproductive health education program as outlined by Utah State Board of Education.
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NYS ELL Parent Hotline Inquiry Form
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A form for parents to request services and information about their child's English Language Learning status and support.
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St. James Preschool ParentPhysician Medical Form 20212022
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Medical form for child enrollment at St. James Preschool, requiring parent and physician details and health verification.
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FORM 0939 Payment Adjustment Cancellation Form
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A form for employees to adjust or cancel parking payments and permits at Johns Hopkins institutions.
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Parking Authorization For Payroll Deduction
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A form allowing employees to authorize automatic parking fee deductions from their paycheck on a pre-tax basis.
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Part 2 Interview For Strong Candidates
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Interview guide for evaluating clinical candidates' approach to complex behavioral health scenarios with a focus on person-centered care.
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Participant Medical Form
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Medical form for children's summer recreational program documenting health status and medical clearance from a licensed healthcare provider.
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Quarterly Report And Participant Supplemental Invoice Form
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A form for reporting quarterly grant activities, participant details, and supplemental invoicing for educational programs.
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Njearnedsickleaverequestform 022519
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A form for part-time employees to request sick leave under the New Jersey Earned Sick Leave Law
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University Of California, Santa Cruz Employee Vanpool Passenger Agreement
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An agreement detailing the terms and conditions for employees participating in the University of California, Santa Cruz Vanpool Program.
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Passport ECLAIM Webcast Transcript
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A webcast transcript explaining the Passport eClaim online system for submitting funding claims and invoices for developmental services.
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PASSPORT PURCHASE OF SERVICE INVOICE FORM
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A form for reimbursing service providers for support services under the Passport Program for individuals with disabilities.
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PATH Annual Reporting Guide
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A comprehensive guide for providers to complete annual reporting requirements for the Projects for Assistance in Transition from Homelessness (PATH) program.
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Patient Confidential Medical History Form
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Comprehensive patient medical history form gathering information about health status, medical conditions, medications, and family history.
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Patient Contact Form
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Comprehensive form for collecting patient personal information, contact details, medical history, and symptom assessment.
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Patient Services Feedback Form
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A form designed to collect patient feedback and experiences with Student Health & Counseling Services across various departments and clinics.
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Family Medicine Patient Intake Form
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Comprehensive medical intake form for patients to report current symptoms, health concerns, and medical history
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Patient Intake Form
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Comprehensive medical intake form for collecting patient personal, medical, and health history information.
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PATIENT INTAKE FORM
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Comprehensive medical form for collecting patient health history, personal background, and lifestyle information.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient health history, contact information, and medical details.
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Patient Data Form
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Comprehensive patient demographic and personal information collection form for healthcare services.
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Patient Intake And History Form
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Comprehensive patient medical intake form for collecting personal and health history information at Meeker Family Health Center.
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Patient Information Form
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Comprehensive medical intake form collecting patient personal details, medical history, and insurance information.
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Medical History Form
PDF template
Comprehensive medical history form capturing patient health details, medical conditions, and personal health information.
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Patient Medical History Form
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Comprehensive medical history form for patients to document health conditions, medications, allergies, and family medical history.
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Patient Medical History Form Pre Anesthesia Clinic
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Comprehensive medical history questionnaire for patients preparing for surgical procedures, collecting detailed health information across multiple medical domains.
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Application For Service Dog
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Comprehensive application form for individuals seeking a service dog from Paws-Ability, Inc., requiring multiple supporting documents and personal information.
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Direct Deposit EnrollmentChange Form
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A form for employees to enroll in or modify direct deposit banking information for payroll purposes.
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Direct Deposit Of Payroll
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A guide for employees to set up direct deposit of payroll with instructions on account selection and verification.
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Annual Domestic Tax RenewalsExpirations 2023
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Procedure for handling employee tax status and W-4 form renewals for federal and state tax documentation in 2023-2024.
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Payment And Ownership Declaration Form
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A form for establishing or changing ownership and agent information for Section 8 housing assistance payments.
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Absence Correction Form (Form AM 634)
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A form used by employees to correct or update absence records, specifying leave types and details for a specific month and year.
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UAB E MPLOYEE PAYROLL DEDUCTION AUTHORIZATION
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Form for UAB employees to authorize payroll deductions for Campus Recreation membership with various membership types and rates.
