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MEDICAL INFORMATION AND RELEASE FORM
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A comprehensive medical form for participants in Hartwick College Challenge Programs, collecting health information and liability acknowledgment.
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A form for students to appeal their academic progress status and request continued financial aid eligibility by explaining extenuating circumstances.
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Requisition Form
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Comprehensive medical form for patient demographics, insurance information, and diagnostic specimen collection details.
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ATA Annual Meeting Refund Request Form
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Official form for requesting refunds for the American Thyroid Association's 89th Annual Meeting registrations and associated events.
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Youth Sports Camps Clinics Audit Form Addition Of Camps
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Insurance form for auditing or adding youth sports camp sessions with liability and medical payment coverage options.
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Body Art Establishment Registration Or Tanning Facility Permit Application
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Application form for registering body art establishments or obtaining tanning facility permits in Illinois
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Park District Refund Request Form
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A form for requesting refunds for park district recreation programs, one-day events, and ParkSchool programs with specific refund guidelines and service charges.
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APPENDIX 3 DIVING MEDICAL HISTORY FORM
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Comprehensive medical screening form for assessing an individual's fitness for scuba diving activities by documenting medical history and potential health risks.
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Genetics Referral Form
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A medical referral form for patients seeking genetic counseling and potential genetic testing services.
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Residential Rental Contract
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A standard residential rental contract for leasing property in North Carolina, detailing lease terms, rent, fees, and tenant obligations.
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MEDICAL HISTORY
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Comprehensive medical history questionnaire to collect patient health information and potential medical conditions.
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Bennett Cerf Dog Park 2019 Membership Form And Release Of Liability
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Annual membership form for Bennett Cerf Dog Park with required information about dogs and owners, including liability release.
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REQUIRED NYS SCHOOL HEALTH EXAMINATION FORM
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Comprehensive health examination form for students in New York State schools, covering medical history and current health status.
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Medical History Form
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Comprehensive medical history form capturing patient health details, previous treatments, and current medical conditions.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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James Madison College 2019 Faculty Retreat
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A comprehensive overview of college administrative policies, staff assignments, travel procedures, and funding resources for faculty.
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Summer Camp Accident Waiver And Release Of Liability Form
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A legal document outlining parent permissions, risks, and liability release for children participating in a summer camp program.
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City Gardens Residential Tenancy Agreement
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A comprehensive tenancy agreement document for rental accommodation in South Australia, outlining tenant rights, responsibilities, and lease terms.
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Waxing Consent Form
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A medical consent form for waxing services that collects client health information and potential skin sensitivity risks.
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Environmental Service Request Form
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A form for requesting environmental health services from the Defiance County General Health District, including property and inspection details.
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Rocky Mountain Biological Laboratory Acknowledgment And Assumption Of Risks Release And Indemnity A
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Legal document outlining risks, activities, and liability release for participants in Rocky Mountain Biological Laboratory programs and research activities.
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Approval Of 2020 2021 College Catalog
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Document summarizing substantive editorial and curriculum changes for Valencia College's 2020-2021 academic catalog.
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ATSG FitBit Activity Tracker Program Purchase Form
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Form for employees to purchase FitBit activity trackers through corporate wellness program with payroll deduction options.
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Citizen And Eligible Non Citizen Verification
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A document for verifying citizenship and immigration status for financial aid purposes at College of the Canyons.
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COVID 19 VACCINE CONSENT FORM
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Medical consent form for receiving COVID-19 vaccination, including patient screening questions and personal information collection.
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Dependency Override Appeal
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Guide explaining student dependency status for financial aid and conditions for requesting a dependency override.
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UNO Housing Lease Contract Cancellation Form
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A form for University of Nebraska at Omaha (UNO) students to cancel their housing lease contract with specific terms and conditions.
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Media Release
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A consent form allowing or denying permission for students to be photographed or recorded for school-related purposes.
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Residential Lease For ODUrent
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A residential lease agreement for rental property in Norfolk, VA, outlining terms, rent, utilities, and tenant responsibilities.
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2020 2021 Dependency Status Petition
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A form for students seeking to be considered financially independent from their parents for financial aid purposes.
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USAV Youth Junior Volleyball Player Medical Release Form
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Medical release and health information form for youth and junior volleyball players participating in the 2020-2021 season.
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Timetable Of Due Process Resolution Procedure
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A formal document outlining the step-by-step process for addressing student disciplinary violations and resolution procedures at a college.
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Military Residency Waiver Request
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A form for U.S. military personnel, spouses, and dependents to request resident tuition rates at Odessa College based on military status.
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Health Insurance Cancellation Form
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A form for Tacoma Employees' Retirement System (TERS) retirees to cancel their health and dental insurance coverage.
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New Patient Intake Form
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Comprehensive medical intake form collecting detailed patient health history, gynecological information, and personal background details.
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Community Education Class Proposal Form
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Form for instructors to propose and submit community education class ideas to LEAP's learning program.
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Medical History Form
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Comprehensive form for collecting detailed patient medical history, including past medical conditions and surgical procedures.
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Seed Insurance Waiver Form
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A waiver form for seed owners to confirm they maintain their own insurance coverage for seeds stored at Ioka Farms facilities.
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New Patient Intake Form
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Comprehensive medical form for collecting new patient information, including personal details, contact information, medical history, and healthcare connections.
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New Patient Intake Form
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Comprehensive medical intake form for capturing patient personal, contact, and medical history information for dental practice.
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Las Positas College Academic Works Application Scholarship Guide
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Guide for Las Positas College students to apply for scholarships through the Academic Works Application system, explaining eligibility, application process, and required documents.
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2020May Youth Participant Waiver
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Legal release of liability and assumption of risks for youth soccer program participation in British Columbia.
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MINOR MEDICAL RELEASE FORM
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Medical release and contact information form for minors participating in the Summit Music Festival seminar program and concert series.
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2020 States 4 H OB Medical Form (Non Japan)
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Medical evaluation form for 4-H international exchange program delegates to assess health and fitness for cross-cultural exchange.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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Medical release and emergency contact form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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2020 Rental Application, Contract And Release
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Comprehensive rental application for facilities at Strawberry Recreation District, covering event details, facility selection, and usage parameters.
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Shenandoah Outdoor Adventure Recreation Health And Medical Form
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Comprehensive health form for participants in Shenandoah University outdoor and adventure recreation programs, collecting medical history and emergency contact information.
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Wheelchair Initial Evaluation Form
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A comprehensive medical form for evaluating a patient's need and suitability for a wheelchair, including medical and functional assessments.
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Rental Application
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Comprehensive form for prospective tenants to provide personal, employment, and financial information for rental property consideration.
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MEDICAL HISTORY FORM
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Comprehensive medical history form collecting details about patient's allergies, environmental sensitivities, and dermatologic conditions.
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Annual Pre Participation Physical Evaluation
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A comprehensive health screening form for student-athletes to assess medical eligibility for sports participation during the 2021-22 school year.
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Citizen And Eligible Non Citizen Verification
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A document for verifying citizenship and immigration status for financial aid purposes at College of the Canyons.
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2021 2022 Dependency Status Petition
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A form for students seeking a dependency override for financial aid purposes, detailing circumstances where parental information may not be available.
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Emergency Medical Form
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Comprehensive medical information and emergency contact form for school students with parent and emergency contact details.
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2021 2022 Dependency Status Petition
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A form for students seeking to be considered financially independent for financial aid purposes when unable to obtain parental information.
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2022 2023 STUDENT EMERGENCY CONTACT FORM
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A comprehensive form for collecting student contact details, emergency contacts, and medical information for school records.
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LACC 2021 2022 College Catalog
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A comprehensive guide for students detailing academic pathways, admission processes, and college programs at Los Angeles City College.
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2021 2022 V4 Verification Worksheet
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A form used by Bluefield College to verify a student's high school completion status and identity for federal financial aid purposes.
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WILDERNESS ADVENTURES ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREEMENT
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Legal document outlining risks, liability release, and participant agreement for Wilderness Adventures outdoor programs.
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POGS Sickness Benefit Application Form
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Application form for members of the Philippine Obstetrical and Gynecological Society to claim sickness benefits
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Warranty Claim Form
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Form for submitting warranty claims for prosthetic products and detailing product and patient information.
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College Houses Contract Cancellation Form
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A form for terminating a housing contract with College Houses, outlining cancellation fees and conditions for contract termination.
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LHA Trust Funds Grant Application Form
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Grant application form for LHA Trust Funds members seeking funding for healthcare-related projects, with a maximum award of $25,000.
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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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Marion County Farm Bureau Scholarship Form
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Scholarship application for high school seniors interested in agricultural studies, offering two $2,000 awards
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Employee Medical Inquiry Form
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Medical form for employees requesting workplace accommodations, to be completed by both employee and healthcare provider to assess disability and potential workplace adaptations.
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2021 States 4 H OB Medical Form (Non Japan)
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Medical history and health assessment form for participants in a cross-cultural youth exchange program.
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Wilderness Activities Release Agreement
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A comprehensive release and assumption of risk document for wilderness activities with OnTop Mountaineering, covering various outdoor sports and potential hazards.
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Cardiology Medical History Form
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Comprehensive medical history form for cardiology patients to document health conditions, medications, and allergies.
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Permission To Participate Medical Treatment Consent And Release, Waiver, And Indemnity Agreement
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A comprehensive form granting permission for a child to participate in church activities and providing medical treatment consent and liability release.
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Rental Agreement Form
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A rental agreement form for ski and snowboard equipment rental at Mohawk Mountain, including personal information, equipment details, and liability waiver.
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Residential Rental Application
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A comprehensive form for potential tenants to provide personal, residence, and employment information when applying to rent a property.
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YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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A medical release form for youth and junior volleyball players to document health information and parental consent for participation.
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Via West Participant Application
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Registration packet for participants with required forms for camp enrollment in 2021.
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Volunteer Excess Liability Insurance Form
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Insurance form for occasional volunteers providing liability coverage for park and community service volunteers
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Walker Waiver Form
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Waiver form for participants in an ALS of Michigan walking event, releasing organizers from liability and granting media usage permissions.
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Rental Application
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Comprehensive form for potential tenants to provide personal, employment, and financial information when applying to rent a property.
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Patient Intake Form
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Comprehensive patient registration and consent form for physical therapy services with contact, insurance, and treatment agreement details.
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Release And Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
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Legal document releasing 3Point0 Studio T from liability for potential injuries or damages during participation in activities.
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2022 2023 Dependency Status Petition
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A form for students seeking to be considered independent for financial aid purposes due to unique family circumstances.
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2022 2023 Dependency Status Petition
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A form for students seeking a dependency override for financial aid purposes, documenting unique family circumstances that prevent obtaining parental information.
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2022 2023 Membership Application
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Comprehensive membership application for youth program registration with detailed member and family information
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ParentGuardian Consent And Medical Release Form For 2022 23 JSMC Youth And Junior Youth Events
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A consent form for parents/guardians to authorize child participation in church youth events and provide medical information
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Privit Profile Instructions For Students
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Comprehensive guide for students to create and complete their digital health record using Privit Profile platform for Wilmington College.
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2022 23 SBHC Patient Intake Form
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Comprehensive medical intake form for patients at Generations Family Health Center, collecting personal, contact, and demographic information.
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LACC 2022 2023 College Catalog
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A comprehensive overview of Los Angeles City College's nine academic and career pathways for students exploring different fields of study.
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Summer Quarter Financial Aid Request Form
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A form for students to request financial aid for the summer quarter at Shoreline Community College, detailing enrollment plans and program information.
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New York FFA Association Waiver, Release Of Liability, Consent To Medical Attention, Authorizations
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Waiver form for New York FFA Association event participation, covering liability, medical consent, and risk acknowledgment.
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2022 23 Financial Aid Cancellation Form
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Form for students to voluntarily decline financial aid at Barstow Community College, including Pell Grant and other aid for specified semesters.
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Claim Form
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A comprehensive claim form for medical reimbursement from GlobeMed Qatar/SEIB insurance network covering various healthcare services.
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Alternate Travel Form
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A form allowing parents to authorize alternative transportation for students from school events or competitions.
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WILDERNESS ADVENTURES ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREEMENT
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Legal document outlining risks, liability release, and participant agreement for wilderness adventure activities.
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POGS MAP Sickness Benefit Application Form
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A form for members of the Philippine Obstetrical and Gynecological Society to apply for sickness benefits for medical and COVID-related conditions.
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BHC Non Surgical Program Registration Form
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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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Harold And Edna Bragg Healthcare Education Scholarship Application
PDF template
Scholarship application for healthcare education students in the Lake Chelan Valley, administered by the Lake Chelan Health & Wellness Foundation.
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Notice Of Privacy PracticeClinics
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A consent form documenting patient acknowledgment of privacy practices and permissions for health information disclosure and communication.
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Adult Medical Release Form
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Medical information and emergency authorization form for adult participants of the Summit Music Festival
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HEALTH ASSESSMENT FORM
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A screening questionnaire to assess potential COVID-19 exposure and symptoms for convention attendees.
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2022 LCC Nursing Application Community Service Volunteer Verification Form
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Form for verifying volunteer hours for applicants to Lane Community College Nursing Program using a supervised community service verification process.
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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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Marion County Farm Bureau Scholarship Form
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Scholarship application for high school seniors interested in agricultural or service-related studies, offering two $2,000 awards.
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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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PATIENTS INTAKE FORM
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Comprehensive medical intake form for patient registration and insurance information at a podiatry medical practice.
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IMPACT GRANT APPLICATION FORM
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A comprehensive form for submitting grant proposals at Ridge Meadows Hospital with detailed sections for applicant information, project summary, and departmental approvals.
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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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Medical Release Form
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Medical consent and emergency contact form for minors attending music camp programs at Sam Houston State University
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Form For Documenting Medical And Physical Disabilities
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A form for healthcare professionals to document student medical disabilities and support academic accommodation requests.
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Auction Procurement Form
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Form for collecting donated items and details for a fundraising auction by Yakima Valley College's Vineyard & Winery Program.
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Application For Scholarship
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Comprehensive scholarship application form collecting personal, educational, and organizational membership details for potential scholarship recipients.
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2023 2024 Dependency Status Petition
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A form for students seeking to be considered financially independent for financial aid purposes, documenting unique family circumstances that prevent obtaining parental information.
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Federal Direct Loan Cancellation Form 2023 24
PDF template
Form for students to cancel or decline federal direct student loans awarded by Middlesex College for the 2023-24 academic year.
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Garden Grove Teen Action Collaborative ApplicantS Information
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Consent and liability waiver form for participants in Garden Grove recreational programs and activities, specifically targeting teens.
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2023 2024 Membership Application
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Application for youth membership program covering the period from July 2023 to June 2024, collecting comprehensive child and family information.
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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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Satisfactory Academic Progress Appeal
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Form for students to appeal academic progress status and request continued financial aid eligibility by explaining extenuating circumstances.
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NACSW Frequent Volunteer Reward Program
PDF template
Form detailing guidelines for earning additional trial entry draws through volunteer service at NACSW events.
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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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2023 24 Appeal For Independent Status
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A form for students seeking to be considered financially independent for federal student aid purposes by demonstrating extenuating circumstances.
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ASCVTS Bundang Thoracic Fellowship Program Application Form
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Application form for medical professionals seeking a fellowship in cardiovascular and thoracic surgery with the Asian Society for Cardiovascular and Thoracic Surgery.
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DNRC General Clauses To Emergency Equipment Rental Agreement
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A rental agreement for emergency equipment with specific terms and conditions for equipment usage during incidents.
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DNRC General Clauses To Emergency Equipment Rental Agreement
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Standard rental agreement for emergency equipment with detailed clauses covering equipment requirements, liability, and operational conditions.
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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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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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PATIENT INTAKE FORM
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A comprehensive form for patients to complete and schedule appointments at various PanCare Health clinics in Florida counties.
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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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2023 Rechelle Turner Basketball Camps Medical Release Form
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Medical release and consent form for participation in basketball camp, including emergency contact and insurance information.
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YWCA High Point Membership Form
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Membership registration form for YWCA High Point that includes liability release, photo release, and membership terms.
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PW Hong Memorial Fellowship Program Application Form
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Application form for medical professionals seeking a fellowship with the Asian Society for Cardiovascular and Thoracic Surgery
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Brother Joseph Miggins Service Program Proposal Form
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A student proposal form for documenting community service project details and intended service activities.
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Pre Authorization Request Form
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A medical pre-authorization form for healthcare providers to request service approval from UHSM, detailing patient and provider information.
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Pre Authorization Request Form
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A form for healthcare providers to request pre-authorization for medical services from UHSM with detailed documentation requirements.
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Insurance Renewal Memo
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Memo discussing the option to waive statutory tort limits and purchase excess liability insurance for the City of Sunfish Lake.
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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
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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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College Credit Plus Course Registration Form 2024 2025
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Registration form for students participating in College Credit Plus program, allowing high school students to earn college credits.
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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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Federal Direct Loan Cancellation Form 2024 25
PDF template
Form for students to cancel or decline previously awarded Federal Direct Student Loans at Middlesex College for the 2024-25 academic year.
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Garden Grove Teen Action Collaborative ApplicantS Information
PDF template
Waiver and consent form for participating in City of Garden Grove recreation programs, events, or activities for teens.
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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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2024 2025 Private Scholarship Confirmation Form
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Form for students to document external scholarships and grants received for the 2024-2025 academic year at Wisconsin Lutheran College.
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2024 2025 Request For Professional Judgment
PDF template
A form for students to request re-evaluation of financial aid eligibility due to changes in income or family circumstances.
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Special Circumstances Request 2024 2025
PDF template
A form for students to request financial aid reconsideration due to significant changes in family financial situation or extenuating circumstances.
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TAPPS MEDICAL HISTORY FORM
PDF template
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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2024 2025 Sports Qualifying Physical Examination Medical Eligibility Form
PDF template
Medical form for determining student athletes' medical eligibility and participation in high school sports
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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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Colorado College Major Declaration Form
PDF template
A form used by students to officially declare or change their academic major at Colorado College.
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Colorado College Thematic Minor Declaration Form
PDF template
Form for students to officially declare a thematic minor at Colorado College, requiring advisor approvals and course details.
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MEDICAL EXAMINATION FORM
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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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MEDICAL EXAMINATION FORM
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A comprehensive medical examination form to assess physical and mental fitness for participating in motorcycle events.
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2024 Arizona EL Teacher Of The Year Nomination Form
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Nomination form for recognizing outstanding English Language teachers in Arizona for the 2024 award year.
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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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FIDA Application Form
PDF template
Application form for submitting project proposals to the Fund for the International Development of Archives (FIDA), an initiative of the International Council on Archives (ICA).
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Patient Demographic Form
PDF template
A comprehensive form for collecting patient personal, contact, and insurance information for medical services.
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Informed Consent, Voluntary Waiver, Release Of Liability Assumption Of Risks Form
PDF template
Legal consent form for parents/guardians to authorize children's participation in summer youth programs at Clark State College, acknowledging risks and liability waivers.
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Ascension Illinois Influenza Vaccination Billing Form
PDF template
Medical form for collecting patient information for influenza vaccination and billing purposes.
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Social Media Release Form For Minors
PDF template
A legal release form allowing Corning Union High School to use a minor's likeness and information on social media platforms for promotional purposes.
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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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Jersey Shore School Education Foundation Student Scholarship Form
PDF template
A scholarship opportunity for Jersey Shore Area High School graduating seniors pursuing healthcare-related college programs with awards of $1000 for one four-year and one two-year program recipient.
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Merced College Community Education College For Kids Volunteer Form
PDF template
Volunteer application form for high school students interested in assisting with Merced College's summer youth program
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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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HSA Payroll Deduction Form 2024
PDF template
A form for employees to authorize payroll deductions for Health Savings Account contributions with IRS contribution limits and University contribution details.
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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
PDF template
Comprehensive health screening requirements for new medical residents and fellows, including medical history, immunizations, and occupational health screenings.
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Incoming Trainee Timeline August 1, 2024
PDF template
Comprehensive timeline and requirements for incoming medical trainees, detailing necessary documentation and submission processes for licensing and staff appointment.
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Grossmont College Allied Health And Nursing Prerequisite Course Submission Form
PDF template
A form for students to document their prerequisite science and general education courses for allied health and nursing program admission.
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2024 HIGH PERFORMANCE PLAYER WAIVER FORM
PDF template
Waiver and registration form for participants in athletic club activities, covering personal and emergency information along with liability release.
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2024 VILLAGE OF SUTTONS BAY MARINA LEASE AGREEMENT
PDF template
A seasonal lease agreement for marina slip rental in the Village of Suttons Bay, outlining terms, payment, and occupancy conditions for boat slip usage.
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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
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Medical history and physical examination document for racing car drivers to assess fitness and health conditions for licensing.
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Eugene Metro Futbol Club Medical Release Release Of Liability Form
PDF template
Medical and liability consent form for youth soccer player registration and participation in soccer programs.
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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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BOAT NUMBER ACCIDENT WAIVER AND RELEASE OF LIABILITY
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Legal waiver for participants in the Missouri American Water MR340 river race, acknowledging significant physical risks and releasing event organizers from liability.
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GENERAL MEDICALPHYSICAL EXAM FORM
PDF template
Medical examination form for veterans participating in the National Veterans Summer Sports Clinic, to be completed by a clinician.
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20232024 Season
PDF template
Registration and medical information form for volleyball team participants, including contact details, medical history, and insurance information
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St. Charles Park District Registration Form
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Registration form for participating in St. Charles Park District programs and activities, including waiver and participant information.
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2024 North Texas Soccer Tournament Of Champions Team Medical Release Confirmation Form
PDF template
A form confirming that medical release forms for players have been collected and will be available during tournament games.
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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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Provincial Winter Fair Release Of Liability Acknowledgement Of Risk
PDF template
Legal document releasing liability for participants in provincial fair activities involving livestock and events
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2025 Provider Referral Form
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A medical referral form for patients seeking enrollment in weight management or diabetes management programs through the Florida Department of Management Services.
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Media Release Form
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A legal document authorizing AATSP to use photographs, videos, and personal media of an individual or minor for promotional purposes.
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2025 ABC Travelling Fellowship Application Form
PDF template
Application for Canadian orthopaedic surgeons to participate in an international medical exchange fellowship program in the United Kingdom, Australia/New Zealand, or South Africa.
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External And Internal Student Media Release Form
PDF template
A form allowing parents or students to consent to media recording and publication of student images, work, and performances for promotional purposes.
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RENTAL AGREEMENT
PDF template
A comprehensive rental agreement document outlining terms, conditions, and financial obligations between a landlord and tenant for a residential property.
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Disability Insurance Claim Packet Instructions
PDF template
Comprehensive guide for applying for disability insurance benefits through Standard Insurance Company, detailing claim submission process and requirements.
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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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SoonerCareInsure Oklahoma Referral Form
PDF template
A referral form for healthcare providers to refer patients for medical services within the SoonerCare/Insure Oklahoma program.
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Application For Graduation
PDF template
Comprehensive form for students to apply for graduation, covering personal, financial, academic, and placement requirements.
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Request For Authorization To Execute A Lease On Behalf Of Applied Quantum CORE At The INDUSTRY Build
PDF template
Montana State University seeks authorization to lease research space for Applied Quantum CORE in Bozeman, Montana for quantum device development and research.
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Alabama First Class Pre K Program Appendix F DECE Incident Report Form
PDF template
A standardized form for reporting serious accidents, injuries, medical situations, or behavior incidents in the Alabama First Class Pre-K Program.
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2020 Eve Gene Black Summer Medical Career Program FAQs
PDF template
Comprehensive guide for a medical mentor/internship program for students in Los Angeles and adjacent counties
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Everence HSA Contribution Form
PDF template
A form for making individual contributions to a Health Savings Account through Everence Federal Credit Union with tax year specification options.
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Report On Board Report Rescissions
PDF template
Document extending rescission dates for various intergovernmental agreements and lease negotiations until December 15, 2021.
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2.1 Admission And Release
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Detention standard for secure and orderly processing of detainees during admission and release in ICE facilities.
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Apricus Referral Form
PDF template
A comprehensive medical referral form for patient discharge planning and facility care management services.
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Rental Application Form
PDF template
Comprehensive rental application process for obtaining an apartment in Ottawa, detailing required documents and submission guidelines.
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Barton Alcoholic Beverages Service Request Form
PDF template
Form for requesting permission to serve alcoholic beverages at an event at Barton Community College
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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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Children Of Fallen Heroes Scholarship Form
PDF template
Scholarship application for students whose parent or guardian died in the line of duty as a public safety officer.
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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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2022 2023 Outside ScholarshipAward Notification Form
PDF template
A form for students to report external scholarships and awards that will impact their financial aid package at Macalester College.
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Participant Liability Release And Waiver Form
PDF template
A comprehensive liability release form for participants in cheer and dance events organized by Varsity Spirit LLC.
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USA Volleyball Incident Report Form
PDF template
Comprehensive form for documenting injuries or property damage during USA Volleyball events
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Monthly Grant Funding (MGF) Payment Inquiry Form
PDF template
Form for community partner clinics to inquire about missing grant funding payments for enrolled participants.
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Registration Form
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A comprehensive student registration form for course enrollment at Berkshire Community College, collecting personal and statistical information.
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CCS Administrative Procedure 2.30.05 E Confined Space Entry
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Administrative procedure outlining safety protocols and requirements for entering confined spaces at Community Colleges of Spokane.
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Media Release Form
PDF template
A legal document authorizing use of personal stories, images, photos, and videos for advocacy purposes across various media platforms.
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PATIENT FEEDBACK FORM
PDF template
A form designed for patients to provide feedback or file complaints with Big Island Healthcare, allowing anonymous submission and formal review process.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for collecting new patient health information, medical history, and family health background.
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Enrollment Form
PDF template
A comprehensive form for collecting student and family details, including contact information, family history, and hearing loss information.
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Outside Scholarship Reporting Form 2023 2024
PDF template
A form for students to report outside scholarships or changes to existing scholarship information to the Office of Financial Aid.
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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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Wisconsin Youth Soccer Association Event Medical Release Form
PDF template
Medical and liability release form for youth soccer participants, covering medical consent and injury acknowledgment.
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Notice Of Serious Incident
PDF template
Official documentation of a medical incident involving a resident at a behavioral health facility who experienced seizures and required medical transport.
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Public Official Bond Surety Application And Indemnity Agreement
PDF template
A surety application and indemnity agreement for public officials seeking bond coverage through a municipal insurance fund.
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Review Of Proposed Lease For A 1,000 Bed Shelter At Kettner And Vine Site
PDF template
Independent Budget Analyst report evaluating the financial implications of a proposed long-term lease for a 1,000-bed emergency shelter in San Diego.
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COMMONWEALTH OF MASSACHUSETTS CATEGORICAL TUITION WAIVER APPLICATION 2024 2025
PDF template
Application for tuition waiver categories at Cape Cod Community College for eligible students including veterans, seniors, and other special categories.
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Cost Of Attendance Adjustment Form
PDF template
A form for students to request budget review for unusual financial expenses not included in standard financial aid calculations.
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Emergency Contact Form
PDF template
A comprehensive emergency contact and medical information form for high school band and dance students in Fort Bend Independent School District.
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GRANT AID Cancellation Request
PDF template
A form allowing students to voluntarily cancel their federal grant awards for the 2024-2025 academic year at North Central State College.
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Household Information Form
PDF template
Form for collecting detailed household information for financial aid purposes at Macalester College.
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LandlordS Rules For Tenants
PDF template
Comprehensive document outlining tenant conduct, apartment operations, and lease administration rules for a rental property.
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LandlordS Rules For Tenants
PDF template
Comprehensive set of rules and regulations for tenants renting an apartment, covering conduct, lease terms, and property usage guidelines.
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2024 2025 OUTSIDE SCHOLARSHIPAWARD NOTIFICATION FORM
PDF template
A form for students to report external scholarships and awards to Macalester College's Financial Aid Office for financial aid package adjustment.
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Outside Scholarship Reporting Form 2024 2025
PDF template
A form for students to report outside scholarships or changes to existing scholarship information to the Office of Financial Aid.
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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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4 H Equine Lease Agreement
PDF template
A legal document for leasing a horse to a 4-H member, documenting ownership transfer and agreement terms.
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2024 Nomination Form
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A comprehensive nomination form for an award, requiring detailed nominee information and supporting documentation.
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Residential Lease Agreement
PDF template
A standard lease agreement defining terms of tenancy, rent payment, and security deposit for a residential property.
