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Ohio Administrative Code Rule 33071 3 04 Military Service Credit
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Administrative rule detailing military service credit provisions for retirement systems in Ohio, including eligibility and documentation requirements.
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State Income Tax Withholding Form
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Comprehensive guide for state-specific income tax withholding rules for retirement distributions across different states.
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JROTC Unit Marksmanship Inspection Form
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Official form for documenting and verifying JROTC unit marksmanship training and range safety compliance.
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Title 38 United States Code Section 3679(E) School Compliance Form
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A compliance form for educational institutions to confirm adherence to veterans' educational benefits requirements under the Veterans Benefits and Transition Act of 2018.
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DSS Form 37113 Contribution Form
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A form used by the South Carolina Department of Social Services to document financial contributions to a household or benefit group.
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Petitioning For Superior Court Review When You Disagree With A DSHSHCA Benefits Administrative Heari
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A step-by-step guide for individuals seeking to appeal administrative orders related to DSHS/HCA benefits through Superior Court review process.
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IRS Form W 4P
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Guide for U.S. citizens and resident aliens on federal and state tax withholding for periodic pension or annuity payments.
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The PACT Act One Year Anniversary And Your VA Benefits
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Comprehensive overview of VA benefits for veterans exposed to toxic substances under the PACT Act, highlighting eligibility and application process.
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Change Of Address Request Form (For Retirees Beneficiaries)
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A form for retirees and beneficiaries to update their mailing address with the Employees' and Elected Officials' Retirement Systems.
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The 3 RS To Retirement
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A comprehensive guide for employees planning to retire, covering the steps of retiring, resigning, and managing retiree health benefits.
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DOD INSTRUCTION 4000.19 SUPPORT AGREEMENTS
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Official DoD instruction establishing policy, responsibilities, and guidelines for support agreements between government entities and organizations.
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Beneficiary Designation Form
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Instructions for designating beneficiaries for retirement plans through Prudential's online platform
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Beneficiary Designation Form
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Instructions for designating beneficiaries for retirement plan accounts online or via paper form with specific processing guidelines.
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401(K) Contribution Authorization Form
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Form for employees to authorize 401(k) retirement plan contributions through payroll deduction, including pre-tax and Roth options.
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The Muscogee (Creek) Nation 401(K) Plan Rollover Contribution Form
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A form for participants to transfer retirement funds from a previous plan or IRA into the Muscogee (Creek) Nation 401(k) Plan.
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403(B) Participant EnrollmentPayroll Deduction Form
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A form for employees to enroll in or update contributions to a traditional or Roth 403(B) retirement plan with payroll deduction authorization.
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Plan Exchange Authorization Form
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Form for authorizing exchange of 403(b) funds between investment providers within an employer's plan or to purchase service credits.
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Waiver Of Service Period For Retirement Plan Participation
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A form allowing employees to waive the one-year service requirement for retirement plan participation based on previous employment at eligible organizations.
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Procedure 410 19 Employee Volunteer And Education Leave
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A policy providing full-time employees with 8 hours of annual leave for volunteer and educational activities in the community.
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Foreign National Access Request Form
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Form for foreign nationals requesting access to Andersen Air Force Base in Guam for leisure purposes.
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Mail In Driver License Application
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Application for military personnel or dependents to renew or obtain a duplicate Missouri driver license through mail
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Employee Benefit Plan Enrollment
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Montgomery County Public Schools form for new employees and those with qualifying life events to enroll in benefit plans
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Utah Retirement System Defined Contribution Service Agreement Form
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A form for employers to specify participation in Utah Retirement System's defined contribution plans and employee contribution options.
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457 Deferred Compensation Plans Contribution Form
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Form used to change contribution amounts to a 457 deferred compensation plan account with MissionSquare Retirement.
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Cambria Comm Services District Enrollment And Contribution Form
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Form for employees to enroll in and contribute to the Cambria Community Services District 457 Deferred Compensation Plan at MissionSquare Retirement.
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North Carolina Supplemental Retirement Plans One Time Contribution Form
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A form for state employees to defer additional compensation or one-time payments into retirement plans through a single contribution.
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DD Form 1750
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A standard military administrative document used for supply and accountability tracking.
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HealthFlex Mandatory Premium And Coverage Waiver Form
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A form for enrolled participants or new hires to decline HealthFlex health plan coverage and declare their reason for doing so.
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DWS ESD 475 Change Report Form
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A form for reporting changes in various state assistance programs including financial aid, Medicaid, SNAP, and child care benefits.
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SI 2047 Your Disability Benefit Claim
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Comprehensive guide and forms for applying for disability insurance benefits, including instructions for claim submission and potential benefit reductions.
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How To Generate Your TA Authorization Form For GoArmyEd
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Step-by-step instructions for military personnel to generate and submit their Tuition Assistance (TA) Authorization form through the GoArmyEd online system.
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Disabled VeteranS Or SurvivorS Exemption Application
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Application for property tax exemption for disabled veterans or their survivors in Texas, to be filed with local appraisal districts.
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Employer Fact Sheet Contracted Services Membership Determination And The EmployerS Obligation
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Guidance for public educational institutions on determining employment status and retirement system membership for contracted service providers.
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LDSS 5067 NYS OTDA State Supplement Program Direct Deposit Cancellation Form
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Form for cancelling direct deposit for New York State Supplement Program benefits
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5.170 A Separation From Employment Voluntary Separation
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Policy and procedures for employee separation from Mohave Community College, covering resignation, retirement, death, and separation pay.
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Arbitration Award In Dane County (Public Health) Labor Dispute
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Arbitration hearing regarding salary continuation benefits dispute between Dane County and District 1199W union
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DoD Instruction 5410.16
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Department of Defense policy and procedures for providing assistance to non-government entertainment media productions like films, TV shows, documentaries, and electronic games.
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Leave Program Procedures
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Detailed procedures for vacation leave accrual and usage for employees at Owens Community College.
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Application For Veterans Exemption
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A tax exemption form for veterans in Oklahoma allowing a $200 exemption on household personal property for eligible service members.
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Household Report Form
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A form for reporting household information to maintain public assistance benefits in Minnesota.
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WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
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A form for children and spouses of veterans to establish residency eligibility for Wisconsin educational benefits
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Rollover Contribution Form
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Comprehensive guide for participants rolling over retirement account balances into the Kroger Savings Plan with specific instructions for direct and indirect rollovers.
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Authorization For Direct Deposit (Form 6186)
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Form for authorizing direct deposit of retirement payments for Sacramento County Employees' Retirement System members.
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Tier 2 Retirement Checklist
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Comprehensive checklist for Tier 2 retirement application process, detailing required forms and documentation for pension and benefits
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Special Power Of Attorney
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A legal document allowing appointment of an attorney-in-fact to make retirement-related decisions for a CalPERS member.
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Application For Group Insurance CHEIBA Trust
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A comprehensive insurance application form for employee group insurance coverage with options for various types of insurance benefits.
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FirstChoice Personal Super Withdrawal Form
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A form for withdrawing units from a superannuation fund, either as a rollover to another fund or as a cash withdrawal with specific conditions.
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Summary Plan Description Bargained Cash Balanced Program 2 Of The ATT Pension Benefit Plan
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A comprehensive guide to benefits for employees under the Bargained Cash Balance Program #2, detailing pension plan provisions and eligibility.
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GROUP PLANS ENROLLMENT FORM
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Comprehensive form for employees to select and enroll in group insurance and benefit plans covering life, disability, medical, and supplemental insurance options.
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Certificated Resignation Form
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Official form for Los Angeles Unified School District certificated employees to resign from service, including those retiring through CalSTRS.
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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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OneSIPP BeneficiaryS Drawdown Pension Application Form
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Application form for inheriting pension funds and establishing beneficiary drawdown or transferring existing dependent's pension benefits.
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Employer Affidavit Of Income And Benefits
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Legal document providing instructions for employers to report an employee's income, benefits, and financial records to assist court proceedings.
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California State Income Tax Withholding Form
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Form for Los Angeles Fire & Police Pension members to elect state income tax withholding options for their pension payments.
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Security Clearance Form
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A security clearance form for the Precision Strike Annual Review event requiring personal and clearance details.
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Security Clearance Form
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Security clearance form for attending the Precision Strike Technology Symposium in October 2017 at Johns Hopkins University Applied Physics Laboratory.
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Audit Report On Commercial Aviation Fuel Invoice Payments In Europe
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An audit report examining controls and payment processes for aviation fuel purchases by U.S. military aircrews in Europe during fiscal year 1988.
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NYCERS Loans Brochure
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Comprehensive guide for New York City Employees' Retirement System (NYCERS) members about pension account loans and eligibility requirements.
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2024 Congressional Veteran Commendation Nomination Form
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A nominations-based program to recognize military service and community involvement of veterans in the 17th Congressional District of Texas.
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Application For Veterans Exemption
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A form for veterans to apply for a property tax exemption on household personal property in Oklahoma based on military service during national emergencies.
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Application For Veterans Exemption
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A tax exemption application for veterans in Oklahoma seeking relief on household personal property taxes.
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Application For Veterans Exemption
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A state form allowing eligible veterans to claim a property tax exemption on personal property in Oklahoma.
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Group Benefits EnrolmentChange Form
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A comprehensive form for enrolling or changing group benefit plan details for employees, including personal information, coverage selection, and benefit options.
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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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Benefits Administration Letter 99 101
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Official guidance from the Office of Personnel Management addressing common documentation problems in Federal Employees Retirement System (FERS) applications and retirement claims.
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Halina Pelczar V. Board Of Review, Department Of Labor, And AE Clothing Corporation
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Judicial opinion regarding unemployment benefits appeal involving an employee's voluntary job separation
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Nassau Re Trust Ownership QA
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Comprehensive guide addressing key questions about trust-owned annuities and their requirements with Nassau Re.
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INTERVIEW PLAN 2 STRUCTURED INTERVIEW ARMY PRECOMMISSIONING SELECTION
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A structured interview guide for evaluating candidates for Army Officer Candidate School (OCS) with sections covering college background and military service experience.
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457 DEFERRED COMPENSATION PLANS CONTRIBUTION FORM
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Form for initiating or changing after-tax contributions to a 457 deferred compensation plan through an employer.
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Veterans Administration Aid And Attendance Claim Checklist
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Comprehensive checklist of required documentation for filing a Veterans Administration Aid and Attendance benefit claim, including personal, financial, and military records.
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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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MY BENEFIT PLAN BOOKLET
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Comprehensive benefit plan booklet providing counseling and life skills support services for plan members and their dependent children.
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PA ABLE Savings Program Workplace Guide
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A guide for employers to help employees with disabilities save money through tax-free ABLE accounts with payroll deduction options.
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Alternate Benefits Program Mandatory Contributions 401(A) Voluntary 403(B) Loan Authorizations
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Procedure for employees to request and process loans through investment providers using specific authorization steps.
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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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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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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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Retirement Contribution Form
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A form for employers to set up electronic fund transfer (EFT) contributions to employee retirement accounts, specifically 403(b) and other retirement plans.
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APPLICATION FOR ACTIVE DUTYVETERAN TUITION RATE
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Application form for active duty military, retired military, and veterans to qualify for in-state tuition rates at Old Dominion University.
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LOCAL 22 HEALTH PLAN DEPENDENT FORM
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Form for adding a spouse or dependent to the Local 22 Health Plan, requiring personal information and supporting documentation.
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Application To Buy Added Pension CLASSIC, CLASSIC PLUS, PREMIUM
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A form for employees to apply for additional pension contributions through monthly deductions or lump sum payments
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Application To Buy Added Pension NUVOS Scheme
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Pension contribution application form for employees to buy additional pension coverage through monthly salary deductions or lump sum payments
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UWS B1242 Accidental Death Dismemberment Insurance
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Comprehensive employer manual for Accidental Death and Dismemberment insurance policy for University of Wisconsin System employees.
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Change Of Address Form
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Official form for changing address for New Jersey state pension system members and retirees
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PSC CUNY Welfare Fund Adjunct Enrollment Form
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Health benefits enrollment form for adjunct faculty members at CUNY with dental and health plan options
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Administrative Waiver How To Request Waiver For An Overpayment Under 1000
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Instructions for requesting an administrative waiver for Social Security overpayments less than $1,000.
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Adoption Assistance Reimbursement Form
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Form for employees to request reimbursement for qualified adoption expenses through the university's adoption assistance program.
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4 H Volunteer Enrollment
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Comprehensive enrollment form for 4-H volunteers capturing personal, demographic, and contact information for the 2024-2025 program year.
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Advanced Illness Benefit Application Form
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Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by BEMAS medical aid scheme.
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Advanced Illness Benefit Application Form
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Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
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SunAdvantage RRSPTFSA Sponsor Administration Guide
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A comprehensive guide for small business owners to manage employee retirement and savings plans with minimal administrative burden.
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Regulations On Personal Property, Local Currency, And Motor Vehicles For U.S. Personnel In Turkey
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Military directive establishing rules for U.S. personnel in Turkey regarding personal property, currency, and vehicle regulations with potential punitive consequences for violations.
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Army Emergency Relief Application For Financial Assistance
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Comprehensive application form for military personnel seeking emergency financial support from Army Emergency Relief (AER)
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Pension Application Form
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Application form for pension benefits through the Australian Expatriate Superannuation Fund, designed for expatriate superannuation members.
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AUSTRALIAN ETHICAL SUPER PENSION APPLICATION FORM
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A comprehensive application form for establishing a pension account or transitioning to retirement with Australian Ethical Super.
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WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
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Residency verification form for children and spouses of veterans seeking Wisconsin GI Bill educational benefits based on veteran's 5-year state residency.
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Hiring And Interview Memorandum
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Memorandum providing guidance for hiring processes, interview procedures, and candidate selection best practices.
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Afghanistan And Iraq War Veterans Scholarship
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Merit-based scholarship program for active duty and honorably discharged U.S. military veterans who served in Iraq or Afghanistan and are pursuing undergraduate degrees.
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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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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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Processing N 400s Filed Under INA 328 And 329 When Applicant Fails To Respond To A Request For Evide
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Memorandum providing guidance on adjudicating military naturalization applications when applicants fail to respond or appear for interviews.
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Armed Forces Retirement Home Volunteer Services Community Volunteer Application
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Application for individuals interested in volunteering at the Armed Forces Retirement Home, covering personal details and volunteer preferences.
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AFSCME Local 127 PPO Benefits Matrix
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Comprehensive dental insurance plan detailing coverage levels for various dental treatments and services.
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Benefits Committee Meeting Agenda
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Agenda for a Benefits Committee meeting discussing various benefits-related topics and goals for 2018/2019.
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Benefits Committee Meeting Agenda
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Agenda for Benefits Committee meeting detailing review of minutes, old and new business items related to employee benefits.
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AGMA Health Fund Retirement Plan Consent To Electronic Delivery
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A form allowing members to receive AGMA Health Fund and Retirement Plan notices electronically via email.
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Agreement For Students Receiving VeteranS Educational Benefits
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A document outlining the requirements and responsibilities for veterans receiving educational benefits at the University of North Carolina at Chapel Hill.