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TWU Employee Giving Payroll Deduction Form
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A form for TWU employees to set up monthly payroll deductions for various university support funds
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Employee Payroll Deduction Gift Authorization Form
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A form for Western Illinois University faculty and staff to authorize charitable payroll deductions to the WIU Foundation.
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Payroll Deduction Cancellation Form
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A form for employees to request cancellation of specific payroll deductions through the Payroll and Benefits Division.
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Campus Payroll Deduction Form
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A form for employees to set up ongoing payroll deductions for charitable fund contributions
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Contribution By Payroll Deduction Authorization
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A form allowing employees to authorize charitable contributions through payroll deductions to various hospital and medical programs.
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Payroll Deduction Form
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Form for employees to authorize monthly charitable donations through payroll deductions to the COC Foundation.
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Payroll Deduction Form For Parking Registration
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A form for university employees to register vehicles and authorize payroll deductions for parking fees based on salary tier.
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Payroll Deduction Form
PDF template
A form for employees to authorize automatic payroll deductions for charitable donations to the university
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PAYROLL DEDUCTION AUTHORIZATION FORM
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A form allowing employees to authorize payroll deductions and specify deduction details for DePauw University.
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PAYROLL DEDUCTION AUTHORIZATION
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Form allowing employees to authorize, modify, or cancel payroll deductions at Pensacola State College.
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Employee Payroll Deduction Form
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A form allowing employees to authorize recurring payroll deductions for charitable donations to the Healing Hand Foundation.
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JALC PAYROLL DEDUCTION FORM
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A form for employees to start or modify payroll deductions to the John A. Logan College Foundation.
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Stockbridge Munsee Community Employee Payroll Deduction Request Form
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A form for employees to request payroll deductions for various services and accounts within the Stockbridge-Munsee Community.
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Payroll Deduction Form
PDF template
A form allowing employees to authorize voluntary monthly payroll deductions to various college foundation funds and scholarships.
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Southern Employee Giving Form
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A form for Southern employees to make charitable donations through payroll deduction, credit card, or check to support various university funds and initiatives.
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Canton College Foundation Payroll Deduction Form
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A form allowing employees to authorize bi-weekly payroll deductions for donations to the Canton College Foundation.
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Employee Gift Payroll Deduction Form
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Authorization form for NYIT employees to set up automatic payroll deductions for charitable donations
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CITY OF KENOSHA AUTHORIZATION AGREEMENT FOR PAYROLL DIRECT DEPOSIT
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A form authorizing the City of Kenosha to deposit employee payroll directly into a designated bank account.
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Change Of Address Form
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A form for updating personal contact information and address details for payroll and HR records.
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Payroll Direct Deposit Form
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A form for employees to set up or modify direct deposit of payroll earnings to primary and secondary bank accounts.
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Direct Deposit Form ACC PYD001
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An official form for government employees to set up, change, or cancel direct deposit of payroll funds.
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Payroll Direct Deposit Authorization Form
PDF template
A form for employees to authorize direct deposit of their payroll earnings to a designated bank account.
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Payroll Direct Deposit Form
PDF template
Form for employees to set up or modify direct deposit banking information for payroll at Fordham University.
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Direct Deposit Authorization
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Form for employees to set up electronic payroll deposits to bank accounts at Polk State College.
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Faculty Staff Contribution Form
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A payroll deduction form for University of Alaska Anchorage employees to make charitable contributions to various university funds and programs.
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Wilberforce University Payroll Policies And Procedure
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Comprehensive guidelines for payroll processing, employee compensation, and payroll department operations at Wilberforce University.
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Timesheet Instructions
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Comprehensive instructions for submitting payroll timesheets, including required documents and submission procedures for stipend payments.
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Payroll Withholding Form HSA
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A form for employees to specify monthly Health Savings Account (HSA) payroll contributions for Murray City School District.
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ACH AuthorizationDirect Deposit Form
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A form for students to authorize electronic deposit of funds into their bank account at the university.
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NEW ENROLLMENTCHANGE FORM
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A form for employees to enroll in or modify flexible spending account (FSA) and dependent care spending account benefits.