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EOP BEST Summer Bridge Program Application Form
PDF template
Application form for San Diego State University's Educational Opportunity Program (EOP) Summer Bridge residential program for incoming students
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Accommodation Request EmployeeS Serious Health Condition Medical Form
PDF template
A form for employees to request workplace accommodations due to serious health conditions, requiring medical provider verification and details.
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Registration For Risk Purchasing Group (RPG)
PDF template
Official form for registering a risk purchasing group to conduct insurance activities in Wisconsin, as required by state statute.
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Club Sport Waiver 2024 2025
PDF template
Legal waiver for Villanova University students participating in club sports during the 2024-2025 academic year, acknowledging potential risks and releasing the university from liability.
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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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Connecticut Forms Of Organization
PDF template
Comprehensive overview of different organizational forms for businesses and nonprofits in Connecticut, detailing formation requirements, management, liability, and tax considerations.
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UC ANR Waiver
PDF template
A legal waiver for participants attending the 2018 Western Region Leaders Forum events, releasing the University of California from liability for activities and potential risks.
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Rental Agreement
PDF template
A rental agreement outlining terms of tenancy, rent payment, and security deposit for a storage unit or rental property.
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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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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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Non UH Event Or Activity Participant Consent, Waiver, Release And Indemnity Agreement
PDF template
Legal document outlining participant consent, risk acknowledgment, and liability release for non-University of Hawaii events or activities.
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Participant Consent, Waiver, Release And Indemnity Agreement Non UH Event Or Activity
PDF template
A legal consent and release form for participants in non-University of Hawaii events, outlining health representations, risk assumptions, and liability waivers.
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CLAIM FORM FOR HEALTH DEPENDENT CARE EXPENSES
PDF template
A form for employees to request reimbursement for health and dependent care expenses through their Flexible Spending Account (FSA)
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Consent To Publish PicturesTestimonialsRecordingsVideo
PDF template
A legal document granting Algoma University permission to use an individual's pictures, testimonials, recordings, or videos for advertising and informational purposes.
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University Of Kentucky Medical Inquiry Form In Response To An Accommodation Request
PDF template
Medical form used to assess an employee's disability status and potential accommodations under the Americans with Disabilities Act (ADA)
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical form capturing patient personal information, current medications, allergies, and past medical history details.
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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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Laboratory Supply Order Form
PDF template
Form for ordering laboratory specimen collection and shipping supplies for various medical testing needs.
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OREA Form 400 Agreement To Lease
PDF template
Standard lease agreement form used in Ontario for residential property rental transactions.
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30 Days Needs Assessment Form Status
PDF template
Form used to document assessment status and communication attempts with migrant student families within 30 days of initial contact.
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ACORD 35 Cancellation Request Policy Release
PDF template
A standardized form for requesting cancellation or release of an insurance policy, providing clear details and minimal room for miscommunication.
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BOARD OF TRUSTEES OF COMMUNITY COLLEGE DISTRICT NO. 508 AGREEMENTS APPROVED
PDF template
Monthly report of rental, service, and professional agreements approved by college presidents and chancellor
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Greco Properties Community Policies
PDF template
Comprehensive policy document for residents of Greco Properties outlining community living standards, expectations, and procedures.
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Orchard Bridge Apartments Rental Application Form
PDF template
Comprehensive rental application for prospective tenants seeking to lease an apartment at Orchard Bridge Apartments in Manassas, VA.
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Agreements Approved By The College Presidents And The Chancellor Monthly Summary
PDF template
Monthly summary of various service, maintenance, and professional agreements approved by the college presidents and chancellor.
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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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PIP Checklist
PDF template
A comprehensive checklist for healthcare providers to ensure complete documentation and submission of required forms for personal injury protection insurance claims.
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Rotation Assessment Form
PDF template
A medical assessment form for evaluating thoracic spine mobility and potential biomechanical issues.
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Agreements Approved By The College Presidents And The Chancellor
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Report of approved professional services, software license, and maintenance agreements for Community College District No. 508
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AAOS CME SKILLS COURSE REGISTRATION FORM
PDF template
Registration form for AAOS Fundamentals of Knee & Shoulder Arthroscopy course for orthopaedic residents in September 2024.
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Ohio Administrative Code Rule 3344 94 03 Policy
PDF template
Administrative policy outlining safety and communication protocols for university programs involving minors, including emergency procedures and medical considerations.
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Standardized Application For Pathology Fellowships
PDF template
Comprehensive application form for physicians seeking pathology fellowship training at the University of Texas Southwestern Medical Center.
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Administrative Procedure 3810 Claims Against The District
PDF template
Outlines the MiraCosta Community College District's responsibilities and procedures for handling claims involving injuries, property damage, and liability.
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Advanced College Experience (ACE) Application
PDF template
Application form for high school students participating in the Community College of Philadelphia's Advanced College Experience summer 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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Student Evaluation Form 3 (NAAC) Infrastructure Services
PDF template
An evaluation form for students to assess the college's performance across various infrastructure and service parameters.
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ATHLETIC INSURANCE CERTIFICATION FORM
PDF template
A form certifying student insurance coverage for athletic participation at Gateway Middle School
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Incident Report Form
PDF template
A comprehensive form for documenting workplace or program-related incidents, including details about the incident, individuals involved, and follow-up actions.
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MEDICAL HISTORY FORM
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Comprehensive medical form collecting patient personal health information, medical history, family history, and COVID-19 screening details.
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Third Party Academic Transcript Request Form
PDF template
Form allowing students to authorize release of academic records to a specified third party in compliance with FERPA guidelines.
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REENTRY (REPS) SERVICE REQUEST FORM
PDF template
A form used by healthcare providers to request medical services for patients in the California Department of Corrections and Rehabilitation system.
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GENERAL ADMISSIONS
PDF template
Guidelines for admitting students into college programs, evaluating transcripts, and course placement.
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PAXLOVID ORDER FORM FOR OUTPATIENT ORDER SET PER FDA EUA
PDF template
Medical order form for prescribing Paxlovid, an emergency use authorization (EUA) medication for treating mild-to-moderate COVID-19 in eligible patients.
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Volunteer Coaching Release Of Liability
PDF template
Legal document releasing the university from liability for risks associated with volunteer coaching activities.
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Lake Superior College Volunteer Form
PDF template
A form for documenting volunteer details, assignment terms, and consent for volunteers at Lake Superior College.
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HIPAA 404P Authorization To Release Or Obtain Health Information
PDF template
A form for authorizing the release or obtaining of protected health information under HIPAA guidelines.
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Media Release Policy
PDF template
Policy governing the authorization and use of media featuring students, faculty, and staff in public communications.
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System Safety Implementation Plan For The Goddard Space Flight Center Explorers Program Office
PDF template
A comprehensive safety implementation plan for NASA's Goddard Space Flight Center Explorers Program, detailing safety requirements and procedures.
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Vacation Rental Agreement
PDF template
Standard form for vacation rental property lease in North Carolina, defining rights and obligations of tenants and agents.
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Vermont Hills 2500 SF 3BR, 2BA Rental View House
PDF template
Comprehensive rental document for a 2,500 sq ft house in SW Portland, detailing lease terms, fees, and application requirements.
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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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Legal Forms Of Business Organisations An Overview
PDF template
A comprehensive overview of different legal business forms and key considerations for selecting a business structure.
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Consulting PhysicianS Compliance Form
PDF template
Medical form for documenting terminal illness assessment, patient competency, and informed decision-making for end-of-life care.
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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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Medical Service Request Form
PDF template
A form for healthcare providers to request medical services for South Country Health Alliance members with detailed service and patient information.
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American Culinary Federation Salon Competition Agreement Form
PDF template
Legal agreement for culinary competition participants outlining competition rules, liability release, and media usage permissions.
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House Rental Agreement Format In Thailand
PDF template
A comprehensive rental agreement template for residential properties in Thailand, covering lease terms and conditions for tenants and landlords.
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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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SI 2047 Your Disability Benefit Claim
PDF template
Comprehensive guide and forms for applying for disability insurance benefits, including instructions for claim submission and potential benefit reductions.
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Thirty Day Notice To Terminate Rental Agreement
PDF template
Legal form used to formally terminate a rental agreement and provide notice to vacate the premises.
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Maryland Lease Purchase Agreements Package
PDF template
A comprehensive package of legal forms for lease purchase agreements involving real estate transactions in Maryland.
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Amendment To Lease Package
PDF template
Comprehensive package of legal forms for modifying residential and commercial lease agreements in Pennsylvania.
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Out Of Network Reimbursement Form
PDF template
A form for employees to submit out-of-network healthcare service reimbursement claims with detailed patient and service information.
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AP 3C3A(B) Claim For AbsenceTravel Reimbursement
PDF template
Guidelines and process for obtaining reimbursement for authorized travel expenses within the Kern Community College District.
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Sublease Agreement Ontario Template
PDF template
A template for creating a standard residential lease agreement in Ontario, Canada, detailing landlord and tenant rights and responsibilities.
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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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Authorization To Disclose Confidential Information
PDF template
A form authorizing the release of personal medical information to specified parties with details on the type and purpose of disclosure.
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DEALERS OPEN LOT GARAGE KEEPERS LEGAL LIABILITY PROPOSAL FORM
PDF template
Insurance proposal form for automotive dealers, parking lots, and related businesses seeking garage keepers legal liability and dealers open lot coverage.
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Georgia 4 H Participation Agreement And Waiver Form
PDF template
A legal waiver for participants in Georgia 4-H virtual programs, covering liability and consent for program participation.
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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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Suburban Law Enforcement Academy Medical Examination Package
PDF template
Medical examination and approval form for police recruit candidates to assess fitness for law enforcement training program
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare providers.
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M TIBA OUTPATIENT CLAIM AND PRE AUTHORIZATION FORM
PDF template
A comprehensive healthcare claim form for submitting outpatient medical treatment details and seeking pre-authorization for medical services.
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Middlesex School TB Risk Assessment Form
PDF template
A medical form to assess tuberculosis risk for students by evaluating travel history, exposure, and potential testing requirements.
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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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Weekly Disability Claim Form
PDF template
A comprehensive form for reporting disability status and medical information for the Greater St. Louis Construction Laborers' Welfare Fund.
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ILR Emergency Medical Form
PDF template
A comprehensive form for participants to acknowledge risks, provide emergency medical information, and grant permissions for Institute for Learning in Retirement activities.
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Sample Letter For Insurance Claim Property Damage
PDF template
A template document for filing insurance claims related to property damage, covering motor vehicle and other property damage scenarios.
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Disability Claim Application Forms
PDF template
Comprehensive documentation requirements for submitting a disability insurance claim with multiple form and document submission instructions.
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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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Form To Be Filled By Appointee On Stipendiary Assignments Of DJST
PDF template
Application form for candidates seeking stipendiary assignments at Seth G.S. Medical College & K.E.M. Hospital Diamond Jubilee Society Trust
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Chronic Illness Benefit Application Form 2013
PDF template
Medical application form for registering chronic illness benefits with Discovery Health Medical Scheme for the year 2013
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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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UMKC School Of Dentistry Patient Referrals
PDF template
A comprehensive form for referring patients to various dental specialty clinics at the UMKC School of Dentistry.
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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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Tenant And Rental Information Verification Of Rent Paid
PDF template
A form for landlords to verify tenant rental information, including rent paid and housing assistance details.
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Aflac Continuing Disability Claim Form
PDF template
A form for submitting continuing disability claims with Aflac insurance, providing instructions for online form completion and submission.
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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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Lease Agreement
PDF template
A comprehensive lease agreement for residential rental property with multiple term options and fee details.
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Notice Of Intent To Terminate Lease For Non Payment Of Rent
PDF template
Legal notice to tenant regarding unpaid rent with five-day opportunity to pay or vacate the premises before potential eviction action.
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Textbook Agreement Form
PDF template
A form for dual enrollment students at Gwinnett Technical College to borrow and return textbooks for approved courses.
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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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Vehicle Registration Form 2017 2018
PDF template
A form for students to register vehicles for campus parking and residence life parking permits at Dodge City Community College.
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Written Authorization To Enroll Into School Age Program
PDF template
Authorization form for parents to enroll children aged 5 between September and January into a school age program.
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Polk State College Procedure
PDF template
Procedure outlining the administrative actions and guidelines for recruitment and employment of college staff and faculty.
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Alberta Residential Tenancy Agreement
PDF template
A legal document for establishing a rental agreement between a landlord and tenant in Alberta, Canada, detailing property rental terms and conditions.
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Lease Agreement
PDF template
Comprehensive checklist for tenants to review and understand key lease agreement terms and responsibilities before signing.
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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 medical reasons.
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Reimbursement For Travel Related Expenditures
PDF template
Policy outlining guidelines for travel expense reimbursement for faculty, staff, administrators, students, and non-employees traveling on behalf of the College.
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Chair Assessment And Delivery Environmental Questionnaire
PDF template
A comprehensive form for evaluating chair specifications, sizing, and delivery requirements for personalized seating solutions.
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Gibraltar Residency Application
PDF template
A comprehensive overview of letters of intent for residency applications, explaining their purpose, benefits, and strategic writing approach.
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Tenancy Agreement Guidance
PDF template
Comprehensive guide for creating a tenancy agreement, covering key elements such as property details, lease terms, rent, and legal considerations for landlords and tenants.
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Certificate Of Liability Insurance Form Florida
PDF template
A comprehensive overview of ACORD insurance certificates, explaining their purpose and importance for business risk management.
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Barn Lease Agreement Template
PDF template
A customizable template for creating a basic barn or farm lease agreement with easy editing and sharing capabilities.
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California Residential Lease Agreement
PDF template
A legally binding contract between a landlord and tenant outlining rental property terms, conditions, and legal requirements in California.
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Ontario Rental Application Form 410
PDF template
A legal document used by tenants to outline their intent to lease a property, containing crucial details about rental terms, rent, and deposits.
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Rental Agreement Form
PDF template
A comprehensive document outlining the contractual terms between a tenant and landlord for occupying a rental property, specifying rent, responsibilities, and lease conditions.
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Property Maintenance Agreement Template
PDF template
A template for establishing service agreements between property owners and maintenance service providers to maintain asset condition and value.
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Sample Of Vacate Letter To Landlord
PDF template
A formal document providing guidelines for tenants to inform landlords of their intention to terminate a lease and leave the rental property.
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Incident Reporting Tool
PDF template
Comprehensive form for documenting incidents, injuries, and accidents within BSA programs and activities
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Allegany College Of Maryland Athletics Emergency ContactInsurance Form
PDF template
Form for collecting athletic student emergency contact details and health insurance information at Allegany College of Maryland.
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IRP Lease Agreement Certificate
PDF template
A form for documenting lease agreements for commercial vehicles under the International Registration Plan (IRP)
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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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Valley ChildrenS Healthcare Outpatient Referral Form
PDF template
A comprehensive medical referral form for patients being referred to Valley Children's Healthcare for specialized medical services.
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Medical Referral Form
PDF template
A form for reporting an individual's medical conditions that may impact their ability to safely operate a motor vehicle.
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Administrative Rule 722.1 Accident Reporting Procedures And Guidelines
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Guidelines for reporting and documenting student and staff accidents within a school district, including filing procedures and documentation distribution.
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Request To Audit Form 726 R 8
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Rental Agreement CFD 252 PA4
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A 4-part carbonless form for documenting rental agreement details with multiple color and imprint options.
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Section 74(B) Clean Bus Energy Grant
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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
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Textbook Ordering Instructions
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Step-by-step process for students to order textbooks online through the college bookstore website.
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CFK Form 75.59 (I) Student Initiated Grade Appeal
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2021 2022 TASFA Application Checklist
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Comprehensive checklist for submitting Texas State Technical College financial aid application documents for the 2021-2022 academic year.
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Athletic Injury Report (AIR) Form Information And Procedures
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Comprehensive guidelines for documenting and reporting athletic injuries in high school and middle school athletic programs.
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Medical History Form
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Comprehensive medical form for students to provide health history and undergo medical screening for enrollment.
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Purchasing Policy 803.1
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Comprehensive policy for purchasing commodities and services at Bismarck State College, outlining procurement requirements based on purchase price thresholds.
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Court Of Appeals Of Washington Opinion Clement Freeman V. Seneca Ventures, Et Al.
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Legal opinion regarding investment securities litigation involving hotel venture investments and alleged securities law violations.
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Rental Agreement Template Ontario Canada
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A template and guide for creating residential tenancy agreements in Ontario, Canada, covering legal requirements and tenant rights.
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Residential Lease Application
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SSU Admission And Discharge Form
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Medical intake and release document for detainees in immigration health services facilities, tracking health status and disposition.
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Pyxis Access Request Form
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Form for healthcare professionals to request access to Pyxis medication management system in specific work areas.
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Security Incident Report
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Official form for documenting security incidents at the Mississippi State Department of Health's Office of Health Informatics.
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2019 Jijak Youth Camp Medical Release Form
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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
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A comprehensive medical history form for sports participation, requiring detailed health information and consent statements.
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WakeMed Urgent Care Patient Intake Form
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Medical form for collecting patient health information, medical history, and current health status at urgent care facility.
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Model Lease For Section 202 Housing Programs
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A standard lease agreement for housing programs serving elderly and handicapped individuals under Section 202 housing assistance programs.
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Appendix 5 Move InMove Out Inspection Form
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A standardized form for documenting property condition during tenant move-in and move-out processes.
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Community Use Of School District Buildings Sites Equipment Facility Request And Agreement Form
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COVID 19 Participant Code Of Conduct And Risk Assessment Form
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Residential Lease Agreement
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Residential Lease Agreement
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A legal document outlining the terms and conditions for renting a residential property between a landlord and tenant(s)
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Eyer Ropes Challenge Course Release Of Liability, Waiver Of Claims, Assumption Of Risk And Indemnity
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Legal document releasing liability for participation in high-risk recreational activities at Eyer Ropes Challenge Course.
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Refund Process Policy
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A policy outlining procedures for processing refunds, credit balances, and overpayments for UCR Health patients and third-party payors.
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WakeMed Urgent Care Patient Intake Form
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Comprehensive medical form for collecting patient medical history, past surgical history, family history, and social history at an urgent care facility.
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DOT Physical Examination Form
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Medical examination form for commercial vehicle drivers to assess physical fitness for driving.
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Advancing Access Patient Information Form
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Comprehensive form for collecting patient personal information, contact preferences, and insurance details for medical services.
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Subscriber Claim Form
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Waiver Of Liability Hold Harmless Agreement
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Legal document releasing Sam Houston State University from liability for risks associated with study abroad program participation.
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Medical History Form
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A comprehensive form for collecting patient medical history, current health conditions, medications, and allergies.
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Insurance Office Quick Reference Guide 2017
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Comprehensive reference for filing insurance claims, emergency contacts, and reporting procedures for various types of incidents.
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GASLINI INTERNATIONAL PEDIATRIC FELLOWSHIP PROGRAM APPLICATION FORM
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Application form for medical professionals seeking a fellowship at IRCCS Istituto Giannina Gaslini's pediatric program.
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A10 Risk Assessment Policy
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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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SPECIAL MEETING HOD COMMITTEE VOLUNTEER FORM
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Grade Appeal Form
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A form for students to request a review or appeal of an academic grade at the College of Central Florida.
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Preparticipation Physical Evaluation Physical Examination Form
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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
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A comprehensive medical evaluation form for athletes to assess physical fitness and clearance for sports participation.
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Credit Course Registration Form
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A Agreement Form
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Amino Acid Laboratory Sample Submission Form
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A comprehensive form for submitting animal medical samples to the Amino Acid Laboratory at UC Davis for testing.
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Purchase Card Manual
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A comprehensive manual detailing procedures, responsibilities, and guidelines for using purchase cards at Yavapai College.
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Nursing (AAS) Transfer Request Form
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Submission Form
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UNPLANNED ADMISSIONAAU BOOKING FORM
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AAUS Medical Evaluation Of Fitness For Scuba Diving Report
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AB13 (VACA) Affidavit For Eligible Veterans Dependents
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A document outlining tuition exemption requirements for veterans and their dependents at College of the Siskiyous under the Veterans Access, Choice, and Accountability Act.
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Alberta Accident Benefits Initial Claims Process
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A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
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AB 288 Addendum To The College And Career Access Pathways Partnership Agreement
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An addendum to an existing partnership agreement between Los Angeles Unified School District and Los Angeles Community College District to facilitate college and career access pathways.
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RENTAL AGREEMENT FOR USE OF SCHOOL DISTRICT EQUIPMENT
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AIChE BEER BREWING COMPETITION WAIVER AND RELEASE OF LIABILITY FORM
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Legal waiver for participants in an AIChE beer brewing competition, releasing the organization from potential liability and risks associated with the event.
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Competition Terms And Conditions
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Official terms and conditions governing participation in the Asia Beer Challenge competition for beer producers, importers, and retailers.
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Directions For Completing An ABPN Feedback Module
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Instructions for psychiatry and neurology professionals to complete a peer or patient feedback module for continuous certification.
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AAPS VOLUNTEER FORM
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A volunteer form for physicians to indicate interest in committee participation and specialty opportunities within the AAPS organization.
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Clark Atlanta University Academic Program Proposal Guidelines
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Guidelines for proposing and approving new and revised academic programs at Clark Atlanta University with detailed review and routing protocols.
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Histology Submission Form
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A detailed form for submitting tissue samples to the UConn Comparative Veterinary Medicine Diagnostic Laboratory for histological processing and analysis.
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Patient Intake Form
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Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare services.
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Group Insurance Accelerated Benefit Option Claim Form
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A form for employees or members to claim an accelerated benefit option for terminal illness life insurance claims.
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Research Proposal Form (For Projects Using CentRIC Datasets)
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Accessibility Services Procedural Manual
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Accessible Parking Form
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Application form for individuals with disabilities seeking an accessible parking permit at Eastern Kentucky University
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ERAIDER REQUEST FORM
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Form for non-TTUHSC employees to request an eRaider account, specifying access requirements and responsibilities.
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Group Accident Insurance Claim Form
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A comprehensive claim form for reporting and documenting accident-related insurance claims with detailed instructions and submission guidelines.
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Accidental Injury Claim Form
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Insurance claim form for documenting details of an accidental injury and related medical information for potential insurance coverage.
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Credit Disability Claim Form
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Instructions for submitting a disability insurance claim for loan protection coverage through American National Insurance Company.
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AccidentIncident Investigation Safety Guidance Document
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A comprehensive safety guidance document outlining procedures for investigating and reporting workplace accidents and incidents, including violent or aggressive events.
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AccidentIncident Report Form
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A comprehensive form for reporting accidents or incidents involving employees, students, or visitors at Yavapai College.
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ACCIDENT REPORT FORM
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A document used to record details of an accident, including parties involved, location, circumstances, and witnesses.
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Wenatchee School District Accident Prevention Program
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A comprehensive safety guide for Wenatchee School District employees to prevent workplace accidents and improve occupational safety awareness.
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Club Sports Accident Report Form
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A comprehensive form for documenting sports-related accidents and injuries for recreational sports participants
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Accident Report Form For Non Employees
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A form documenting details of accidents involving non-employees at Chadron State College, used for internal reporting and record-keeping.
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Accident Report
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Detailed form for documenting accidents, injuries, or damages during Adirondack Mountain Club activities or premises.
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IADT Accident Report Form
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Comprehensive form for documenting workplace accidents, injuries, and subsequent medical treatment with GDPR compliance notice.
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UVU Injury Accident Report Form
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A comprehensive form for documenting injuries and accidents occurring at Utah Valley University for students, employees, and visitors.
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ACCIDENT REPORT FORM U3A
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A form used to document details of an accident, including parties involved, location, circumstances, and injuries.
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STATE OF CALIFORNIA ACCIDENT REPORT
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Official confidential document for reporting non-motor vehicle accidents and potential legal claims involving state entities.
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City Of Kirkland Accident Report Form
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A comprehensive form for reporting workplace accidents, injuries, and potential liability claims for City of Kirkland employees.
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Flamstead Pony Club Accident Reporting Protocol
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Comprehensive protocol for reporting accidents, injuries, and near misses during pony club activities, including documentation requirements and reporting procedures.
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AccidentIncident Reporting Form
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Comprehensive guidelines for reporting accidents, incidents, and hazards on university premises, detailing reporting processes and medical response protocols.
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Accident Waiver And Release Of Liability Form
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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
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A legal document that releases event organizers from liability and assumes personal risk for participation in an activity.
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Accident Waiver And Release Of Liability Form
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Legal document releasing event organizers from liability for potential injuries or damages during the White River Dragon Boat Race and Festival.
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Accident Waiver And Release Of Liability Form
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Legal document waiving liability for participants in indoor baseball training activities, releasing the organization from potential injury or damage claims.
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Accident Waiver And Release Of Liability Form
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BOROUGH OF OAKLAND ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
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A legal document that releases the Borough of Oakland from liability for potential injuries or damages during an event or activity.
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Accident Waiver And Release Of Liability Form
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Legal document releasing Lincoln Academy from liability for potential risks and injuries during summer camp participation.
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Accident Waiver And Release Of Liability Form
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Legal document releasing event organizers from liability for potential injuries or damages during participant's event involvement.
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Accident Waiver And Release Of Liability Form
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Legal document outlining risk acknowledgment and liability release for participation in Swerve Robotics activities and workshops.
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Release And Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
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Accident Waiver And Release Of Liability Form
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Accident Waiver And Release Of Liability Form
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A comprehensive liability waiver for parents allowing children to participate in summer art sessions with acknowledgment of potential risks and medical authorization.
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Accident Wellness Benefit Claim Form
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Insurance claim form for submitting wellness screening benefits and personal health information to Guardian Life Insurance.
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Accommodation Request Assessment Form
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A medical form used to assess an employee's request for workplace accommodation due to disability or pregnancy-related needs.
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Accommodation Inquiry Form
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A form to collect details about research study requirements and preferences for MRI scanning services.
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Insurance Certificate Issuer Contractors
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Instructions for insurance certificate issuers on how to complete and submit insurance certificates for University of Nebraska contractors.
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MEDICAL RELEASE FORM
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Student Inquiry Form
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ACH Pre Authorization Form
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A form authorizing automatic payment deductions for medical consultations and services from a bank account.
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CLAIM FORM
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Incident Report Form
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Acknowledgement Of Risk And Waiver Of Liability
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A comprehensive guide for campus departments on using risk and liability waivers for various activities involving physical activity, travel, or minors.
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Activity Participation Waiver
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A legal document that outlines participant risks and releases the organization from liability during an activity
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Acknowledgment Of Risk And Consent Form
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Legal document for voluntarily participating in a college activity with acknowledgment of potential risks and liability waiver.
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Allegany College Of Maryland Media Release Form
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A consent form allowing the college to use student images, videos, and information for educational and promotional purposes.
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ACORD 126
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Insurance form for capturing details about employee benefits liability coverage and business insurance details.
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ACORD 131
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Standard insurance policy application form for capturing liability and policy details across multiple insurance categories.
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ACORD 855 NY Construction Certificate Addendum
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Detailed addendum summarizing insurance policy provisions for construction-related general liability coverage
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Acord Lost Policy Release Form
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A form for releasing or managing insurance policy documentation when original policy documents are missing or need to be replaced.
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Patient Medical History Form
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Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
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Medical Information
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A comprehensive medical form collecting personal health details for emergency preparedness at an event or track setting.
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ACTC Registration Form
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Registration form for students taking courses at multiple colleges within the ACTC consortium in Minnesota.
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HEALTH ASSESSMENT FORM
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Confidential form for collecting medical history and potential health needs for students planning to study abroad.
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PARENTSTUDENT PHYSICAL ACTIVITY WAIVER FORM
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A comprehensive waiver form for students participating in physical activities at Christendom College, outlining potential risks and legal protections.
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Activity Booking Form
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Comprehensive booking form for outdoor activity and course registration with liability acknowledgment and consent details.
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Activity Participation Medical Release Form
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Activity Participation Waiver Form
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Legal document that releases Brightpoint Community College from liability for student participation in college activities
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ACTIVITYPROGRAM RELEASE And WAIVER FORM
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A legal document for releasing liability and obtaining consent for participation in organizational activities or programs.
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Activity Waiver Form (Release, Waiver And Covenant Not To Sue)
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A legal document that releases Cape Fear Community College from liability for risks associated with participating in an activity or event.
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Naugatuck Valley Activity Waiver Form
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A comprehensive waiver form for students participating in college-sponsored activities, covering transportation, emergency contacts, and liability release.
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NAACP ACT SO Contract And Release Of Media Interests And Rights
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A contract granting NAACP media rights and participation permissions for the ACT-SO National Competition.