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Tuition Discount Scholarship Form
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Scholarship application for students qualifying through employment, military service, alumni status, or diversity criteria at Adler Graduate School.
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Alabama EWIC Vendor Kickoff Meeting
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Presentation explaining the electronic WIC benefits system for vendors in Alabama, detailing transaction processing and program benefits.
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Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
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Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
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Accident Coverage Claim Form
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Insurance claim form for reporting accidental injuries and seeking coverage benefits from American Heritage Life Insurance Company.
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Blue Cross Medical Travel Benefit Claim
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A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
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Enrollment Form
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A comprehensive enrollment form for dental and vision insurance coverage through an employer's benefit plan.
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Enrollment Form
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A comprehensive form for enrolling in dental insurance coverage, including subscriber and dependent information, coverage options, and coordination of benefits.
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ENROLLMENT FORM VISION ONLY
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A comprehensive enrollment form for vision insurance coverage, allowing employees to add or modify vision insurance benefits.
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Special Holiday Waiver For Security Supervisors Unit, Security Services Unit, Or Agency Police Servi
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Form allowing security personnel to choose alternative holiday compensation options for Memorial Day, Veterans' Day, and Independence Day 2023
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Enrollment Change Waiver Group Insurance Form
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Insurance form for enrolling, changing, or waiving group dental insurance coverage for employees and their dependents.
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Hearing Insurance Enrollment Form
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A comprehensive form for employees to enroll in or modify hearing insurance coverage for themselves and dependents.
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Event Feedback Form (Survivors)
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A confidential feedback form designed to gather survivor experiences and insights from media and NGO interactions with sensitivity and ethical considerations.
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I.B.E.W. LOCAL UNION 363 MONEY PURCHASE PENSION PLAN Annuity Benefit Application Form
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A comprehensive form for members of I.B.E.W. Local Union #363 to apply for pension or annuity benefits, collecting personal, marital, and employment information.
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Anthem Blue Cross Enrollment Form
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Comprehensive enrollment form for selecting medical and dental insurance coverage through Anthem Blue Cross for employers and employees.
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PPO Dental Blue Complete
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Comprehensive dental insurance plan offering flexible network options and preventive care coverage for active and retired police association members.
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Short Term Disability Claim Form
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A form for employees to file a claim for short-term disability benefits with insurance details and authorization.
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Out Of Network Vision Services Claim Form
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A claim form for submitting vision care expenses to Blue View Vision when receiving services from out-of-network providers.
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Disabled Veterans Exemption Information Sheet
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Provides information about property tax exemptions for disabled veterans and their unmarried surviving spouses in San Bernardino County, California.
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AP 7380 Retiree Health Benefits All Employees
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Policy document outlining health benefits continuation for eligible employees upon retirement from the College.
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Schwab Personal Choice Retirement Account (PCRA) Limited Power Of Attorney (LPOA) Form
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A form for establishing a Personal Choice Retirement Account with limited trading authorization at Charles Schwab.
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Phased Retirement Application And Reemployment Agreement
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A voluntary program allowing faculty to transition to half-time employment while beginning retirement benefits and maintaining institutional connection.
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Application For Member Survivor Allowance
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Form for survivors to apply for allowance benefits under Massachusetts General Laws, Chapter 32, Section 12A, pending approval of accidental death benefits.
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Application Form For Extra Increase Single Pensioners
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A form for single pensioners in the Caribbean Netherlands to apply for an additional pension increase based on specific eligibility criteria.
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APPLICATION FOR MILITARY SKILLS TEST WAIVER
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Form for qualified service members to apply for a Commercial Driver License (CDL) waiver based on military vehicle operation experience.
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Pension Application Form
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Comprehensive form for individuals applying for pension benefits, collecting personal, marital, and employment information.
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Application For Old Age Security Pension Canada
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An official government application form for seniors to apply for Old Age Security pension benefits in Canada.
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Service Request Form
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A form for submitting and tracking information technology service requests within an organization.
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How To Apply For An SVF Plan Retirement Benefit Or Survivor Benefit
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Detailed instructions for volunteer firefighters applying for retirement or survivor benefits through the PERA Statewide Volunteer Firefighter Plan.
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City Of Spokane Apprenticeship Incentive Grant Application Form
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Grant application to support employers and workforce groups in establishing or expanding pre-apprenticeship programs targeting underrepresented groups.
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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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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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Arizona State Carpenters Annuity Plan
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A defined contribution retirement plan for covered employees of the Arizona State Carpenters Retirement Fund, providing financial security and tax-deferred benefits.
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Federal Resource Guide Real Life Considerations For Older Adults Taxes
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A comprehensive guide providing federal resources and benefits information to help older adults understand tax-related issues and make informed decisions.
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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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Pennsylvania State System Of Higher Education Alternative Retirement Plan Summary Plan Description
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Comprehensive summary of retirement plan details for Pennsylvania State System of Higher Education employees, covering participation, contributions, investments, and benefits.
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Retirement Plan Consulting Agreement
PDF template
An agreement between a plan sponsor, Commonwealth Equity Services, and an investment advisor for retirement plan consulting services.
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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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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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Fund Eligibility And Membership
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Document detailing eligibility requirements, enrollment procedures, and membership conditions for a health benefits fund.
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Sample Auxiliary Audit Form Instructions
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Detailed instructions for completing a financial audit form for Veterans of Foreign Wars (VFW) Auxiliary chapters.
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VFW Auxiliary Post Distribution Of Receipts, Disbursements, And Cash Balance By Fund
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A detailed financial reporting document tracking cash balances, receipts, and disbursements across multiple fund categories for a Veterans of Foreign Wars (VFW) Auxiliary Post.
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VFW Auxiliary Distribution Of Receipts, Disbursements, And Cash Balance By Fund
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A financial reporting document for tracking funds, receipts, disbursements, and cash balances for a Veterans of Foreign Wars (VFW) Auxiliary organization
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VFW Auxiliary Report Form
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Annual reporting form for Veterans of Foreign Wars (VFW) Auxiliary detailing program activities, projects, and member participation.
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Pre Registration For Burial Determination
PDF template
Application for veterans to pre-register for potential burial at the Arizona Veterans Memorial Cemetery, determining interment eligibility in advance.
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Project Authorization Request (PAR) For IEEE Standard
PDF template
Technical document proposing an amendment to the IEEE standard for local and metropolitan area networks, focusing on forwarding and queuing enhancements for time-sensitive streaming.
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Award Agreement (Agreement To Pay Benefits)
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Official form documenting workers' compensation benefits agreement between an injured worker and employer/insurance carrier.
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Award Nomination Form
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A form for recommending and approving awards within the Naval ROTC unit hierarchy, involving multiple levels of endorsement.
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Los Angeles Community Colleges Personnel Guide B382 Reduced Workload Leave
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Guidance for certificated faculty to reduce workload while maintaining full-time retirement benefits under specific conditions.
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Payment Request And Direct Deposit Form (Bucks For Buckeyes Program)
PDF template
Form for receiving state incentive payments through direct deposit for Ohio National Guard members.
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Benefit Application Form (BA1)
PDF template
Application form for members of the New Zealand Firefighters Welfare Society to claim benefits and reimbursements.
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OP 95 5 02 Backward Deferred Retirement Option Plan (Back DROP)
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Operational policy detailing the process for Fire and Police Pension Plan members to apply for retirement using the Backward Deferred Retirement Option Plan.
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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
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Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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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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BASIC PENSION APPLICATION
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A comprehensive pension application form for members of the Southern California Pipe Trades Retirement Fund seeking to apply for retirement benefits.
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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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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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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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Authorization To Access Plan Information
PDF template
A form for plan sponsors to authorize third-party firms to access institutional plan information at TIAA.
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Beneficiary Distribution Claim Form
PDF template
A form for beneficiaries to claim and distribute funds from a deceased participant's deferred compensation account.
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Beneficiary Designation
PDF template
A form for designating beneficiaries for an insurance or retirement plan, allowing members to specify beneficiary allocation and revocability.
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BENEFIT APPLICATION FORM
PDF template
Application form for pension fund withdrawal with personal and employment details
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Benefit Application Form
PDF template
A form for youth members of the Sipekne'katik First Nation to apply for benefits from their trust.
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Benefit Distribution Request
PDF template
A comprehensive guide for participants to understand their 457 Deferred Compensation Plan distribution options and retirement benefit payments.
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Direct Deposit Form
PDF template
Form for employees to set up direct deposit for benefits reimbursements with bank account details and authorization.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
PDF template
Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
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Benefits Billing Form
PDF template
A form for employees to elect benefits continuation options during FMLA or general leave of absence
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Benefits Cancellation Form
PDF template
Form used to remove dependents from an employee's benefits plan and modify coverage options.
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Benefits Cancellation Form
PDF template
Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Dental Insurance Plan
PDF template
Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
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Benefits Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
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COMPLAINT Stanley E. McGlothlin V. Benefits For Corporate America, Inc., Et Al.
PDF template
A legal complaint filed by Stanley E. McGlothlin against Benefits for Corporate America, Inc. and related entities under ERISA and Texas common law.
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ENERGY BENEFIT TRANSFER REQUEST FORM
PDF template
A form for transferring energy benefits between utility vendors and documenting account changes.
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Benefits 2 Work Enrollment Form
PDF template
A comprehensive form for San Francisco residents seeking employment benefits and counseling, particularly targeting seniors, disabled individuals, and those with limited employment prospects.
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Post DocTrainee Billing Form
PDF template
A form for managing billing and payment details for post-doctoral trainees and their associated departments at the University of Utah.
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We CanT Wait Act Of 2023
PDF template
A bill to allow disabled individuals to elect to receive disability insurance benefits during the mandatory waiting period.
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We CanT Wait Act Of 2024
PDF template
A bill to permit disabled individuals to elect to receive disability insurance benefits during the waiting period.
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S. 60 Education Savings Accounts For Military Families Act Of 2023
PDF template
A bill to allow parents of military dependent children to establish education savings accounts under the Elementary and Secondary Education Act of 1965.
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Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for employees to authorize automatic payroll deductions into their health savings account (HSA)
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SALES ORDER FORM
PDF template
Sales order document for a Fleetwood RV model with various package and appliance options
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Application For Skills Test Waiver Military Exception
PDF template
A form allowing qualified military service members to apply for a Commercial Driver License (CDL) without skills testing under specific conditions.
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Application For Skills Test Waiver Military Exception
PDF template
A form allowing military service members to apply for a Commercial Driver License (CDL) waiver based on their military vehicle operation experience.
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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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Unemployment Insurance Benefit Payment Guidance
PDF template
Instructions for employers on preventing improper unemployment insurance benefit payments and reducing potential tax impacts.
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Pension Plan Benefit Application Form
PDF template
A comprehensive form for union members to apply for pension benefits, covering member information, reason for benefit request, and required certifications.
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Burial Benefits For Veterans And Their Families
PDF template
Comprehensive guide detailing burial benefits and eligibility for veterans, their spouses, and dependent children through the Department of Veterans Affairs.
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Business Credit Application Agreement
PDF template
A comprehensive credit application form for businesses seeking to establish a credit account with Commercial Tire.
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Business Plan Template For An Established Business
PDF template
A comprehensive template and guide for creating a business plan for established businesses, providing insights on structure, research, and strategic planning.
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Form SSA 634 Request For Change In Overpayment Recovery Rate
PDF template
A form for individuals to request adjustment of Social Security overpayment recovery based on financial hardship and inability to meet necessary living expenses.
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Opinion Of Trustees ROD Case No. CA 0097
PDF template
A legal opinion addressing a dispute over prescription pre-authorization requirements for Viagra benefits under the Coal Industry Retiree Benefit Act.
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Civil Air Patrol Cadet Activity Permission Slip
PDF template
Permission slip for Civil Air Patrol cadet activities, documenting parental consent and activity details.
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CADET HANDBOOK
PDF template
Comprehensive guide for Marine Corps Junior ROTC cadets covering program background, conduct, curriculum, and activities.
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Cadet Promotion Request Form
PDF template
A form for cadets to request rank promotion within their military training program, requiring approval from senior officers.
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CalPERS 1008 Direct Payment Authorization
PDF template
A form for California Public Employees' Retirement System members to authorize direct premium payments for health insurance coverage.
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Special Power Of Attorney
PDF template
A legal document allowing individuals to designate representatives for retirement-related decisions within CalPERS, LRS, and JRS systems.
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CalPERS Special Power Of Attorney
PDF template
A comprehensive guide explaining the process and usage of a special power of attorney document for CalPERS members.
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MEMBERSHIP FORM
PDF template
A membership form for joining the Cal State LA Emeriti Association with various membership categories and donation options.
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Canada Manitoba Housing Benefit Homelessness Stream Application
PDF template
Application for financial housing support for individuals at risk of or experiencing homelessness in Manitoba.
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Request To Cancel Coverage Form
PDF template
A form detailing reasons and documentation required for canceling health insurance coverage with specific qualifying events.
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Miscellaneous Deductions And Insurances Cancellation Form
PDF template
Form for cancelling optional insurance plans and miscellaneous deductions not subject to pre-tax restrictions.
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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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Case Report For August 1, 2014
PDF template
A case report documenting board decisions related to veterans employment and hiring procedures at the Department of Defense
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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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CATCH A Serial Offender Program Sample Form
PDF template
A confidential form for adult sexual assault victims to provide information about a suspected serial offender in the Department of Defense.
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Community Benefit Application Form
PDF template
An annual application process for community facilities and small businesses to receive support for community development projects from Sennit Construction.
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CarerS Credit Application Form
PDF template
An application form for individuals providing care to claim Carer's Credit, a National Insurance credit for carers.
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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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APPLICATION FOR DISABILITY BENEFIT
PDF template
Application form for disability benefits from the Central States, Southeast and Southwest Areas Pension Fund for eligible participants.
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Central States Pension Fund Retirement Declaration
PDF template
A document for declaring retirement date, employment status, and receiving pension benefits from the Central States Pension Fund.
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California Employers Retiree Benefit Trust Sub Account Contribution Form
PDF template
A form for making contributions to multiple California Employers' Retiree Benefit Trust sub-accounts for different employee bargaining units.
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CEREMONIAL RIFLE INVENTORY FORM
PDF template
A form for documenting and tracking US Army-owned ceremonial rifles issued to organizations under specific deed of gift conditions.
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Certificated Employee Resignation Form
PDF template
A form for certificated employees of Vacaville Unified School District to resign from their position and document retirement benefits election.
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Certificated Resignation Form
PDF template
A form for certificated employees to resign from their positions, with options for standard resignation or retirement through CalSTRS.
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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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The Colorado Freedom Memorial Contribution Form
PDF template
A contribution form for making donations to the Colorado Freedom Memorial Foundation with options for donor privacy and communication preferences.
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PAYROLL DEDUCTION FORM
PDF template
Form for employees to update or initiate payroll deductions for Cat PowerInvestment note investments.
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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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CGMA Form 2 Special Needs Grant
PDF template
A form for Coast Guard members to apply for special needs financial assistance, collecting client and applicant information for potential grant support.