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Purchase Card Training Attendance Form
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Attendance tracking document for a purchase card training session conducted by the Office of Management and Enterprise Services.
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PTSD Checklist For DSM 5 (PCL 5)
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A standardized screening tool for assessing post-traumatic stress disorder symptoms based on DSM-5 criteria.
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Program Directive A 266
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A directive outlining Oregon OSHA's procedures for accessing and protecting employee medical records with privacy considerations.
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PATIENT MEDICAL HISTORY FORM
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A comprehensive medical form for collecting patient health information, medical conditions, and current medications.
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Pre Travel Form
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Comprehensive form for collecting personal and travel details to assess health risks and preparation for international travel.
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Miscellaneous Cancellation Form
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A form for employees to cancel insurance or annuity policies through their employer's benefits office.
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Custom Benefits Session Request
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A form for employees to request a custom benefits information session with specific details about the event, audience, and resources needed.
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Miscellaneous Cancellation Form
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A form for UNC Health Care System employees to cancel insurance or annuity policies with specific details about policy types and premium amounts.
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Direct Deposit Authorization Form
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Form for employees to provide bank account details for automatic payroll deposit and email notifications.
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Payroll Deduction Form
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A form allowing WesternU faculty and staff to authorize voluntary payroll deductions for scholarship donations.
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Professional Development Reimbursement Form
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A form for private school teachers to request reimbursement for professional development training expenses and provide feedback on the training.
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Medical History Form Forma De Historia Mdica
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A bilingual medical history form for collecting pediatric patient health information and medical background.
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Pediatric Health Risk Assessment Form
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A health risk assessment form for pediatric patients under Partnership HealthPlan of California to understand a child's health and wellness needs.
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Pediatric Health Risk Assessment Form
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A health assessment form to collect information about a child's health, wellness needs, and potential difficulties in daily activities.
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Ear, Nose Throat Consultants Tongue Tie Medical History Form
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Comprehensive medical history form for pediatric patient evaluation focused on tongue tie assessment and related medical conditions.
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4 Session Booking Form
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A form for booking specialized educational sessions for a Girlguiding unit, covering topics like gender stereotypes, resilience, and body confidence.
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Peer Wellness Educator Program Volunteer Application Form
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Application form for students interested in volunteering as peer wellness educators to support campus health and wellness initiatives.
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Payroll Deduction Authorization Form
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Employee authorization form for pension plan payroll deductions at Lac Courte Oreilles Ojibwe University
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Employee Enrollment Form Defined Contribution (RSVP And Lay DC) Plans
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Comprehensive form for employees to enroll in defined contribution retirement plans, capturing personal, employment, and compensation details.
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Vacation Request Form
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A form for employees to request and receive approval for vacation time from their supervisor.
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Employee Change Of Address Form
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A form for City of Chicago employees to update their residential address and confirm residency requirements.
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PGBS Per Diem Reimbursement Form
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A form for employees to request per diem reimbursement for travel expenses, including meals, lodging, and incidental costs.
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Staff Performance And Development Review Performance Improvement Plan
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A formal document for tracking and addressing employee performance issues and improvement strategies
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University Of Washington Employee Performance Evaluation (For Classified Staff)
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A performance evaluation document for classified staff employees at the University of Washington, providing instructions for electronic completion.
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City Of Little Rock Performance Evaluation Form
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A comprehensive performance evaluation form for city employees with rating categories and organizational citizenship assessment.
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Performance Review Form
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A comprehensive form for managers to assess an employee's work performance across multiple skill categories and provide ratings.
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Performance Feedback Process For Non Supervisor Non Management Positions
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A performance evaluation document for non-supervisory city employees to set goals and provide feedback on job performance.
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Performance Management Policy And Procedure
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A comprehensive policy detailing the process of employee performance evaluation and management throughout the year.
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Performance Management And Evaluation Policy
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A comprehensive policy outlining the university's approach to employee performance evaluation, feedback, and improvement processes.
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EMPLOYEE PERFORMANCE REVIEW FORM
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A comprehensive form for documenting employee achievements, work plans, professional development, and performance expectations.
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Performance Review Form
PDF template
A comprehensive document for assessing employee job performance, setting development goals, and documenting performance review discussions.