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Patient Intake Form Holistic Health Assessment
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Confidential questionnaire for determining patient treatment plan and collecting comprehensive medical and personal information.
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Patient Intake Form
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Comprehensive form for collecting patient personal, contact, medical, and insurance information for chiropractic services.
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New Patient Intake Form
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Comprehensive medical intake form for new patients at Joyanne Kohler Acupuncture, collecting personal and health information.
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Acute Inpatient Hospital Assessment Form
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Form for requesting authorization for hospital admissions and stay extensions for Blue Cross and Blue Care Network commercial plans
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USDA Program Discrimination Complaint Form
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Official form for filing a discrimination complaint with the U.S. Department of Agriculture regarding potential discriminatory practices in USDA programs.
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Americans With Disabilities Act Accommodation Request Assessment Form
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A form for employees to request workplace accommodations under the Americans with Disabilities Act, requiring medical provider documentation of work restrictions or limitations.
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Medical Inquiry Form In Response To An Accommodation Request
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A medical form used to evaluate an employee's disability and potential workplace accommodations under the Americans with Disabilities Act (ADA).
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DOH 3608 Uninsured Care Programs Medical Eligibility Form
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A medical form used to determine patient eligibility for HIV-related care programs in New York State
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ADA Program Accessibility Inquiry Form
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A form for individuals to report accessibility concerns or inquiries related to library programs and services for people with disabilities.
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ADA Job Accommodation Request And Medical Inquiry Form
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A confidential form to help determine reasonable workplace accommodations for employees with disabilities under ADA guidelines.
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Diagnostic Imaging Referral Form
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Comprehensive medical imaging request form for various ultrasound, x-ray, and pain therapy procedures with detailed anatomical options.
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Pre Authorization Form Instructions
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Detailed instructions for completing a medical pre-authorization request form, including required documentation and submission process.
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Puffton Village Lease Agreement Addendum A
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Comprehensive lease agreement addendum detailing residential policies, rights, and responsibilities for Puffton Village residents.
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Puffton Village Lease Agreement Addendum A
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Comprehensive lease agreement addendum detailing rules, regulations, and policies for Puffton Village residential complex.
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Medical Form Instructions For TeamSnap
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Step-by-step guide for team managers to upload player medical forms to TeamSnap profiles
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Required NYS School Health Examination Form
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A comprehensive health examination form for students in New York State, documenting medical history and current health status
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Indemnification Agreements And Additional Insureds Under Pennsylvania Law
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A comprehensive legal document examining indemnification agreements, insurance procurement, and additional insured provisions under Pennsylvania law.
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Additional Shifts Approval Form
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Form for documenting and approving additional paid shifts for medical residents and fellows beyond their normal program requirements.
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Hope College Change Of Address Form
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A form for students or parents to update their contact information with Hope College.
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Change Of Address Form
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A form for students to update their mailing address with Springfield College's Office of the Registrar.
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Private Hospitals Discharge Form (ADF96)
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A comprehensive form for collecting detailed patient discharge data from private hospitals for statistical reporting purposes.
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Vermont Advance Directive For Health Care
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A legal document allowing individuals to specify their health care preferences and designate a health care decision-maker if they become unable to make decisions for themselves.
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AdjustmentVoid Request Form
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A form used by healthcare providers to request adjustments or void payments for medical services.
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Accident Report
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Official form for documenting accidents and injuries associated with Adirondack Mountain Club activities or premises.
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Baptist Health College Little Rock Administrative Service Request Form
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A form for students to request various administrative services at Baptist Health College Little Rock, including enrollment verification, references, and student position requirements.
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Administrative Service Request Form
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A form for students to request various administrative services and update personal information at Baptist Health College Little Rock.
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Administrative Student Complaint Form
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A form for students to file formal complaints about policies, procedures, or regulations at Terra Community College.
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Admission Agreement And Health Assessment
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Comprehensive form for child enrollment, medical history, emergency contacts, and health assessment for childcare or educational settings.
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CSU, Chico School Of Nursing Admission Criteria, Point Distribution And Instructions
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Detailed guidelines for admission requirements and criteria for the CSU, Chico School of Nursing program, including prerequisite and co-requisite course specifications.
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Admission Information Cuyamaca College 2024 2025
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Comprehensive guide detailing steps for applying and enrolling at Cuyamaca College, including online application process and account creation.
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Drop Resignation Form
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A form for students to officially drop courses, with sections for special student status verification and potential academic implications.
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INS Detention Standard Admission And Release
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Comprehensive guidelines for processing and managing detainees during admission and release in Immigration and Naturalization Service detention facilities.
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Commercial Office Space Rental Invitation
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Invitation for interested parties to offer commercial office space for rent by The New India Assurance Co. Ltd., Chandigarh Regional Office.
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Adolescent Vaccination Consent Form (TdapTd, HPV, Meningococcal ACWY)
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A consent form for parents/guardians to authorize vaccination of adolescents for Tdap/Td, HPV, and Meningococcal ACWY vaccines.
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Hospice Volunteer Application Form
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A comprehensive application form for individuals interested in becoming hospice volunteers, collecting personal, contact, and background information.
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MINOR PARTICIPANT EMERGENCY CONTACT AND MEDICAL RELEASE FORM
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A comprehensive form for collecting emergency contact, medical information, and release authorization for a minor participant.
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FMLA Adult Child Disability Medical Inquiry Form
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A medical form used by the New Mexico Taxation & Revenue Department to determine disability status for FMLA leave to care for an adult child.
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New Mexico 4 H Adult Medical And Liability Release Code Of Conduct Contract And Media Release Form
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A comprehensive form for 4-H adult volunteers covering medical information, liability release, code of conduct, and participation guidelines.
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Girl Scouts Of Greater Los Angeles Adult Emergency Information And Authorization For Treatment
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Emergency contact and medical authorization form for Girl Scouts of Greater Los Angeles adult participants
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Adult Registration Form
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A comprehensive form for collecting patient personal and demographic information for healthcare services.
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Adult HIV Confidential Case Report Form
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Confidential medical reporting form for adult HIV patients in Rhode Island, used for surveillance and epidemiological tracking.
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New Patient Intake Form
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Comprehensive intake form for new patients to collect personal and medical contact details at a healthcare practice.
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Adult Legal Form
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A legal form for adult participants in CISV international programs covering medical guardianship, release, and program consent.
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Emergency Medical Form ADULT
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Comprehensive medical authorization and emergency contact form for adult participants in MUMC trips.
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Oklahoma 4 H Youth Development Participant Information Form
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A comprehensive form for collecting participant health, emergency contact, and medical information for 4-H youth programs and events.
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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 and liability release form for participants in Diocese of Little Rock youth ministry events
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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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Adult Specialist Request
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Medical referral form for requesting an adult specialist appointment with patient and insurance details.
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Adult Registration Form
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Comprehensive form for collecting patient personal and insurance information for healthcare purposes.
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Community Practice Referral Form Adult Services
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A referral form for occupational therapy and physical therapy services for adult patients with various health conditions and treatment needs.
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Volunteer Application Form
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Comprehensive form for individuals seeking to volunteer at Cape Fear Valley Health System medical facilities.
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NDA Adult Volunteer Registration And Waiver Form
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A legal waiver form for adult volunteers participating in a neighborhood district association event, releasing the organization from liability.
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ONE YEAR ADVANCED ENDOSCOPY FELLOWSHIP APPLICATION
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Comprehensive application form for medical professionals seeking a one-year advanced endoscopy fellowship at the University of Missouri's Division of Gastroenterology & Hepatology.
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Provider Appeal Request
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A form for healthcare providers to submit appeals for denied claims or authorizations with Advanced Health.
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Provider Appeal Request
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A form for healthcare providers to request an appeal of a denied claim or authorization with Advanced Health.
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Advanced Illness Benefit Application Form
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Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
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Service Request Form
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Medical Information And Physician Release
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AEDBleed Kit Inspection Form
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Automated External Defibrillator (AED) Post Incident Report Form
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AED Incident Report Form
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A comprehensive form for documenting and reporting incidents involving the use or attempted use of an Automated External Defibrillator (AED)
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Child Find Referral Form
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Comprehensive referral form for collecting infant/toddler medical and demographic information for early intervention services.
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REFERRAL FORM
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Medical referral form for eye-related consultations and treatments in Edmonton, Alberta.
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PATIENT INTAKE FORM
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Prescription Drug Claim Form
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Covenant Not To Sue And Indemnity Agreement
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Active Duty Tour (ADT) Order Request For Military Medical Rotations
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Official form for military personnel to request and document active duty tour assignments for medical rotations
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Accidental Injury Claim Form
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Insurance claim form for documenting details of an accidental injury for potential insurance benefits and reimbursement.
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Continuing Disability Claim Form
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Initial Disability Claim Form
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Insurance claim form for reporting disability due to sickness or injury, used by Aflac for processing disability claims.
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M0272B Flexible Spending Account Claim Form
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Form for requesting reimbursement from a Flexible Spending Account for medical and dependent care expenses.
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Initial Disability Claim Form
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Comprehensive form for filing a disability insurance claim covering various types of disability including accidents, sickness, pregnancy, and cancer.
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Sickness Claim Form
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A comprehensive form for filing insurance claims related to sickness, disability, hospitalization, and other health events with Aflac.
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Adventures In Good Company, Inc. Acknowledgment And Assumption Of Risks Release And Indemnity Agree
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A legal document outlining participant risks, liability release, and indemnification for Adventures in Good Company (AGC) trips.
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ADVENTURES IN GOOD COMPANY, INC. ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREE
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Legal document detailing risks, liability release, and participant responsibilities for Adventures in Good Company travel trips.
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AgentS Report
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A form for agents to report and settle surety bond transactions with details about bond execution and premiums.
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STATE CENTER COMMUNITY COLLEGE DISTRICT CONTRACTAGREEMENTGRANT APPROVAL COVER SHEET
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A cover sheet for documenting and approving contracts, agreements, or grants within the State Center Community College District.
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Near Miss Hazard And Incident Reporting Guidelines
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Comprehensive guidelines for reporting and managing workplace health and safety incidents, near misses, and hazards within an organization.
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Medical Reimbursement Form
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Form for members to request reimbursement for medical services covered under their health plan
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High Adventure Activity Medical Form
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A medical form for certifying individual fitness for high-risk adventure activities for youth organizations.
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New Patient Intake Form
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Comprehensive medical intake form for new patients seeking plastic, reconstructive, or pediatric head and neck surgical services.
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Instructions For Completion Of Application For Specified Service Authority Allied Health Professiona
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Detailed guidelines for completing an application for medical staff service authority for allied health professionals at Eaton Rapids Medical Center.
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Surgical Booking Request Office Reference Guide
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A guide for completing the Provincial Surgical Booking Request form to facilitate consistent surgical scheduling and resource allocation.
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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
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A comprehensive medical screening form for student-athletes to assess their health and fitness for sports participation.
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Financial Aid Cancellation Form
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HYPERSENSITIVITY PNEUMONITIS (HP) PANEL
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Medical diagnostic form for testing hypersensitivity pneumonitis and avian panel allergens from the Medical College of Wisconsin.
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PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history form for collecting patient's personal and family health information, past medical conditions, and surgical history.
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Artist Residency Program
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A residency program offering artists from various disciplines an opportunity to pursue their creative practice in a supportive, community-based environment with access to specialized studio facilities.
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AISA Risk Management Program For Local Level Sports
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Comprehensive guidelines for school sports programs focusing on athlete safety, injury prevention, and risk management protocols.
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Patient Intake Form
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A comprehensive form for new patients to provide medical history and contact information for a naturopathic wellness center.
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Resident Assessment
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Comprehensive intake form for documenting a resident's medical history, health status, functional capabilities, and personal information for care facilities.
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College EventFacility Rental Alcohol Use Approval Form
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Form for requesting approval to serve alcohol at a college event, with specific rules and guidelines for alcohol service.
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Preparticipation Physical Evaluation (Interim Guidance) Physical Examination Form
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A comprehensive medical examination form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Allegations Contained In The StateS Complaint Against Dr. Sun
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Legal document detailing allegations of inappropriate pain medication prescriptions by Dr. Sun for multiple patients with questionable medical necessity.
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Alfred State Workshop AllergyMedical Form
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A comprehensive medical form for documenting a camper's allergies, medical conditions, and emergency contact information.
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Springfield Platteview Community Schools Health Examination Form
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A comprehensive health and immunization form for students in kindergarten through 12th grade in Springfield Platteview Community Schools.
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Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
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Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
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Alliss Educational Opportunity Grant Application Form Baccalaureate Degree Completion Plan
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Grant application for students seeking financial assistance and planning transfer to a four-year baccalaureate program at Ridgewater College.
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CANCELLATION REQUEST FORM
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A form used to request cancellation of medical laboratory tests with detailed documentation requirements.
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Refund Request Form For Academic Leave Of Absence
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A form for Bard College students to request a refund of credit balance during an academic leave of absence.
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Participant Accident WaiverRelease Of Liability Form
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A comprehensive liability waiver for participants in motorcycle events, covering risks, personal fitness, and legal responsibilities.
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Blue Cross Medical Travel Benefit Claim
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A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
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Transfer Or Discharge Form
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A form used to document and record the transfer or discharge of a resident from a healthcare facility, including essential transfer details and accompanying documentation.
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Alumni Association Membership Form
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A form for alumni to register with the college's alumni association, providing personal and professional details along with membership payment options.
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Alumni Feedback Form
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A comprehensive feedback form for alumni of Genba Sopanrao Moze College of Engineering to provide insights about their educational experience and professional development.
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Alumni Of The Year Nomination Form
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A form used to nominate an outstanding alumni for recognition by Saddleback College.
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ACE San Diego Alumni Scholarship Form
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Scholarship application for former ACE Mentor San Diego students pursuing higher education in related fields, with specific eligibility requirements.
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AAO HNSF 2022 Annual Meeting OTO Experience Call For Science Submission Guidelines
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Guidelines for submitting scientific presentations to the AAO-HNSF Annual Meeting, including eligibility requirements and speaker responsibilities.
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Nomination For An AMA Award
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Official form for nominating medical professionals for various American Medical Association awards and recognitions.
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All Musicians Club And Musicians Performance Studio Club Membership Form
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Membership application and liability waiver for the All Musicians Club and Musicians Performance Studio Club for Laguna Woods Village residents and guests
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MultiCare Auburn Medical Center PGY1 Pharmacy Residency Application Information
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Application instructions and requirements for PGY1 pharmacy residency at MultiCare Auburn Medical Center
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AM Club And Extra Innings Payment Agreement
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Payment agreement for school year programs offered by Homewood-Flossmoor Park District, covering AM Club and Extra Innings programs.
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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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AMERICAN CLUB PRE EMPLOYMENT MEDICAL EXAMINATION FORM2019
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Comprehensive medical examination form for seafarer pre-employment screening with multiple medical tests and assessments.
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Dental Claim Form
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A comprehensive form for submitting dental insurance claims, requiring patient and employee information, treatment details, and authorization signatures.
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AMG At Home Admission Check
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Comprehensive admission checklist and information for patients interested in AMG Senior Medical Group's at-home medical services.
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AMG Requisition Form
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A form used by surgeons to request amniotic membrane grafts (AMG) from Ramayamma International Eye Bank.
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AMI Insurance Application
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A comprehensive insurance application form for personal health coverage with options for individual or family plans.
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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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Guest Speaker Consent Form
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A legal document allowing American University to record, use, and distribute a guest speaker's presentation and personal information for various purposes.
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RD AN No. 4694 (4274 D And 1951 R)
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Administrative notice providing clarification and guidance for Intermediary Relending Program (IRP) processing and servicing requirements.
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MEDIA RELEASE FORM PHOTOGRAPHS ANDOR VIDEO
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Legal document granting Andrew College permission to use an individual's photographs or video for various purposes
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Angeles New Waiver Forms FAQ
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Comprehensive guide explaining the Sierra Club's new Participation Agreement, its purpose, usage, and implementation details.
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Animal Incident Report Form
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A detailed form for reporting animal-related incidents involving bites, scratches, or other exposures to an animal.
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MAD Artists Residency Application Form
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Application form for artists seeking residency at MAD studio space for January-March 2024 period.
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Activity Based Risk Assessment Form
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A comprehensive form for identifying, evaluating, and controlling workplace safety hazards and risks.
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Annual Health Evaluation Form
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A comprehensive health evaluation form for tracking medical history, lifestyle factors, and current health status.
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Annual Scholarship Form
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A form for donors to establish and define scholarship parameters at Santa Monica College, including funding details and student eligibility criteria.
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Member Claim Form
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Insurance claim form for submitting medical expenses and service details to Anthem Blue Cross health insurance.
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Medical Insurance Claim Form
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A standard medical insurance claim form for submitting patient information and medical service details to an insurance provider.
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Medical Claim Form
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A comprehensive medical claim form for submitting healthcare service details and patient information to Anthem Blue Cross insurance.
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Medical Claim Form
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A comprehensive form for submitting medical insurance claims, collecting patient, subscriber, and medical service information.
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Medical Claim Form
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A comprehensive medical claim form for submitting healthcare service reimbursement claims to Anthem Blue Cross and Blue Shield insurance.
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Medical Claim Form
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A standard medical insurance form for submitting healthcare service claims and patient information to an insurance provider.
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AO Alliance (AOA) ORP Fellowship Application Form
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Application form for medical professionals seeking a fellowship with the AO Alliance in orthopedic and trauma surgery
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AO Alliance (AOA) Surgeon Fellowship Application Form
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Application form for surgeons seeking a fellowship with the AO Alliance, requiring detailed professional and personal information.
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COVID 19 Assumption Of The Risk Forms
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Proposal for risk mitigation forms to address COVID-19 exposure in fraternity settings, covering various participant types.
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Assumption Of The Risk And Hold Harmless Agreement
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Legal document outlining risk assumption and liability waiver for contractors working in a fraternity chapter facility.
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AP 263.00 Student Appeal Of Course Grade
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Formal process for students to appeal final course grades at Cowley College within 90 days of grade issuance.
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Reimbursement Of Expenses Procedure
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Procedure establishing the process for reimbursing business-related expenses for board members, employees, students, and volunteers at Western Nebraska Community College.
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Administrative Procedure 354 Risk Management And Third Party Promotion
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Administrative procedure outlining the school district's guidelines for managing risks associated with third-party events and promotions in schools.
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AP 3C3A(B) Claim For AbsenceTravel Reimbursement
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Procedures and guidelines for submitting travel expense claims and reimbursement for Kern Community College District employees.
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SAN BERNARDINO COMMUNITY COLLEGE DISTRICT STUDENT GRADE APPEAL FORM
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Formal process for students to appeal a course grade through multiple administrative steps within the college district.
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Injury And Illness Prevention Program AP 6800
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Comprehensive safety program outlining procedures for preventing, identifying, and addressing workplace hazards in an educational setting.
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20232024 AP Archived Score Request Form
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Form for requesting archived Advanced Placement (AP) exam scores to be sent to colleges or for personal review.
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University Apartment Lease Agreement
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Lease agreement for student housing at Minot State University for the 2023-2024 academic year, outlining terms and conditions of apartment rental.
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Apartment Lease Contract Sample
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A comprehensive lease contract outlining landlord and tenant responsibilities, rental terms, and legal obligations for apartment rental.
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Release And Waiver Of Liability Form
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Liability waiver for students enrolled in De Anza College's adapted swimming courses, outlining participation requirements and risk assumptions.
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PARTICIPANT MEDICAL HISTORY FORM
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Confidential medical history form for collecting participant health information for trips and activities by APEX
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Medical Information Release Form
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A form allowing parents or legal guardians to specify who can receive medical information about their child from Angelina Pediatrics, PLLC.
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Prescription Transfer Request Form
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A form for transferring prescription medications between pharmacies at the University of Colorado Health Center.
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Appeal To Extenuating Circumstance Committee
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A form for students to request exceptions to the college's tuition refund policy due to severe circumstances preventing class attendance.
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Tuberculosis Case Management Manual
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A comprehensive manual providing guidelines, resources, and forms for tuberculosis case management in Missouri.
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Equality Analysis Template
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Assessment of leasing 0.35 acres of public recreation land to Hitchin Bridge Club for clubhouse and parking construction.
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Appendix 5 Medical Release Form
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A medical release form for seniors participating in the Community Healthy Activities Model Program, allowing notification of primary care physician.
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NSW Health UndertakingDeclaration Form
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Form for health workers and students to declare compliance with infectious disease screening and vaccination requirements for NSW Health facilities.
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RELEASE, WAIVER OF LIABILITY, COVENANT NOT TO SUE
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Legal document releasing Columbus State University from liability for potential injuries during a camp or conference event.
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Business Growth Accelerator (BGA) Proposed Program Budget Form
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A detailed budget form for program income, funding sources, and expenditures for the Business Growth Accelerator program.
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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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NAPNAP Faculty Declaration Form
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A form for presenters to declare potential financial conflicts of interest and off-label drug or medical device discussions.
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Student Evaluation Form For Supplemental Instruction Faculty Part A
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A comprehensive evaluation form for assessing supplemental instruction faculty performance and session effectiveness at Foothill-De Anza Community College District.
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Appendix T San Diego Police Department Crime Laboratory Feedback Form
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A detailed evaluation form for forensic evidence collection and assessment during a medical forensic examination.
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Application For Residency
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A comprehensive rental application form and procedure for prospective tenants seeking to rent a residential unit through Saskatoon Real Estate Services.
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Charitable Trust Of The Auckland Faculty Royal New Zealand College Of General Practitioners Applicat
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Comprehensive assessment form for evaluating research grant applications from general practitioners in New Zealand.
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FHNO Institutional Fellowship Application Form
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Application form for fellowship in Head and Neck Oncology/Reconstructive Surgery with comprehensive applicant details collection.
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Inpho Venture Summit Application Form
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Application form for technology companies seeking selection to present at the Inpho Venture Summit business sessions.
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RENTAL APPLICATION FORM
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Comprehensive application form for potential tenants to apply for rental property with detailed personal and rental history information.
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APPLICATION FOR RESIDENCY
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Application form for potential residents seeking to purchase or lease a mobile home lot, requiring background checks and supporting documentation.
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PurchaseRentalResidency Application Instructions
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Comprehensive instructions for owners selling, leasing, or adding new occupants to their condominium units at Village Plaza, including application process and requirements.
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Service Request Form
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A form for submitting and tracking information technology service requests within an organization.
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Application For Residency
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A comprehensive rental application form for potential tenants seeking to rent a residential unit in Saskatoon, Saskatchewan.
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Texas Tech University System Camp And Conference Non Sports And Sport Camps Insurance Application
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Insurance application for Texas Tech University System camps covering participant and staff insurance details
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Application Form
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Comprehensive application form for prospective students seeking undergraduate degree programs or courses.
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APPLIED LEARNING STUDENT EVALUATION FORM
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A comprehensive form for students to provide detailed feedback about an educational program or learning experience.
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Medical Appeals And Reinstatements Sections 717273
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Comprehensive guide for NYC employees seeking medical reinstatement, detailing required documentation and submission procedures.
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STUDENT INCIDENT REPORT FORM
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A comprehensive form for documenting student incidents, including details of the event, student's account, and additional comments from faculty or preceptors.
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Functional Medicine Clinic Appointment Time Agreement
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Agreement outlining fees and policies for patient appointments, including no-show and late cancellation charges.
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APPLICATIONS Service Request Form
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Internal form for requesting IT service and system modifications within an organization's technology infrastructure.
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Teacher Program Agreement Media Release Form
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A document for teachers participating in UCLA's AP Readiness Program, including program commitment and media release consent.
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20232024 AP Score Cancellation Form
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Official form for permanently canceling Advanced Placement (AP) exam scores, which cannot be reinstated after cancellation.
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20232024 AP Score Cancellation Form
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Form for students to permanently delete their Advanced Placement exam scores, which cannot be reinstated after cancellation.
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APTA Technology Terms And Conditions White Paper
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A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
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Travel Expense Statement
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A form for documenting and requesting reimbursement for travel-related expenses for Centenary College employees.
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CRMC Aquaculture Lease Transfer Request Form
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Official form for transferring an aquaculture lease within Rhode Island's coastal management system.
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Aquatics Cancellation Form
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A form for withdrawing from YMCA aquatics classes with refund and payment policy details.
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OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM PHYSICAL EXAMINATION FORM
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A comprehensive medical examination form for documenting employee health status and physical condition for the United States Department of Agriculture.
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Remdesivir Prescribing DeclarationStreamlined IPU Application Form
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A form for healthcare professionals to request and prescribe Remdesivir for COVID-19 patients meeting specific criteria.
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Arizona Rental Agreement Contract
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A legal document outlining the terms and conditions for renting residential property in Arizona, including tenant and landlord rights and responsibilities.
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ARKANSAS TENANT MOVE IN INSPECTION FORM
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A standardized form for documenting property condition and potential defects during tenant move-in process in Arkansas.
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Rental Application Form Apartment
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Comprehensive rental application form for potential tenants to provide personal and financial information for a rental property.
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Army Physical Training Risk Assessment Example
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A document detailing risk assessment techniques for military physical fitness training and potential health considerations for soldiers.
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Missouri Valley College Arranged Class Approval Form
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A form for students to request special class arrangements including tutorials, independent study, and partial arranged classes at Missouri Valley College.
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Accident Report Form
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A form for reporting accidents during ART teaching activities, used to comply with public liability insurance requirements.
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EvCC Articulation Request Checklist For CTE Dual Credit Program
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A form for high schools to request articulation or update existing articulation for Career and Technical Education (CTE) dual credit courses with Everett Community College.
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Art Service Scholarship Form
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Scholarship application for students pursuing art as a major at ECCC with specific service requirements and academic criteria.
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Art Service Scholarship Form
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A scholarship application form for students interested in pursuing art as a major at E.C.C.C. with specific eligibility and service requirements.
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Math And Science Prerequisite Waiver Form
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Form for students seeking to waive math and science course prerequisites at Macomb Community College
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Purchase Agreement
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A legal document for the purchase of artwork by Union College, outlining the terms and conditions of sale for a specific work of art.
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Alexandria Soccer Association Medical Release Form
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A medical authorization form allowing team officials to obtain medical attention for a child during soccer activities.
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Central Registry Referral Form
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A referral form for documenting spinal cord injury or disability cases for the Arkansas Spinal Cord Commission's central registry.
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ICARUS MEDICAL, LLC ORDER FORM
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Order form for custom knee braces with patient and measurement information.
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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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Assumption Of Risk, Waiver, Release And Indemnity Agreement
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Legal document outlining risks and liability for participation in various recreational activities at the Anne Springs Close Greenway.
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ASE Organizational Membership Application
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Organizational membership application for multiple members from the same institution to join or renew ASE membership with various professional categories and pricing tiers.
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ASE Membership Application Form
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Organizational membership application form for joining or renewing membership in the American Society of Echocardiography with various membership categories and pricing.
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Liability Waiver Form For ASF Members
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A legal document waiving liability for children participating in activities at Scandinavia House Children's Center and authorizing emergency medical treatment.
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ASIIS Enrollment Application
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Application for organizations to enroll in the Arizona State Immunization Information System (ASIIS) for healthcare providers and facilities.
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Fund Raising Receipts Declaration Form
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A form for documenting and tracking fundraising activities and monetary collections by student clubs and organizations at Riverside Community College.
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MEDICALVISION CLAIM FORM
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A comprehensive claim form for submitting medical and vision insurance claims, requiring detailed employee and patient information.
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Student Grade Appeal Form
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A formal document for students to appeal course grades through a multi-step process at San Bernardino Community College District.
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COVID 19 Assumption Of The Risk Forms
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Comprehensive guidance for creating risk assumption forms to address COVID-19 exposure in fraternity settings, with five different versions for various participant types.
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Asthma Assessment Form For School
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Comprehensive form to collect detailed medical information about a student's asthma symptoms, triggers, and management for Seattle Public Schools.
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Athlete Emergency Contact Form
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A form for collecting student athlete emergency contact details and medical conditions for use by school athletic department personnel.
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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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Special Olympics Medical Form
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Medical examination form for determining an athlete's fitness to participate in Special Olympics sports programs, requiring medical professional evaluation.
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A1 Athlete Registration
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Official registration and release form for Special Olympics athletes detailing participation rights, medical consent, and personal information usage.
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Athletic Emergency Contact Form
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A comprehensive form collecting medical, contact, and emergency information for student athletes.
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ANNUAL ATHLETIC FACILITES AGREEMENT
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An agreement between an Athletic Association and North Lebanon Township detailing terms of facility usage, responsibilities, and liability requirements.