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CGMA Client Information Form
PDF template
A form for Coast Guard personnel to request reimbursement for special needs dependent educational evaluations and support plans.
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Coast Guard Mutual Assistance Pre Authorization Mutual Assistance Form
PDF template
A form allowing Coast Guard members to pre-authorize financial assistance for family members during deployment or separation
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WV Income Maintenance Manual Chapter 2
PDF template
Guidelines for reporting changes and maintaining SNAP (Supplemental Nutrition Assistance Program) case eligibility in West Virginia.
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Nomination Form Dakota County Technical College Beyond The Yellow Ribbon Challenge Coin
PDF template
A nomination form for recognizing individuals who support veterans, service members, and their families at Dakota County Technical College.
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Change Of Address Form
PDF template
A form for updating personal contact information with the Cambridge Retirement System.
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Change Direct Deposit
PDF template
Instructions for changing direct deposit payment method by completing and uploading a form to the Benefits Portal.
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STANDARD CHANGE FORM
PDF template
A form used for updating employee payroll information, deductions, and status for existing employees or new hires.
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Change Of Address Or Name Form
PDF template
A form for TRS members to update personal contact information and address details.
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Change Of Address Form
PDF template
Form for updating personal contact information for 1199SEIU Benefit Funds members.
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NEW ADDRESS CHECKLIST (ACTIVE RETIRED)
PDF template
Guide for active and retired members of the Uniformed Firefighters Association to update their contact information and address.
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Change Of Address Form
PDF template
A form for TRS members to update their personal contact information and address details
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Change Of Address For Inactive Members
PDF template
A form for inactive retirement system members to update their contact and mailing information with the Montana Public Employee Retirement Administration.
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Change Of Address For Retirees
PDF template
A form for Montana Public Employee Retirement Administration retirees to update their mailing address and contact information.
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Chapter 8 ALLOTMENTS AND TAXES
PDF template
A comprehensive guide for military personnel on managing pay allotments, tax status, and financial deductions.
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VA Form 22 1990 Application For VA Education Benefits
PDF template
Official application form for veterans seeking educational assistance benefits through VA programs like Montgomery GI Bill.
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2024 FSA Enrollment Form
PDF template
Annual enrollment form for flexible spending accounts covering healthcare, limited healthcare, and dependent daycare expenses for the 2024 plan year.
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Retirement Checklist
PDF template
Comprehensive checklist for teachers preparing to retire, detailing required documentation and steps to complete before retirement.
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Checklist For ResigningRetiring Employees
PDF template
A comprehensive checklist for employees of the School District of Philadelphia planning to resign or retire, providing guidance on pension and separation procedures.
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Checklist For ResigningRetiring Employees
PDF template
A comprehensive guide for employees of the School District of Philadelphia who are resigning or retiring, outlining required steps and pension processing information.
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Checklist To Enroll In Retiree Health Insurance
PDF template
Step-by-step instructions for Dutchess County employees enrolling in retiree health insurance and Medicare
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COPERS Change Of Address Form
PDF template
A form for retired city employees to update their contact information with the City of Phoenix Employees' Retirement System.
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Academic Student Employee (ASE) And Graduate Student Researcher (GSR) Childcare Reimbursement
PDF template
Form for UAW-represented student employees to request reimbursement of eligible childcare expenses at the University of California.
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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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Student Loan Repayment Program
PDF template
Official instruction establishing Coast Guard policy for student loan repayment benefits for civilian employees.
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Countermeasures Injury Compensation Program Request For Benefits Form
PDF template
Form for individuals seeking medical and employment benefits after experiencing a serious injury from a covered countermeasure such as vaccines or medical equipment.
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Enrollment Change Form (Consolidated)
PDF template
A comprehensive form for employees to enroll or change health insurance and related benefits with multiple coverage options.
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CIMERLI Solutions Enrollment Form
PDF template
Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
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Veteran Engagement Council Interview Form
PDF template
Interview form for potential Veteran Engagement Council members to assess their interest and availability for research participation.
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City Of Takoma Park MD Enrollment And Contribution Form
PDF template
Form for employees to enroll in and contribute to the City of Takoma Park's 457 Deferred Compensation Plan at MissionSquare Retirement.
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Military Connected New Student Checklist
PDF template
A comprehensive guide for military-connected students transitioning to Northern Arizona University (NAU), covering benefit applications and campus resources.
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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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Virginia Workers Compensation Commission Claim Form
PDF template
Official form for filing a workers' compensation claim in Virginia, documenting workplace injury details and requesting benefits.
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Account Holder Authorization And Consent Form
PDF template
A consent form allowing the Department of Community Services and Development to share utility account information for energy assistance program evaluation.
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CLAIM FOR INJURY OR DEATH
PDF template
A legal form for filing claims related to personal injury or death involving federal agencies, specifically for the Camp Lejeune Claims Unit.
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Widow Pension Application
PDF template
A pension application form for widows of cement masons seeking survivor benefits from Local 783 Pension Plan in Houston, Texas.
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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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Medicare Redetermination Request Form 1st Level Of Appeal
PDF template
Official form for Medicare beneficiaries to request a first-level appeal of a Medicare claim determination.
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Medicare Reconsideration Request Form 2nd Level Of Appeal
PDF template
A form for Medicare beneficiaries or providers to request a second-level appeal of a Medicare claim determination.
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Privacy Impact Assessment Benefits Coordination And Recovery Center
PDF template
Privacy impact assessment documenting the data collection and processing system for Medicare benefits coordination and recovery processes.
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CMSP 215 Supplemental Application
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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Certification Of Eligibility To Continue Receipt Of Disabled Veterans Real Property Tax Exemption
PDF template
Official form for disabled veterans to certify continued eligibility for real property tax exemption in New Jersey
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Certification Of Eligibility To Continue Receipt Of Disabled Veterans Real Property Tax Exemption
PDF template
A form for disabled veterans to certify continued eligibility for property tax exemption in New Jersey
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Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
Form for employees to enroll in Flexible Spending Account (FSA) options for healthcare and dependent care expenses.
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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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Account Information Tax Advantage Wellness Programs
PDF template
Form for establishing a new account for Tax Advantage Wellness Programs with Colonial Life insurance services.
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Colorado State Withholding Certificate For Pension Or Annuity Payments
PDF template
A form for selecting state tax withholding options for monthly pension distributions from the Fire & Police Pension Association.
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BACKGROUND CHECK CONSENT FORM
PDF template
Consent form authorizing the U.S. Air Force to conduct background checks for installation access eligibility.
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Consentimiento Para Recibir Tratamiento, Cesin De Beneficios Y Garanta De Pago
PDF template
A Spanish-language medical consent and insurance benefits assignment form for Northwell Health Dental Medicine patients.
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Federal RetireeS Master Contact List
PDF template
Comprehensive contact list for federal retirees to manage benefits, services, and important resources.
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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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Enrollment And Contribution Form
PDF template
A form for employees to enroll in or modify contributions to a 457 deferred compensation retirement plan.
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Payroll Deduct Roth IRA Contribution Form
PDF template
Form for employees to authorize payroll deductions for Roth IRA contributions with specific contribution limits and guidelines.
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Account No. Contribution Form
PDF template
A form for making contributions to various types of retirement and investment accounts with multiple contribution methods.
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Contribution Form Building Service 32BJ Supplemental Retirement Savings Plan
PDF template
A form for employees to start, change, or stop pre-tax contributions to a supplemental retirement savings plan
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Contribution Form
PDF template
Comprehensive form for making contributions to various retirement and investment accounts including IRA, SEP, SIMPLE, and 401(k)
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CONTRIBUTORY PENSIONGRATUITY APPLICATION FORM
PDF template
An official form for individuals applying for contributory pension benefits in Bermuda, to be submitted within 13 weeks of eligibility.
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Request For Group Life Conversion Materials
PDF template
Form for obtaining individual life insurance policy after group coverage cessation or reduction
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ING Premier Disability Cancellation Form
PDF template
A form for employees to cancel their ING Premier Short Term Disability insurance policy and associated payroll premium deduction.
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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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Things To Think About From A Benefits Perspective During The COVID 19 Pandemic
PDF template
A document outlining COVID-19 test reimbursement, free test kit options, and virtual care services for MUSC Health Plan members.
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Request For COVID 19 Employer Paid Leave Of Absence
PDF template
A form for employees to request paid leave related to COVID-19 circumstances including personal illness, vaccination, or childcare needs.
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Special Application For Search Of Military Discharge Form (DD214)
PDF template
A specialized application for obtaining military discharge documents with strict eligibility and privacy requirements.
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ROTC Registration Form
PDF template
Registration form for visiting students enrolling in ROTC courses at the university with details about tuition, fees, and course registration.
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Veterans And Dependent Education Benefits Enrollment Form
PDF template
Form for veterans to request enrollment verification and select VA education benefits for higher education enrollment.
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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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Dependent Care Reimbursement Form
PDF template
Form for submitting out-of-pocket dependent care expenses for reimbursement through Peak1 benefits program.
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CVS Caremark Prescription Benefits Guide
PDF template
A guide providing six strategies for saving money and time on prescription medications through CVS Caremark's pharmacy benefits program.
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Unemployment Insurance Benefits Referral Form
PDF template
A California state form requiring individuals to apply for Unemployment Insurance Benefits before becoming eligible for CalWORKs.
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Private Trust Form
PDF template
A government form for collecting detailed information about private trusts for Centrelink and Veterans' Affairs purposes.
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Department Of The Army Pamphlet 405 45
PDF template
A Department of Army document providing guidance and instructions for managing and accounting for Army real property inventories.
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Redacted Consent Motion And Brief For Trial CourtS Approval Of Settlement And Dismissal Of All Claim
PDF template
Legal motion seeking court approval for settlement of a civil case involving alleged damages at Fort Benning housing complex
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Davenport Emergency Grant Application Form
PDF template
Application for emergency financial assistance for veterans through the Broomfield Veterans Memorial Museum Davenport Fund
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Direct Reimbursement Claim Form
PDF template
A form for requesting reimbursement from Davis Vision for out-of-network vision services and eyewear expenses.
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Compensation Policy
PDF template
A comprehensive policy outlining compensation principles, employment classifications, and contractor relationship criteria.
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DB 450 Notice And Proof Of Claim For Disability Benefits
PDF template
Instructions for filing a disability benefits claim in New York State, detailing submission requirements and process for employees and recently unemployed individuals.
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New York State Disability Benefits Rights Statement
PDF template
Informational document outlining disability benefits rights for employees in New York State under Section 229 of the Disability and Paid Family Leave Benefits Law.
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Employment Contact Form
PDF template
Form for tracking employment contacts and job search activities for retirement system participants.
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DCMA Required Supporting Documentation
PDF template
Guidelines for submitting required documentation for job applications at DCMA, including specific requirements for different employee categories.
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Title 32 Employee Benefits Part VII Public Employee Deferred Compensation
PDF template
Comprehensive definitions for Louisiana's public employee deferred compensation plan, detailing account balances, administrators, beneficiaries, and related terms.
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DD FORM 4 EnlistmentReenlistment Document Armed Forces Of The United States
PDF template
Official U.S. Department of Defense document for recording military service enlistment or reenlistment details and commitments.
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Dependency Statement Child Born Out Of Wedlock Under Age 21
PDF template
A form for military personnel to establish dependency status for a child born out of wedlock who is under 21 years old.
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DD FORM 1354 Transfer And Acceptance Of DoD Real Property
PDF template
A Department of Defense form used for transferring and documenting real property assets between military organizations.
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DD FORM 1617 Department Of Defense Transportation Agreement
PDF template
Official Department of Defense form establishing government service requirements and transportation allowances for civilian employees transferring outside the continental United States.
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DD FORM 1618, DEC 2023
PDF template
A Department of Defense form establishing government time in service requirements for travel and transportation allowances for civilian employees transferring within CONUS.
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DD FORM 1857
PDF template
A Department of Defense form for requesting additional storage in-transit (SIT) beyond the initial authorized period for military service members and civilian employees.
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APPLICATION FOR CERTIFIED COPY OF MILITARY DISCHARGE (FORM DD 214)
PDF template
Application form for obtaining a certified copy of a military discharge document (DD-214) by authorized individuals.
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DD FORM 2367, Individual Overseas Housing Allowance (OHA) Report
PDF template
Department of Defense form for service members to report housing details and allowance eligibility while stationed overseas.
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REQUEST FOR ARMED FORCES PARTICIPATION IN PUBLIC EVENTS (NON AVIATION)
PDF template
A form used to request Armed Forces participation in public events, including musical units, troops, color guards, and exhibits.
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DD FORM 2656
PDF template
A military form for establishing retired pay accounts, beneficiary designations, and Survivor Benefit Plan elections for military personnel.
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DD FORM 2754
PDF template
A form for computing pay entitlements and reimbursements for Junior ROTC Instructors with details about allowances and compensation.
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DD FORM 2789
PDF template
A Department of Defense form for requesting waiver or remission of financial indebtedness for military and civilian personnel.
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VOLUNTEER AGREEMENT FOR APPROPRIATED FUND ACTIVITIES NONAPPROPRIATED FUND INSTRUMENTALITIES
PDF template
A form documenting voluntary service agreement for Department of Defense appropriated and nonappropriated fund activities
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DD Form 2807 2 Medical Prescreen Of Medical History Report
PDF template
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
PDF template
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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DD FORM 2974, NOV 2013 TACTICAL KITCHEN FOOD SANITATION INSPECTION
PDF template
Military form for documenting food sanitation and hygiene standards in tactical kitchen settings during training or deployment.
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DD FORM 2754 Junior Reserve Officer Training Corps (JROTC) Instructor Pay Certification Worksheet
PDF template
A form used to certify and compute entitlements for Junior ROTC Instructors, including basic allowance calculations and reimbursement details.
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DD FORM 2889
PDF template
A service agreement form for individuals assigned to or selected for a Critical Acquisition Position in the defense workforce.
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VA Fiduciary Hub Financial Institution Information Form
PDF template
A document for veterans' fiduciaries to establish or update direct deposit and account titling with the Department of Veterans Affairs.
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Affidavit To Request Replacement Of SNAP Benefits
PDF template
Form for requesting replacement of SNAP benefits lost due to household misfortune or electronic benefit theft in Oregon.
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Claim For Disability Insurance (DI) Benefits
PDF template
Authorization form for releasing medical information to process a disability insurance claim with the California Employment Development Department (EDD).
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DEATH BENEFIT APPLICATION FORM
PDF template
A form for processing retirement and terminal benefits for deceased retirement savings account (RSA) holders and their next of kin.
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Decrease Election Form For Supplemental Life Insurance
PDF template
A form for active state employees to reduce their supplemental life insurance coverage in prescribed increments.
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Payroll Deduction Cancellation Form
PDF template
Form for employees to cancel various payroll deductions for insurance, benefits, and voluntary contributions.
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STATE EMPLOYEES DEFERRED COMPENSATION PLAN ENROLLMENT FORM
PDF template
Official form for Illinois state employees to enroll in or modify their deferred compensation retirement plan contributions and investment selections.