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Greater Napanee Performance Review Form
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A comprehensive performance evaluation document for assessing employee performance across core duties, goals, and behavioral competencies.
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Angelo State University Performance Review Form For Staff Employees
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A comprehensive performance evaluation document for staff employees at Angelo State University, used to assess job performance and provide feedback.
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Student TE Performance Review Wisconsin Union
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A comprehensive performance evaluation form for student and temporary employees at the Wisconsin Union, covering various job performance aspects.
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Performance Review Instructions
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Comprehensive document detailing performance review process and expectations for employees and supervisors at Washington College.
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Performance Review Form
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A comprehensive form for evaluating employee performance across multiple competency areas with a standardized rating scale.
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Perinatal Hepatitis B Prevention Initial Report Delivery Form
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A medical form for reporting and tracking infants born to mothers with Hepatitis B surface antigen positive status.
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PERSONAL INFORMATIONEMERGENCY CONTACT FORM
PDF template
A form for collecting employee personal information, contact details, and emergency contact information for personnel records.
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Personal Leave Request Form
PDF template
A form allowing employees to request personal leave for specific qualifying reasons such as school events, religious holidays, or bereavement.
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Personal Leave Of Absence Request Form
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A comprehensive form for employees to request a personal leave of absence, detailing time off type, dates, and approvals.
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Personal Medical History Form
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Comprehensive medical history form for students to document health conditions, allergies, and medical background for program enrollment.
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Personal Service Contract Invoice Form
PDF template
Detailed instructions for completing a personal service contract invoice form for a university, outlining key contract preparation guidelines.
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Personal Service Contract Invoice Form
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Instructions for completing a personal service contract, covering contract details, payment terms, and service specifications.
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Personal Survey Form
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Form for documenting radiation exposure and contamination during radioactive material handling.
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Personal Training Inquiry Form
PDF template
A form for individuals seeking personal training services to provide background information and training preferences.
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TRAVEL FORM
PDF template
A form for employees to document travel details and obtain HR approval for work-related or vacation travel.
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PERSONNEL ACTIONCHANGE OF ADDRESS FORM
PDF template
A comprehensive form for documenting personnel changes, transfers, and employee address updates within an organization.
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Personnel Appointment Form
PDF template
A comprehensive form used by Human Resource Services for documenting new employee information, job details, and appointment specifics.
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PERSONNEL FILE INSPECTIONCOPY REQUEST FORM
PDF template
A form allowing employees or their designated representatives to inspect or obtain a copy of their personnel file with specific terms and conditions.
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Employee Appeal Process And Personal Grievance Process
PDF template
Official procedure for employees to file and appeal disciplinary actions and personal grievances within Webb County Civil Service system.
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SCS Performance Evaluation System Planning Evaluation Form
PDF template
A comprehensive form for documenting employee performance planning and evaluation sessions across multiple steps and levels of review.
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SCS Performance Evaluation System Planning Evaluation Form
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A comprehensive employee performance evaluation document with sections for planning and final evaluation sessions.
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Petition To Return Health Evaluation Form
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Form for students seeking to return to UNC Charlotte after a medical withdrawal, requiring health provider documentation of recovery and readiness to resume studies.
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Physical Education Waiver
PDF template
Medical form for students seeking exemption from physical education classes based on health provider's certification of physical limitations.
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ChildrenS Community Based Services Referral Form
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A comprehensive referral form for children's community-based mental health and support services in Philadelphia.
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Policies And Procedures 303 Accounts Payable Consultant Activity
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Guidelines for processing payments to consultants for services rendered, with specific procedures for payments over and under $5,000.
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Consent To Disclose Personal Health Information
PDF template
A legal form authorizing the disclosure of personal health information in compliance with the Personal Health Information Protection Act (PHIPA)
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Student Health Center Document
PDF template
Document related to student health services at North Carolina A&T State University.
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School Sports Pre Participation Examination Part 1
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Medical history and physical examination form for students participating in school sports activities.
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Required NYS School Health Examination Form
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Comprehensive health examination form for students in New York State, covering medical history and health assessments.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for athletes to assess physical fitness and health status prior to participation in sports activities.
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PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for NCAA athletes and students, documenting health history and current medical status.