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Athletic Travel Form
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A comprehensive form for student-athletes detailing emergency contact information, medical details, and consent for medical treatment during athletic participation.
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Adobe Training Provider Program Agreement
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Legal agreement defining terms and conditions for membership in Adobe's Training Provider Program, including benefits and eligibility requirements.
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Accessible Technology Purchase Form
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Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
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MedicalForensic Examination Form
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A detailed forensic medical examination form for documenting physical findings in sexual assault cases, covering body diagrams and genital examination for both female and male patients.
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Waiver Service Request Form (DP 1022)
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A form for requesting changes or new services in a waiver program, to be completed when team concurrence is not achieved.
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ATTACHMENT B VENDOR PROFILE
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A vendor document detailing insurance requirements and company profile information for a municipal contract in Duluth, Minnesota.
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Bishop Canevin Attendance Notice
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Official school document for recording student absences, tardiness, early dismissals, and medical appointments.
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MILES COLLEGE ATTENDANCE FORM
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A monthly form for tracking employee work hours and attendance at Miles College, to be submitted to Human Resources by the 25th of each month.
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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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A comprehensive medical contact and health authorization form for minors participating in a program, collecting emergency contacts, health information, and parental consent for medical treatment.
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Attending PhysicianS Compliance Form
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Medical form documenting physician compliance and patient consent for end-of-life medication request in the District of Columbia.
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Long Term Disability Claim Form
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A comprehensive medical form for documenting a patient's disability claim, including medical history, diagnosis, treatment, and current condition.
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West Kentucky ATV Recreational Area Release And Waiver Of Liability And Indemnity Agreement
PDF template
Legal document releasing liability for participants entering and using the West Kentucky ATV Recreational Area for off-highway vehicle riding.
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New Academic Program Proposal Form
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A comprehensive form for proposing new academic programs at Fitchburg State University, detailing program specifics, requirements, and implementation plans.
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Consent To Use Sound And Image Recordings That May Contain Identifying Information For Education
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A consent form allowing physicians to use patient images and sound recordings for educational purposes with patient's understanding of potential identification.
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DIAMOND TOOTH GERTIES VISUAL MEDIA RELEASE AUTHORIZATION
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A release form for obtaining authorization to film or photograph at Diamond Tooth Gerties Gambling Hall operated by the Klondike Visitors Association.
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IHS Diabetes Care And Outcomes Audit, 2024
PDF template
A comprehensive audit form for tracking diabetes patient health metrics, screenings, and examinations
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OHLONE COLLEGE AUDIT APPLICATION FORM
PDF template
Form for students to request auditing a course without receiving academic credit at Ohlone College.
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Official Record Of Audit Form (Full Time Student)
PDF template
A form for full-time students to audit one course per term without earning academic credit, requiring 75% class attendance.
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Class Audit Form
PDF template
A form for students to audit a class without receiving college credit, with specific terms and payment instructions.
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Audit Form
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A form used by students to request auditing a course at Asnuntuck Community College without receiving academic credit.
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First Follow Up Revenue Generating Lease Audit OC Community ResourcesOC Parks Pacific Asian Enterp
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An audit report examining revenue-generating lease details for Pacific Asian Enterprises, Inc. with OC Community Resources and OC Parks.
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Patient Intake Form
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Comprehensive patient intake form for collecting personal, contact, and medical insurance information at Auburn University Clinical Health Services clinics.
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Universal Service Request Form
PDF template
Form for comprehensive employee medical examinations, drug testing, and workplace health screening documentation.
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HOLD HARMLESS, VOLUNTARY WAIVER, AND ASSUMPTION OF RISK FORM
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A legal document that releases Auburn University from liability for potential injuries or damages during a field trip event.
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CONSENT FOR AUTHORIZATION FOR USERELEASE OF HEALTH INFORMATION
PDF template
A consent form allowing the release of protected health information to a specified recipient with specific conditions and understanding of potential sensitive data disclosure.
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Authorization And Driving History Form
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A form documenting employee driving authorization, vehicle operation details, and liability requirements for state vehicle use.
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WaiverAuthorization Form
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A legal liability waiver for participants in Keep Florence Beautiful community activities and events.
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Authorization Form For Payroll Check(S) To Be Mailed
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A form allowing employees of Bronx Community College to authorize mailing of their payroll checks to a specified address.
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Williamson County Schools Procedure Authorization Form
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A form for authorizing medical procedures to be administered to a student during school hours, requiring physician and parental consent.
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HIV Related Information Release Authorization Form
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Legal form authorizing release of medical and HIV-related information under New York State confidentiality laws
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Authorization To Release Information For Course Grade Appeal FERPA Release Form
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A form allowing students to authorize the release of educational records for a course grade appeal process at Houston Community College.
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Authorship Agreement Form
PDF template
A form documenting individual contributions and authorship criteria for academic or medical research publications.
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Authorization For Release Of Patient Health Information
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A document authorizing the California State Board of Optometry to access and review patient health records for investigation purposes.
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Autism Emergency Contact Form
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A comprehensive emergency contact and personal information form for individuals with autism, designed to assist in case of emergencies or potential wandering incidents.
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Autism Emergency Contact Form
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A comprehensive form collecting critical personal and medical information for individuals with autism in case of emergency or potential wandering incidents.
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Autism Profile And Emergency Contact Form
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A comprehensive form for documenting critical medical, contact, and behavioral information for individuals with autism
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New PIP Patient Form
PDF template
Detailed form for documenting vehicle accident details and patient information for insurance or medical purposes.
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Avera EConsult Assessment Form
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A comprehensive medical assessment form for telemedicine patient consultations, capturing patient information and physical examination details.
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Avoiding Move Out Charges
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Detailed instructions for tenants on how to properly clean and prepare their apartment for move-out to avoid additional charges and ensure full security deposit return.
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Animal Workers Medical Surveillance Consent For Medical ScreeningEvaluation
PDF template
A consent form for medical screening and evaluation of individuals working with animals at the University of Idaho.
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Anchor West Properties RENTAL APPLICATION
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Comprehensive rental application form collecting personal, rental, and employment history for potential tenants.
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Medical Expense Claim Form
PDF template
A form for employees to claim medical expenses through a Flexible Spending Account with detailed submission instructions.
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Alfond Youth Community Center New England Sports Camps Medical History Form 2023
PDF template
Comprehensive medical history and emergency contact form for children attending various sports camps in Maine.
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Patient Authorization Form
PDF template
A form authorizing AstraZeneca to use and share patient health information for support services and coordination of care.
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Member Request For Medical Reimbursement Form
PDF template
A form used by UnitedHealthcare Community Plan members to request reimbursement for medical services, co-payments, coinsurance, and deductibles.
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Securing Waivers Of Liability From Volunteers Of Nonprofit Organizations
PDF template
A comprehensive guide for nonprofit organizations on obtaining and using liability waivers to protect against potential legal claims from volunteers.
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Chesapeake Public Schools ParentGuardian Media Release Form For Students
PDF template
A form granting permission for students to be photographed, recorded, or videotaped for school-related media purposes.
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My Choice Wisconsin BadgerCare Plus Authorization Form
PDF template
A comprehensive form for requesting healthcare service authorizations under the BadgerCare Plus program in Wisconsin.
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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
PDF template
A comprehensive medical history form for collecting student health information, emergency contacts, and family medical history.
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Bangs Ambulance Events Request Form
PDF template
Form for requesting ambulance and medical support services for events with specific scheduling details.
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Bank Affidavit
PDF template
A form for international students to verify financial sponsorship and bank account details for college admission purposes.
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Chronic Appliance Benefit Application Form
PDF template
Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for requesting access to Banner and Unix system modules for Texas Southern University employees
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Medical History Form
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Comprehensive medical history form for patients seeking weight loss treatment, collecting personal, medical, and insurance information.
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Health Is Wealth Patient Intake Form
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Comprehensive medical intake form collecting patient personal, employment, emergency contact, and insurance information.
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Baseball Medical Release Form
PDF template
A medical authorization and consent form for baseball participants, allowing medical treatment and acknowledging potential risks of participation.
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Health Care Personnel (HCP) Baseline Individual TB Risk Assessment
PDF template
A screening form to assess tuberculosis risk factors for healthcare personnel through a series of yes/no questions about travel, immunosuppression, and TB exposure.
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Westlake Charter School BASE Program Registration Packet
PDF template
Registration packet for Westlake Charter School's before and after school program, providing details and required forms for student enrollment.
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Rental Application (Sample)
PDF template
Comprehensive form for potential tenants to provide personal, employment, and financial information when applying to rent a property.
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St. Ignatius Basketball Camp Liability Waiver Form
PDF template
Liability waiver and emergency contact form for participation in St. Ignatius Basketball Camp for student-athletes.
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ACHD Bathing Place Incident Report Form
PDF template
A comprehensive form for reporting incidents and injuries at public bathing facilities, including water rescues and medical treatments.
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VolunteerParental Consent Form
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Legal document outlining volunteer responsibilities, liability waivers, and consent for volunteering at Bernie's Book Bank, including provisions for minor volunteers.
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Liability Media Release Form
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A release form for parents/guardians to authorize child participation in music school programs and grant media usage permissions.
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BC3NP Enrollment Form
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Healthcare enrollment form for collecting patient contact, demographic, and service needs information.
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Sport Injury Accident Report Form
PDF template
A comprehensive form for documenting sports-related injuries or accidents during an event, capturing details about the injured person and medical response.
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Patient Insurance Information Form
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Comprehensive form for collecting patient medical insurance and health coverage details for claims processing.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
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Educators Health Alliance Medical And Dental Enrollment Form
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A medical and dental insurance enrollment form for Educators Health Alliance, allowing new applications and changes to existing coverage.
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Member Reimbursement
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A form for members to request reimbursement for healthcare expenses paid out-of-pocket directly to providers.
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SNFAcute IPR Assessment Form
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Prior authorization form for skilled nursing facility and inpatient rehabilitation services for Blue Cross Blue Shield of Michigan and Blue Care Network providers.
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Member Reimbursement
PDF template
A form for Blue Cross Blue Shield members to request reimbursement for healthcare expenses paid out of pocket.
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Medical Expense Claim
PDF template
A claim form for submitting medical expenses to Blue Cross and Blue Shield of Alabama for reimbursement.
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Member Reimbursement
PDF template
Form for members to request reimbursement for healthcare expenses paid out-of-pocket.
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Member Claim Form
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A form for filing healthcare claims with Blue Cross Blue Shield of North Carolina, detailing patient and insurance information for reimbursement of medical services.
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Independent Contractor Agreement
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A legal document defining the terms of an independent contractor's engagement with Barstow Community College District, outlining services, payment, and contractor status.
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Western Carolina University Base Camp Cullowhee Health And Medical Form
PDF template
A health screening form for participants in outdoor activities, collecting medical history and emergency contact information.
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Allegany College Of Maryland Continuing Education Registration Form
PDF template
A registration form for courses at Allegany College of Maryland's Continuing Education program
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Broward College Employment Application
PDF template
A comprehensive employment application form for Broward College that outlines equal opportunity employment policies and application instructions.
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My Benefit Plan Summary
PDF template
Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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ADPH F BCL 136 Alabama Department Of Public Health (ADPH) Bureau Of Clinical Laboratories (BCL) Requ
PDF template
A comprehensive laboratory testing request form used by healthcare providers to submit patient specimens for clinical testing in Alabama.
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Member Billing Form
PDF template
A form for submitting medical bills from non-participating healthcare providers for reimbursement or claim processing.
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Member Reimbursement Form
PDF template
A form for healthcare members to request reimbursement for out-of-pocket medical expenses they have paid directly.
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MEDICAL INFORMATION FORM
PDF template
A comprehensive medical form for participants of outdoor adventure trips, collecting health, emergency, and medical history information.
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BCS Fellow (FBCS) Application Guidance For OMs
PDF template
Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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Residential Rental Contract
PDF template
A standard lease agreement for renting residential property in North Carolina, outlining terms and conditions for tenancy.
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BDIAP Glasgow 2020 Educational Fellowship Application Form B
PDF template
Application form for medical or scientific professionals seeking an educational fellowship with the British Division of the IAP in Glasgow
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Rental Agreement Island Waves Beach House
PDF template
A residential lease agreement for a property located in Spanish Wells, Eleuthera, The Bahamas, outlining rental terms and conditions.
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Physical Examination Form
PDF template
A comprehensive medical form for documenting a student's physical health assessment by a healthcare provider.
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Ancillary Order Form
PDF template
A medical form for ordering orthotic services, therapy, and documenting patient diagnostic information.
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Beazley Financial Institutions Directors Officers Proposal Form
PDF template
A comprehensive proposal form for financial institutions seeking Directors & Officers liability insurance coverage, requiring detailed company information and ownership details.
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MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, insurance details, and current health status.
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Bellin College Incident Report Form
PDF template
A form used to document and report incidents occurring at Bellin College, capturing details about the event, involved parties, and actions taken.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
PDF template
Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
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Benefits Cancellation Form
PDF template
Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Berger Book Bag Grant Application Form
PDF template
Financial assistance grant for Moraine Park Technical College students to help purchase required books and academic supplies.
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Informed Consent, Voluntary Waiver, Release Of Liability, Assumption Of Risk, And Photography Releas
PDF template
Legal document for parental consent and liability release for child participation in a program at Bethel University
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BOISE FIRE DEPARTMENT MEDICAL RELEASE FORM
PDF template
Medical form for evaluating and releasing firefighters to full duty after injury or medical assessment.
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Health Savings Account Transfer Request Form
PDF template
A form for transferring health savings account assets from a previous trustee/custodian to Benefitfocus Account Services HSA.
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BGCC Program Refund Request
PDF template
A form for parents to request a refund for a BGCC (Boys & Girls Club of America) program participation
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Mohave Community College Governing Board Minutes
PDF template
Minutes of the Mohave Community College Governing Board meeting held via interactive television across multiple campuses.
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Discharge Form
PDF template
A form used to document and track patient discharge details for behavioral health clinical services.
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Patient Medical History Form
PDF template
Comprehensive medical history form collecting patient's personal health information, medical history, symptoms, and current health status.
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Media Release Form
PDF template
Legal document granting permission to use an individual's name, image, and likeness for media purposes without financial compensation.
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FederalDOT Testing Form
PDF template
Comprehensive medical screening and drug testing form for transportation workers requiring federal agency compliance.
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Traveler Booking Form
PDF template
A comprehensive form for collecting traveler information, health details, and booking preferences for a tour or travel program.
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Histology Service Request Form
PDF template
A form for requesting histology services including tissue processing, embedding, staining, and immunohistochemistry for human or animal biospecimens.
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UH IBC Biological Laboratory Incident Report Form
PDF template
A comprehensive form for reporting biological incidents, injuries, or near misses in a laboratory setting, requiring documentation within 24 hours.
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Oncology Prescription Referral Form
PDF template
A comprehensive form for submitting oncology patient prescription details, insurance information, and clinical data for medication authorization.
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Biology Major Course Audit
PDF template
A comprehensive form for tracking and verifying course requirements for biology majors, including completed and remaining courses.
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Patient Intake Form
PDF template
Comprehensive medical form for collecting patient personal, contact, medical, and insurance information with consent authorization.
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Harvard University Biosafety Manual
PDF template
Comprehensive guide for laboratory safety protocols, biosafety levels, and procedures for handling biological materials at Harvard University.
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Release And Assumption Of Risk Form
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Legal document releasing the Bermuda Institute of Ocean Sciences from liability during scientific, research, or recreational activities.
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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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BL 2 Laboratory Inspection Form
PDF template
A comprehensive safety inspection form for biological laboratories, focusing on biosafety level 2 (BL-2) requirements and protocols.
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Arts In Corrections MONTHLY ATTENDANCE SHEET FY 20 21
PDF template
Attendance tracking form for arts programs in correctional facilities, documenting participant attendance and class details.
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Credit Card Pre Authorization Form
PDF template
A form authorizing The Viva Center to charge credit card for services with pre-approved billing parameters.
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Driver Agreement Form
PDF template
A form documenting driver responsibilities and information for university club sports team vehicle transportation.
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Blank House Rental Agreement
PDF template
A legal document outlining terms and conditions for renting a residential property between a landlord and tenant.
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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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Official Travel Request Form
PDF template
Comprehensive travel request form for participants, volunteers, and staff to provide travel details and personal information for a trip.
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Blood Body Fluid Exposure Report
PDF template
A form documenting blood or body fluid exposure incidents for students, tracking medical testing and follow-up procedures.
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Blood Drive
PDF template
Blood donation drive organized by American Red Cross at Mt. San Antonio College to collect blood donations.
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TEST REQUEST
PDF template
A comprehensive medical test request form for collecting patient information and specifying various laboratory tests to be performed.
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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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Blue Cross Blue Shield Insurance Claim Form
PDF template
A comprehensive medical insurance claim form for collecting patient and insurance information for medical service reimbursement.
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Member Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service expenses to Anthem Blue Cross insurance.
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Enrollment And Change Form
PDF template
Healthcare insurance enrollment and change form for selecting medical and dental coverage options through Blue Cross Blue Shield
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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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Bert Miller Nature Club Waiver
PDF template
Annual waiver form for Bert Miller Nature Club members and guests to acknowledge risk and provide emergency contact information.
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Storage Lease Agreement
PDF template
A lease agreement for storing boats, RVs, and other vehicles at an indoor storage facility with monthly rental terms.
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Foreign Status For Federal Tax Withholding Form
PDF template
A form for foreign individuals to provide tax and immigration information for payment processing at South Texas College
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All FUR Fun Stay Play Dog Care Service Agreement Form
PDF template
A service agreement for dog daycare and boarding services, outlining responsibilities, risks, and liability limitations.
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Glenville State College Administrative Policy 8
PDF template
Policy establishing procedures for vehicle movement and parking on Glenville State College campus, ensuring safety and orderly access.
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Termination Of Membership Form
PDF template
A form for members to officially resign from the Bonitas Medical Fund and terminate their medical scheme membership.
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Rental Application Form
PDF template
Comprehensive rental application form for potential tenants seeking to lease a property within the Bonita Landing community.
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Book Order Form
PDF template
Order form for a commemorative book about the Michigan Society of Thoracic and Cardiovascular Surgeons' history.
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Academic Degree Program Proposal Form
PDF template
A form for proposing and documenting new academic degree programs with institutional and accreditation details.
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BostonSight (HIPAA) MEDICAL RECORDS RELEASE FORM
PDF template
A form that allows patients to grant permission for BostonSight to share their medical information with specified individuals or organizations.
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Suspect Foodborne Or Unknown Etiology Botulism Case Interview Form
PDF template
A detailed medical form for collecting comprehensive information about a potential botulism case, including patient demographics, clinical information, and medical history.
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Suspect Foodborne Or Unknown Etiology Botulism Case Interview Form
PDF template
A detailed medical form for collecting comprehensive information about a potential botulism case, including patient demographics, clinical information, and medical history.
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License Authorization Form
PDF template
A form for medical facilities to authorize product ordering and certify licensing for prescription drugs, medical devices, and controlled substances.
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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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ORIOLES LEASE AGREEMENT
PDF template
A lease agreement between the Maryland Stadium Authority and the Baltimore Orioles for Camden Yards, including potential ground lease and development options.
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AMWA Branch Annual Report Form
PDF template
Annual reporting form for branches of the American Medical Women's Association to document branch activities and leadership
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RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
PDF template
Legal document for releasing liability and obtaining consent for YMCA program participation and activities.
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BRASSEl Pilar Program Medical Form
PDF template
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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Patient Medical Referral Form
PDF template
Comprehensive medical referral form capturing patient demographics, diagnostic information, and key health metrics
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The Bridge Program Media Release Form
PDF template
Document allowing or declining consent for media recording and usage by the University of Mississippi's Bridge Program.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient and family medical contact information for pediatric medical practice.
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BRYC Elite Academy Medical Release Form
PDF template
A medical consent form allowing treatment for a youth athlete in case of injury or medical emergency during sports activities.
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Informed Consent, Release Agreement, And Authorization
PDF template
A comprehensive consent and medical authorization document for participating in Scouting activities, covering emergency medical treatment and risk acknowledgment.
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JOINT BSMS DEGREE PROGRAM AUDIT FORM
PDF template
A form for students to document their eligibility and plan for a combined bachelor's and master's degree program at FAU.
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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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REQUISITION FORM
PDF template
A form for patient information, billing details, and physician consent for medical testing by BillionToOne.
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Stafford Loan Budget Form 2020 2021
PDF template
A financial aid form for students to document academic expenses and funding sources for potential student loan borrowing.
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Budget Form Training To Competence Externship
PDF template
A budget form for applicants seeking funding for an externship program, requiring detailed expense documentation and submission at least one month prior to start date.
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F. BUDGET FORM
PDF template
Budget form detailing income and expenses for a teen mentoring program, including funding request from the Sisters of Charity Foundation.
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Budget Form Reproductive Health Externship Clinical Abortion Observation
PDF template
A form for medical students to document and request funding for expenses related to a reproductive health externship or clinical abortion observation program.
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Building A Connections Profile
PDF template
Instructions for creating an institutional profile on the College Board Connections platform for the BigFuture School App.
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BUILDING HEALTH AND SAFETY RISK ASSESSMENT FORM
PDF template
A comprehensive form for identifying and assessing potential hazards and risks in a building environment.
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Building Rental Agreement
PDF template
Comprehensive rental agreement for utilizing the Nashville Dog Training Club facility, detailing rental fees, insurance requirements, and liability terms.
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Building Safety Inspections
PDF template
Policy outlining procedures for conducting safety inspections of Baton Rouge Community College facilities to identify and correct workplace hazards.
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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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Accident Waiver And Release Of Liability Form And Photo Release
PDF template
Legal document waiving liability for participants in a recreational event, covering potential risks and injuries.
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DCCAS Guide To Choosing The Right Legal Form For Your Business
PDF template
A comprehensive overview of different business entity types, their characteristics, ownership, registration, management, and liability considerations.
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GLENVILLE STATE COLLEGE REQUISITION FORM
PDF template
A comprehensive form for requesting expenditures, events, and travel at Glenville State College.
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EXPENSE REIMBURSEMENT FORM
PDF template
Procedure for submitting and processing expense reimbursement requests for employees and trustees of County College of Morris.
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Campus Key Orders And Control
PDF template
Procedure defining key authorization and distribution for County College of Morris campus facilities and buildings.
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Business Lease Agreement Template
PDF template
A template for establishing lease terms between a landlord and business tenant, outlining rental conditions, payments, and legal obligations.
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Federal Student Loan ReductionCancellation Form
PDF template
Form for students to request reduction or cancellation of federal student loans for a specific academic term.
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BUS TRIP OVERNIGHT MEDICAL RELEASE FORM
PDF template
Medical and contact information form for student campus visit, including health insurance and emergency contact details.
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Play At Own Risk Waiver And Participant Consent To Treat Form
PDF template
Legal waiver and medical consent form for participants in a regional basketball championship tournament
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McLennan Community College Departmental Examination Form
PDF template
A form for students seeking course credit through departmental exams at McLennan Community College.
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Physical Examination Form For Driver Applicant
PDF template
Medical evaluation form for assessing a driver's physical fitness, particularly for school bus drivers in Florida.
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School Board Action Report
PDF template
Proposal to renew a three-year contract with Hobson's Naviance for college and career readiness software services for students in grades 6-12.
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Notice Of Termination Of Farm Tenancy
PDF template
Legal document to formally terminate a farm tenancy agreement in Iowa, providing official notice to the tenant.
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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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SWTJC Cabinet Meeting Minutes
PDF template
Meeting minutes documenting discussions and updates from SWTJC cabinet members across various departments on August 10, 2016.
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District Cadet Employment Application
PDF template
Employment application form for potential police cadet positions at West Los Angeles College, collecting personal, educational, and professional background information.
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CADRE PROPOSAL FORM
PDF template
A form for faculty and staff to propose and submit a cadre program for review by University Ministries.
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Application For Employment
PDF template
Standard employment application form for State University of New York at Canton, including personal information, employment eligibility, and educational background.
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WEST VIRGINIA WESLEYAN COLLEGE CAFETERIA PLAN MEDICAL CARE EXPENSE CLAIM FORM
PDF template
A form for submitting medical expense reimbursement claims under a cafeteria plan with detailed certification and documentation requirements.
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Release Form For Media Recording
PDF template
Legal consent form for the Cooley's Anemia Foundation to use photographs or recordings for thalassemia education purposes.
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ResidencyFellowship Non ERAS Common Application Form
PDF template
Comprehensive application form for medical residency and fellowship programs at the University of Connecticut School of Medicine
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Rental Agreement AndOr Lease
PDF template
Standard residential lease agreement for apartment rental in California, outlining terms and conditions between landlord and tenant.
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GUARANTEE OF RENTALLEASE AGREEMENT
PDF template
A legal document guaranteeing payment and performance of obligations by a tenant under a rental or lease agreement.
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Smoke Free Addendum To Rental Agreement Lease
PDF template
A legally binding addendum to a rental lease that establishes a smoke-free policy for residential property, outlining restrictions on smoking for tenants and their guests.
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California Tenant Move In Checklist
PDF template
A comprehensive guide for documenting property condition and tenant rights when moving into a rental property in California.
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Certificate Declaration Form
PDF template
Form for students declaring a certificate program at Mississippi State University's College of Agriculture and Life Sciences (CALS)
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PatientS Information Form
PDF template
Comprehensive medical form for collecting patient personal, contact, insurance, and healthcare provider information.
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Camp Card Drive For 25 Achiever
PDF template
Tracking form for scouts participating in the Camp Card "Drive for 25" fundraising program
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Camp Dina Medical Form PhysicianS Page
PDF template
Medical form for physician documentation required for camp enrollment and health tracking.
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Camp Potlatch 2020 Medical Form
PDF template
A comprehensive medical form for parents/guardians to provide health information for children attending Camp Potlatch summer camp.
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AU STRING CAMP Liability Medical Release Form
PDF template
Liability and medical release form for Anderson University String Camp participants, covering medical information, emergency contacts, and participant waivers.
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Camp LMU Registration, Informed Consent, Student Medical Release Form
PDF template
A comprehensive registration form for Camp LMU that collects camper personal information, emergency contacts, medical details, and photo release consent.
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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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Self Evaluation Report Feedback Form
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A form for providing feedback on Mount San Antonio College's draft self-evaluation report for accreditation purposes.
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Rental Application Form
PDF template
Comprehensive form for potential tenants to provide personal, employment, and rental history information for housing application.
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Adventure Cancellation Policy
PDF template
Official policy detailing refund and cancellation terms for student adventure programs at California State University San Bernardino.
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Official Cancellation Form
PDF template
A form for students to officially cancel enrollment for a specific semester with details about reasons and future plans
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New Consultation Referral Form
PDF template
Medical referral form for new patient consultation at an oncology clinic, collecting patient diagnosis, referral details, and medical history.
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Cancer Claim Form
PDF template
Claim form for filing a cancer-related insurance claim with Aflac New York, requiring policyholder and patient details along with medical documentation.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient health history, contact information, and current medical status.
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CLAIM FORM AND INSTRUCTIONS
PDF template
A comprehensive insurance claim form for filing wellness exam benefits with instructions for submission and processing.
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APPLICATION FOR APARTMENT
PDF template
Comprehensive rental application form collecting personal, employment, vehicle, and background information for potential apartment tenants.
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CANINE EXPORT SUBMISSION FORM
PDF template
A veterinary diagnostic laboratory form for submitting canine export health testing and documentation for international animal transportation.
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CANINE SUBMISSION FORM
PDF template
Legal form for submitting veterinary diagnostic specimens to Kansas State Veterinary Diagnostic Laboratory with billing and specimen information.
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CAOS Fellowship Application Form
PDF template
An application form for medical professionals seeking a fellowship in computer-assisted orthopaedic surgery with the International Society for Computer Assisted Orthopaedic Surgery.
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Standardized Application For Pathology Fellowships
PDF template
A comprehensive fellowship application form for pathology residency candidates covering personal, educational, and training details.
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CAPITAL REQUEST FORM
PDF template
A formal document for submitting and tracking proposed capital expenditures for equipment, furniture, and major investments not included in the operating budget.
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MEDICAL HISTORY FORM
PDF template
A comprehensive form for patients to provide detailed medical information relevant to dental treatment and health assessment.
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Release Of Information Authorization Form
PDF template
A form authorizing Counseling and Psychological Services (CAPS) to release protected clinical information to designated persons or agencies.
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Standardized Application For Pathology Fellowships
PDF template
Comprehensive application form for medical professionals seeking specialized pathology fellowship training across various subspecialties.