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STATE OF VERMONT STATE EMPLOYEE DEFERRED COMPENSATION PLAN EMPLOYEE REQUEST FOR PAYROLL DEDUCTION
PDF template
Form for Vermont state employees to request payroll deductions for a retirement investment program under Section 457(b)
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DEFINED BENEFIT PLAN BENEFICIARY NOMINATION FORM
PDF template
Legal document for nominating beneficiaries for a defined benefit pension plan through the State Employees' Retirement System (SERS)
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DEFINED BENEFIT PLAN CHANGE OF ADDRESS FORM
PDF template
A form for SERS members to update their mailing address for retirement benefits communication.
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Defined Contribution Plan Division Form
PDF template
A legal document used to divide retirement plan assets during divorce or legal separation proceedings, capturing plan and participant details for asset division.
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Designated Eligible Individual (DEI) Enrollment Form 2024
PDF template
Form for Michigan Tech employees to enroll a non-spouse individual for health coverage under specific eligibility criteria.
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Delta Dental EnrollmentChange Form
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage with Delta Dental plans
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Delta Dental Of Minnesota Membership Enrollment Form
PDF template
Membership enrollment form for Delta Dental insurance coverage, allowing employees to select dental plan options and enroll dependents.
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Non Government Foreign Travel Policy
PDF template
Policy guidelines for Arizona Department of Emergency and Military Affairs employees traveling internationally for non-government purposes.
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UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS PRESTON LEE DENT V. ROBERT A. MCDONALD
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Legal document detailing an appeal regarding the overpayment of non-service-connected pension benefits and the effective dates of benefit reduction.
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ADA Dental Claim Form Instructions
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Comprehensive instructions for completing the ADA Dental Claim Form, including general instructions, coordination of benefits, and National Provider Identifier requirements.
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Delta Dental Of Wisconsin EnrollmentChangeWaiver Form Dental
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A form for enrolling in, changing, or waiving dental insurance coverage through an employer's group plan with Delta Dental of Wisconsin.
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COBRA Dental Insurance EnrollmentWaiver Form
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A form for employees to enroll in or waive dental insurance coverage, with options for adding or dropping dependent coverage under COBRA.
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Dental Insurance EnrollmentWaiver Form
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A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
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Employee Enrollment Form
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Comprehensive form for employee insurance enrollment with personal information and coverage details.
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Dental Insurance EnrollmentChange Form
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A form for employees to enroll in or modify dental insurance coverage, including dependent information and policy details.
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Dental Waiver Form
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A form allowing civil service staff to waive enrollment in Genesee Community College's group dental insurance plan.
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DentalVision Enrollment Form
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Detailed guide for completing a dental and vision insurance enrollment form with step-by-step instructions.
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LEAVE REQUEST FORM
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A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
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LEAVE REQUEST FORM
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A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
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Health Insurance Enrollment Form
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A comprehensive form for active employees to enroll in health insurance plans, select medical providers, and manage flexible spending accounts.
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DependantS Pension Application Form
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A form for Nestl European Pension Fund members to nominate a financial dependent to receive pension benefits in the event of the member's death.
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DEPENDENT CHILD CERTIFICATION
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Form for certifying dependent child eligibility for Texas Employees Group Benefits Program, with multiple certification options based on child relationship and tax claiming status.
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Depleted Uranium (DU) Exposure Information
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Informational document about Depleted Uranium exposure risks for military veterans and guidance on disability claims related to DU exposure.
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Departmental Software Order Form
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A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
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Service Credit Purchase
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A comprehensive guide for Denver employees about purchasing service credit to enhance retirement benefits through the Denver Employees Retirement Plan.
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DHA Form 131, TRICARE Prime Travel BenefitCombat Related Disability Travel Patient Information Works
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Form for documenting specialty care and non-medical attendant travel requirements for TRICARE Prime enrollees.
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DHS 2240 Change Report
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A form used to report changes in household composition, income, and other key life events within 10 days of occurrence.
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UDENYCA Solutions Enrollment Form
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Enrollment form for patients seeking information about UDENYCA medication and insurance verification services.
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Veterans Certification Request (VCR)
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COPERS Direct Deposit Form
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Direct Deposit Authorization Manual Claim Reimbursement
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Direct Deposit Information And Instructions
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Authorization For Direct Deposit Of Retirement Payment
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Form for setting up direct deposit of retirement payments from the City of Cincinnati Retirement System
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Direct Deposit Form
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Form for Los Angeles Fire & Police Pension members to establish, change, or cancel direct deposit of pension payments.
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City Of Austin Employees Retirement System Direct Deposit Form
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Form for retired City of Austin employees to set up electronic monthly annuity payments to a chosen financial institution.
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SBCERS Direct Deposit Authorization
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Form for authorizing direct deposit of retirement allowance with Santa Barbara County Employees' Retirement System
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Direct Deposit Authorization Form
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A form for setting up electronic funds transfer for NEBF benefit payments to a participant's bank account.
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Form 61 (Rev July 2021) UNITED ASSOCIATION NATIONAL PENSION FUND DIRECT DEPOSIT AUTHORIZATION FORM
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Form for authorizing direct deposit of pension fund benefits and providing bank account details for benefit payments.
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Payroll Direct Deposit Request Form (For Retirees Beneficiaries)
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Form for retirees and beneficiaries to set up or change direct deposit for pension payments with Employees' and Elected Officials' Retirement Systems.
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Direct Deposit Authorization Form
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Form for authorizing direct deposit of retirement benefits for Alameda County Employees' Retirement Association members.
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ACHform 2022
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A form for pension plan members to set up or modify direct deposit banking information for retirement benefits.
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DOTM FORM DAL Request Form
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A form for employees to request COVID-19-related leave under the Department of Military's Directors Authorized Leave policy.
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Direct RolloverTransfer To ICMA RC Form
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A form for transferring retirement plan assets between providers, specifically to an ICMA-RC account.
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DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
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A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
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Disability Allowance To Service Retirement Application
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Disability Benefit Application Form
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Official government form for applying for disability benefits in Bermuda, detailing eligibility requirements for contributory and non-contributory disability benefits.
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PSOB Disability Benefits Program Checklist
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A comprehensive checklist for filing disability claims for public safety officers with the U.S. Department of Justice's PSOB Office.
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SUPPLEMENTAL DISABILITY CLAIM FORM
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Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
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Group Disability Claim Filing Instructions
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Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
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DISABILITY HEALTH WELFARE HOURS CLAIM FORM
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A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
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Disability Coverage Claim Form
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Insurance claim form for filing a disability coverage claim with American Heritage Life Insurance Company.
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Disability Claim Form
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A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Delta Pilots Mutual Aid Disability Claim Form
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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
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A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
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Disability Claim Form Instructions
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Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
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New York State NOTICE AND PROOF OF CLAIM FOR DISABILITY BENEFITS
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Official New York State form for filing a disability benefits claim, to be used by employees who became disabled while employed or within four weeks of employment termination.
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MetLife Disability Insurance Guide
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A comprehensive guide for reporting disability claims and absence procedures through MetLife insurance.
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Disability Claim Form
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A comprehensive form for filing a disability claim with the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
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Disability Application Glossary Of Terms
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A comprehensive guide defining key terms and requirements for disability retirement applications for public employees in Massachusetts.
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Supplementary Disability Claim Form
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A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
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Disability Support Pension Application Form
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A comprehensive form for individuals seeking financial support due to disability, covering eligibility, evidence requirements, and application process.
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SI 11268 Your Disability Benefit Claim
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Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
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How To File A Claim For Weekly Disability Benefits
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Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
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QP Distribution Notice
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A comprehensive notice explaining distribution options and tax consequences for retirement plan participants.
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District Membership Promotion Request Form
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Form for districts to request membership promotion funds up to $175 with a detailed membership program plan.
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Diversity Survey Form
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A confidential form for collecting demographic information about employees for equal employment opportunity compliance.
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Retirement Scheme Divorce Benefit Information Form
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A form collecting member details for potential benefit distribution in the event of a divorce order affecting a retirement fund
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Retirement Scheme Divorce Benefit Information Form
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A form for collecting member information related to potential benefit distribution in the context of a divorce order
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SAD AnnualPersonal Day Leave Request Form
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A form for service members to request annual or personal leave, documenting leave balances and obtaining approval from command.
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Presbyterian Federal Chaplaincies Department Of Defense Annual Report Form
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Annual reporting form for Presbyterian military chaplains to document their current assignment, personal details, and ministry experiences.
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Good Fit Domestic Partner Affidavit
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A form for active and retired employees to add or terminate domestic partner and dependent coverage for various insurance plans.
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Donor Leave Request Form
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A form for employees to request leave for organ, blood, or other donation activities under the Kansas State Donor Program.
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Disability Benefit Application Instructions
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Comprehensive instructions for submitting a disability benefit application, including eligibility requirements and submission guidelines.
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DROP Enrollment Form New Participant
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A form for qualifying members to enroll in the Municipal Fire and Police Retirement System of Iowa's Deferred Retirement Option Plan.
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DROP Enrollment Form New Participant Enrollment
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Enrollment form for municipal firefighters and police officers to participate in the Deferred Retirement Option Plan (DROP) program.
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DSB Travel Form
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A comprehensive travel request form for Defense Science Board personnel to document travel details, reservations, and reimbursement information.
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Fiscal Year 2022 PresidentS Budget Defense Security Cooperation Agency
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Budget document detailing the Defense Security Cooperation Agency's fiscal year 2022 budget request and operational description.
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Direct Deposit Enrollment Authorization Form
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Authorization form for electronic benefit payments through direct deposit for Social Services programs in North Carolina.
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Richmond Retirement System Durable Power Of Attorney Fact Sheet
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A legal document explaining how Richmond Retirement System members can designate an agent to manage their retirement benefits under specific conditions.
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Employee Benefit Enrollment Form
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A comprehensive form for employees to select and enroll in medical, dental, and vision benefit plans.
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Employee Academic Tuition Waiver Request Form
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A form for Cameron University employees to request tuition waivers for themselves or their dependents for academic courses.
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Off Base Military Housing Projects On Federal Property ANNUAL REPORT
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Annual reporting form for off-base military housing projects on federal property in Honolulu, detailing property characteristics and occupancy.
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DENTAL APPLICATION AND POLICY CHANGE
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A comprehensive form for enrolling in or modifying dental insurance coverage, including options for new employees, open enrollment, COBRA, and membership changes.
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Bank Account Update Form
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Form for healthcare service providers to update their bank account details for receiving EFT/ERA payments from ECHO Health, Inc.
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Claims Submission Form
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A form authorizing healthcare providers to submit and exchange personal information for insurance claims processing and benefits administration.
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New York Council Of Nonprofits, Inc. Enrollment Form
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Enrollment form for Health Care and Dependent Care Flexible Spending Accounts with options for salary reduction and reimbursement methods
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ENROLLMENT INSTRUCTIONS OPEN YOUR RETIREMENT ACCOUNT
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Instructions for opening a retirement account, choosing investments, and completing enrollment with TIAA.
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HSA Enrollment Form
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A form for enrolling in a Health Savings Account through an employer, allowing employees to set up contributions.
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EFMP Family Support (EFMP FS) Needs Inquiry Form
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A comprehensive form for military families with special needs to assess support requirements and services
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Power Of Attorney (POA)
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A form allowing participants or beneficiaries to designate an agent to act on their behalf with the Pension Benefit Guaranty Corporation (PBGC).
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Deferred Compensation PlanNYCE IRA Direct Deposit Form
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Form for setting up direct deposit for various retirement account types, including 457, 401(k), and NYCE IRA accounts.
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Extended Health Care Claim Form
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A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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EZ Retirement Plan Enrollment Form
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Enrollment form for Florida Retirement System employees to choose between Investment and Pension Plan options.
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General Retirement Plan Enrollment Form
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Enrollment form for new employees to choose between retirement plan options in the Florida Retirement System for Regular, Special Risk, and Special Risk Administrative Support Class Employees.
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Request For Quotes Election Services For PERS Board Positions
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Solicitation for blended election services for PERS Board positions representing Institutions of Higher Learning Employees and Retirees.
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Request For Proposal Materials And Services For Elections Of Employees Retirement Systems And Teache
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A request for proposal to select a vendor to provide materials and services for administering retirement system board elections during a five-year period.
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Consent Form For Electronic Distribution Of Benefit Materials And Notices
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A consent form allowing employees to receive electronic copies of benefit materials and notices from Michigan State University.
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EFT And ERA Electronic Funds Transfer And Electronic Remittance Advice Transactions Basics
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A comprehensive overview of Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) transactions in healthcare payment systems.
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Electronic Payment Authorization Agreement Form
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A form for employers to set up electronic payment methods for various California State Teachers' Retirement System contributions and payments.
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Electronic Payment Authorization Agreement Form
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Form for setting up electronic payment methods for California State Teachers' Retirement System contributions and payments
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Active Directory And Email Access Request Form
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Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
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Reimbursement Claim Form
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Instructions for submitting healthcare reimbursement claims through multiple methods including Rx debit card, online portal, and paper submission.
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Emeriti Retirement Health Solutions Personal Contribution Form
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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
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Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
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Emeritus Nomination Form
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A formal process for nominating retiring faculty, staff, and administrators for emeritus recognition at Salt Lake Community College.
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Employee Change Of Address Form
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Form for employees to update their personal contact information with the Department of Military Human Resources.
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Employee Course Registration Form
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Form for Gustavus employees to register for courses with tuition benefits, requiring HR and supervisor approvals.
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NHRDeparture Employee Departure Information Sheet
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A comprehensive guide for faculty and staff leaving their position at the University of Wisconsin Madison, covering benefits, computer access, leave balances, and other departure-related information.
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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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ENROLLMENT FORM FOR GROUP INSURANCE
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A comprehensive form for enrolling in group insurance benefits, capturing employee and dependent information, coverage selections, and authorization.
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Employee Exit Checklist
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Comprehensive form documenting employee departure procedures, including credential return, benefits termination, and administrative tasks.
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Employee HSA Payroll Deduction Form
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Form for employees to authorize payroll deductions for Health Savings Account contributions with annual contribution limits and details.
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Employee HSA Payroll Deduction Form
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Form for employees to authorize payroll deductions for their Health Savings Account contributions with contribution limit details.
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Virginia Tech Employee Software Sales Order Form
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Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
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Employee Profile And Travel Form
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A comprehensive form for employees to update personal information, marital status, and travel privileges for family members.
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Employee Retirement Contribution Form
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Form for employees to start, change, or suspend retirement plan contributions at Mountainland Technical College.
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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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Employee Self Service Guide
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Comprehensive guide for navigating the Employee Self Service (ESS) portal and accessing various employee-related resources and information.
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Employee Services FAQ Contact List
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A comprehensive contact reference for employees covering various HR topics, benefits, and service inquiries.
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Employee And Dependent Tuition WaiverReimbursement Form
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Form for employees to request tuition waiver or reimbursement for themselves or dependents at SSU.
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Eye Care Insurance Enrollment Form
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A comprehensive form for employees to enroll in or modify eye care insurance coverage for themselves and dependents.
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Health Coverage Waiver Form
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A document allowing employees to waive health insurance coverage offered by their employer with options for alternative coverage.