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Physical Examination Form
PDF template
Comprehensive medical examination form for students, including health screening and sports clearance details.
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NORTH CEDAR COMMUNITY SCHOOL DISTRICT HEALTH SERVICES MEDICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for students, capturing health history, physical examination details, and screening information.
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Physical Examination Form
PDF template
Medical form documenting a student's health status and physical examination required by Saint Louis Archdiocese Health Advisory Committee for school enrollment.
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Physical Examination Form
PDF template
Comprehensive medical examination form for students, including general health assessment and athletic participation clearance.
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Physical Examination Form
PDF template
A form to be completed by a healthcare provider detailing a participant's physical examination and medical details.
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Physical Examination Form For Driver
PDF template
Medical examination form to assess a driver's physical fitness and ability to safely operate a vehicle, specifically for school bus drivers.
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PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical evaluation form for students participating in school sports activities
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YMCA Camp Takodah PHYSICAL EXAMINATION FORM
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Medical form for assessing a child's health and fitness for participation in summer camp activities.
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Alabama Independent School Association Physical Examination Form
PDF template
A comprehensive medical examination form required for students participating in interscholastic athletics in Alabama.
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Sports Clearance Form
PDF template
Medical examination form for intercollegiate and NCAA athletes to document health status and clearance for sports participation.
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Nursing Student Health Examination Form
PDF template
A comprehensive health examination form for nursing students documenting medical clearance, TB testing, and immunization records.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical screening form for assessing an individual's physical health and fitness for participation in activities.
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HISTORY FORM
PDF template
Comprehensive medical history and health screening form for athletes to complete prior to participation in sports activities.
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ALABAMA INDEPENDENT SCHOOL ASSOCIATION PHYSICAL EXAMINATION FORM
PDF template
A comprehensive medical examination form for students participating in interscholastic athletics, completed by a physician to certify student fitness for sports.
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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
PDF template
Medical screening form for student-athletes to assess physical fitness and health conditions prior to sports participation.
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Physical Examination Form Pre K Grade 5
PDF template
Medical form for recording student health history, physical examination details, and vaccination records for pre-kindergarten through fifth-grade students.
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Student Physical Education Medical Clearance Form
PDF template
Medical form for assessing student's physical capabilities and participation in physical education activities.
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PhysicianS Approval Form
PDF template
A form requiring physician verification of a patient's medical fitness to participate in physical activity programs at a fitness center
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PhysicianS Approval Form
PDF template
A medical form for health verification and clearance for participation in fitness programs, required for members with specific health conditions or over 70 years old.
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Physician Authorization Form
PDF template
Medical form for documenting participant health status and program participation eligibility for special recreation services.
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Physician Examination Form
PDF template
A comprehensive medical form for camp participation requiring detailed health assessment by a licensed medical professional.
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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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OHSU Outpatient Psychiatry Clinic Referral Form
PDF template
A comprehensive referral form for patients seeking psychiatric services at OHSU's Outpatient Psychiatry Clinic, requiring detailed patient and provider information.
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Physician Report Form
PDF template
A comprehensive medical examination form for students entering healthcare training programs to verify physical fitness and health status.
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HEALTH FORM
PDF template
Medical form for assessing a child's fitness to participate in camp activities, documenting health history, immunizations, and physical examination details.
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Placement Assistance Request Form
PDF template
A comprehensive form for IIBMS graduated students seeking placement assistance and job support services.
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Notice Of Claim For Short Term Disability Benefits
PDF template
A form for employees to file a claim for short-term disability benefits with insurance details and medical information.
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Hockey Canada Medical Information Sheet
PDF template
Comprehensive medical information form for hockey players to document health history and potential medical conditions.
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Professional Liability Insurance Form
PDF template
Insurance enrollment form for Texas retired teachers returning to work in public schools, providing professional liability coverage.
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PROFESSIONAL LIABILITY INSURANCE FORM
PDF template
Insurance application for retired teachers returning to work in public schools, providing professional liability coverage through the Texas Retired Teachers Association.
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Private Lesson Scholarship Teacher Student Evaluation Form
PDF template
Confidential form for music teachers to evaluate students applying for private lesson scholarships with Eugene-Springfield Youth Orchestras.
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