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Standardized Application For Pathology Fellowships
PDF template
Official application form for pathology fellowship candidates, covering personal information, education, and fellowship specialization preferences.
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Standardized Application For Pathology Fellowships
PDF template
Comprehensive application form for medical professionals seeking specialized fellowship training in various pathology subspecialties.
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Capital Access Program (CAP) Notice And Waiver Form
PDF template
A formal document outlining borrower acknowledgment and waiver for participation in the Capital Access Program loan enrollment process.
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FMLA InformationRequest Packet
PDF template
Comprehensive packet of forms and instructions for employees requesting Family and Medical Leave Act (FMLA) leave through Carbon County HR.
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Residential Rental Application Form
PDF template
A comprehensive form for applying to rent a residential property, requiring personal details and identification documentation.
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Youth Sports League Roster Waiver
PDF template
A comprehensive form for youth sports team registration, including player and guardian contact information and liability release.
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Care Coordination Referral Form
PDF template
A form for requesting care coordination assistance for members with various health and support needs
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CAREER Agreement Form
PDF template
A form for students certifying intent to enroll in another community college program when unable to attend Shawnee Community College.
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Caregiver Consent Act Affidavit
PDF template
An official form allowing non-guardian caregivers to consent to medical treatment for minors under specific circumstances in West Virginia.
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CAREGIVER CONTACT FORM
PDF template
A form for patients to provide details about a designated caregiver who can be contacted regarding their medical care and treatment.
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Caregiver Medical History Form
PDF template
A medical history form for caregivers to provide health background information for TNT staff review
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CaregiverS Authorization Affidavit
PDF template
A legal document authorizing a caregiver to enroll a minor in school, access medical care, and educational records
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Pre Authorisation Form Care
PDF template
A detailed medical insurance form for patients seeking cashless hospitalization, capturing personal, medical, and insurance details.
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Care Management Referral Form
PDF template
A referral form for recommending patients with complex medical or behavioral health conditions to care management programs.
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Mail Service Order Form
PDF template
A form for ordering prescriptions through mail service with health history and participant information collection.
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Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims with detailed patient and insurance information requirements.
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Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims to an insurance provider or healthcare plan.
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CASE EVALUATION FORM
PDF template
A comprehensive medical assessment form for evaluating patient seating needs and physical condition using a BRODA chair.
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Consent Form For Case Reports
PDF template
A consent form for patients to authorize publication of medical information in journals or theses while maintaining patient anonymity.
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Farm Lease Agreement
PDF template
A legal document outlining the terms of leasing agricultural land for crop cultivation, specifying rental payments, usage rights, and tenant responsibilities.
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CASL Medical Release Form
PDF template
A comprehensive medical release and liability waiver form for soccer players, allowing medical treatment and releasing organizations from liability.
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Medical History Form
PDF template
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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Pharmacy Technology Application For Admission
PDF template
Application form for students seeking admission to the Pharmacy Technology program at Casper College.
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Casualty Assessment Form
PDF template
Comprehensive medical assessment form for documenting patient condition, injuries, and treatment details.
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Risk Assessment Policy And Procedures
PDF template
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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Catalog Declaration Form
PDF template
A form for students to declare or update their academic program catalog term and requirements at Oregon State University-Cascades.
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Catalog Declaration Form
PDF template
A form for students to update their academic catalog year when adding new majors or minors not available during their initial enrollment.
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Catastrophic Sick Leave Request Form
PDF template
A form for employees to request catastrophic sick leave due to extended illness or injury as defined by Alabama state law.
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CATERING REQUEST FORM
PDF template
A comprehensive form for requesting catering services at Hartnell College, including event details, menu selections, and billing information.
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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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Patient Medical Information Form
PDF template
Comprehensive medical intake and tracking form for patient demographics, facility details, and medical specimen information.
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MONTREAT COLLEGE ATHLETIC DEPARTMENT SPORT PREPARTICIPATION EXAMINATION FORM
PDF template
A comprehensive medical screening form for college athletes to assess health conditions and potential risks before sports participation.
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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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CCCC Medical Sonography Program Volunteer Informed Consent
PDF template
Consent form for volunteer scan models participating in medical sonography student training at Central Carolina Community College.
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Disability Resources Student Handbook
PDF template
A comprehensive handbook for students with disabilities at Coconino Community College, outlining services, accommodations, and support processes.
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Student Activity Travel General Release And Waiver Of Liability
PDF template
Legal document releasing Calhoun Community College from liability during student activity travel events.
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Backflow Incident Report Form
PDF template
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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Emergency InformationUpdate Form
PDF template
A comprehensive form for collecting child's emergency contact, medical, and parental information for YMCA child care programs
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Mail Registration Form
PDF template
Registration form for students to enroll in courses at Rock Valley College, including personal information and course selection.
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Liability Waiver And Release Form (Minor Child)
PDF template
A legal document releasing the Chesterfield County Fair from liability for minor children participating in volunteer activities at the fairgrounds.
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New Patient Intake Patient Medical History
PDF template
Comprehensive medical intake form for new patients collecting detailed personal and health information.
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Certificate Of Insurance
PDF template
Insurance documentation for residential contractors and remodelers in Minnesota, certifying general liability and property damage coverage.
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Certificate Of Insurance Covering General Liability And Property Damage Liability Insurance Coverage
PDF template
Official document certifying insurance coverage for construction contractors in Minnesota, meeting state statutory requirements for liability insurance.
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Centenary College Missing Person Contact Form
PDF template
A confidential form allowing students to register emergency contacts in case they are reported missing while living on campus.
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Pediatric Care Management Referral Form
PDF template
A comprehensive referral form for children aged 0-20 years to access care management and coordination services.
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Volunteer Form
PDF template
A comprehensive form for individuals interested in volunteering, collecting personal information and including liability waivers and consent agreements.
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Terra State Community College School Consent Form
PDF template
A form for high school students applying to take college courses through the College Credit Plus program, requiring high school counselor and parental consent.
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College Credit Plus Course Authorization Form
PDF template
Authorization form for students to enroll in college courses while in high school through the College Credit Plus program.
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MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, lifestyle details, and emergency contacts.
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Quick Admit Application Form
PDF template
A comprehensive application form for prospective students collecting personal and demographic information for college admission.
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Disability Support Services Inquiry Form
PDF template
A form for students to provide information about their disability and request potential academic accommodations.
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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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TrailerContainer Lease Agreement
PDF template
A legal agreement for leasing trailers or containers, outlining terms of rental, delivery, return, and payment conditions.
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Personal Vehicle Travel Liability And Insurance Form
PDF template
A liability release form for students using personal vehicles for university-sponsored off-campus activities
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CCX Media Release Form
PDF template
Legal release form for producers submitting content to CCX Media for cable and website broadcast and streaming.
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CDC 50.42A Adult HIV Confidential Case Report
PDF template
Comprehensive medical reporting form for documenting HIV cases for patients over 13 years of age, used by health departments and CDC for surveillance purposes.
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CDCI Media Release Form
PDF template
A consent form allowing the Center on Disability and Community Inclusion to use an individual's media and quotes for educational purposes.
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Authorization For Release Of Information
PDF template
A form authorizing the Federal Motor Carrier Safety Administration to disclose medical records related to a commercial vehicle operator's medical exemption application.
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Commonwealth Of Dominica Physical Examination Report
PDF template
A comprehensive medical screening form for seafarers detailing personal and medical history
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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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COVID 19 VACCINE CONSENT FORM
PDF template
Comprehensive consent form for receiving COVID-19 vaccination, collecting patient medical information and screening for potential vaccine contraindications.
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CDPHP Co Pay Reimbursement Form
PDF template
Form for employees to submit medical co-pay expenses for reimbursement through Hudson Valley Community College's healthcare program.
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Celiac Disease Diagnostic Testing Requisition Form
PDF template
Medical form for ordering celiac disease diagnostic tests, including patient and prescriber information and insurance details.
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CEC College And Career Planning Guidebook
PDF template
A comprehensive resource for students to navigate college preparation, application process, career exploration, and job search strategies.
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PATIENT REGISTRATION MEDICAL HISTORY FORM
PDF template
Comprehensive medical registration form for patient intake, collecting personal, contact, and insurance information for medical services.
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Enrollment Form
PDF template
Application form for enrolling in Elms College Degree Completion Program with a $50 enrollment deposit.
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Continuing Education Enrollment Form
PDF template
Comprehensive enrollment form for students at Houston Community College capturing personal, demographic, and educational information.
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VCU RCDI G CENC External Concussion Diagnostic Interview
PDF template
A medical interview form for documenting potential concussive events and detailed injury information
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Wedding Information Sheet
PDF template
A form for booking wedding venues at Centenary College, including details about the wedding party and venue rental policies.
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Tenant Handbook
PDF template
A comprehensive handbook for tenants of the Center Plaza mixed-use complex in downtown Boston, providing building information, services, and operational guidelines.
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Patient Referral Form
PDF template
A comprehensive healthcare referral document for patient intake, medical assessment, and service selection.
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MEDICAL RELEASE FORM
PDF template
A legal form allowing medical treatment for a minor in the absence of a parent or guardian, including consent for medical procedures and documentation of medical history.
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Texarkana College Registration Form
PDF template
A registration form for continuing education courses at Texarkana College with mandatory personal and demographic information.
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Cerritos College Dual Enrollment Application
PDF template
Application for high school students to enroll in college courses at Cerritos College through a dual enrollment program.
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Refund Request Form
PDF template
A form for students to request refunds for fees or other expenses at Cerritos College, with specific eligibility requirements and procedures.
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Certificate Of Insurance
PDF template
Insurance certification document required for obtaining a pesticide operator licence in Newfoundland and Labrador.
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ContractorS, ArchitectS AndOr EngineerS Certificate Of Insurance Form
PDF template
A formal document certifying insurance coverage details for a construction or design project with multiple insurance companies.
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Certificate Of Insurance Form For ContractorS Architects AndOr EngineerS
PDF template
A certificate of insurance detailing coverage for contractors, architects, and engineers for a specific project.
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Certificate Of Liability Insurance
PDF template
A standard insurance document that provides information about liability insurance coverage without conferring specific rights to the certificate holder.
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Court Certificate Of Release
PDF template
Official court document for releasing mortgages and liens in Seneca County, Ohio
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CERTIFICATION AGREEMENT
PDF template
A certification form for veterans and dependents seeking educational benefits through VA programs at Santa Monica College.
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Emergency Exam Cancellation Form
PDF template
Form for clinical research professionals to request fee waiver for exam cancellations due to emergencies or extenuating circumstances.
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Certification Of Need And Waiver Of Liability (Prescription Delivery)
PDF template
A form for patients without transportation to receive prescription medication delivery, including liability release and risk assumption.
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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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Daily Waiver Form
PDF template
Comprehensive waiver form for participants of Wilmette Park District Fitness Center, covering injury risks, medical treatment, and photography consent.
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Consent Form Checklist For Reliance On External IRBs
PDF template
Guidance for UCLA investigators creating site-specific consent forms when relying on external Institutional Review Board (IRB) approval.
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Candia Farmers Market Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing Candia Farmers Market from liability for potential accidents or injuries during market participation.
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CG 20 40 12 19 Commercial General Liability Endorsement
PDF template
Insurance endorsement that automatically adds additional insureds for parties involved in construction contracts, specifically for completed operations liability.
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Amendment Of Insured Contract Definition
PDF template
Insurance policy endorsement modifying the definition of 'insured contract' in a commercial general liability coverage part.
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OCCUPATIONAL MEDICAL HISTORY AND EXAMINATION FORM
PDF template
A comprehensive medical examination form for U.S. Coast Guard employees covering personal and occupational health information and potential workplace exposures.
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ElitePac General Liability Extension Endorsement
PDF template
A comprehensive summary of additional coverages and modifications for a commercial general liability insurance policy.
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Internship Application
PDF template
Comprehensive application form for students seeking an automotive internship opportunity at DMACC (Des Moines Area Community College)
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International Group Travel Release
PDF template
Legal release document for participants in international group travel programs, outlining risks and liability waivers for Claremont Graduate University programs.
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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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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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Change Of Address Form
PDF template
Official form for students to update their contact and residential information with Luzerne County Community College.
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Albion College Change Of Address Form
PDF template
A form for Albion College students to update their personal contact information and emergency contact details.
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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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Change To Audit Form
PDF template
A form for students requesting to audit a course at Carroll Community College, specifying participation requirements and grade expectations.
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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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Release Of Liability, Acknowledgement Of Risk And Acceptance Of Responsibility
PDF template
Legal document waiving liability for risks associated with participating in a Community Corrections Chase event.
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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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MUHLENBERG COLLEGE CHECK REQUISITION FORM
PDF template
A form used to request and process check payments for various institutional expenses at Muhlenberg College.
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CHELWOOD PLACE APARMENT RENTAL APPLICATION FORM
PDF template
Comprehensive form for collecting personal, employment, and residential details from potential apartment tenants.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting new patient personal, contact, and medical information for a medical practice.
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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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Child Comprehensive Medical Release Permission Form
PDF template
Medical release and permission form for children participating in parish or diocesan activities, capturing health information, emergency contacts, and medical history.
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Application For Child Life Internship
PDF template
Application guidelines and requirements for internship positions at Children's Hospitals and Clinics of Minnesota's Child Life Department.
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Child Patient Intake Form
PDF template
Comprehensive intake form for children with cancer, collecting patient and family information for Rock Cancer Care services.
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Child Registration Form
PDF template
A comprehensive form for registering a child, collecting personal and insurance information for medical or childcare purposes.
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MEDICAL And LIABILITIES RELEASE FORM
PDF template
A comprehensive form for medical information and liability release for children participating in church activities and programs.
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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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Calvary Baptist Church ChildrenS Ministry Participant Permission Medical Release
PDF template
A comprehensive permission and medical release form for children participating in Calvary Baptist Church ministry activities during 2024.
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Child Travelling Alone Legal Form
PDF template
Legal form for parents/guardians authorizing solo travel for 16-17 year old participants in CISV international programs with medical consent and release provisions.
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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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Department Of RadiologyImaging Services Pre Scheduling Evaluation Form
PDF template
Medical form used by physicians to request and evaluate imaging services, including patient details and medical history for CT or MRI scans.
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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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5185 3 Choosing The Legal Form For Your New Business
PDF template
A guide to selecting the appropriate legal structure for a new business, discussing different ownership and liability options.
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Chosen Name, Preferred Name AndOr Gender Identity Change Request Form
PDF template
A form for Union College community members to request changes to their name or gender identity in college information systems.
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Insurance FAQ
PDF template
Comprehensive overview of liability insurance coverage provided by the Sports Field Management Association (SFMA) for chapter officers, directors, and events.
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Chronic Illness Benefit Application Form
PDF template
An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
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Chronic Medical Condition Treatment Compliance Form
PDF template
Form documenting a patient's ongoing medical treatment and compliance with care standards for at least 6 months
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Final Course Grade Appeal Form
PDF template
A formal document for students to appeal their final course grade through an established academic review process.
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Non Employee IncidentAccident Report
PDF template
A form used to document details of non-employee incidents or accidents, capturing key information about the event, parties involved, and potential damages.
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CIEF Membership Form 2019 2020
PDF template
Membership form for competing and non-competing members of a sports or equestrian organization
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Cigna Claim Form (Rev. 72015)
PDF template
A comprehensive form for submitting healthcare service reimbursement claims with patient, provider, and payment information.
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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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TEST REQUISITION FORM
PDF template
A laboratory test request form for clinical immunodiagnostic testing with patient and specimen information collection fields.
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CIRP Freshman Survey Administration Checklist
PDF template
A comprehensive checklist for administering the Cooperative Institutional Research Program (CIRP) Freshman Survey for higher education institutions.
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Claim For Money Or Damages Against The City Of Moreno Valley
PDF template
A legal form for filing monetary claims or damages against the City of Moreno Valley, California.
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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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2021 CIVME Research Grant Program Grant Application Instructions
PDF template
Instructions and guidelines for applying to the Council on International Veterinary Medical Education research grant program.
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AIA Miami CKLDP Agreement Form
PDF template
Participation agreement for the AIA Miami Leadership Development Program detailing attendance requirements and participant commitments.
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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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MEDICAL EXPENSE CLAIM
PDF template
Form for filing medical expense claims with Blue Cross and Blue Shield of Alabama when a healthcare provider does not file a claim directly.
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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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Dental Insurance Claim Form
PDF template
Insurance claim form for submitting dental treatment and patient information for reimbursement or coverage verification.
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Claim For Damages To Person Or Property
PDF template
Official form for filing a claim for damages against Riverside County, detailing injury or property damage incidents.
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Student Insurance Claim Form
PDF template
Insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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Claim Form Finder And User Guide
PDF template
Comprehensive guide to help healthcare providers select the appropriate claim form for various submission scenarios and corrections.
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Claim Form Finder
PDF template
Comprehensive guide for healthcare providers detailing claim modification forms and processes for Neighborhood Health Plan of Rhode Island.
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Details Of Hospital Claim Form Part B
PDF template
A comprehensive medical claim form for documenting patient hospital admission, treatment, and insurance claim details.
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City Of Columbus Claim Packet
PDF template
Guidance for filing injury or property damage claims against the City of Columbus, including claim submission procedures and legal liability information.
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Claims Reporting Reference Guide
PDF template
A comprehensive guide for reporting and managing various types of insurance claims across different coverage areas.
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Member Reimbursement Form For Medical Claims
PDF template
A form for patients to submit medical claims for reimbursement, detailing patient, subscriber, and provider information.
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Claims Reimbursement Form
PDF template
A comprehensive form for submitting medical claims for reimbursement, used by patients or healthcare providers to request payment for medical services.
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Claims Reporting Reference Guide
PDF template
A comprehensive guide for reporting insurance claims across multiple coverage types and managing workplace incidents
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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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Class Audit
PDF template
A form for students 18 and older to request auditing courses at Blinn College without receiving academic credit.
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Student Class Evaluation
PDF template
An evaluation form for students to provide feedback on educational programs and instructors in emergency medical services.
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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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Senior Scholarship Information
PDF template
A form for seniors to record scholarship information for publication in the Sioux City Journal
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General Media Release Form
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A comprehensive form for media use authorization and liability release for The Cutting Edge Classroom's activities.
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Clayton Court Residency Application Form
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Comprehensive rental application form for prospective tenants seeking to lease a home at Clayton Court residential community.
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PacificSource Enrollment Application
PDF template
A comprehensive group health insurance enrollment form for employees and their dependents to select medical and dental coverage.
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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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Clery Act Student Overnight Travel Form
PDF template
A documentation form for reporting college-related overnight student travel activities in compliance with the Clery Act
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Cancer Services Client Intake Form
PDF template
Confidential intake form for cancer patients seeking free services in Erie, Huron, and Ottawa counties in Ohio.
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Cancer Services Client Intake Form
PDF template
Comprehensive intake form for cancer patients seeking free support services, collecting personal, medical, and financial information.
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CLIMBucknell MEDICAL FORM
PDF template
Medical history and emergency contact form for participants in a university climbing/ropes course activity
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Accident Waiver And Release Of Liability
PDF template
A comprehensive legal document releasing event organizers from liability for potential injuries or damages during an athletic event.
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CLINICAL BOOKING FORM
PDF template
A form for scheduling telehealth consultations and televisitation events for healthcare professionals.
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Behavioral Health Discharge Clinical Form
PDF template
A clinical form for documenting patient discharge details from behavioral health treatment, including care level, residence, and follow-up appointments.
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Clinical Incident Report Form 4.3
PDF template
A form documenting details of a clinical incident, including injury, location, witnesses, and actions taken.
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Nephrology Laboratory Test Requisition
PDF template
A clinical form for requesting laboratory tests related to complement system and nephrology research at Cincinnati Children's Hospital.
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HARKNESS CENTER FOR DANCE INJURIES PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form specifically designed for documenting dance-related injuries across multiple body regions.
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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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Horse Lease Agreement
PDF template
A legal document outlining the terms and conditions for leasing a horse, specifying details of the lessor, lessee, horse, lease term, and rental payments.
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Club Advisor Agreement Form
PDF template
Comprehensive agreement outlining the roles, responsibilities, and expectations for student organization advisors at Grays Harbor College.
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Clubs Emergency Contact Information
PDF template
School emergency contact and medical information form for recording student and parent contact details and health information.
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Notice Of Field Trip And Waiver Of Liability
PDF template
A legal document for students participating in a voluntary field trip, requiring a signed waiver of liability by the participant.
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Clubhouse Rental Agreement And Statement Of Indemnity
PDF template
A rental agreement for Heathlake Community Association's clubhouse, outlining terms, fees, and liability conditions for residents.
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Requisition
PDF template
A financial document used by clubs or organizations at Virginia Western Community College to request purchases or reimbursements.
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Club Sports Informed Consent Form
PDF template
A legal consent and liability release form for students participating in club sports at Connecticut College, acknowledging risks and insurance responsibilities.
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Club Travel Emergency Contact Form
PDF template
A form for documenting emergency contact details for students participating in off-campus college trips.
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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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OFFER IN COMPROMISE
PDF template
Official form for taxpayers to propose a compromise of tax liabilities with the Hawaii Department of Taxation
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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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Centers For Medicare And Medicaid Services EDI Registration Form
PDF template
A registration form for healthcare providers to establish electronic data interchange (EDI) capabilities with the Centers for Medicare and Medicaid Services.
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Centers For Medicare And Medicaid Services EDI Registration Form
PDF template
Form for healthcare providers to register for Electronic Data Interchange (EDI) transactions with Centers for Medicare and Medicaid Services.
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Form CMS 116 (0324)
PDF template
Clinical Laboratory Improvement Amendments (CLIA) certification application for health laboratories seeking federal certification.
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HEALTH INSURANCE CLAIM FORM
PDF template
Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
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Health Insurance Claim Form
PDF template
Official form for submitting medical insurance claims and capturing patient and insured party information.
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CMSP 215 Supplemental Application
PDF template
Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
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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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Infant Medical History Form
PDF template
Comprehensive medical history form for pediatric patients covering medical tests, therapies, medications, developmental milestones, and birth history.
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CNHS Insurance Requirements Proof Of Health Insurance Form
PDF template
Form for documenting student health insurance coverage for clinical and practicum rotations in the College of Nursing & Health Sciences.
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Curriculum Approval Form
PDF template
A comprehensive form for proposing, reviewing, and approving academic program changes at a university.
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Conservation Northwest Field Volunteer Waiver Form
PDF template
A legal waiver form for volunteers participating in wildlife monitoring and conservation field work with Conservation Northwest.
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Conservation Northwest Field Volunteer Waiver Form
PDF template
A legal waiver form for volunteers participating in wildlife monitoring and outdoor conservation projects with Conservation Northwest.
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SPORT CLUB COACHES MEMBERSHIP FORM
PDF template
Form for coaches to apply for membership and participation in university recreational sports programs with liability waiver and approval process.
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Vendor Contact Form
PDF template
A form for collecting vendor contact information, business details, and minority ownership status for a community college's procurement process.
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Co Borrower Agreement Form
PDF template
A form for co-borrowers to provide personal information and consent for student financial services.
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Coconino County Volunteer Service Agreement
PDF template
A comprehensive volunteer service agreement that outlines volunteer responsibilities, terms, and participant details for Coconino County.
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Medical Release Form
PDF template
A medical consent and release form for student participation in activities, allowing emergency medical treatment with parental authorization.
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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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Referral Form
PDF template
A form for healthcare providers to request patient referrals and provide medical background information.
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College Budget Form
PDF template
A comprehensive form for tracking college expenses, income, financial aid, and budgeting for students.
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College Credit Plus (CCP) Program Application Addendum
PDF template
Application form for high school students to participate in the College Credit Plus program at Franklin University.
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College Of Southern Nevada Transcript Request Form
PDF template
A form for requesting official transcripts from the College of Southern Nevada for academic and administrative purposes.
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Common App College Report
PDF template
A comprehensive form for collecting student academic information and records for college applications.
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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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College Sponsored Related Medical And Travel Form
PDF template
A medical and travel authorization form for students participating in college-sponsored activities with COVID-19 compliance and liability waiver provisions.
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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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College VisitMilitary Form
PDF template
A form allowing upperclassmen to request excused absences for college visits, job interviews, or military exams with specific documentation requirements.
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COLOGUARD ORDER REQUISITION FORM
PDF template
Medical order form for Cologuard, a stool-based DNA test used for colorectal cancer screening
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COLOGUARD ORDER REQUISITION FORM
PDF template
Medical order form for Cologuard, a stool-based DNA test for colorectal cancer screening
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Insurance Claim Processing Instructions
PDF template
Instructions for submitting an insurance claim, including required documentation and processing details for Colonial Life & Accident Insurance Company.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients to collect personal, contact, and health information for medical providers.
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AFI PRE AUTHORIZATION FORM FOR HOSPITALIZATION FROM PANEL NON PANEL HOSPITALS
PDF template
A form for obtaining pre-authorization for hospitalization from panel and non-panel hospitals for insurance coverage.
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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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NEW PATIENT REGISTRATION FORM
PDF template
Comprehensive form for new patient medical registration, including personal information, medical history, insurance details, and a physician-patient arbitration agreement.
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Course Grade Appeal Form
PDF template
A formal document allowing students to appeal course grades through a structured review process with the Office of Academic Affairs.
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CGL CERTIFICATE OF INSURANCE
PDF template
Official insurance certificate documenting commercial general liability coverage for an insured party with the City of Vancouver
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Common Child And Adolescent Psychiatry Application
PDF template
An application form and procedure guide for medical professionals seeking child and adolescent psychiatry residency programs.
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ResidencyFellowship Non ERAS Common Application Form
PDF template
Comprehensive application form for medical residency and fellowship candidates seeking placement at the University of Connecticut School of Medicine.
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Standardized Application For Pathology Fellowships
PDF template
A comprehensive application form for medical professionals seeking pathology fellowship training in various subspecialties.
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Communicable Disease Report For Healthcare Providers
PDF template
A comprehensive medical reporting form for healthcare providers to document communicable disease cases in Arizona.
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Marquette University ComMUnity Physical Therapy Clinic Referral Form
PDF template
A referral form for patients seeking physical therapy services at Marquette University's Community Physical Therapy Clinic.
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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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Community Membership Program Registration Form
PDF template
Registration form for obtaining a community membership at Cuyahoga Community College recreational facilities
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Prospect Plaza Apartments Community Rules
PDF template
Comprehensive guidelines and regulations for residents of Prospect Plaza Apartments covering maintenance, laundry, mail, and general property expectations.
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Complaint Form
PDF template
A standardized form for filing various types of complaints at Pierpont Community & Technical College, allowing students, faculty, staff, and others to report issues.
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Health Care Provider Complaint Form
PDF template
Official form for filing a complaint against a healthcare provider in Florida with detailed information requirements for investigation.
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Complaint Report
PDF template
A form for submitting complaints to the local health department, allowing individuals to report health or nuisance-related issues.
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USDA Program Discrimination Complaint Form Instructions
PDF template
Instructions for filing a discrimination complaint with the United States Department of Agriculture (USDA) regarding program discrimination.
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Complaint Report Form
PDF template
Form for reporting patient complaints and potential protected health information disclosure at UW-Milwaukee
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The Wellness Plan ComplaintResolution Form
PDF template
A form for documenting patient complaints, concerns, and their resolution within a medical center's wellness plan.
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STEPSFORMS TO SEE DR. SENIOR
PDF template
Detailed guidelines for students seeking to schedule and attend a psychiatric appointment with Dr. Senior at Landmark College.
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Completion Notice Non Warehouse Delivery
PDF template
A document used to confirm the completion of a delivery or purchase order for Mt. San Antonio Community College District.
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Emergency Contact Form
PDF template
A form for students to provide emergency contact details and medical authorization for University of Detroit Mercy.
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Dual Enrollment Approval Form
PDF template
Form for high school students to enroll in college courses while still in high school, including academic record release and scholarship application.
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Comprehensive Pain Assessment Form
PDF template
A detailed form for evaluating and documenting a patient's pain characteristics, intensity, and management goals.
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IEEE AP SUSNC URSI 2024 EXHIBITORS COMPULSORY INSURANCE FORM
PDF template
Mandatory insurance form for exhibitors at the IEEE AP-S/USNC URSI 2024 conference, detailing insurance coverage requirements and policies.
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Mid Year Computer Equipment Purchase Request
PDF template
A form for requesting computer or printer purchases outside of the annual budgetary process at Hamilton College, requiring approval from senior administrators.