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Employer Error Institution Process
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Guidelines for handling employer errors in employee insurance enrollment, detailing steps for institutions and employees to correct coverage issues.
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APPLICATION FOR CIVIL SERVICE EXAMINATION OR EMPLOYMENT
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Official form for individuals seeking employment in civil service, including background and veterans' credit sections.
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Windfall Elimination Provision
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Explanation of how Social Security retirement or disability benefits may be reduced for workers with pensions from employers not withholding Social Security taxes.
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How To File A Disability Appeal Online
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Step-by-step instructions for filing a disability appeal online with the Social Security Administration
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Adult Disability Starter Kit
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A comprehensive checklist to help applicants prepare for filing a Social Security disability benefits claim by organizing personal, medical, and employment information.
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United States Army Corps Of Engineers Accident Investigation Report
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Official government form for documenting workplace accidents and incidents within the United States Army Corps of Engineers.
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Sussex County Engineering Plan Submission Form
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A comprehensive form for submitting engineering and development plans for review by Sussex County, covering project details, fees, and ownership information.
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Authorization And Consent To Treatment
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A comprehensive document outlining patient consent for medical treatment, insurance benefits assignment, and payment responsibilities.
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Buckley Space Force Base Engraving Shop Order Form
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A form for requesting custom engraving services at Buckley Space Force Base, covering details for engraved items and customer information.
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Enhanced Dental Benefits Enrollment Form
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A self-enrollment form for additional dental coverage for members with specific medical conditions through Blue Cross Blue Shield of Massachusetts.
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Nurse Licensure Compact (NLC) Guidelines For FederalMilitary Nurses And Spouses
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Detailed explanation of nursing licensure requirements for federal, military, and VA nurses under the Nurse Licensure Compact (NLC)
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Enroll A Member NYSLRS Quick Guide
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A step-by-step guide for personnel contacts to enroll new members in the New York State and Local Retirement System online platform.
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State Of Hawaii PTS Deferred Compensation Retirement Plan Enrollment Form
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Enrollment form for part-time, temporary, and seasonal employees of the State of Hawaii and County of Kauai for deferred compensation retirement plan
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Northern California Carpenter Funds Enrollment Form
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Form for enrolling or updating records with the Northern California Carpenter Funds, including health plan selection and participant information.
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Vision Service Plan EnrollmentChange Form
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Form for employees of Fallbrook Elementary School District to enroll or modify vision insurance coverage for themselves and dependents.
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Superior Dental Care Employee Enrollment Form
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Form for employees to enroll in dental and vision insurance benefits through Superior Dental Care.
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ENROLLMENT FORM GL.2017.010
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A comprehensive employee insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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NEA Membership Enrollment Form CCA
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Enrollment form for teachers to join the National Education Association, California Teachers Association, and local education unions.
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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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California State University, Sacramento Benefit Enrollment Worksheet
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A form for employees to complete transactions affecting health, dental, vision, and FlexCash coverage at California State University, Sacramento.
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City Of Albany 457 Deferred Compensation Plan Enrollment And Contribution Form
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A form for City of Albany employees to enroll in or modify contributions to their 457 Deferred Compensation Plan at MissionSquare Retirement.
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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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Balsamic Vinegar Of Modena Competition Entry Form
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Entry form for a competition related to Balsamic Vinegar of Modena hosted by the Culinary Institute of America (CIA)
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BVASA 2024 November Tournament Entry Form
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Tournament event for BVASA members to participate in competitive and enjoyable badminton matches over a weekend in November.
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BVASA 2024 November Tournament Entry Form
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Tournament event for BVASA members to participate in competitive and enjoyable badminton matches over a weekend in November.
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Law Enforcement Officers Waiver Form
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Form for Law Enforcement Officers to waive enrollment privileges in the Public Employees' Retirement System (PERS)
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Nomination And Declaration Form For Unexempted Exempted Establishments
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A form for employees to nominate beneficiaries for provident fund and pension scheme benefits in case of death.
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Employer Pension Guide
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Comprehensive guide for rejoining employees about pension scheme options and eligibility criteria in the Principal Civil Service Pension Scheme (PCSPS).
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ERFC Durable Power Of Attorney (Designation Of Agent For ERFC Matters)
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A legal document allowing a member to designate an agent to make retirement system-related decisions on their behalf.
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Retirement Checklist
PDF template
A comprehensive checklist for members preparing to retire, outlining key steps and document requirements one year before retirement.
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Federal And State Income Tax Withholding Form
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Form for new retirees to specify federal and state income tax withholding preferences for ERFC annuity payments.
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ElectricianS Retirement Fund Benefit Application Packet
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An application packet for pension benefits from the Electrician's Retirement Fund, providing instructions for submitting retirement documentation.
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ERS Pension Deduction Cancellation Form
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Form for retirees to cancel automatic health benefit premium deductions from their ERS pension
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RETIREE INSURANCE ENROLLMENT FORM
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A form for Texas Employees Retirement System retirees to enroll in insurance and provide Medicare information
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ESA 1126A FORFFA Cancellation Of Direct Deposit
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Official form for cancelling direct deposit for unemployment insurance benefits in Arizona
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2012 OPERS Prescription Plan Guide
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Guide for OPERS health care plan participants explaining prescription drug coverage options for Medicare-eligible members
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Report Of Transfer Or Multiple Enrollment
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A form for reporting membership transfer between public employee retirement systems with details about previous and new employment.
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EVALUATION FORM
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A comprehensive evaluation form used to assess candidates for admission to U.S. Service Academies, focusing on leadership potential and personal qualities.
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Event Expense Reimbursement Form
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Form for reimbursing event expenses for approved sporting events at fire stations, with a $500 annual benefit maximum.
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Event Proposal Form
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A comprehensive form for military personnel to propose and plan squadron recreational and social events with detailed funding and activity breakdowns.
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Child Care For PCS Family Child Care Provider Billing Form
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Billing form for family child care providers supporting Air Force members during Permanent Change of Station (PCS) moves.
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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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City Of Shelby Income Tax Exemption Form
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A form for retired individuals in Shelby, Ohio to claim income tax exemption for those with no taxable income.
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City Of Shelby Income Tax Exemption Form
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A form for retired individuals with no taxable income to request tax exemption from the City of Shelby, Ohio.
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EXIT INTERVIEW FORM
PDF template
A comprehensive form tracking an employee's departure process, including benefits, equipment return, and final payroll details.
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Express Benefit Report
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A form used to report accumulated unused sick leave balances and employment termination information for CalSTRS retirement benefits.
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Eyeglass Reimbursement Form
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A form for employees to request reimbursement for eyeglass purchases through the school district's benefits program.
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EnrollmentChange Form
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Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
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Employer Health Insurance Verification Individual Follow Up Health Insurance Information
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A form for employers to verify health insurance benefits offered to employees and their families for BadgerCare Plus applicants.
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Change Of Address Form Benefit Recipient
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A form for benefit recipients to update their mailing address with the Massachusetts Teachers' Retirement System (MTRS)
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Change Of Address Form
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A form for members to update their mailing address for various trust fund communications and services.
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Wisconsin Medicaid Services Application
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Wisconsin state application form for Medicaid services, including applicant and spouse information, income details, and eligibility questions.
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Medicaid Asset Assessment
PDF template
A form to evaluate the total assets owned by a Medicaid applicant and their spouse to determine eligibility for Medicaid benefits.
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Plan Sponsor Refund Request
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A form for plan sponsors to request refunds of contributions for retirement plans, with options for single or multiple participant refunds.
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Mistake Of Fact
PDF template
Form for plan administrators to request refund correction for arithmetic or clerical errors in participant contributions within one year of occurrence.
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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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EXHIBIT 4 PROPOSAL FORM
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Proposal form for a construction project involving remodeling buildings at CBJTC with base bid and alternate proposal options.
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NW Plumbers Pipefitters Health Fund Change Of Address Form
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A form for updating personal contact information for members of the NW Plumbers & Pipefitters Health Fund
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Medical Dental Vision Prescription Weekly Disability Claim Form
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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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Enrollment Form F33
PDF template
Comprehensive enrollment form for employees to register dependents and update personal information for benefit plans
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REQUEST FOR A QUALIFIED CHARITABLE DISTRIBUTION (QCD) FROM A BROKERAGE RETIREMENT ACCOUNT (IRA)
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F 413 Short Troop Trip Travel Form
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A travel form for documenting short troop trips, with an online reference link.
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Disability Claim Form
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Change Of Address Form
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Election To Withhold Federal Income Tax From Periodic Payments
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Change Of Address Form
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Western Metal Industry Pension Fund Pre Retirement Death Application
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A form for surviving spouses to apply for pension benefits after the death of a participant in the Western Metal Industry Pension Fund.
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Change Of Address Form
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Registration form for the Institute for Learning in Retirement, including course selections, parking pass, and volunteer opportunities.
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FAA Child Care Subsidy Program Monthly Invoice Form
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Supplemental Annuity Collective Trust Of New Jersey (SACT)
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Fact Sheet Naturalization For Gold Star Families
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Fair Hearing Request Form
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Fall 2023 Veterans Education Benefits Enrollment Form
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Family And Medical Leave Request Form
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ELIGIBILITY AND BILLING FORM
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Form for qualifying for corporate and family education benefits at DeVry University, detailing eligibility requirements and student/employer information.
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NECAIBEW Family Medical Care Plan Family Enrollment Form
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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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Deployment Family Information Form
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A form for military personnel to provide family contact and deployment details to support services during absence
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APPLICATION FOR GRANT OF FAMILY PENSION
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Application form for requesting family pension benefits from Bank of Baroda Pension Fund Trust after the death of a pensioner.
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Educational Benefit Tax Exemption Frequently Asked Questions
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A guide explaining tax implications and procedures for educational assistance benefits through UET (University/Employer Training) program.
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FAQs CVS Caremark Pharmacy Transition
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Frequently asked questions about prescription drug benefits transition from Medco to CVS Caremark for PERS Select/Choice/Care members.
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Dual Benefits Reimbursement Form
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Retiree Enrollment Form
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Enrollment form for Fulton County retirees to select health and dental plan coverage options and update personal information.
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STATEMENT OF FACTS SUPPORTING ELIGIBILITY FOR AFDC FOSTER CARE(FC)
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California state form documenting a foster child's eligibility for AFDC-Foster Care benefits and personal information.
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Claim For Dismemberment Benefits
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A federal employee insurance claim form for documenting loss of limb or eyesight benefits under the Federal Employees' Group Life Insurance Program.
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American Legion Auxiliary Department Of New York PresidentS Message
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Monthly communication from the President of the American Legion Auxiliary Department of New York, highlighting recent activities and organizational updates.
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Tax Withholding Form For Pension And Annuity Payments
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A form for U.S. citizens to specify federal and state tax withholding preferences for pension and annuity payments
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Form W 4P (2020)
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A form for pension recipients to specify their desired federal tax withholding amount from retirement allowance payments.
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Form W 4P Withholding Certificate For Pension Or Annuity Payments
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Form for pension recipients to specify federal tax withholding preferences for retirement allowance payments.
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Pension Federal Tax Withholding Form
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Form for pension or annuity recipients to request voluntary federal income tax withholding from their monthly payments
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Health Benefits Claim Form
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UHC WTIA (EnrollCancelWaiverChanges)
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A comprehensive form for employees to enroll, modify, or cancel health insurance benefits and personal information.
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Central Ohio Retired Firefighters 4 Unit Membership Application
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Membership renewal form for retired firefighters and their families in the Central Ohio region, with dues and optional purchases.
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Withdrawal Form
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Instructions and form for withdrawing funds from a retirement account, including required documentation and submission methods.
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Change Of Address Notice
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Official form for updating member contact information with the New York City District Council of Carpenters Benefit Funds.
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Employee Handbook
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Comprehensive guide detailing company policies, employee benefits, conduct expectations, and workplace guidelines for employees.
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Sick Leave Request Form
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A form for employees to request sick leave and associated pay, to be processed by the payroll department.
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ArmyU Onboarding Itinerary
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Comprehensive onboarding checklist for new civilian employees at Army University, detailing pre-boarding and initial employment steps.
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FinlandS Response To Questionnaire On Social Protection Of Older Persons
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Comprehensive document detailing Finland's legal framework for pension and social protection systems for older persons, covering national and employment-based pension schemes.
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Employee Voluntary Payroll Deduction Authorization For Fitness Center Usage Fee
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Voluntary authorization form for employees to have fitness center usage fee deducted from their paycheck
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Payroll Deduction For Fitness Center Membership
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A form for employees to authorize payroll deductions for fitness center membership at Clayton State University.
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Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
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A form for MBF members to claim reimbursement for health and fitness expenses for themselves and their spouse/domestic partner.
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2024 Fitness Reimbursement Program
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A program offering up to $300 per family annually for eligible fitness expenses for University System of New Hampshire employees and dependents.
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PF 132 (10 18) SUNY Reimbursement Accounts Enrollment Form
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Form for employees to enroll in health care and dependent care flexible spending accounts with pre-tax payroll deductions.
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Reimbursement Form For Flexible Spending Account (FSA)
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Form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
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BESTflex Plan Election Form
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Document for employees to elect participation in flexible spending accounts for healthcare and dependent care expenses
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Federal Affidavit
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FNS 415 Interviewing
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Guidelines for conducting interviews for Food and Nutrition Services benefit applications, outlining interview requirements and interviewer responsibilities.
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Food And Nutrition Services Certification Applications FNS 415 Interviewing
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Guidelines for conducting interviews for Food and Nutrition Services benefits application process, detailing interview requirements and interviewer responsibilities.
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Food Delivery Checklist
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Comprehensive checklist for state agencies managing WIC food delivery systems, vendor management, and food benefit distribution.
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Financial Guidance For Service Personnel And Veterans Confidential Feedback Form
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A confidential feedback form for service personnel and veterans to evaluate their financial guidance consultation experience.
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United States Army Garrison Ansbach Foreign Travel Form
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Official form for U.S. Army personnel documenting international travel details, requirements, and traveler certifications.
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Termination Refund Application
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A form for APERS members to request a termination refund with options for direct deposit or rollover of retirement benefits.
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Termination Refund Application
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A form for members to request a refund of retirement contributions upon termination of employment with options for direct deposit or rollover.
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PBGC Form 10 Post Event Notice Of Reportable Events
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A form for reporting significant events related to pension plans that may impact plan participants and financial stability.
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Inquiry To Become Contributory
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Form for Arkansas Teachers' Retirement System members to initiate the process of changing their membership status from Noncontributory to Contributory.
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Interactive Brokers LLC Customer Agreement Individual Retirement Account
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Legal agreement establishing an individual retirement account with Interactive Brokers and Equity Trust Company, outlining terms of account management and customer responsibilities.
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Change Of Address Form RetireesBenefit Recipients
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Official form for updating personal contact information for retirees and benefit recipients of Arkansas Retirement System.
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Sons Of Union Veterans Of The Civil War Department Annual Report (Form 35)
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Annual reporting form for departments of the Sons of Union Veterans of the Civil War to submit membership and organizational updates to National Headquarters.