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Authorization For Examination Or Treatment
PDF template
A medical authorization form for workplace-related medical examinations, testing, and treatment with comprehensive patient and service details.
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Concurrent Enrollment Agreement Form
PDF template
Form for FIU financial aid recipients seeking to take courses at Miami Dade College or Broward College with potential financial aid adjustments.
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UCSD College Readmission Concurrent Enrollment Form
PDF template
Guidelines for academically disqualified students seeking readmission through concurrent enrollment courses at UC San Diego Extension.
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Dual Enrollment Parental Consent Form
PDF template
A form for parents to grant permission for high school students to pursue concurrent enrollment at Central Christian College of the Bible.
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Concussion Incident Form
PDF template
A form for documenting and reporting concussion-related incidents in sports, specifically for Ringette Canada.
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Concussion Recovery Teacher Feedback Form
PDF template
A form for teachers to provide feedback on a student's post-concussion academic performance and symptoms.
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Concussion Waiver Form
PDF template
A waiver form requiring student athletes to acknowledge and report concussion symptoms to medical staff.
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Concussion Waiver Form
PDF template
A waiver form for student athletes acknowledging their responsibility to report concussion symptoms and potential injuries.
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Concussion Waiver Form
PDF template
A waiver form requiring student athletes to acknowledge their responsibility in reporting concussion symptoms and understanding concussion risks.
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Montana Newborn Screening Program Condition Nomination Form
PDF template
A form used by healthcare professionals to nominate new medical conditions for inclusion in Montana's newborn screening panel.
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Registration Form
PDF template
A comprehensive registration form for new and returning students at Tri-County Community College (TCCC)
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College Of Southern Maryland Continuing Education Registration Form
PDF template
A comprehensive registration form for students enrolling in continuing education courses at the College of Southern Maryland, collecting personal and demographic information.
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Confidential Medical History Form
PDF template
Comprehensive medical symptoms and conditions checklist for patient intake, covering multiple body systems and health concerns.
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Environmental Health Safety Policy
PDF template
Policy addressing safety procedures and requirements for entering confined spaces at Connecticut College, following OSHA guidelines.
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Confirmation Scholarship Form
PDF template
A scholarship form for ELCA Region 1 students seeking confirmation scholarship at Pacific Lutheran University.
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CONSENT INSURANCE FORM
PDF template
A comprehensive form for collecting medical insurance and consent information for a cadet or applicant, including parent/guardian details and insurance policy information.
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Participant Consent Form
PDF template
A consent form for participants of a workshop, explaining survey data collection and potential Medicare study participation.
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Adult Consent Form
PDF template
A comprehensive medical consent form for adults, collecting personal information and health history details prior to medical treatment or vaccination.
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Child Consent Form
PDF template
A comprehensive health screening form for children to assess medical history and vaccination readiness.
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PHOTOVIDEO CONSENT FORM
PDF template
A legal document granting McGill University permission to use photographs or video images of a participant for university purposes.
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Consent Form ImPACT Baseline Concussion Testing
PDF template
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
PDF template
A parental consent form for students participating in puberty and reproductive health education classes in Utah schools.
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Parental Consent Form
PDF template
Parental consent and liability waiver form for participation in hockey school activities, including insurance and concussion acknowledgment.
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Consent For Publication Form
PDF template
A form granting permission for personal information or medical details to be published in a journal or article while acknowledging potential public exposure.
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Consent To Treat Form
PDF template
Parental consent form for chiropractic evaluation and treatment of a child, with specific limitations on diagnostic scope.
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Consent For Treatment
PDF template
Comprehensive patient consent document covering treatment, benefits assignment, privacy practices, and telemedicine consent for Kentucky Cardiology medical services.
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Authorization For Medical Treatment Of Child
PDF template
A form allowing school representatives to consent to medical treatment for a student when parents cannot be reached during an emergency.
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Providence Mountain Emergency Services Consent To Treat Form
PDF template
Medical release and emergency treatment authorization form for participants in Providence Mountain program from December to May.
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Consent To Treat Release Form
PDF template
A form authorizing Woodward School to secure medical treatment for a student in emergency situations when parents cannot be immediately contacted.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
A comprehensive medical history and consent to treat form for USA Hockey participants, covering emergency contact, medical history, and insurance information.
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CONSENT TO TREAT MINOR CHILDREN
PDF template
A legal form allowing parents or guardians to provide medical treatment consent for a minor child when the parent is not immediately available.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
Medical consent and history form for USA Hockey participants, allowing medical treatment and collecting health information for emergency purposes.
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Medical Release Form (For Students Under The Age Of 18)
PDF template
A consent form allowing medical treatment for students under 18 when parents/guardians cannot be immediately contacted.
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CONSENT, WAIVER, RELEASE AND INDEMNITY AGREEMENT
PDF template
A legal document outlining participant consent, risk assumption, and liability waiver for a university program or activity.
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Consent, Waiver, Release And Indemnity Agreement
PDF template
Legal document outlining participant consent, risk assumption, and liability waiver for international medical exchange programs.
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Consortium Agreement Form
PDF template
A document enabling students to receive financial aid while taking courses at multiple institutions during a single academic term.
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Pathology Consult Request Form
PDF template
A form for requesting pathology consultation and case review between medical institutions.
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Agreement For Consulting Services
PDF template
A contract defining consulting services between Hudson Valley Community College and an external consultant, outlining terms of engagement, confidentiality, and service expectations.
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Contact Information And Medical Form
PDF template
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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Continuing Education Scholarship Application
PDF template
A scholarship program offering up to $2000 for current college students and adults continuing their education who reside in Crooked River Ranch.
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Change Of Contractor Form
PDF template
A form allowing property owners to change contractors for permitted work and release liability for Hillsborough County.
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Environmental Health And Safety Contractor Incident Report
PDF template
A comprehensive form documenting workplace incidents, injuries, and safety-related events for contractors.
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Commonwealth Of Virginia Agency Contract Form Addendum To ContractorS Form
PDF template
A legal document that modifies a standard contractor's form for use by a Virginia state agency, with specific terms and limitations of liability.
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College Of DuPage Honors Program Honors Contract Proposal Form
PDF template
A form for students to propose an honors contract for a specific course with additional academic requirements or project work.
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Contract Request Form (CRF)
PDF template
Form for healthcare providers to request a contract and credentialing with Molina Healthcare
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Contract Routing Sheet
PDF template
Guidelines for reviewing and routing contracts and legal documents within a college's Office of General Counsel and Risk Management.
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House Rental Agreement Form
PDF template
A legal document outlining the terms and conditions for renting a residential property between a landlord and tenant.
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Contract Details Register
PDF template
Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
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Contribution Form
PDF template
A form for making financial contributions to various programs and funds at College of Marin
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Napa Valley College Foundation Gift Form
PDF template
A donation form for making financial contributions to Napa Valley College Foundation with various giving options and recognition levels.
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McLaren Flint Foundation Contribution Form
PDF template
Fundraising form for making charitable donations to McLaren Flint Foundation with multiple designated giving options.
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Annual Controlled Substance Inventory Form
PDF template
A form for tracking and documenting annual physical inventory of controlled substances as required by state and federal regulations.
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Copier Form Instructions
PDF template
Instructions for completing various copier-related procurement forms at the University of Georgia, covering lease, purchase, and maintenance agreements.
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El Camino College Copy Center Work Order Request Form
PDF template
A form for requesting black and white copying services at El Camino College's Copy Center with detailed job specifications.
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Liability Waiver Form
PDF template
A legal document releasing the University of Louisville from liability for participation in the Suzuki Studies Program and acknowledging program policies.
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CORE CURRICULUM SELF AUDIT
PDF template
A comprehensive self-audit document for tracking academic curriculum requirements at Augsburg College.
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City Of Socorro 2024 Cornhole League Registration
PDF template
Registration form for participating in the City of Socorro's 2024 Cornhole League, including league rules and liability waiver.
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COVID 19 Incident Report Form
PDF template
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
PDF template
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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Corrected (Replacement)Voided Claim Request Form
PDF template
A form used to correct or void previously processed healthcare claims with specific submission requirements.
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Change Of Status Form (Household Composition)
PDF template
A form for reporting changes in household composition for housing assistance, including adding or removing household members.
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RPCI.GEN.LAB.PATH.Frm.0023.00 Delivery Form
PDF template
A form for tracking and delivering medical laboratory samples between locations.
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Course Audit Option Registration Form
PDF template
Form for students to register for a course audit at Jefferson Community College, submitted to Enrollment Services.
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Course Audit Registration Form
PDF template
Form for students wishing to attend a credit-bearing course without receiving formal credit or recognition.
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Course Audit Form
PDF template
A form for students to request auditing a course without receiving academic credit at Sauk Valley Community College.
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RPSTC Course Registration Form
PDF template
Registration form for students enrolling in public safety training courses at American River College's Regional Public Safety Training Center.
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Course Registration Form
PDF template
Official form for students to register for courses at Ramapo College, documenting course selections and credits.
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Course Registration Form
PDF template
A comprehensive form for students to register for courses at SUNY Broome Community College, collecting personal and academic information.
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Waiver Form
PDF template
A comprehensive waiver form for participation in camp activities, requiring participant information and acknowledging potential risks.
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Waiver Form
PDF template
A comprehensive waiver document for participants at Covenant Harbor Bible Camp and Retreat Center, covering liability and participation risks.
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Rutgers Future Scholars Program Cover SheetChecklist
PDF template
Application form for students to apply to the Rutgers Future Scholars program, including personal and family information.
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NEW YORK STATE TRAVELER HEALTH FORM
PDF template
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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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
PDF template
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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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
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
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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COVID 19 DISABILITY FORM
PDF template
A comprehensive medical information form designed to help healthcare providers understand and support patients with disabilities during COVID-19 related medical treatment.
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Medical Information Request Form For COVID 19 Temporary Reasonable Accommodation For Faculty, Admini
PDF template
Form for Fordham University employees to request workplace accommodations related to COVID-19 high-risk medical conditions
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COVID 19 OTC Test Reimbursement Form
PDF template
Form for submitting reimbursement claims for personally purchased FDA-approved COVID-19 over-the-counter tests.
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REQUEST FOR COVID 19 LEAVE
PDF template
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
PDF template
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
PDF template
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
PDF template
A comprehensive form for collecting patient information and screening for COVID-19 vaccination eligibility.
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COVID 19 Prevention Program (CPP)
PDF template
A comprehensive workplace safety program designed to prevent COVID-19 transmission among employees at Mt. San Antonio College in compliance with California occupational safety regulations.
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Risk Assessment Form For COVID 19 Contact
PDF template
A form for documenting potential COVID-19 exposure and health status for university students and staff.
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COVID 19 SPECIMEN SUBMISSION FORM
PDF template
Form for submitting COVID-19 test specimens to the Massachusetts State Public Health Laboratory for PCR testing.
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COVID 19 TESTING PATIENT INTAKE FORM
PDF template
Demographic and medical intake form for COVID-19 testing in compliance with CARES Act reporting requirements.
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Communicable Disease Related Hold Harmless, Release, Waiver Of Liability, And Indemnity Agreement
PDF template
Legal document releasing event organizers from liability related to potential communicable disease exposure during an event.
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COVID 19 Order Form
PDF template
Medical form for collecting patient information and COVID-19 specimen details for testing purposes.
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COVID 19 Release Of Liability Form
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Release of liability form for Pacific Crest Trail Association volunteers during COVID-19 pandemic, outlining risks and participant responsibilities.
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COVID 19 SUPPLEMENTAL PAID SICK LEAVE REQUEST FORM
PDF template
A form for employees to request supplemental paid sick leave related to COVID-19 vaccination, quarantine, or family care needs.
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Vaccine Recipient Information And Consent Form
PDF template
A medical consent form for receiving COVID-19 vaccines, capturing patient information and legal authorization for vaccination services.
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COVID 19 Vaccine Consent And Waiver Form
PDF template
A legal consent form for receiving the COVID-19 vaccine, detailing risks, acknowledgements, and patient agreements.
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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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STUDENT REFUND REQUEST FORM
PDF template
A form for Wellesley College students to request financial refunds through Student Financial Services with payment election options.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for new patients at a women's wellness practice, collecting personal and medical information.
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Medical Form For Volunteers
PDF template
A comprehensive medical screening form for volunteers to assess health status and eligibility for participation in Camp Promise/Jett Foundation programs.
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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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Creative And Performing Arts Awards (CPA) Expense Reimbursement Form
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A form for students to submit expenses related to Creative and Performing Arts projects for reimbursement from their college.
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Driver Proof Of Insurance Form
PDF template
Form for volunteer drivers to document and verify current automobile insurance coverage for Catholic Pro-Life Committee activities.
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Room Rental Agreement
PDF template
A document for formalizing a room rental arrangement between a tenant and landlord for the Community Pantry
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Center For Pediatric Therapies Volunteer Application Form
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A comprehensive application form for potential volunteers at the Center for Pediatric Therapies, including medical and contact information.
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CRAFFTN Interview Form
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A confidential medical screening form for assessing substance use and potential risks among adolescents or young adults.
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Physical Examination Form
PDF template
Comprehensive medical examination form for assessing physical fitness, likely for occupational certification purposes.
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Create Your Story Challenge Official Rules
PDF template
Official contest rules for Adobe's creative challenge open to residents of select countries, with specific entry and judging periods.
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LogoBrand Usage Approval Form
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A form required for using Thiel College logos, wordmarks, or brand identity in promotional materials or items, which must be approved by the Office of Communications & Marketing.
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Credential Request Authorization Form
PDF template
A form authorizing the release of academic credentials from one institution to another organization or company.
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Patient Medical Intake Form
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Medical intake and financial responsibility form for orthopedic patient evaluation, specifically for injury-related medical treatment.
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Credit Balance Authorization Form
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A form allowing students to authorize Curry College to manage credit balances from federal student aid funds and miscellaneous charges.
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APPLICATION FOR CREDIT BY DEPARTMENTAL EXAM
PDF template
A document detailing the process for students to obtain academic credit by taking departmental examinations for courses they believe they already know.
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Department Credit By Examination Form
PDF template
A form for undergraduate students to request credit by examination at Cleveland State University, involving department approval and fee payment.
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Tabor College Contribution Form
PDF template
A form for making financial contributions to Tabor College through credit card or electronic funds transfer.
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Credit Card Pre Authorization Form
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A form authorizing Creekside Counseling + Wellness to charge client's credit card for services, copayments, and fees.
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Credit Card Pre Authorization Form
PDF template
Form authorizing Valleycare Gastroenterology Medical Group to charge credit card for patient balances and medical services
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Credit For Prior Learning (CPL) Guidebook
PDF template
Guidelines for awarding college credit based on prior work, military, and life experiences at Garden City Community College.
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CreditRefund Request Form
PDF template
A form for participants to request credit or refund for YMCA programs with specific policy guidelines.
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REGISTRATION FORM CREDIT COURSES
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Registration form for students enrolling in credit courses at Southeast Community College
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Clinical Research Education Training Program (CRETP) Application Student Evaluation Form
PDF template
A form used to evaluate student characteristics and potential for participation in a clinical research training program.
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Criminal Background Check Waiver Release Form
PDF template
A form for housing applicants to authorize a criminal background check and provide necessary documentation for Texas State Technical College housing application.
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Crisis Leave Request Form
PDF template
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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PhysicianS Mammography Evaluation Form
PDF template
Detailed assessment form for evaluating mammography image quality and technical standards.
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DMMA Critical Incident Form
PDF template
A comprehensive form for documenting and reporting critical incidents involving healthcare members or patients.
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FARM LEASE AGREEMENT
PDF template
A legal document outlining the terms of leasing agricultural land between a landlord and tenant for farming purposes.
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Dual Credit Partnership Agreement
PDF template
Agreement between South Plains College and Crosbyton Independent School District to offer dual credit courses for high school students to earn college credits.
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Informed Consent Self Assessment Form
PDF template
An electronically fillable PDF version of the Informed Consent Self-Assessment tool to help study teams evaluate their informed consent process.
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CLINICAL GENETICS PROGRAM REFERRAL FORM (GENERALPRENATAL)
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A medical referral form for genetic consultation and testing services, used by healthcare providers to submit patient referrals for genetic assessment.
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CSA Crime Report Form
PDF template
A form for reporting criminal incidents by Campus Security Authorities in compliance with the Clery Act for campus safety documentation.
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Hepatitis C Virus (HCV) Treatment Procedure
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Montana Department of Corrections clinical procedure for monitoring and treating Hepatitis C Virus among offenders in secure care facilities.
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Committee For Specialist International Medical Graduate Education (CSIMGE) Area Of Need Ongoing Asse
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Comprehensive evaluation form for assessing international medical graduates' clinical performance, professional skills, and competencies in a medical setting.
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Employer Support Declaration Form
PDF template
A form documenting employer support for an international medical graduate's pathway to fellowship with the Royal Australian and New Zealand College of Psychiatrists (RANZCP)
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Required Consent For Release Of Information
PDF template
A consent form for releasing a child's medical, mental health, and treatment information for intensive mental health services coordination in New York City.
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CSS Profile Waiver Request For The Noncustodial Parent
PDF template
A form allowing students to request a waiver for noncustodial parent financial information when applying for financial aid.
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Profile Waiver Request For The Noncustodial Parent
PDF template
A form for students to request a waiver of the CSS Profile requirement for a noncustodial parent in specific circumstances such as abuse or no contact.
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CSS Profile Waiver Request For The Noncustodial Parent
PDF template
A form for students seeking to waive the requirement of obtaining CSS Profile information from a noncustodial parent in financial aid applications.
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Media Release Form
PDF template
A consent form allowing Columbia School of Social Work to record, publish, and use media from events for educational purposes.
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Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
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Legal document waiving liability for participation in University of California community service transportation program.
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Colorado State University Pueblo Event ParticipationMedical Form
PDF template
Comprehensive medical form for capturing participant health information, emergency contacts, and medical history for Colorado State University Pueblo events.
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RENTAL AGREEMENT FORM
PDF template
A rental agreement form for homeowners renting their property within the Candlewood Trails Association, requiring tenant and homeowner information.
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Circulating Tumor Cell Core Laboratory Requisition Form
PDF template
A requisition form for submitting samples to the Circulating Tumor Cell Core Laboratory for enumeration and profile analysis.
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CTE Hospital Occupations Internship Class Application Form
PDF template
Application for high school students to participate in a medical internship program at UCI Medical Center, involving job shadowing and clinical skills training.
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CT, MRI And MRA Order Pre Authorization Form
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A comprehensive form for ordering CT, MRI, and MRA medical imaging exams with detailed patient and clinical information requirements.
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CPT Codes List
PDF template
Comprehensive list of Current Procedural Terminology (CPT) codes for various CT and diagnostic imaging procedures.
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Nebraska Career Student Organization Medical Release Form
PDF template
A medical consent and emergency contact form for student organization members, allowing medical treatment authorization in parent/guardian's absence.
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Hennepin Technical College Registration Form
PDF template
A registration form for enrolling in courses at Hennepin Technical College with demographic and contact information collection.
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Audit Request Form
PDF template
Form for students to request auditing courses without receiving academic credit or financial aid.
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Cub Scout Activity Waiver Form
PDF template
A waiver form for youth and adult participation in Cub Scout activities, addressing medical and safety requirements.
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Attending Physician Statement
PDF template
Medical documentation form used to assess patient's medical condition and ability to work for disability evaluation purposes.
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CUNY Release Agreement For Activities In A Destination Under A Travel Warning
PDF template
A legal document outlining risk assumptions and compliance requirements for CUNY travelers going to destinations with travel warnings or advisories.
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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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University Undergraduate Curriculum Committee Curricular Proposal Form Guide
PDF template
A comprehensive guide and form for proposing curricular changes, new programs, and course modifications at the university level.
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Short Tissue Repository Research Consent Form
PDF template
Consent form for patients to participate in a genetic research biorepository studying cardiovascular health and disease factors.
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REFERRAL FORM B Specialist
PDF template
A medical referral form used by Citrus Valley Physicians Group to request specialist services and track patient referrals.
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Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims, including patient and pharmacy information, insurance details, and claim reasons.
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Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
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Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
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Patient Registration Form
PDF template
A comprehensive medical intake form for collecting patient personal and insurance details for healthcare services.
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CAREER EXPLORATIONS 2024 REGISTRATION AND EMERGENCYMEDICAL RELEASE FORM
PDF template
Registration form for high school students to participate in a two-day career exploration program at Johnson & Wales University campus.
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Application For Appointment In Cytopathology Fellowship Program
PDF template
Application form for medical professionals seeking a fellowship in cytopathology at the University of Massachusetts Medical School/UMass Memorial Health Care.
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Pathology Requisition Cytology
PDF template
Medical form for collecting patient cytology test information, clinical history, and diagnostic details for gynecological testing.
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Consent For The Medical Treatment Of A Minor
PDF template
A consent form authorizing medical treatment for a minor student at Sam Houston State University Health Center with payment responsibility details.
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Delegation Of Authority Negotiation, Approval, And Execution Of University Related Real Property Re
PDF template
Official document delegating authority to the Vice Chancellor and Chief Financial Officer for negotiating and executing university real property rental agreements.
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Move In Checklist
PDF template
Comprehensive guide for tenants covering lease signing, utilities, insurance, keys, parking, and move-in inspection requirements.
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Request For Records Disposition Authority
PDF template
Official document detailing records disposition for Commissioned Corps Officers in the U.S. Department of Health and Human Services.
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IJPCS DACAmented College Application Guide
PDF template
A comprehensive guide for DACA students navigating college application processes in Ohio universities.
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Medical Form Requirements
PDF template
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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Maryland Dairy Scholarship Application Form
PDF template
Scholarship opportunity for Maryland youth enrolled in dairy projects and pursuing a four-year agricultural degree, offering two $4,000 awards annually.
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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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PARKING ACCOMMODATION STATEMENT OF MEDICAL NECESSITY
PDF template
Medical certification form for employees requesting parking accommodations due to disability or medical limitations
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New Provider Data Form
PDF template
Comprehensive registration form for medical providers to submit personal and professional information for onboarding with CHS Medical Group.
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New Provider Data Form
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Comprehensive form for medical providers to submit personal and professional information for registration with CHS Medical Group.
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Bartlett Park District Registration Form
PDF template
Registration form for park district programs with participant information, payment details, and liability waiver.
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SSM Health Davis Duehr Dean Eye Care Referral Form
PDF template
Medical referral form for patients needing eye care services at SSM Davis Duehr Dean Eye Care clinic, used to transmit patient and clinical information.
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All FUR Fun Stay Play Dog Care Service Agreement Form
PDF template
A service agreement for dog daycare and boarding that outlines responsibilities, health certifications, and liability waivers for pet owners.
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Dayspace Studio Rental Agreement
PDF template
A comprehensive rental agreement for studio equipment outlining terms, conditions, responsibilities, and risks for equipment rental from Day Space Studio.
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Interpreter Evaluation Form
PDF template
A comprehensive form to evaluate the performance and skills of medical interpreters across multiple dimensions of communication and professionalism.
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Form DC 429 TenantS Assertion And Complaint
PDF template
Legal document for tenants to file a complaint against a landlord in Virginia, detailing lease disputes or property condition issues.
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Emergency Consent Form
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A medical consent form that allows parents or guardians to provide advance authorization for emergency medical treatment of a child.
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RETIRED LAW ENFORCEMENT OFFICER IDENTIFICATION CARD
PDF template
Liability waiver for retired law enforcement officers seeking to carry a concealed firearm under LEOSA provisions.
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Emergency Medical Release
PDF template
A comprehensive medical release form for participants, collecting emergency contact, health, and treatment authorization information for minors.
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Adult Patient Intake Form
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A comprehensive form for collecting patient medical history, personal information, and health details for treatment planning.
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Residential Lease (For Use In Washington, DC)
PDF template
A standard residential lease agreement for rental property in Washington, DC, outlining tenant and landlord responsibilities and lease terms.
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DCTD Tumor Repository International Shipping Form
PDF template
A form for shipping tumor repository samples internationally, used by researchers to request and document biological material shipments.
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Uniform Consultation Referral Form
PDF template
A comprehensive form for healthcare providers to refer patients to consultants, detailing patient, provider, and referral information.
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Some Early Thoughts On Liability Standards For Online Providers Of Legal Services
PDF template
An academic article exploring potential legal liability issues for online legal service providers and the intersection of technology and legal institutions.
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DD Form 2807 2 Medical Prescreen Of Medical History Report
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A form used by military recruiters to pre-screen medical history of potential military service applicants for the United States Armed Forces or Coast Guard.
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DD FORM 2876 3, TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
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Official Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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DD FORM 2876 TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
PDF template
A Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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DEA Order Form 222
PDF template
Official form for ordering Schedule I and II controlled substances from authorized suppliers, requiring detailed tracking and record-keeping.
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De Anza Refund Request Form
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A form for students to request refunds for tuition, fees, or other college-related expenses at De Anza College.
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DECA ICDC 2023 Registration Guide
PDF template
Official registration and permission form for DECA conference attendance, including medical authorization and conduct agreement.
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Diver Medical Questionnaire Additional Declarations COVID 19
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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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Decode Duchenne Test Requisition Form
PDF template
A comprehensive genetic testing requisition form for patients with suspected or confirmed Duchenne or Becker muscular dystrophy
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Decorah Municipal Airport Hangar Rental Agreement
PDF template
A rental agreement for leasing hangar units at the Decorah Municipal Airport for aircraft storage purposes.
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License Agreement For Diabetes Empowerment Education Program
PDF template
A licensing agreement between the University of Illinois and a licensee for the use and distribution of the Diabetes Empowerment Education Program
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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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Participant Agreement, Release And Assumption Of Risk
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Legal waiver and risk assumption document for participants in trampoline and interactive activities, specifically for participants under 19 years old.
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Skagit Valley College Registration Form
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A comprehensive registration form for students enrolling at Skagit Valley College, capturing personal and academic information.
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BIRTH TO TWENTY DELIVERY FORM
PDF template
Comprehensive medical form documenting pregnancy and childbirth details for medical research and tracking.
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Dental Claim Form
PDF template
A standardized form for submitting dental insurance claims, tracking patient treatment, and requesting predetermination or preauthorization.
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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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Patient Intake Form
PDF template
Comprehensive patient registration form collecting personal, contact, and insurance information for medical practice.
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Demographics And Insurance Form Surgery Registration
PDF template
Comprehensive patient intake form for surgical procedures, collecting patient demographics, insurance, and medical contact information.
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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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DENTAL CONE BEAM CT REFERRAL FORM
PDF template
A medical referral form for dental cone beam CT imaging studies with patient and physician information collection.
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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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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
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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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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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WCTC Dental Hygiene Clinic MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patients at a dental hygiene clinic, collecting personal information and medical conditions.
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Dental Hygiene Consent Form
PDF template
A comprehensive consent form outlining patient expectations, treatment policies, and administrative guidelines for dental services.
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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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Dental Medical Release Form Template
PDF template
A template form for patients to authorize medical information release and consent for dental treatment.
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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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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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Patient Referral Form
PDF template
A comprehensive medical and dental referral form for patient intake and specialist consultation at Boston Children's Hospital dental services.
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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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2020 2021 Dependent Student Verification Worksheet
PDF template
A form for collecting detailed information about a dependent student's household and family members for financial aid purposes.
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Departmental Software Order Form
PDF template
A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
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DepartmentProgram Transfer Request Form
PDF template
Form for students requesting transfer between departments or programs within the Rollins School of Public Health.
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Dual Enrollment Registration Form
PDF template
Registration form for high school students seeking to enroll in college courses through Piedmont Technical College's dual enrollment program.
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SJR State Dual EnrollmentEarly College ProgramEarly Admissions RegistrationApproval Form
PDF template
Registration form for students participating in SJR State's Dual Enrollment/Early College Program with course selection and approval requirements.
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Dermatology Medical History
PDF template
Comprehensive medical history form for dermatology patients to document health conditions, medications, and allergies.
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DERMATOLOGY MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for dermatology patients to document existing health conditions, medications, and potential skin-related medical concerns.
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Dermatopathology Requisition Form
PDF template
Medical form for submitting wet or fresh tissue specimens for dermatopathology analysis and diagnostic testing.
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Designee Registration Form
PDF template
A registration form for third-party entities interacting with Illinois Shines program end-use customers, establishing transparency and program participation requirements.
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Des Plaines Park District Waiver Form
PDF template
Waiver and release form for sports team participants to acknowledge and accept potential risks associated with participation.
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Student Guidelines And Parental Consent Form
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Guidelines for high school students participating in dual credit college courses, outlining academic expectations, eligibility, and program requirements.
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Grant Inquiry Form
PDF template
A form and guide for faculty and staff to submit grant proposals through the Grants Office at BPCC.
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DFS 405 Onsite Sewage Agency Referral Form
PDF template
Official form documenting the evaluation of a property's suitability for onsite sewage disposal systems in Kentucky.
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Shipping Assessment Form
PDF template
A comprehensive form for assessing and documenting shipments of various materials to and from Weill Cornell Medicine, requiring detailed information about shipping contents and requirements.
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CONSENT FORM CONFIDENTIAL HUMAN IMMUNODEFICIENCY VIRUS (HIV) TEST Non Health Care Settings
PDF template
Official consent form for HIV testing in non-healthcare settings, documenting informed consent and explaining testing procedures.
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REFERRAL FOR CONSULT OR PROCEDURE
PDF template
Medical referral form for patients seeking consultation or procedures at Stanford Health Care's Digestive Health and Liver Clinic
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Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient personal information, contact details, and health status.
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Housing Unit Record Form
PDF template
A comprehensive form for documenting housing unit details, location, tenancy, and lease information for government or agency use.
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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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Request For Diagnostic Imaging
PDF template
Medical form for requesting and scheduling diagnostic imaging procedures such as X-Ray, Ultrasound, CT, and Nuclear Medicine.
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NWU2014 04 01 Participant Contact Form Data Dictionary
PDF template
A data dictionary for documenting participant contact form variables and metadata for a research study.
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MDA2016 08 02 Study Specimen Shipping Form Blood Data Dictionary
PDF template
A data dictionary detailing the variables and specifications for a blood specimen shipping form used in a medical study.
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MDA2014 04 01 Specimen Shipping Form Tissue Data Dictionary
PDF template
A comprehensive data dictionary for tracking and recording specimen shipping information for tissue samples across multiple medical institutions.
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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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Stanford Health Care Referral For Consult Or Procedure
PDF template
A medical referral document for patients seeking consultation or procedures at Stanford Digestive Health and Liver Clinic.
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MASTER SERVICES AGREEMENT
PDF template
Legal agreement governing use of Digital 55's website, services, and platform with terms of service and liability limitations.
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DIGITAL SLIDE ORDER REQUEST FORM
PDF template
A form for requesting digital slide scanning services at UCLA with options for magnification, scanner type, and image delivery method.
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Travel ApprovalReimbursement Request
PDF template
A comprehensive form for employees to request and document travel expenses and reimbursement at McLennan Community College.
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Diploma Re Order Form
PDF template
Form for Morehouse College alumni to request a replacement diploma with processing details and associated fee.
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DIRECT ACCESS PATIENT ATTESTATION AND MEDICAL RELEASE FORM
PDF template
A form for patients seeking physical therapy care, documenting current medical care status and providing medical record release consent.
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Aultman College Student Direct Deposit CANCELLATION Form
PDF template
Form for students to cancel direct deposit of refunds from Aultman College and revert to paper check payments.
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Directed Quarantine Leave Request Form
PDF template
Form for Philadelphia School District employees to request paid quarantine leave due to COVID-19 exposure or positive test result.
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Athlete Registration Form, Athlete Release Form Athlete Medical Forms
PDF template
Detailed guide for completing and submitting athlete registration and medical documentation for participation.
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Liability And Insurance Form Instructions
PDF template
Comprehensive instructions for electronically filling out and submitting a liability and insurance form across different devices and platforms.
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Student Loan Eligibility Requirements
PDF template
Comprehensive guidelines for student loan eligibility and requirements at Solano Community College for the 2010-2011 academic year.
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Molina Healthcare Of California Direct Referral To Specialist
PDF template
A referral form for Molina Healthcare members to receive specialized medical services within their network of contracted specialists.
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VCHCP PCP DIRECT REFERRAL FORM
PDF template
A medical referral form for primary care physicians to refer patients to contracted specialists within the Ventura County Health Care Plan network.
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DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
PDF template
A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
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SUPPLEMENTAL DISABILITY CLAIM FORM
PDF template
Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
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Group Disability Claim Filing Instructions
PDF template
Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
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DISABILITY HEALTH WELFARE HOURS CLAIM FORM
PDF template
A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
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Disability Health Welfare Hours Claim Form
PDF template
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
PDF template
A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Delta Pilots Mutual Aid Disability Claim Form
PDF template
Disability claim form for Delta pilots to request benefits and authorize medical information release and payment processing.
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Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
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Disability Claim Form Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
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Disability Claim Form
PDF template
A comprehensive disability claim form for union members to document medical conditions, work status, and employer information.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim with medical and employment details for Teamsters Joint Council No. 83 members.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim through the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
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Continuing Disability Claim Form
PDF template
A comprehensive form for filing a disability insurance claim covering various types of disability and patient information
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N 648 Medical Certification For Disability Exceptions
PDF template
Guidelines for medical professionals assessing disability exceptions for refugees seeking U.S. citizenship, focusing on comprehensive and culturally sensitive evaluation methods.
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Short Term Disability Reporting Form
PDF template
A reporting form for employees to document short-term disability leave and absence from work due to illness or non-work related injury.
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Interview Form
PDF template
A comprehensive form for students with disabilities to provide personal, educational, and disability-related information to Baruch College's Student Disability Services.
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Supplementary Disability Claim Form
PDF template
A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
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SI 11268 Your Disability Benefit Claim
PDF template
Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
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Adapted Physical Education Program Medical Form
PDF template
Medical form documenting student's disability, exercise limitations, and physical capabilities for adapted physical education program participation.
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How To File A Claim For Weekly Disability Benefits
PDF template
Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
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Discharge Form
PDF template
A form used to document patient discharge from a healthcare facility with multiple completion options.
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Discharge And Follow Up Recommendations
PDF template
Guidelines for healthcare personnel on discharge and follow-up care for patients who have experienced assault, including medical and mental health considerations.
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DISCHARGE PLANNING INPATIENT STANDARDS
PDF template
A comprehensive protocol detailing the procedures and responsibilities for patient discharge from an inpatient healthcare facility.
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Pediatric Discharge Summary Template
PDF template
A comprehensive template and instructions for creating a pediatric patient discharge summary with detailed guidelines for documentation.
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Complaint Form DiscriminationHarassmentSexual Misconduct
PDF template
A form for reporting incidents of discrimination, harassment, or sexual misconduct at a college institution with guidance on confidentiality and reporting options.
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Discussion Period Request Form
PDF template
Form for healthcare providers to request a review of a claim determination and provide additional supporting documentation within a 30-day period.
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International Medical History Form
PDF template
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
PDF template
Comprehensive medical history and emergency contact form for international travelers to ensure safety and medical preparedness.
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Distinguished Alumni Award Nomination Form
PDF template
Nomination form for recognizing outstanding graduates of Allegany Community College/Allegany College of Maryland for their professional and community achievements.
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Unpaid Work Experience Student Volunteer Form
PDF template
A form for students to document and authorize unpaid work experience placement with a host organization.
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MLML AAUS Diving Medical Form
PDF template
Medical examination form for assessing fitness of scientific divers, detailing potential disqualifying medical conditions for diving certification.
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DIVING MEDICAL HISTORY FORM
PDF template
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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UM Diver Proof Of Insurance Form
PDF template
Form requiring proof of medical insurance coverage for potential scuba diving accidents and hyperbaric oxygen therapy
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UM Diver Proof Of Insurance Form
PDF template
A form requiring divers to prove they have medical insurance coverage for potential scuba diving accidents involving hyperbaric oxygen therapy.
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Claims Reporting Procedure Manual
PDF template
Comprehensive guide for reporting and managing various types of claims for state-owned property, vehicles, and liability incidents in Alaska.
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DIZZINESS BALANCE MEDICAL HISTORY QUESTIONNAIRE
PDF template
Comprehensive medical questionnaire for patients experiencing dizziness, balance issues, and related symptoms
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NC Medicaid Hospice Prior Approval Authorization Form
PDF template
A form for healthcare providers to request prior authorization for Medicaid hospice benefits for patients entering a new benefit period.
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CCNCCA Enrollment Form
PDF template
Enrollment form for healthcare program participation, allowing individuals to enroll multiple people and select primary care providers.
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Denver Mac Repair Service Agreement
PDF template
Service agreement outlining repair procedures, liability, and customer responsibilities for Mac computer repair services.
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Individual Volunteer Registration AgreementTime Record
PDF template
Agreement for volunteers to register and track service time with the Department of Natural Resources, including liability waiver and image consent.
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Media Release Form
PDF template
Official form granting the State of Alaska permission to use an individual's photographic, video, or verbal content for public communication purposes.
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Cerro Coso Community College Student Inquiry Form
PDF template
A form for incarcerated students to request information, educational plans, transcripts, or submit other academic inquiries with Cerro Coso Community College.
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HUD Occupancy Handbook Chapter 6 Lease Requirements And Leasing Activities
PDF template
Comprehensive handbook providing guidance on lease requirements, security deposits, and leasing activities for HUD housing programs.
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HUD Occupancy Handbook 4350.3 REV 1
PDF template
Guidelines for terminating housing assistance and tenancy in HUD-supported housing programs, including procedures for owners and tenants.
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Referral
PDF template
A comprehensive medical referral document for tracking patient information and transfer of care between healthcare providers.
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DoctorS Signature Form
PDF template
A comprehensive medical form for documenting a camper's health information, medical history, medications, and physician details.
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Bay Lake Township Hall Rental Policy
PDF template
Official policy governing the rental of Bay Lake Township Hall, outlining definitions, terms, and responsibilities for renters.
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Organizational Hold Harmless And Indemnity Agreement
PDF template
Legal document that provides liability protection for Boy Scouts of America against claims from non-BSA scouting groups and organizations.
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Minor (Under 18) Participant Form
PDF template
Registration and liability waiver form for minors participating in sports activities at Accelerate Sports complex.
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The 1st Annual Ridgecrest Regional Hospital Dodgeball Tournament 2017 Waiver Form
PDF template
Legal waiver for participants in the Ridgecrest Regional Hospital Dodgeball Tournament, releasing the hospital from liability for potential injuries.
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Authorization For The Release Of Health Information And Confidential HIV Related Information DOH 255
PDF template
A form for releasing general health and HIV-related information to single or multiple healthcare providers with specific guidelines for usage.
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Authorization For Use Or Disclosure Of Protected Health Information (PHI)
PDF template
A legal form allowing authorized use and disclosure of an individual's protected health information by the Hawaii State Department of Health.
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DOH COVID 19 Vaccination Consent Form
PDF template
A comprehensive form for capturing patient information and screening for COVID-19 vaccination eligibility and potential health risks.
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COVID 19 Emergency Paid Leave (EPL) Employee Notification And Supplemental Leave Request Form
PDF template
Form for federal employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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Rental Application Form
PDF template
A comprehensive form used by potential tenants to provide personal and rental history information when applying to rent a property.
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Proposal Form Domestic Maid (Lite)
PDF template
Insurance proposal form for obtaining domestic maid insurance coverage in Singapore.
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Domestic Maid (Lite) Proposal Form
PDF template
Insurance proposal form for domestic maid coverage in Singapore, detailing proposer and maid particulars.
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RELEASE INDEMNIFICATION FOR DOMESTIC TRAVEL FORM
PDF template
A legal document for releasing liability and indemnifying the university for domestic student travel activities.
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Donor Contribution Form
PDF template
A form for making financial contributions to the Oakton College Educational Foundation with multiple donation options and designations.
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Donor Contribution Form
PDF template
A form for making charitable donations to support Cecil College students through various fund and scholarship options.
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INFORMED CONSENT TO DONATE EMBRYOSWAIVER OF LIABILITY
PDF template
Legal document for donating cryopreserved embryos to the National Embryo Donation Center for reproductive purposes.
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Do Not File Insurance Waiver Form
PDF template
A document allowing patients to request that Oklahoma State University Medicine not file an insurance claim for a specific date of service.
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EducationalAcademic Travel Pre Authorization Form For Out Of Province Travel
PDF template
A pre-approval form for faculty, clinical associates, and trainees to document and obtain approval for out-of-province travel related to educational or academic purposes.
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Driver Services Release Form
PDF template
A legal document for releasing liability related to a vehicular accident, allowing a releasor to waive claims against a released party.
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2024 2026 Nomination Form
PDF template
Nomination form for alumni to nominate candidates for various leadership positions in the Benedict College National Alumni Association.
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Application, Liability Release And Rental Agreement Form
PDF template
A liability release and rental application form for using the Glen Echo Town Hall meeting room, including details about event, attendance, and sponsorship requirements.
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SUBLET AGREEMENT
PDF template
A legal document outlining the terms and conditions of subletting a residential property in London, Ontario.
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TESTING REQUISITION FORM
PDF template
Specialized medical form for flow cytometry testing of blood and bone marrow specimens for various hematological conditions.
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Department Of Public Safety Complaint Form
PDF template
A form for filing complaints or grievances against the Oakland Community College Public Safety Department.
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Driver Medical History Form
PDF template
Medical history and physical examination form for taxi and limousine drivers to assess fitness for operating a motor vehicle.
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Chapter 133. General Medical Provisions Subchapter B. Health Care Provider Billing Procedures
PDF template
Regulatory document specifying required electronic and paper billing formats for healthcare providers in workers' compensation and insurance contexts.
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Payroll Deduction Guide
PDF template
Comprehensive guide for employees and employers on setting up payroll deductions for the DreamAhead College Investment Plan.
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Artist ApplicationAgreement
PDF template
A legal document for artist participation in Buttonwood Art Space activities, including a waiver of liability and hold harmless agreement.
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STATE OF LOUISIANA DRIVER AUTHORIZATION FORM
PDF template
Annual form for authorizing state employees to drive vehicles on state business and verifying driving credentials
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Driver Insurance Form Field Trips And Athletics
PDF template
A form for parents/guardians to complete insurance and driving history information for school-related transportation and field trips.
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Medical Certification Form New Driver Applicant
PDF template
Medical certification document required for new taxi and livery vehicle drivers in New York City to verify physical fitness for driving.
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Integrative Medicine Intake Form
PDF template
Comprehensive medical intake form for patients seeking integrative medicine services, collecting medical history, current health concerns, and personal health information.
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Medical Drop Off Consent Form
PDF template
A consent form for veterinary medical services and pet drop-off, including pet health status and treatment authorization.
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Drug Testing Consent Form
PDF template
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
PDF template
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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William Rainey Harper College Distinguished Trustee Scholarship Student Contract 2024 2026
PDF template
A merit-based scholarship contract outlining academic and activity requirements for students receiving up to 60 credit hours of tuition support at Harper College.
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Medical Examination Form
PDF template
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)
PDF template
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
PDF template
A comprehensive insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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USEF Dressage Sport Horse Breeding HandlerAssistant Handler Entry Release Form
PDF template
Official form for handlers and assistant handlers participating in USEF dressage sport horse breeding competitions, outlining participation agreements and requirements.
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DSS 8b Tenant Contact Information
PDF template
A form for collecting comprehensive contact details for tenants, landlords, brokers, and emergency contacts.
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Vehicle Registration Form
PDF template
A form for registering vehicles and obtaining parking permits for students and staff at Denmark Technical College.
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Registration Form
PDF template
Registration form for participants to sign up for park district programs with personal and payment information.
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9 12 Petition 101909
PDF template
A form for high school students to enroll in college courses at Rio Hondo College with specific enrollment requirements and policies.
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El Camino College Dual Enrollment Application
PDF template
Application for high school students to enroll in courses at El Camino College
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Dual Enrollment Consent Form
PDF template
Consent form for high school students to enroll in dual enrollment courses at Columbia State Community College, requiring parental/guardian authorization.
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Cerritos College Dual Enrollment Authorization Form
PDF template
Form for TK-12 institutions to authorize representatives for dual enrollment participation at Cerritos College.
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Dual Enrollment Form
PDF template
A form for high school students to enroll in college courses through dual enrollment program at Daytona State College.
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Informed Consent For Fitness Assessment
PDF template
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
PDF template
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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DyAnsys Brief Proposal Form
PDF template
A comprehensive form for researchers seeking project support and equipment loan from DyAnsys, including project details and research objectives.
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Looking After Tenants
PDF template
A comprehensive guide for tenants explaining the rental process, application requirements, and deposit procedures for Dynes Residential in Northern Ireland.
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Barcelona Portal Industry Booking Form
PDF template
Booking form for sponsorship and exhibition options at the EACTS 34th Annual Meeting virtual event in October 2020.
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Assumption Of The Risk, Release Waiver Of Liability
PDF template
Liability waiver for participants in a research program, acknowledging risks and providing emergency consent.
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California Civil Code 1946.7 Toolkit Early Lease Termination For Survivors
PDF template
A comprehensive guide to help survivors of abuse terminate their leases early under California Civil Code 1946.7, providing legal protections and resources.
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EASA PROGRAM DISCHARGE FORM
PDF template
A form used to document client discharge details from the EASA program, including reasons for discharge and transition information.
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Patient Medical History
PDF template
Comprehensive medical history form for capturing patient personal information, health status, medical history, and patient rights.
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INITIAL DISABILITY CLAIM FORM
PDF template
A comprehensive form for filing disability insurance claims covering various types of disability scenarios with patient and policyholder information.
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Rental Application
PDF template
Comprehensive form for prospective tenants to apply for rental property, collecting personal, employment, and identification information.
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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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PELHAM SCHOOL DISTRICT POLICY EBBB ACCIDENT REPORTS
PDF template
Comprehensive policy detailing requirements for reporting accidents involving students or employees in school settings, including notification procedures and documentation guidelines.
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Accident Reporting
PDF template
Policy outlining procedures for reporting accidents involving students or employees at school or school-sponsored activities.
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Sponsorship Exhibition Booking Form
PDF template
Booking form for sponsorship and exhibition opportunities at the European Breast Cancer Conference (EBCC)
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Example Travel Health Declaration Form
PDF template
A form for collecting traveler health information, specifically related to Ebola outbreak monitoring during international travel.
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Volunteer Field Trip Waiver Form
PDF template
A waiver form for volunteers participating in activities with the East Bay Regional Park District, covering liability, medical consent, and photo permissions.
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Major Declaration And Audit Form
PDF template
Form for declaring and auditing an Economics Bachelor of Arts major at Hobart and William Smith Colleges, outlining course requirements and certification.
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GRCC On Campus Student Employment Application
PDF template
Application form for students seeking on-campus employment at Grand Rapids Community College, including personal history, education, and background information.
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ECU Leased Equipment Policy Change Form
PDF template
A form for documenting changes to leased equipment at East Carolina University, including equipment details, location, and lease information.
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ECU Leased Equipment Policy Change Form
PDF template
A form for documenting changes to leased equipment at East Carolina University, including equipment details, location, and lease information.
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ECU School Of Dental Medicine Referral Form
PDF template
A comprehensive referral form for dental patients requiring specialized medical or dental services at East Carolina University School of Dental Medicine.
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Media Release Form
PDF template
Consent form for inmates to be photographed or interviewed by media, with bilingual instructions and legal release provisions.
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NCAAR Drug Testing Program, 1999 2000
PDF template
Comprehensive drug testing program for student-athletes to ensure fair competition and athlete health and safety.
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EDI Application Form
PDF template
Application form for healthcare providers to submit electronic Medicare claims and receive electronic remittances through the Electronic Data Interchange (EDI) system.
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DDE Enrollment Form
PDF template
Form for healthcare providers to enroll in Direct Data Entry system and request access credentials for Medicare claims processing.
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Montana Conduent EDI Provider Enrollment Form
PDF template
A form for healthcare providers to enroll in electronic data exchange and authorize billing agent/clearinghouse transactions in Montana.
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Direct Deposit Form
PDF template
A form for authorizing direct deposit of payments to a checking or savings account at Tri-County Technical College.
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Educational Seminar Grant Evaluation Form
PDF template
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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Employee Request For Accommodation
PDF template
A form for employees to request workplace accommodations related to disabilities or medical conditions.
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Medical Reserve Corps Volunteer Application
PDF template
Application form for volunteers interested in joining the Medical Reserve Corps for public health emergency support
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Traveler Health And Medical Information
PDF template
A comprehensive guide for group leaders to collect and manage travelers' medical information and health considerations during travel programs.
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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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EnhanceFitness Post Program Evaluation Form
PDF template
A survey assessing participant experience and physical activity levels in the EnhanceFitness program.
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Tabor College Contribution Form
PDF template
A form for making financial contributions to Tabor College through multiple gift options including cash, credit card, and electronic funds transfer.
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Extended Health Care Claim Form
PDF template
A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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PeriodontalImplant Referral Form
PDF template
Medical referral form for periodontal and dental implant services with patient and examination details.
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Emergency Eye Wash Monthly Inspection Form
PDF template
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
PDF template
A comprehensive checklist for evaluating safety protocols and environmental conditions in laboratory settings
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STUDENT MEDICAL HISTORY
PDF template
Comprehensive medical history form for students, covering various health aspects and potential medical conditions.
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Service Request Form
PDF template
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
PDF template
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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El Camino College Dual Enrollment Application
PDF template
A form for high school students to apply for enrollment in college courses at El Camino College
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2021 2022 Elementary School Request Form
PDF template
A form for schools to request Junior Achievement educational programs for elementary grade levels
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Early Learning Scholarships Invoice Form SFY2024
PDF template
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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Active Directory And Email Access Request Form
PDF template
Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
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EMERGENCY CARE AND CONTACT FORM
PDF template
A school form for collecting student medical information, emergency contacts, and parental authorization for medical care.
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Emergency Contact Health Form
PDF template
Health and emergency contact form for participants in Lake County Forest Preserve programs, including medical information and treatment authorization.
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Emergency Contact 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 Parental Consent Form
PDF template
A comprehensive form for collecting emergency contact, medical, and consent information for children in care.
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Emergency Contact Form
PDF template
A form for collecting emergency contact and medical information for volunteers participating in disaster response activities.
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MONROE COLLEGE MISSING STUDENT EMERGENCY CONTACT FORM
PDF template
A form for students to provide emergency contact information in case of an unexpected situation involving a missing student.
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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
PDF template
A form for students to provide and update emergency contact details at Mercy College.
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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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Emergency Contact Form
PDF template
Form for students to provide emergency contact details for use in life-threatening situations or emergencies.
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Student Emergency And Release Form
PDF template
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 Vendor Form
PDF template
Form for collecting emergency contact details and medical information for vendors and booth operators.
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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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Hickory Hill Member Family Emergency Contact Form
PDF template
A form for collecting emergency contact information and medical authorization for family members at a club or organization.
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EMERGENCY CONTACT FORM
PDF template
A form for collecting personal, emergency contact, and medical information for students in case of emergency situations.
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Emergency Contact Form
PDF template
A comprehensive form for recording family contacts, medical care providers, and insurance details for emergency reference.
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Emergency Information
PDF template
A comprehensive emergency contact and medical information form for students participating in university activities.
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Emergency Medical Form For Pre Clinical And Clinical Placements
PDF template
A form for clinical and pre-clinical teacher candidates to provide emergency medical and contact information for placement purposes.
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PADRE PIO ACADEMY EMERGENCY MEDICAL FORM
PDF template
A medical form for collecting student emergency contact and treatment authorization information for Padre Pio Academy.
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Emergency Medical Form
PDF template
A comprehensive form for collecting student medical information and emergency contact details with parental consent for medical treatment.
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Emergency Medical Treatment Form
PDF template
A comprehensive medical information form for emergency medical treatment and patient details, designed to be posted on a refrigerator for quick access.
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Emergency Medical Form
PDF template
Form for updating student emergency contact, insurance, and athletic participation information for school records.
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EmergencyMedical Release Authorization Form
PDF template
A form authorizing school staff to seek medical treatment for a child in case of emergency and acknowledging parental responsibility for medical expenses.
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EmergencyMedical Release Authorization Form
PDF template
Authorization form allowing school staff to seek medical treatment for a child in emergency situations with parental consent.
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Emergency Medical Release Form
PDF template
A form granting permission for emergency medical treatment for a minor at Pats Peak Ski Area, authorizing medical care in case of illness or injury.
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Emergency Medical Release Form
PDF template
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 Medical Release Form
PDF template
A form authorizing school officials to consent to medical treatment for a minor in case parents/guardians cannot be reached.
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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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DUTCHESS COMMUNITY COLLEGE EMERGENCY MEDICAL FORM
PDF template
A consent form allowing medical treatment for a child during a summer program, with parental emergency contact authorization.
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Clauses To Emergency Use Agreement
PDF template
Legal document outlining terms and conditions for emergency service provision between City of Dripping Springs/ESD #6 and a vendor during emergency situations.
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EmergencyMedical Authorization Waiver Form For Minor Participants
PDF template
A form authorizing emergency medical treatment and waiving liability for minor participants in a Ferris State University camp or program.
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Emeriti Retirement Health Solutions Personal Contribution Form
PDF template
A form for making personal contributions to an employer-sponsored retirement health plan managed by TIAA-CREF.
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Emeriti Reimbursement Benefit Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
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EMERGENCY MEDICAL FORM
PDF template
A form for parents to authorize emergency medical treatment for students and provide critical medical contact and health information.
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EMG ORDER FORM
PDF template
Medical referral form for ordering electromyography studies to diagnose nerve and muscle conditions.
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Health Insurance Claim Form
PDF template
Standard health insurance claim form for submitting patient and insurance information for medical reimbursement and processing.
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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 EMERGENCY CONTACT FORM
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A comprehensive form for collecting employee personal and emergency contact details for human resources purposes.
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Employee Emergency Medical Form
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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
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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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Virginia Tech Employee Software Sales Order Form
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Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
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Employee Contribution Form
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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
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A payroll deduction authorization form for employees to contribute to the Germanna Community College Educational Foundation
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M NCPPC Benefits EnrollmentChange Form
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Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
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Employer Booking Form
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A comprehensive form for student registration and course booking at North East Scotland College, including student details, course information, and sponsorship details.
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New Patient Intake Form
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Comprehensive medical form for collecting new patient health history, chronic conditions, surgical history, medications, and family medical background.
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Adrian College Application For Employment
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Comprehensive employment application form for job seekers at Adrian College, including personal information, education, and criminal history background.
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APPLICATION FOR EMPLOYMENT
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Comprehensive employment application form for job seekers applying to La Rabida Children's Hospital.
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Application For Employment
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Employment application form for Logan County Health Services with instructions for completing the document electronically or manually.
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Student Ambassador Application
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Application form for students interested in becoming a Student Ambassador at Mountwest Community and Technical College.
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Student Employment Application
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A comprehensive employment application form for students seeking work opportunities at Yuba Community College District.
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CENTER FOR EARLY EDUCATION AND CARE STAFF EMERGENCY CONTACT FORM
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A form for collecting emergency contact and medical information for staff members of an early education center.
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Request For Consultation
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A medical consultation request form for electron microscopy services, used to collect patient medical history, diagnostic information, and study details.
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EMS Payment Plan Form No Penalty No Interest
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A form for establishing an extended payment arrangement for ambulance billing with the City of Houston
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NEW PATIENT INTAKE FORM
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A comprehensive medical history form for new patients, capturing personal information, medical history, and current health concerns.
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ENCOVA Scholars Scholarship Application
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A scholarship application form for students with specific family connections to Encova (formerly BrickStreet) or West Virginia workers with disabilities
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Early Decision Agreement Form
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A binding application agreement for students who have selected Endicott College as their first-choice institution.
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Parking And Traffic Regulations 2024 2025
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Official document outlining parking and traffic rules for Endicott College campus, applicable to students, faculty, staff, and visitors.
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Endocrinology Submission Form
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Comprehensive form for submitting veterinary endocrine and hormone function test samples with detailed diagnostic testing options.
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REFERRAL FORM
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A medical referral form for endocrinology patients, specifically focused on thyroid-related diagnoses and consultations.
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New Patient Intake Form
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Comprehensive medical intake form for new patients at the UCSF Endometriosis Center, focusing on pain assessment and reproductive health.
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Financial Assistance Application
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A comprehensive form for patients to provide financial details and income verification for potential medical financial assistance.
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Youth Programs Mandatory Forms
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Comprehensive legal document for youth program participation, covering travel, risk, and liability waivers for participants or their guardians.
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Commemorative Brick Order Form
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Form for purchasing an engraved commemorative brick to support Nashville State Community College Foundation.
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Home Health Referral Form
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A comprehensive form for referring patients to home health services, capturing patient information, medical orders, and healthcare practitioner details.
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ENJAYMO Patient Solutions Enrollment Form
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Comprehensive patient enrollment form for ENJAYMO patient assistance program, collecting personal and insurance information.