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Individual Unemployability (IU Or TDIU) Intake Form
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A comprehensive intake form for veterans seeking total disability benefits based on individual unemployability due to service-related medical conditions.
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State Tax Commission Affidavit For Disabled Veterans Exemption
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Dependency And Indemnity Compensation (DIC) Intake Form
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Energy Assistance Program Change Of Address Form
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Form for updating contact and utility information when moving to a new address while receiving energy assistance benefits.
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SEIU Michigan Health And Welfare Fund MemberS Change Of Address Form
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A form for SEIU Michigan Health and Welfare Fund members to update their personal and employment information.
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VVA Election Report Form
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Form for reporting election results for Vietnam Veterans of America chapter and state council elections.
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FMLA LEAVE REQUEST FORM
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A form for employees to request family or medical leave, documenting leave details and employee information.
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Permanent Mailing Address Form
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A comprehensive form for collecting personal and professional information for employment and retirement system membership in Ohio
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Employer Sponsored Program How To File A Claim For Approval
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Comprehensive guide for employees on submitting claims through a healthcare benefits platform with detailed filing instructions and documentation tips.
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NYPD Retirees Handgun License Application Instructions
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Detailed instructions for New York City Police Department retirees applying for a handgun license upon retirement.
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Prior Service Certification Form
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Form for employees to request prior service credit from previous Ohio state agency employment
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IBEW LOCAL NO. 461 VARIABLE PENSION PLAN REQUEST FOR APPLICATION FORM
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A form for IBEW Local No. 461 members to request pension benefits, including normal retirement, early retirement, or total and permanent disability benefits.
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IBEW LOCAL NO. 32 NECA PENSION PLAN REQUEST FOR APPLICATION FORM
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A form for requesting pension benefits from the IBEW Local No. 32 NECA Pension Plan, allowing participants to apply for various retirement options.
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Plumbers And Pipefitters Local 333 Pension Fund Request For Application Form
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A form for requesting a pension application for members of Plumbers and Pipefitters Local #333 Pension Fund seeking retirement benefits.
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Prescription Drug Reimbursement Coordination Of Benefits Claim Form
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A form for submitting prescription drug reimbursement claims with details about medication, pharmacy, and patient information.
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In Processing Forms Checklist
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Comprehensive checklist for new federal employees joining the Federal Retirement Thrift Investment Board (FRTIB) to complete required employment and benefits documentation.
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Change Address
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Guide for employees to update personal information and manage insurance-related documentation
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Federal Post Card Application (FPCA)
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A form for absent Uniformed Service members, their families, and U.S. citizens residing outside the United States to register to vote and request absentee ballots.
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Frequently Asked Questions For Tuition Benefit
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Comprehensive guide explaining application process, deadlines, and details for tuition benefit programs at Augsburg University and partner institutions.
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Enrollment Form
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Comprehensive enrollment form for fringe benefits including health care, life insurance, and retirement plans for carpenters in Western Washington.
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Spousal Bypass Trust Form FRPF10292
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A legal document allowing scheme members to direct death benefits to a Spousal Bypass Trust for flexible distribution to dependants and beneficiaries.
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Public Safety Officers Benefits (PSOB) Program History
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Document detailing the history and purpose of the Public Safety Officers' Benefits Act, which supports law enforcement and firefighter recruitment and retention.
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Supplemental Annuity Collective Trust (SACT) Personal Contribution Form
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A form for members to make personal contributions to the New Jersey Supplemental Annuity Collective Trust through check or money order.
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FSA Dependent Care Reimbursement Form
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A form for submitting dependent care expenses for reimbursement through a flexible spending account.
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Flexible Spending Accounts (FSA) Program EnrollmentChange Form
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Form for enrolling in or changing Health Care Flexible Spending Account (HCFSA) or Dependent Care Assistance Program (DeCAP) for Plan Year 2023
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2024 Flexible Spending Account EnrollmentChange Form
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A form for employees to enroll in or modify their Flexible Spending Account benefits for healthcare and dependent care expenses
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Enrollment Form Flexible Spending Account(S)
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A form for employees to enroll in healthcare and dependent care flexible spending accounts, specifying contribution amounts and acknowledging plan rules.
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Recurring Claim Form
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A form for employees to automate reimbursement of qualified expenses with fixed payments to a service provider.
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Virginia Tech Employee Software Sales Order Form
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A form for Virginia Tech employees to purchase software licenses and technology accessories at discounted rates.
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Pension Application Form
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An application form for becoming a member of the Future Super Pension Plan, collecting personal and tax information from prospective pension fund members.
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Full Time Member Membership Application Prior Service Purchase Form
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A form for Alabama retirement system members to purchase prior years of creditable service within the first two years of enrollment.
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PENSION BENEFIT APPLICATION FORM
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A comprehensive pension benefit application form for members to provide personal, marital, and employment information to determine benefit entitlement.
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Fund Eligibility And Membership Section
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Document outlining eligibility requirements, enrollment procedures, and membership terms for a health insurance fund covering active and retired employees.
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Funeral Benefit Application Form
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Application form for claiming funeral benefits through the JLT (CSI Member Benefits) Discretionary Trust
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ORGANIZATION OF STAFF ANALYSTS FURLOUGH SURVEY FORM
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Survey form for staff members to indicate interest in taking a voluntary leave of absence with potential health benefit considerations.
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FURLOUGH SURVEY FORM
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Survey form for staff analysts to indicate interest in taking a leave of absence with health benefit conditions.
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FY13 Annual Report Form
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Annual report documenting University Information Services (UIS) activities, accomplishments, and strategic alignment for fiscal year 2013.
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Organizational Membership Form
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Form for organizations to become members of MAPS with different membership levels and benefits
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Request For Proposals For Real Estate And Real Asset Investment Consultant Services
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Request for proposals from qualified firms to provide real estate investment consulting services to the Teachers' Retirement System of Illinois.
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Benefits Open Enrollment Form 2020
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Form for employees to select or modify healthcare coverage options and provide personal information for benefits enrollment.
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REQUEST FOR PROPOSALS FOR SECURITIES LITIGATION MONITORING, EVALUATION, AND REPORTING SERVICES
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Request for proposals from vendors to provide securities litigation monitoring, evaluation, and reporting services for the Teachers' Retirement System of Illinois.
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Washington Army National Guard Officer Branching Boards
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Memorandum detailing procedures for officer branch selection and assignment in the Washington Army National Guard.
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Form G 615 (06 19) EmployerS Supply Requisition
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A form used by employers to request informational materials from the U.S. Railroad Retirement Board about retirement, survivor, unemployment, and sickness benefits.
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DR 1 Disability Benefit Application
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A comprehensive form for Ohio Public Employees Retirement System members to apply for disability benefits, requiring detailed personal and physician information.
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Summary Plan Description
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A summary document detailing the retirement savings plan for Gannon University employees, explaining plan features, benefits, and participant obligations.
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PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history form for patients at Gateway ENT to collect personal health information, medical history, and family health background.
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General Inquiry Form
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A form for individuals to submit questions or issues related to Medicaid services and benefits.
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GENERAL CLAIM SUBMISSION FORM
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A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
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Make Sure You Receive Your Retirement Benefits On Time
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A guide for managing the transition to pension payments, focusing on documentation and timing for retirement benefits from the Government Employees Pension Fund.
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Employer Notice Of Claim Long Term Disability
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A comprehensive claim package for employers to submit long-term disability claims for employees, including detailed instructions and employee information sections.
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Army Nurse Corps Association Gift Membership
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Order form for giving a two-year membership to the Army Nurse Corps Association as a gift for various special occasions.
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Request For Benefits ClaimantS Report Of Loss
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A claim form for filing disability benefits for Glaziers, Architectural Metal and Glass Workers Local Union 1399 members.
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Short Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a short-term disability claim with detailed personal, employment, and medical information.
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Georgia National Guard Membership Form
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Form for verifying National Guard membership and scholarship loan repayment intentions
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Verification Of Georgia National Guard Loan Cancellation Form
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A form for Georgia National Guard members to request loan cancellation by verifying academic and military service requirements.
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Insurance Information At Retirement
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Comprehensive guide for Illinois state employees regarding insurance eligibility, coverage, and options at retirement.
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Group Short Term Disability Claim Form
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A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
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SunAdvantage RRSPDPSPTFSA Sponsor Administration Guide
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A comprehensive guide for small business owners to manage employee group retirement and savings plans with minimal administrative effort.
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Your Guide To Filing A Long Term Disability (LTD) Claim
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A comprehensive guide for filing a long term disability claim with Guardian, providing step-by-step instructions for completing the required forms and submission process.
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Guardian Life Insurance Enrollment Form
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Insurance enrollment form for University of Massachusetts Medical School employees to select benefits and coverage options.
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REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
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Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
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GUILD TIMES ADJUSTABLE PENSION PLAN
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Summary plan description for a pension plan covering employees of The Times and Guild - Local 31003/TNG union members.
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Permission To Contact For Research
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A form allowing Gulf War veterans to authorize contact for potential research participation in a biorepository brain bank study.
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LSU Cadets Of The Ole War Skule Hall Of Honor Nomination Form
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A nomination form for recognizing LSU alumni who have served honorably in uniformed services and meet specific eligibility criteria.
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MC Hardware Request
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A form for requesting computer hardware for Montgomery College employees, with options for remote work and instructional needs.
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Settlement Agreement Harper Et Al. V. Massachusetts Department Of Transitional Assistance
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A settlement agreement addressing access to benefits for individuals with disabilities at the Massachusetts Department of Transitional Assistance
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House Bill No. HB0160
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Legislation allowing Wyoming veterans to use driver's licenses as proof of veteran status instead of DD Form 214.
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Hiram College Enrollment Form
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A comprehensive benefits enrollment form for Hiram College employees covering medical, dental, vision, and supplemental insurance options.
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Family Household Income Statement
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Form for verifying household income and financial assistance for Child Care services through the Ohio Department of Job & Family Services.
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Tips For Claim Submission
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Comprehensive guide for submitting healthcare and flexible spending account claims, detailing documentation requirements and eligible expenses.
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Eligibility And Enrollment Information For Employees
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A comprehensive form for employees to provide personal information and make flexible spending account elections.
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Health Benefits Plan Enrollment For Retirees And Survivors
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Enrollment form for CalPERS retirees and survivors to manage health benefits coverage and dependent information.
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Retiree Health Cancellation Form
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A form for retirees to cancel their health coverage and dependent coverage through Blue Cross Blue Shield.
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Portland Community College HSA Payroll Contribution Form
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Form for employees to set up pre-tax payroll contributions to a Health Savings Account (HSA) through Optum.
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Health Screening Benefit Claim Form
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Claim form for requesting reimbursement of health screening benefits under critical illness or supplemental health plans.
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Disability Claim Form
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A comprehensive claim form for submitting disability insurance claims with Unum Group subsidiaries.
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Testimony On Removing Barriers To Veteran Homeownership
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Testimony by the National Association of REALTORS to the Veterans' Affairs Committee on veteran homeownership challenges and opportunities.
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Statement Of Kurt DelBene On VA.Gov
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Congressional testimony about the Department of Veterans Affairs' VA.gov website, its usage, services, and digital modernization efforts.
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Department Of Military Hire Packet Checklist
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Comprehensive checklist for supervisors and HR to complete during the hiring and onboarding process for new military department employees.
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Park University Heart Of America Patriot Foundation Scholarship
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A scholarship application for students receiving chapter 35 benefits with specific eligibility criteria and financial need.
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Homelessness Prevention Benefit Application For Assistance
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A benefit program to assist low-income households in Leeds and Grenville with housing stability and prevention of homelessness.
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Homelessness Prevention Benefit Application For Assistance
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A benefit program assisting low-income households in Leeds and Grenville to obtain and retain housing, supporting those at risk of homelessness.
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Hospice RevocationDischarge Form
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A form for documenting hospice patient discharge or service revocation under Medicaid guidelines
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Household Report Form
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Official form for reporting household information to determine public assistance benefits in Minnesota.
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Housing For Texas Heroes Grant Project Form
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A grant project form for home modifications and repairs for veterans and surviving spouses in Texas, documenting project details and beneficiary eligibility.
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How To Submit A Claim For Critical Illness, Accident And Hospital Indemnity Insurance
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Comprehensive guide for filing insurance claims for critical illness, accident, and hospital indemnity coverage with The Hartford.
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UCR Retiree Association Membership Information
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Comprehensive guide for University of California, Riverside retirees outlining membership benefits, access, and how to join the retiree association.
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Declaration Of Payroll Deduction
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Form for employees to authorize payroll deductions for retirement accounts, contributions, and miscellaneous purposes.
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Health Reimbursement Account (HRA) Claim Form
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A form for employees to submit healthcare expense reimbursement claims through their Health Reimbursement Account (HRA)
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Change Of Address Form
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Document for employees to update their address for health benefits and pension purposes
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FMLA LEAVE REQUEST FORM
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A comprehensive form for employees to request leave under the Family and Medical Leave Act (FMLA) for various qualifying reasons.
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MSC Leave Request Form
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A comprehensive form for employees to request various types of leave from their employer, covering sick, vacation, personal, and specialized leave types.
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Supplemental Insurance Cancellation Form
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A form for employees to cancel pre-tax and post-tax supplemental insurance deductions with specified effective date.
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Open Enrollment And HR Benefits Communication
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Document covering open enrollment period, CARES Act unemployment information, and employee performance evaluation process for 2020.
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HSA Payroll Deduction Form
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Employee form for setting up pre-tax payroll deductions to a Health Savings Account (HSA) through Grand Rapids Community College.
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Changing Your Name AndOr Address
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Comprehensive guide detailing the forms and departments employees must notify when changing personal information such as name or address.
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HSA Contribution Form
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A form for employees to adjust their Health Savings Account contributions through payroll deductions, specifying contribution amounts and frequency.
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Health Savings Account 2023 Payroll Deduction Contribution Form
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Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions.
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Health Savings Account 2024 Payroll Deduction Contribution Form
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Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions for the 2024 plan year.
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HEALTH SAVINGS ACCOUNT Voluntary Contribution Designation
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University of Arizona form for employees to voluntarily designate contributions to their Health Savings Account
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Health Savings Account (HSA) Contribution Form
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A form for employees to authorize salary reduction for Health Savings Account contributions under a High Deductible Health Plan
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Health Savings Account Employer Contribution Form
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A form for employers to make contributions to employee Health Savings Accounts with specific contribution details and authorization.
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HEALTH SAVINGS ACCOUNT EMPLOYER CONTRIBUTION FORM
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A form for employers to make contributions to employee Health Savings Accounts (HSAs) with details for initial and subsequent contributions.
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HSA Enrollment Form
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A form for employees to enroll in a Health Savings Account (HSA) with employer contribution and payroll deduction options.
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Health Savings Account (HSA) Payroll Deduction Form
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A form for employees to establish, change, or stop payroll deductions for their health savings account (HSA)
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HSA Payroll Deduction Authorization Form
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Form for employees to authorize payroll deductions for health savings account contributions through the City of Wisconsin Rapids.