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Enrichment Program Proposal
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A form for submitting proposed educational enrichment programs to Rochester Community Schools for review and potential approval.
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Enrollment Form (AddDrops)
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Comprehensive guide for students adding, dropping, and managing course enrollment at Palomar College with specific deadline and grading information.
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Westtown Township Health And Wellness Registration And Insurance Form
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Registration form for Westtown Township's fitness programs including Pilates and Yoga, with health history and consent sections.
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Enrollment Transfer Request Form
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A form for veterans to transfer their medical enrollment between VA healthcare facilities, capturing personal and contact information.
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ENROLLMENT FORM NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS
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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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Electronic Consent Contact Form
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A consent form allowing patients to receive medical communications via email, SMS, and phone for allergy treatment updates and appointment reminders.
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Patient Intake Form
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Comprehensive form for collecting patient personal, contact, medical, and insurance information for healthcare providers.
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The Marilyn Swartz Seven Playwriting Competition Entry Form 2023 2024
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Official entry form for Vassar College's Marilyn Swartz Seven Playwriting Competition for juniors and seniors.
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Health History Examination Form South Carolina Envirothon Program
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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
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A standardized form for documenting health-related complaints and property inspections by local town health officers in Vermont.
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Release Of Liability, Promise Not To Sue, Assumption Of Risk And Agreement To Pay Claims
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A legal document that releases a university from liability for potential injuries or damages during an activity or related travel.
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Complaint Form For Filing A Protected Disclosure Of Improper Governmental Activities AndOr Significa
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A form for employees or applicants to report improper governmental activities or significant health and safety threats.
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Youth Sports Medical History Form
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A comprehensive medical history form for youth sports participants, requiring detailed health information and medical practitioner verification.
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Consulting Physician Compliance Form
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A comprehensive medical form for evaluating patient mental capacity and terminal disease status by consulting and attending physicians.
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EOPS Inquiry Form 2017 2018
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A form for students to provide personal and academic information for potential eligibility in college support services
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EOPS Inquiry Form Fall 2018
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A form for collecting student information and determining eligibility for Extended Opportunity Programs and Services (EOPS) at Reedley College.
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Transfer Request Form
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A form for students transferring between colleges and seeking Extended Opportunity Programs and Services (EOPS) continuity.
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Educational Opportunity Program (EOP) BEP 2024 Program Acceptance Letter
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Invitation letter for newly admitted students to participate in Binghamton University's free summer Binghamton Enrichment Program (BEP 2024) with scholarship opportunity.
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EDUCATION PARTNERS IN COVENANT (EPIC) CONTRIBUTION FORM
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A form for congregations to provide financial support for students attending Luther College, with matching funds from the institution.
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Education Partners In Covenant (EPIC) Contribution Form
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A form for congregations to support students attending Luther College through financial contributions matched by the college.
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Disposition Authorities Frozen Under The Epidemiological Moratorium
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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
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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
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Form for employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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Enrollment Planning Service (EPS) Order Form
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Order form for subscribing to College Board's Enrollment Planning Service with two service levels and automatic renewal terms.
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Spill Or Release Report
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Official form for reporting environmental spills, releases, or incidents in Michigan by individuals or organizations.
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Equipment Agreement Form
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Form for borrowing equipment from KC STEM Alliance, outlining rental terms, liability, and borrower responsibilities.
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Dartmouth College EquipmentAsset Transfer Request Form
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A form for transferring, selling, gifting, or donating Dartmouth College property and equipment between departments or externally.
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Equipment Booking Form And Hire Agreement
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A form for requesting and hiring equipment from Uralla Shire Council with terms and conditions for equipment use.
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Outdoor Adventure Equipment Rental Agreement Form
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A rental agreement for outdoor adventure equipment provided by the University of Akron's Student Recreation and Wellness Services.
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Accident Waiver, Release Of Liability And IndemnityHold Harmless Agreement For The Use Of Loaned Equ
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Legal document releasing White Lake Community Library from liability when borrowing and using library equipment
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Waiver And Release Agreement
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A document allowing student photography and releasing the school district from liability for potential harm or damages.
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Equitable Distribution Inventory Affidavit
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Legal document for disclosing assets and liabilities during divorce proceedings in North Carolina's district court system.
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ERaf Request Form
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A form used by specialists to request an electronic Request for Authorization Form (eRAF) from Primary Care Providers for specialty care.
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College Of The Siskiyous Emergency Contact Form
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A form for collecting employee emergency contact information and contact preferences for information release.
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EARTH SCIENCES (ERSC) MAJOR DECLARATION FORM
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A form for students interested in declaring a major in Earth Sciences at Dickinson College, requiring student background and interest information.
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ESPEN RESEARCH FELLOWSHIPS 2020 APPLICATION FORM
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Application form for research fellowship funding from ESPEN, with detailed requirements for applicants and project details.
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ESRD Incident Or Accident Report Form
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A detailed reporting form for documenting critical incidents or accidents in healthcare facilities, especially for End-Stage Renal Disease (ESRD) centers.
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Community Grant Application Form
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A comprehensive application form for non-profit organizations seeking community grant funding for various programs and events in Estevan, Saskatchewan.
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MEDICAL HISTORY FORM
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A comprehensive medical history form for patients aged 12 and older, used in combination with a referral form and unique reference number (URN).
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Authorization To Release Or Request ConfidentialHealth Information
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A form authorizing East Texas Lighthouse/Horizon Industries to release or receive confidential health information with specific conditions and limitations.
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Feedback Form
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Survey collecting feedback from TV writers and producers about CDC resource materials and tip sheets for health-related storytelling.
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Events, Programs Special Projects Proposal Form
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A comprehensive form for submitting event, program, or project proposals at Seattle University School of Law with detailed guidelines and requirements.
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Ski Area Release Agreement
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Legal document waiving liability for ski-related activities at Lake Louise Ski Area, covering potential injuries and property damage.
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Waiver Form
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A legal document providing consent and releasing liability for participation in a St. Jude Children's Research Hospital event.
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EDWARD WATERS COLLEGE VEHICLE REGISTRATION FORM
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A form for registering vehicles on Edward Waters College campus, requiring personal and vehicle identification details.
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Piercing Consent Release Form
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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
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A comprehensive guide outlining health and safety responsibilities, reporting procedures, and expectations for volunteers in arts organizations.
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Release Of All Claims
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Legal release form for participants of a community garden, acknowledging risks and waiving liability for potential accidents or injuries.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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Exception To Withdrawal Or Refund Appeal
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Form for students to request an exception to standard withdrawal or refund policies due to extraordinary circumstances
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Southwestern Community College District Excursion Liability Release Agreement Form
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A liability release form for students participating in off-campus activities or field trips sponsored by Southwestern Community College District.
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Primary Care EXERCISE CLINIC REFERRAL
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A medical referral form for patients seeking exercise physiology services, documenting health conditions and exercise participation eligibility.
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Exercise Waiver And Release Form
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A legal document releasing fitness facilities or trainers from liability for potential injuries during exercise activities.
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Catholic Identity Commitment Agreement
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Agreement defining the preservation of Catholic identity and ethical guidelines in the transfer of Catholic Medical Center's healthcare facilities to HCA.
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Simple Inquiry Form
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A form for documenting basic contact inquiries and program-related interactions.
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Exhibit Agreement And Inventory Form
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A form detailing terms and conditions for displaying exhibits in Hunter Library, including exhibitor responsibilities and liability waivers.
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Washoe County Liability Property Loss Report Form
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A comprehensive form for reporting personal injuries, property damage, and county property losses in Washoe County.
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Supervisor Safety Accident Report Form
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A comprehensive form for documenting workplace accidents, injuries, and recommended corrective actions.
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Exhibition Booking Form
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Booking form for virtual exhibition participants at the 5th High-level Ministerial Meeting on Transport, Health and Environment
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Liability Waiver Form
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A liability waiver form for exhibitors at conferences or events at the Hyatt Regency Newport, requiring insurance documentation and releasing Hyatt from potential claims.
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G Adventures Confidential Medical Form
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A confidential medical form for travelers with pre-existing medical conditions to assess fitness for expedition travel.
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Expense Reporting Form
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A comprehensive form for documenting and requesting various types of non-standard expense reimbursements and payments at an educational institution.
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Emergency ResponsePublic Safety Worker Incident Report Form
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A form for emergency response and public safety workers to document workplace exposure incidents and medical referral details.
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Exposure Incident Investigation Form
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A form used to document and investigate workplace exposure incidents involving potentially infectious materials.
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Hazardous Exposure To Blood And Other Body Fluids
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Guidelines for managing accidental contact with human blood or body fluids in workplace and educational settings, including immediate response steps and responsibilities.
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Exposure Incident Investigation Form
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A detailed form for documenting and investigating workplace exposure incidents, including route of exposure, materials involved, and prevention recommendations.
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Form B Exposure Incident Report Form
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A form documenting potential medical exposure incidents for students during clinical training or placement.
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Texas City ISD Extended Leave Request Form
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A form for employees to request extended leave with medical certification, to be submitted to Human Resources.
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External Collaborator Requisition Form
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A form for documenting and tracking tissue sample shipments to the Human Tissue Resource Center at the University of Chicago.
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Oxnard College Honors Program Extracurricular Event Attendance Form
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Form for documenting student attendance and reflection on approved extracurricular activities for the Honors Program.
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Laser Eye Examination Form
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Medical form for documenting laser user eye examination and medical history related to laser exposure risks.
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EyewashDrench Hose Weekly Inspection Form
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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
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Weekly safety inspection form for verifying emergency eyewash station functionality and accessibility in workplace environments.
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CCP Prior Authorization Request Form
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A form for healthcare providers to submit prior authorization requests for medical services or treatments through Texas Medicaid Health and Human Services.
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LEAP Testing Service Sample Submission Form
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A form for submitting test samples to LEAP Testing Service for various scientific and medical testing purposes.
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Consent For Sterilization Completion Instructions
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Detailed instructions for completing a mandatory consent form for sterilization procedures under Wisconsin's ForwardHealth program.
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INFORMATION AND INSTRUCTIONS REGARDING FORM PACKET TO BE USED DURING THE PILOT PROGRAM FOR F1 2023 S
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Detailed instructions for carriers participating in the F1 2023 Special Event pilot program, including required forms and submission deadlines.
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All Of Us Research Program Sample Consent Form
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A consent form for participating in a large-scale health research program funded by the U.S. government to collect health data from 1 million participants.
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F 1 Student Transfer Request Form
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A form for international students to transfer between educational institutions while maintaining F-1 visa status.
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F245 145 000 Travel Reimbursement Request
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A form for workers to request travel expense reimbursement related to workers' compensation medical visits, treatments, or vocational services.
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Puget Sound Benefits Trust Short Term Disability Claim Form
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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
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Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
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Form 433 H
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Internal Revenue Service form for requesting an installment agreement for tax liabilities over $50,000 or unpayable within 72 months.
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Form 8038 GC
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IRS form for reporting information about small tax-exempt governmental bond issues, leases, and installment sales under Internal Revenue Code section 149(e).
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FA 102 Cancellation Form 2324
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A form for students to cancel their Federal Financial Aid and/or scholarships at Coconino Community College for specific semesters.
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Comprehensive Medical Examination Checklist
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A medical examination checklist for pilots seeking to operate small aircraft under BasicMed regulations in lieu of a third-class FAA medical certificate.
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One E App Health E Arizona
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An electronic application system for assistance programs supported by One-e-App software, used by FAA, AHCCCS, and authorized organizations.
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Financial Aid Information Packet
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Comprehensive guide for students to complete financial aid documentation and student loan processes for ATA College.
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Owen County Family YMCA Room Rental Application Form
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Application and liability waiver for renting rooms at the Owen County Family YMCA, including rental terms and liability release.
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Adrian College Facility Reservation Form
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A form for reserving facilities at Adrian College for faculty, staff, and student organizations, requiring details about the event and necessary services.
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Financial Aid Cancellation Request
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Form allowing students to cancel financial aid awards for specific semesters at Montgomery College.
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Faculty Assembly (FA) Payroll Deduction Form
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A form for faculty members to authorize payroll deductions for the Faculty Assembly contributions for fiscal year 2015/16.
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Domestic Academic Student Travel Waiver Form
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A legal waiver document for students participating in academic field trips or off-campus activities, outlining risk assumptions, medical consent, and vehicle use conditions.
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FACULTY LEAVE AND CLINIC CANCELLATION FORM
PDF template
A form for faculty members to request leave, vacation, or clinic cancellations in the Division of Endocrinology and Metabolism.
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Faculty Leave And Clinic Cancellation Form
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A form for faculty members to request leave, cancel clinics, and arrange coverage in the Division of Endocrinology and Metabolism.
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UNIVERSITY OF PUGET SOUND FACULTY LEAVE REQUEST FORM
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A comprehensive form for faculty members to request various types of leave, including medical, family, parental, and extended leaves.
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Staff Vehicle Registration Form
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A form for staff and faculty to register their vehicles for campus parking access and identification.
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Official Bookstore Textbook Requisition Form
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A form for college instructors to submit textbook and supply requirements for their courses to the college bookstore.
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Cancellation Form
PDF template
A form for students to decline or cancel their financial aid package at Rowan College of South Jersey-Cumberland Campus.
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FAFSA Or DREAM ACT APPLICATION WAIVER FORM
PDF template
A form allowing students to opt out of filing FAFSA or DREAM Act financial aid applications while acknowledging their understanding of the applications.
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Loan Declaration Form For Pillar College
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A form for students to declare their federal student loan borrowing preferences and understand loan requirements for Pillar College.
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Westtown Township Health And Fitness Registration And Insurance Form
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Registration form for fitness programs with health history and medical information collection
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Nursing Admission Checklist Instructions Fall 2024
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Comprehensive instructions for prospective nursing students applying to Springfield Technical Community College's Nursing Program for Fall 2024.
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Fall Dual Credit And Concurrent Enrollment Approval Form
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A form for high school students to enroll in dual credit courses at South Plains College for the fall semester.
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Cuesta College FallSpring Fees Refund Request
PDF template
Detailed instructions for students seeking refunds for dropped courses at Cuesta College, including deadlines and submission processes.
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Employee Medical Or Family Leave Of Absence Request Form
PDF template
A form for employees to request medical or family leave, indicating type and reason for absence
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Family And Medical Leave Request Form
PDF template
A comprehensive form for employees to request unpaid family and medical leave under federal FMLA guidelines, detailing leave entitlements and notice requirements.
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Family And Medical Leave (FML) Reference Chart
PDF template
Comprehensive reference guide for family and medical leave policies covering federal and California leave regulations for employees.
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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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Family Contact Form
PDF template
Form for collecting comprehensive contact and insurance details for a client's family members and guardians.
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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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NECAIBEW Family Medical Care Plan Family Enrollment Form
PDF template
An enrollment form for employees to enroll in the NECA/IBEW Family Medical Care Plan, including personal, spousal, and dependent information.
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YMCA OF ORANGE COUNTY Family Guides (Program Registration)
PDF template
Registration form for the YMCA Family Guides Program in Orange County, allowing families to sign up for program membership and events.
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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 Or Medical Leave Request Form
PDF template
A form for employees to request medical or family leave, including documentation of leave type and duration.
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Degree Evaluation Program Assessment Form
PDF template
A form for students to request evaluation of their academic program, course completion, and potential degree program changes.
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New Medical Form Consent Form FAQ
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Explanation of changes to Special Olympics Illinois medical documentation requirements including new Medical Form and Consent Form procedures.
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Ascent Resources Frequently Asked Questions
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Comprehensive FAQ document addressing common questions about address changes, ownership transfers, lease copies, division orders, and royalty payments.
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Granor Farm Camp MEDIA RELEASE FORM
PDF template
A consent form authorizing Granor Farm to use participant images and recordings for promotional and educational purposes.
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High School Enrollment Form
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Comprehensive enrollment form for high school students seeking admission and course registration at Cowley College for fall, spring, and summer semesters.
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FAX REFERRAL FORM
PDF template
A medical referral form for patients seeking low vision rehabilitation services in Colorado.
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Urogynecology New Patient Intake Form
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Comprehensive medical intake form for urogynecology patients to document urinary and bowel symptoms, medical history, and patient goals.
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INCLUSA CLAIM FORM
PDF template
A claim form for submitting healthcare service claims to Inclusa Family Care through WPS Health Insurance.
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BioDynamic Manual Therapy, LLC Patient Questionnaire
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Comprehensive medical intake form for collecting patient health history, current symptoms, and personal health details
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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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Federal Direct Loan Loan Cancellation Form 2023 2024
PDF template
A form for students or parents to cancel federal student loans for specific semesters at Genesee Community College.
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Federal Direct Loan Cancellation Form 2024 2025
PDF template
A form for students or parents to cancel federal student loans for specific semesters at Genesee Community College.
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Fee Waiver Form
PDF template
A form for undergraduate applicants to request a waiver of college application fees based on economic need criteria.
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Fee Waiver Form
PDF template
A form for students demonstrating economic need to request a waiver of college application fees.
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Example Of Fellowship Application Form
PDF template
A comprehensive application form for fellowship candidates in preventive cardiology or related medical disciplines.
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MSKCCWeill Cornell Procedural Dermatology Fellowship Application
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Application form for fellowship in Procedural Dermatology at Memorial Sloan-Kettering Cancer Center and Weill Cornell Medical Center.
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MSKCCWeill Cornell Procedural Dermatology Fellowship Application
PDF template
Application form for a procedural dermatology fellowship at Memorial Sloan-Kettering Cancer Center and Weill Cornell Medicine.
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CIRSE Fellowship Information And Application
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Comprehensive guidelines for physicians and scientists seeking CIRSE Fellowship status in interventional radiology and cardiovascular imaging.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for pathology fellowship candidates covering personal details, education, and fellowship preferences.
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Distinguished College Fellow Nomination Form
PDF template
A form used to nominate individuals for a distinguished college fellowship, collecting professional and personal details about the nominee.
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Patient Intake Form
PDF template
Comprehensive intake form for collecting patient personal, contact, and medical background information with emphasis on privacy and demographic details.
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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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Rental Application
PDF template
Comprehensive rental application form for prospective tenants with detailed checklist of required documents and information.
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Authorization To Release Education Records
PDF template
A form allowing University of Alabama at Birmingham students to authorize release of their educational records to specified third parties under FERPA guidelines.
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FERPA Documentation
PDF template
A comprehensive guide explaining FERPA regulations, student rights, and privacy protections for educational records.
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FERPA CONSENT FORM
PDF template
A form allowing students to consent to disclosure of educational records under the Family Educational Rights and Privacy Act (FERPA)
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FERPA RELEASE AUTHORIZATION FORM
PDF template
A form allowing students to authorize release of their disciplinary records in compliance with FERPA privacy regulations.
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Student Information Release Authorization
PDF template
A form allowing students to authorize third-party access to their academic, financial aid, and student finance records in compliance with FERPA.
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Nebraska FFA Association Medical Release Form
PDF template
A comprehensive medical consent and emergency contact form for FFA members, allowing parental consent for medical treatment and providing essential health information.
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FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA) LEAVE REQUEST FORM
PDF template
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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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
PDF template
A comprehensive legal document that releases liability for participants in various group activities and events.
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FHNO Indus Institutional Fellowship (FIIF) Application Form 2024
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Application form for medical professionals seeking to apply for the FHNO Indus Institutional Fellowship for the 2024 batch.
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Fora Health Residential Referral Form
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Comprehensive referral form for admitting patients into Fora Health's residential treatment program with detailed guidelines and requirements.
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Preparticipation Physical Evaluation Medical History Form
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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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Lease Agreement Template
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A standard written document formalizing the rental agreement between a landlord and tenant, outlining property rental terms and responsibilities.
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MIRACOSTA COMMUNITY COLLEGE DISTRICT EXCURSION LIABILITY RELEASE And AGREEMENT
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A comprehensive form outlining guidelines and requirements for field trip participation at MiraCosta Community College District.
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Release Of Liability, Waiver Of Right To Sue, Assumption Of Risk And Agreement To Pay Claims
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A legal document that releases California State University from liability for potential injuries or damages during an activity or event.
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Release Of Liability, Waiver Of Claims, Express Assumption Of Risks, And Hold Harmless Agreement
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Legal document releasing Florida Atlantic University from liability for potential risks and damages during a field trip.
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FIELD TRIPTRANSPORTATION PERMISSION AND WAIVER FORM
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A legal document granting permission for student participation in a field trip while releasing the school from potential liability.
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Adult Tuberculosis (TB) Risk Assessment Questionnaire
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A medical screening form for assessing tuberculosis risk in adults, required by California Education and Health Codes.
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City Gardens Residential Tenancy Agreement
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A tenancy agreement document for rental accommodation in South Australia, outlining tenant rights, responsibilities, and terms of lease.
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YMCA Camp Independence 2024 Health History And Examination Form
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Medical form for collecting camper health information and emergency contact details for YMCA summer camp participation.
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RTR Complaint Form
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A form for tenants to file complaints related to lease renewal rights and landlord obligations in Ann Arbor.
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Residential Tenancy Agreement
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A legal document outlining the terms and conditions of a residential rental arrangement between a landlord and tenant.
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Artist Release, Waiver Of Liability Loan Agreement
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Legal document outlining terms for an artist loaning artwork to the Children's Museum of Oak Ridge for a temporary exhibition.
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City Of Ironwood Memorial Building Rental Agreement
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Rental agreement for the City of Ironwood Memorial Building for profit organizations or private events
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Authorization For Automatic Payments
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A form for setting up recurring or one-time automatic rent payments via credit card or bank account for Columbia Crossings housing.
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CAS RegiStRAtion FoRm
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A form for students to register for courses, acknowledging tuition, academic policies, and registration requirements.
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Companion Agreement Form
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A form for requesting the use of a companion during participation in Prince George's County Parks and Recreation programs and events.
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Patient Demographics Form
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Comprehensive medical intake form collecting patient personal, contact, insurance, and consent information for healthcare services.
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SHIP Payment Of Damages Form
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A form for documenting damage payments to landlords through a housing support program, allowing tenants to maintain or obtain new housing.
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Parental Consent And Waiver Form For Minor Students
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A consent form for parents/guardians allowing minor students (17 or younger) to enroll in Lone Star College courses with specific terms and conditions.
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Declaration Of Academic Program
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Academic form for students to declare their career and technical degree or certification program at ECC.
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DOTM FORM 1024 FFCRA SICK LEAVE REQUEST
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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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Enrollment Form
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Comprehensive form for enrolling a child in childcare, collecting personal information, emergency contacts, and health details.
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Enrollment Verification Request (Authorization Release)
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A form for students to request verification of their academic enrollment, degree, or certificate status from Morton College.
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InternExtern Application Packet
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Application for internship and externship opportunities at Elica Health Centers, focusing on medical, dental, and behavioral health fields.
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Facility Rental Agreement
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A rental agreement for using museum facilities, outlining terms, fees, and liability conditions for event spaces.
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Humboldt County Referral Initiative Referral Form
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A comprehensive medical referral form for transferring patient information between healthcare providers with multiple referral type options.
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Service Learning Agreement
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A form for students to document and agree to service-learning placement details with a participating agency
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Volunteer Orientation
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A comprehensive orientation document for college students interested in volunteering at a physical therapy clinic to gain healthcare experience and learn about the profession.
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ClaimIncident Report Form
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A comprehensive form for documenting insurance claims, liability incidents, and property damage details.
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Volunteer Indemnity Agreement
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Legal document indemnifying Bay Cliff Health Camp against liability for volunteer injuries or losses during camp activities.
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Patient Medical History And Symptoms Form
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A detailed medical intake form capturing patient demographics, ethnicity, race, symptoms, and previous diagnostic studies and treatments.
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Pad Site Lease Agreement
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Lease agreement for a residential pad site in a 55 and over community in Kimberling City, Missouri
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Medical Report Health Statement And Immunizations For 2023 2024
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Medical form for documenting student health status and required immunizations for St. Paul's School enrollment
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Medical Freeze Request Form
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A form for requesting a temporary freeze on a membership due to medical reasons with specific conditions and documentation requirements.
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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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2024 25 PermissionWaiver Emergency Information Form Minor
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A comprehensive form for minor participants to provide emergency contact information and release liability for church activities
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Naturopathic Patient Intake Form
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Comprehensive intake form for new patients seeking naturopathic medical consultation, collecting detailed personal and health history information.
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NEW CLIENT INFORMATION PAYMENT AGREEMENT
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A veterinary hospital intake form for new clients to provide personal and pet information along with payment terms.
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New Patient Intake Form
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Comprehensive intake form for new patients seeking cosmetic procedures, collecting personal information and medical history.
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FILLABLE ORDER FORM FOR SFP 7 17 CURRICULUM AND MATERIALS
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Order form for purchasing Strengthening Families Program curriculum materials and resources for the 7-17 age group.
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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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Patient Information For Appointment Booking
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A comprehensive patient intake form for medical appointment booking at Peninsula Gastroenterology, collecting personal and medical contact details.
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PATIENT REFERRAL FORM
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A comprehensive form for referring veterinary patients to specialized veterinary services and departments.
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Patient Registration Form
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Comprehensive medical intake form for collecting patient personal information, emergency contact details, insurance information, and health history.
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Pharmacy Payment Plan Agreement
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Payment agreement form for managing pharmacy account balances and establishing payment schedules for outstanding medical charges.
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Arizona JKA 2024 Summer Payson Camp Waiver Form
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Legal document releasing liability for participation in martial arts training and activities, acknowledging inherent risks of physical injury.
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PATIENT INTAKE FORM
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Comprehensive medical form for collecting patient health history, contact information, and medical background details.
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Patient Discharge Form
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A standardized form for documenting patient discharge details, treatment status, and medical recommendations.
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Consent To Publish PicturesTestimonialsRecordingsVideo
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Legal document granting Algoma University permission to use participant's images, recordings, and testimonials for promotional purposes.
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Fillable Realtor Rental Agreement Hawaii Amendments
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A document for modifying existing rental agreements and lease terms in Hawaii, allowing landlords and tenants to make supplemental changes.
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Student Account Refund Request Form
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A form for students to request a refund of credit balance from their student account at Northland College.
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Santee Recreation Registration Form
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Registration form for participants to sign up for recreation activities in the City of Santee, including personal and medical information.
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Fillable Residential Lease Agreement
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A legal document outlining the terms and conditions for renting a residential property between a landlord and tenant.
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Sports Participant Waiver Form
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Legal waiver for participants in sports activities, releasing the organization from liability for potential injuries or damages.
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Trailblazer Academy Advising Checklist Form
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A checklist and agreement form for students participating in Trailblazer Academy at Ohio Christian University, outlining enrollment steps and course expectations.
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Immunization Consent Form
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A comprehensive form for collecting patient demographic, insurance, and consent information for immunization services.
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Waiver Form
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A liability waiver form for user groups utilizing School District No. 5 (Southeast Kootenay) properties and facilities.
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CLARK COUNTY SCHOOL DISTRICT VOLUNTEER WAIVER AND RELEASE
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Legal document releasing Clark County School District from liability for volunteer activities and potential risks during service.
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Request For Invoice
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Procedure for requesting and preparing invoices for facility use, health benefits, and other activities within the college district.
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Resident Selection Criteria Agreement
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Detailed guidelines for rental application eligibility and potential grounds for application rejection by Knapp Properties.
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Healthcare Forms Catalog
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Comprehensive list of medical forms and clinical documentation used across various healthcare departments and specialties.
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Paths To Health NM Tools For Healthier Living Referral Form
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A referral form for participants to join Paths to Health NM health programs with provider contact information.
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Graduation Packet Instructions
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Comprehensive instructions for students applying to graduate, including deadlines, requirements, and commencement details.
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Virginia Statement Of Tenant Rights And Responsibilities
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A comprehensive summary of tenant rights and responsibilities under Virginia law, covering application fees, leases, landlord disclosures, and security deposits.
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International Student Financial Affidavit Form 2023 2024
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A financial affidavit form for international students documenting financial support for annual educational expenses at Northwest Technical College.
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Financial Aid Authorization Form
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A form authorizing financial aid terms, conditions, and information release for students at El Paso Community College
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Financial Assistance Application Form
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A confidential form for patients seeking financial assistance, requiring detailed personal and income information for healthcare services.
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Financial Assistance Evaluation
PDF template
Application form to help patients determine eligibility for free or discounted healthcare services and public assistance programs.
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Suburban Urologic Associates Financial Policy
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Detailed financial policy outlining insurance, payment, and billing procedures for a urology medical practice.
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