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Discretionary Residency Benefit Application Form
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Financial assistance program for Ontario Works and ODSP recipients who are homeless, at risk of homelessness, or moving to more affordable housing.
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HUDESGSTEHP ES PREV DISCHARGE
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A form used to collect universal data elements and income/benefits information when a client exits a homeless shelter or prevention program.
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Hy Flex Attendance Certification Form
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Form for documenting in-classroom attendance for hy-flex courses to maintain VA education benefits eligibility.
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Form 5310 (Rev. May 2023)
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IRS form for requesting a determination letter on the qualified status of a pension, profit-sharing, or deferred compensation plan upon termination.
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Record Of Employment
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A form for documenting employment status for unemployment insurance purposes in New York State.
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Record Of Employment
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A form for documenting employment details for unemployment insurance claims in New York State.
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Retirement Plan Consulting Agreement (RPCA)
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A non-discretionary retirement plan consulting services agreement between a client and Coordinated Capital Securities, Inc.
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American Legion Auxiliary Year End Impact Report Forms
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American Legion Auxiliary Year End Impact Report Forms
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Annual reporting form for American Legion Auxiliary members to document volunteer hours, service contributions, and impact for veterans and military families.
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American Legion Auxiliary Year End Impact Report Forms
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Proposed amendments to retirement system rules regarding military service credit purchase, aligning with federal and state regulations.
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Designation Of Beneficiary For Life Insurance
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Official form for Kansas Board of Regents members to designate life insurance beneficiaries for KPERS insurance benefits.
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Document providing guidance on filing wellness claims with Aflac insurance and information about Primary Care Provider (PCP) selection.
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Comprehensive guide and application for retirement benefits through the Kansas Public Employees Retirement System (KPERS)
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2009 Instructions KANSAS Homestead Claim And Property Tax For Low Income Seniors
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Benefit fund guidelines for sick or injured members of the Maryland State Firemen's Association providing weekly financial assistance under specific conditions.
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Change Of Address
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LDSS 2642 Documentation Requirements
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Leave Request Form Management
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Simple IRA Salary Reduction Agreement Form
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A form for employees to make salary reduction elections for their SIMPLE IRA retirement plan contributions.
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Application form for a spouse, civil partner, or cohabiting partner to claim a survivor's pension after the death of a Local Government Pension Scheme member.
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Durable Power Of Attorney
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UNall HR Service Requests
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Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
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Form for employees to cancel voluntary long-term disability insurance coverage with Tennessee Board of Regents
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Group Long Term Disability Claim Form
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Long Term Disability Claim Form Employer Statement
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Long Term Disability Claim Form Statement Of Employer
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ORPTSA Transfer Approval Form
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North Carolina Medicaid Aged, Blind And Disabled Medicaid Manual
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State Tax Form 96 5
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Application for property tax exemption for blind veterans in Massachusetts, filed with local assessors by April 1st.
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MA Health Care Coverage Waiver Form
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Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
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ITP 1 Technology Governance And Procurement Review
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Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
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Membership registration form for Michigan Association of Retired School Personnel with multiple membership options and payment methods.
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Membership enrollment form for joining the Michigan Association of Retired School Personnel (MARSP) with various membership options.
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Employee authorization form for automatic payroll deductions for MASA membership dues with terms and conditions.
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State Tax Form 96
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Application for property tax exemptions for seniors, surviving spouses, veterans, and blind individuals in Massachusetts.
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Official form for applying for maternity benefits through Social Welfare Services, providing guidance for employees and self-employed individuals
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A comprehensive form for employees and self-employed individuals to apply for maternity leave benefits in Ireland.
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Short Term Disability Insurance For Maternity Leave
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A detailed explanation of short-term disability insurance coverage for maternity leave, including claim filing process and state-specific benefits.
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Multnomah Bar Association EnrollmentChange Of StatusWaiver Form
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Direct Deposit Form
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Official form for School Employees Retirement System of Ohio to establish direct deposit payment method for retirement benefits.
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Vehicle Use Permit Power Of Attorney
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Military Child Education Coalition Volunteer Form
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Volunteer application form for the Military Child Education Coalition, a nonprofit supporting military-connected children's educational opportunities.
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Chronic Illness Benefit Application Form 2024
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Form MD 410 457 Loan Application
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Application for municipal employees to borrow against their retirement account balance with specific loan eligibility and terms.
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Miami Dade County Employee Benefits
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Comprehensive overview of employee benefits package for Miami-Dade County employees, including insurance, retirement, and support services.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare expense reimbursement and insurance details.
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ENROLLMENT FORM
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A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with dependent information and coverage election details.
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MEDEVAC REQUEST FORM
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A standardized form for requesting medical evacuation with detailed instructions for field reporting of patient and site conditions.
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Media Release Form
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Form for SCSG members to provide biographical information and event details for potential public communication.
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Medical Plan CHANGE Form
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Comprehensive guide for completing and submitting a medical plan change form with detailed documentation requirements.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient and treatment details for reimbursement.
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Medical Plan Enrollment Form
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Comprehensive form for enrolling in medical coverage, changing plans, or adding/dropping dependents for ACERA members.
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SCREENING AND REFERRAL FORM
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A comprehensive screening form to assess an individual's needs across income supports, housing, employment, and immigration status.
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Virginia Military Institute Medical Release Form
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Medical form certifying an applicant's physical and mental fitness for the rigorous Virginia Military Institute cadet program.
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South Carolina State Guard Medical Service Inquiry
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A comprehensive medical history inquiry form for South Carolina State Guard members, collecting personal and health-related information.
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Request For Medicare Part B Reimbursement (Quarterly Or Annual)
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A form for Contra Costa Community College District retirees to request reimbursement for Medicare Part B premium payments.
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MemberS Application For Disability Retirement
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Application form and guidance for public employees seeking disability retirement benefits in Massachusetts.
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Address Change Authorization
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A form for CalPERS participants to update their personal contact information and mailing address.
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Member Inquiry Form
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A comprehensive form for members to submit inquiries about medical claims, health plans, and personal information updates.
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Claim Form 1 Reimbursement For Out Of Network Benefit
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Form for submitting vision service reimbursement claims for out-of-network eye doctor visits and services.
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GMC Cascaders Membership Application
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Application instructions and form for joining the GMC Cascaders RV club, requiring FMCA membership and GMC Motorhome ownership.
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South Carolina Association Of Veteran Administrators Membership Application
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Application form for membership in the South Carolina Association of Veteran Administrators for educational and government institutions.
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Membership Supplies Order Form
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Catalog listing various brochures, booklets, and publications available for order by DAV members and supporters with quantity limits and item numbers.
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Member Service Request Form
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A comprehensive form for members to request various retirement, service, and benefits-related actions.
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Volunteer Application Form
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A volunteer application form specifically designed for veterans interested in supporting the Veterans Treatment Court program in Spokane County.
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Insurance Enrollment Form
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Comprehensive form for employees to enroll in various insurance coverages including life, disability, dental, and vision.
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MetLife Legal Plans EnrollmentCancellation Form
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Form for enrolling in or canceling MetLife Legal Plans insurance coverage for San Diego and Imperial County Schools employees.
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MetLife Legal Plans EnrollmentCancellation Form
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Insurance enrollment form for MetLife Legal Plan for San Diego and Imperial County Schools employees to select and authorize payroll deductions for legal plan coverage.
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Internship Application Form
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Application form for internship opportunities at the Museum at FIT in New York City.
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Help With Medicare Costs Medicare Savings Programs
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Application for financial assistance with Medicare premiums, copays, and deductibles, with potential SNAP enrollment option.
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Military History Checklist
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A tool to help hospice staff identify veterans, understand their military service, and assess potential VA benefits for patients and their families.
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Michigan Army And Air National Guard Grant Application Form
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Grant application for Michigan Army and Air National Guard members seeking financial assistance for undergraduate studies at the University of Detroit Mercy.
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Walsh Michigan Army And Air National Guard Grant
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Grant application for Michigan Army and Air National Guard members seeking tuition assistance at Walsh University for the 2024-2025 academic year.
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Michigan Army And Air National Guard Grant Application
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A grant application for Michigan Army and Air National Guard members seeking financial assistance for college credits at Kirtland Community College.
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REFERRAL FORM
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A form for referring consumers to various support services including advocacy, benefits assistance, healthcare, and employment services.
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Military Affiliation Data And Truancy Requirements
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Notification to parents/guardians about new requirements for collecting military affiliation data and reviewing attendance requirements in Marysville School District.
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Non Issue Military Order Form
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Order form for military clothing and supplies for University of North Georgia students in the military program.
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Non Issue Military Order Form
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Order form for purchasing military clothing and accessories for students at the University of North Georgia military sales store.
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Terminal Leave And Discharge Confirmation Form
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Official document from Texas Department of Public Safety verifying an individual's military terminal leave and discharge status.
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Military Parent Or Guardian Affiliation Form
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School district form to collect data about students with parents or guardians serving in military service as mandated by Washington State law.
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Military ParentGuardian Affiliation Form
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Form to identify students with parents or guardians serving in the armed forces as part of new ESSA accountability requirements.
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Military Form
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A form for identifying and supporting students from military families under the VALOR Act in Massachusetts.
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Military Plan Information
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A form for dividing military retirement benefits during divorce proceedings, capturing details about service, marriage duration, and benefit allocation.
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Military Recruitment Information
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Form allowing high school students to opt out of having their contact information shared with military recruiters under the No Child Left Behind Act.
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Military Leave Request Form
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A form for employees to request military leave, covering authorized training, duty, and national emergency leave.
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Military Personnel Onboard Credit Program
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A special onboard credit program for active, retired, and disabled military veterans from select service divisions offering credits based on voyage length.
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CSU Pueblo Online Scholarship Active Duty Military Active Duty Dependent Form
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Scholarship application for active duty military personnel and their dependents for online courses at Colorado State University-Pueblo
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Notice Of Potential Veterans Benefits
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A document notifying eligible veterans of their rights to purchase creditable service for military service under Massachusetts retirement laws.
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SCE Military Service Scholarship Fund Application Form
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Scholarship application for military veterans and their dependents attending SCE, providing financial assistance to supplement VA education benefits.
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Military Status And Residency Affidavit
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A form for military personnel to purchase resident fish and game licenses in Idaho after 30 days of continuous residency.
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MIP Enrollment Form
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Comprehensive form for UN staff members to enroll in medical insurance coverage for themselves and their dependents.
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Mission And Community Service Leave Request Form
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A form for employees to request time off for mission, community service, or spiritual activities as part of an organizational leave benefit.
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Leon County Enrollment And Contribution Form
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Form for employees to enroll in Leon County's 457 Deferred Compensation Plan and select contribution amounts and investment options.
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Service Request Form For Software Development And System Changes
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A comprehensive form for requesting software development changes, system modifications, and technical support within an organization.
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No Fault Insurance Form
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A medical insurance claim form for documenting patient information and authorizing insurance benefits for accident-related medical services.
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Military OneSource Case Activity And Billing Form
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A billing and activity tracking form for military counseling services documenting participant and counselor details, service delivery, and case information.
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Personal Leave Request Form
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A form for employees to request unpaid personal leave of at least 30 days from their employer.
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Filing A Claim For Insurance Benefits
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Guide for lenders on submitting insurance benefit claims through the FHA Connection system for various claim types and loss mitigation options.
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457 Deferred Compensation Plans Contribution Form
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A form for changing contribution amounts to a 457 deferred compensation plan with MissionSquare Retirement.
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Michigan State University 403(B) Retirement Plan Loan Policy Statement
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Detailed explanation of rules and criteria for taking participant loans from the Michigan State University 403(b) Retirement Plan
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Insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
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Annual reporting form documenting a unit's national security and military support activities for servicemembers and families.
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Form for requesting distribution from a governmental 457(b) retirement plan with options for various distribution reasons and payment methods.
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Claim Form
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Transportation Of Personal Property
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One Time Contribution Form
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PERA SmartSave ENROLLMENT FORM
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Enrollment form for PERA SmartSave retirement savings program, allowing employees to select contribution amounts and investment portfolios.
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Memorandum New Payroll Deduction Codes For ROTH Plan
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Guidance for state employees about new payroll deduction codes for ROTH 457(b) Plan and associated documentation requirements.
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Memorandum announcing new payroll deduction codes for the ROTH 457(b) Plan and providing instructions for implementation.
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A comprehensive guide for veterans applying to Eastern Shore Community College, detailing application steps and required documentation.
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New York Requirements For Employee Termination
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NHES 0180 R Aug 2022 NEW HAMPSHIRE EMPLOYMENT SECURITY CONTINUED CLAIM FORM
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Form A (Common Nomination Form For Arrears Of Pension And Commutation Of Pension)
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Hall Of Fame Nomination Form
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Nomination Form To Print
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Request For A Non FMLA Leave Of Absence
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Toquaht Nation Government Non Insured Health Benefit Application Form
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Application form for Toquaht Nation citizens to request health benefits funding for various medical services and expenses.
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Nonoccupational Disability Benefits
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Guidelines for state employees seeking nonoccupational disability benefits through SERS, including eligibility requirements and benefit terms.
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Trust Policy Form
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Northwell Health, Health Welfare Flex Benefit Program Summary Plan Description
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Zurich Master Superannuation Fund Contribution Taxation Advice
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Service Agreement For NROTC Advanced Standing College Program Students
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Managed Service Provider Request For Proposal
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Request for proposals from qualified Managed IT Services Providers to provide IT services to the Naugatuck Valley Council of Governments.
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Comprehensive form for employees to report disability, medical information, and related benefit claims.
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Record Of Employment
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Official form for documenting employment status for unemployment insurance purposes in New York State.
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Oberlin College Employer Contribution Amounts Health Savings AccountHealth Reimbursement Account
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Medicaid Eligibility Review Verification Request Checklist
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A document used by the Ohio Department of Medicaid to request documentation for verifying Medicaid eligibility and maintaining benefits.
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IBEW Local No. 683 Health Welfare Fund Weekly Disability Benefits Claim Form
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Claim form for obtaining weekly disability benefits from the IBEW Local No. 683 Health & Welfare Fund, providing compensation for disabled workers.
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Ohio State Tax Withholding Form
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Form for School Employees Retirement System members to select state tax withholding preferences for pension payments.
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Application For Veterans Exemption Personal Property
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On Duty Death Or Catastrophic Injury To City Of Pittsburgh Employees
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Policy outlining procedures and support for handling employee deaths or catastrophic injuries in the line of duty, including notification and benefits processes.
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Services Agreement Fee Disclosure
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Online Contribution Form
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HVRP ON SITE ASSESSMENT FORM
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Direct Reimbursement Claim Form
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Optional Duplication Of Benefit (DOB) Analysis Worksheet For CDBG DR Housing Rehabilitation And Reco
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ILWU PMA Welfare Plan Prescription Drug Program
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Supplemental summary plan description for prescription drug benefits for ILWU-PMA Welfare Plan participants, detailing eligibility and prescription acquisition methods.
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Oracle Software Configuration Service Request Approval Stepper
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Instructions for submitting and processing Oracle software configuration service requests within an organization's information technology workflow.
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WomenS Army Corps Veterans Association Army Women United Emblem Sales
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Sales catalog for merchandise items sold by the Women's Army Corps Veterans' Association, including pins, coins, apparel, and accessories.
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Comprehensive medical history form for children visiting an Ear, Nose, and Throat (ENT) specialist, collecting patient details, medical history, medications, and allergies.
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Otolaryngology Head And Neck Surgery Patient Medical History Form
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Comprehensive medical history form for patients visiting an Ear, Nose, and Throat (ENT) clinic, collecting patient details, medical conditions, and past surgical history.
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Domain Name Service Request Form (OTS 39)
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Form for requesting domain name services from the Louisiana Office of Technology Services, including domain creation, modification, and removal.
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Outside Storage Rental Agreement
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Rental agreement for outside storage of boats, trailers, RVs, and 5th wheels at Pelican Ridge Lot Owners Association in Arnolds Park, Iowa.
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Overseas Treatment Benefit Application Form 2024
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Application form for members seeking medical treatment coverage outside their home country under the Executive and Comprehensive Plans.
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Employee Enrollment Form
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A comprehensive form for employees to enroll in or waive health insurance coverage with detailed personal and employment information.
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Income Tax Fact Sheet 5 Military Personnel Residency
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Guidance for military personnel on state tax residency rules, filing requirements, and maintaining tax domicile while serving.
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Removal Of Benefit Riders AndOr Dependents
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A comprehensive form for applying to or increasing contributions to a Prudential Premier Stakeholder Pension.
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Split Trust Discretionary
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A trust document designed to manage life insurance plan proceeds with inheritance tax planning considerations and discretionary beneficiary provisions.
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PAC Authorization (0720)
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A form to cancel or suspend pre-authorized contribution plans or systematic withdrawal plans for financial accounts.
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The PACT Act One Year Anniversary And Your VA Benefits
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Information about the Honoring Our PACT Act, which expands VA health care and benefits for veterans exposed to toxic substances during military service.
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PACT Act Deadline Health Care For Veterans Who Deployed To Combat Zones
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Document providing information for veterans about health care enrollment and benefits under the PACT Act, specifically for those who deployed to combat zones between 2001 and 2013.
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Paid Sick Leave Request Form
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Paid Parental Leave Request Form Agreement
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Parent Killed In Line Of Duty Form
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Form for students who lost a parent in the line of duty to verify eligibility for special financial aid considerations under the FAFSA Simplification Act.
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Form for part-paid firefighters to elect or decline membership in the Firefighters' Unified Retirement System
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Official form for employees and self-employed individuals to apply for paternity leave benefits and documentation.
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2016 Pathways Of Patriots Sponsorship Ticket Purchase Form
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PHAS Empowered Patient Online Toolkit Insurance Form
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Patrol Plan Member Verification Of Service Request Form
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PF 132 SUNY Reimbursement Accounts Enrollment Form
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NYSUT Member Benefits Payroll Deduction Authorization
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Norfolk County Retirement System Payroll Procedures Retirement Withholdings
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NEW ENROLLMENTCHANGE FORM
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PTSD Checklist For DSM 5 (PCL 5)
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A standardized screening tool for assessing post-traumatic stress disorder symptoms based on DSM-5 criteria.
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NATIONAL WEATHER SERVICE INSTRUCTION 100 501
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Directive outlining procedures, eligibility, and guidelines for the National Weather Service Emeritus Program for retired scientists.
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Miscellaneous Cancellation Form
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Custom Benefits Session Request
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Miscellaneous Cancellation Form
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One Time Contribution Form
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Policy 362 Resignation And Retirement
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Policy outlining procedures for employee resignation and retirement, including notification requirements and exit interview processes.
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Ear, Nose Throat Consultants Tongue Tie Medical History Form
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Comprehensive medical history form for pediatric patient evaluation focused on tongue tie assessment and related medical conditions.
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NRECA Long Term Disability Plan Summary Plan Description
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A summary plan description detailing the long-term disability benefits provided by the National Rural Electric Cooperative Association (NRECA) for eligible participants.
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Change Of Address Form
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ABC NABET Retirement Trust Plan Application For Retirement Payments
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A comprehensive form for employees to apply for retirement benefits from the ABC-NABET Retirement Trust Plan.
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Pension Application Form
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FORM OF PENSION BENEFIT ELECTION
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A form for selecting pension benefit options, including single life and joint survivor annuity choices for retirees.
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FORM OF PENSION BENEFIT ELECTION
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A form for selecting pension benefit payment options, including single life and joint survivor annuity choices.
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Pension Choices Premium Or Partnership
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A comprehensive guide to pension options for Civil Service employees, explaining premium and partnership pension choices.
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DIRECT DEPOSIT FORM
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Form for authorizing direct deposit of pension benefit payments by the Carpenters Pension Trust Fund for Northern California
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Michigan Department Of Treasury Pension System Report
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Detailed pension system financial report for Kent County, Michigan covering fiscal year 2022.
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CONSENT FORM
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A consent form authorizing The Church Pension Fund to share benefit information with specified individuals.
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Employee Enrollment Form Defined Contribution (RSVP And Lay DC) Plans
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Comprehensive form for employees to enroll in defined contribution retirement plans, capturing personal, employment, and compensation details.
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Monterey Peninsula Restaurant And Hotel Pension Plan Summary Plan Description
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A summary plan description for a pension plan covering restaurant and hotel employees in the Monterey Peninsula area, established through collective bargaining.
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Tax Withholding Election Form For Pension Payments
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Form for electing federal income tax withholding options for pension and annuity payments under the Tax Equity and Fiscal Responsibility Act of 1982.
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PERA Direct Deposit Authorization Form
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A form for PERA pension recipients to set up or change their direct deposit banking information for benefit payments.
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PERA Membership Form
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Official membership form for enrolling in the New Mexico Public Employees Retirement Association (PERA) retirement plan
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North Carolina Retirement Plan Enrollment Form
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Enrollment form for North Carolina public employee retirement plans including 401(k) and 457(b) plans
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Tier OneTier Two Estimate Request Instructions
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Instructions for requesting retirement benefit estimates from the Public Employees Retirement System (PERS)
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PERS Group Life Insurance
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Comprehensive document detailing noncontributory and contributory group life insurance coverage for PERS members.
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Personal Law And Finance
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A catalog of educational courses focusing on legal and financial planning for seniors, covering topics like elder care, grant writing, Social Security, and estate planning.
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Special Power Of Attorney
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A legal document allowing individuals to designate representatives for making retirement-related decisions within CalPERS systems.
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A Guide To Your CalPERS Service Credit Purchase Options
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A comprehensive guide explaining service credit purchase options for CalPERS members, including eligibility, types, costs, and purchase process.
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CalPERS Service Retirement Election Application
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Comprehensive guide for CalPERS members to complete their service retirement election application and understand the retirement process.
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Change Of Address Form
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A form for members and pensioners to update their contact and mailing information with ILWU-PMA Benefit Plans.
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Address Change Form
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Form for updating contact and mailing information for ILWU-PMA Benefit Plans members, pensioners, or representatives.
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DREDGING CORPORATION OF INDIA LIMITED EMPLOYEES CONTRIBUTORY PROVIDENT FUND SETTLEMENT FORM
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A form for final settlement of accumulated funds for an employee of Dredging Corporation of India Limited's Provident Fund
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Form PFL 1 Applying For Paid Family Leave Military
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A form for requesting paid family leave to assist family members of military personnel on active duty or impending active duty abroad.
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Phoenix PBM Pre Authorization Form
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A form for healthcare providers to request pharmacy benefit pre-authorization for medication coverage through Phoenix Benefits Management.
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Notice Of Claim For Short Term Disability Benefits
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A form for employees to file a claim for short-term disability benefits with insurance details and medical information.
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PLAN APPLICATION FORM
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Application form for building plan review and submission to the Kentucky Department of Housing, Buildings and Construction
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Dental AndOr Vision Option Election Form
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Form for electing dental and vision insurance coverage for retired laborers in Northern California.
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Professional Liability Insurance Form
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Insurance enrollment form for Texas retired teachers returning to work in public schools, providing professional liability coverage.
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Asset Transfer Request (ATR) Form
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Form for liquidating plan assets during plan transfers, mergers, or terminations with Nationwide Private Sector Operations.
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University Housing Policy And Procedures Manual Purchasing Information Technology Equipment
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Establishes procedures for requesting and purchasing information technology equipment within University Housing units.
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Tuition Refund Exception Policy (Military Students)
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Policy providing tuition relief, refund, and reinstatement for students called to active military duty during a national emergency.
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Tuition Refund Exception Policy (Military Students)
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Policy providing tuition relief, refund, and reinstatement for military students who must withdraw or are absent due to active duty service.
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Policy Change Form
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A comprehensive form for modifying insurance coverage, including terminating coverage, adding/removing dependents, and adjusting benefits.
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POLICYHOLDER REQUEST CHANGE FORM
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A form for policyholders to request changes to their insurance coverage, including name changes, beneficiary updates, and coverage modifications.
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Flexible Retirement Policy
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Policy outlining flexible retirement options for employees, including ways to transition from work to retirement while retaining skills and supporting workforce management.
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POM 821.71 Physical Examination Requirements
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A personnel operations memorandum establishing physical examination requirements for active duty and Ready Reserve Corps officers and candidates seeking commission in the USPHS Commissioned Corps.
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POSTAL INFORMATION FOR TERRA FIRMA MEMBERS ON DEPLOYMENT
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Guidelines for mailing and postal services for Canadian military personnel deployed outside their home base.
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POSTAL INFORMATION FOR TERRA FIRMA MEMBERS ON DEPLOYMENT
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Comprehensive guide for mailing procedures and requirements for Canadian military members on deployment.
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Postal Information For Terra Firma Members On Deployment
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Guidelines for mailing letters and parcels to Canadian military personnel deployed outside of Canada, including postal address formatting and service details.
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Postdoctoral Scholar Childcare Reimbursement Form
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Form for UAW-represented postdoctoral scholars to request reimbursement of eligible childcare expenses at the University of California.
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Post Employee Handbook
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Comprehensive guide outlining employment policies, rights, and procedures for employees of AMVETS, a veteran's membership organization.
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AMVETS DEPARTMENT OF FLORIDA EMPLOYEE HANDBOOK
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Comprehensive employee handbook outlining workplace policies, benefits, and employment practices for AMVETS Department of Florida employees.
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VFW Post Inspection Form
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A comprehensive inspection form for Veterans of Foreign Wars (VFW) posts to assess compliance with organizational bylaws and operational standards.
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Post Charter Cancellation Guidelines And Checklist
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Guidelines and procedural steps for cancelling a Veterans Post and/or Squadron charter at the National level.
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CalPERS Special Power Of Attorney
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A comprehensive guide for CalPERS members on using a special power of attorney for retirement affairs.
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Power Of Attorney Cover Letter
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A document verifying the validity and continuity of a power of attorney for the Teachers Retirement Association.
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Revocation Of RRS Durable Power Of Attorney Form
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A legal document used to revoke a previously filed durable power of attorney with the Richmond Retirement System.
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COUNTY OF POWHATAN EMPLOYEE HANDBOOK
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Comprehensive guide outlining employment policies, compensation, and benefits for Powhatan County employees.
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CalPERS Supplemental Income 457 Plan Rollover Contribution Form
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Form for transferring retirement funds from previous qualified plans into CalPERS Supplemental Income 457 Plan
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1990 MILITARY CENSUS REPORT PUERTO RICO
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Official census form for collecting military personnel information in Puerto Rico for the 1990 census.
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Precollege Programs Information And Consent Form
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A consent and medical information form for students participating in the Fashion Institute of Technology (FIT) Precollege Programs.
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PRE CONSTRUCTION MEETING ATTENDANCE FORM
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A form for documenting attendee details and contact information for pre-construction project meetings in Montana.
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BN 688 1117, Routine Pregnancy Claim Form
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A claim form for processing routine pregnancy and childbirth claims through American Fidelity Assurance Company.
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DoDVA Pregnancy Passport
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A comprehensive document for tracking and organizing pregnancy-related medical information for military and VA healthcare patients.
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Prior Enlisted Point Of Contact Form
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Form for collecting contact details of key military personnel during in-processing for Guard and Reserve members.
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Old Dominion University Research Foundation Tax Sheltered Retirement Plan Enrollment Form
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Enrollment form for a tax-sheltered retirement plan through Principal Life Insurance Company for Old Dominion University Research Foundation employees.
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Veterans Certification Request (VCR)
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A form for veterans and military-affiliated students to request certification for educational benefits and funding programs at Southeastern Louisiana University.
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CERTIFICATION OF PRIOR PUBLIC SERVICE MILITARY
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Form for KCERA members to verify and potentially purchase prior military service credit for retirement benefits.
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Prior Service Credit Request Form
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A form for employees to request service credit from previous non-profit educational employment towards vesting in Carnegie Mellon University retirement plans.
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Campus Procurement Annual Accessibility Report Academic Year 1213
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Annual report detailing the development of Section 508 compliance processes and procedures for procurement activities.
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Program Compliance Form
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A form used to document and track complaints and violations related to the WIC (Women, Infants, and Children) Program.
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Promotion Request Form
PDF template
Official form for requesting a personnel promotion within a military or space exploration unit.
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Promotion Request Form
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A form used by Young Marines to request and track promotion within their youth military organization.
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Prior Service Claim
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Form for teachers to claim prior service credit in the New York State Teachers' Retirement System
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Group Disability Insurance Disability Claim Instructions
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Comprehensive instructions for filing a disability insurance claim with Prudential, detailing required documentation and submission process.
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FORM 2 ASSESSMENT FORM
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A comprehensive form collecting personal contact information, employment history, and benefit status for participant tracking and support services.
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Service Retirement Application
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An application form for members of the Public School Employees Retirement System to apply for service retirement benefits.
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Resignation Retirement
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Official document for employees voluntarily resigning or retiring from their position in the Sacramento City Unified School District.
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TERMINATION PROCESS (PSL W024)
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Detailed work instruction for separating active contract employees from the Sacramento City Unified School District.
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RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
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Legal document waiving rights and releasing organizations from liability for participation in military community recreation activities.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE CANCELLATION FORM
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A form for employees to cancel their payroll deduction for a pre-tax transportation benefit program in the State of Hawai'i.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE CANCELLATION FORM
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Form used by employees to cancel payroll deduction for pre-tax transportation benefits in the State of Hawai'i.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE ENROLLMENT FORM
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An enrollment form for employees to participate in a pre-tax transportation benefit program allowing monthly bus pass purchases through payroll deductions.
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PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE ENROLLMENT FORM
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Enrollment form for employees to participate in a pre-tax transportation benefit program for purchasing bus passes, Handi-Van fare coupons, and vRide seat fees.
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Understanding Our Mutual Obligations For Dental Insurance
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A document explaining dental insurance benefits, patient obligations, and the relationship between dental practice and insurance providers.
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Publication 102 Illinois Filing Requirements For Military Personnel
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A comprehensive guide explaining income tax filing requirements and procedures for military personnel in Illinois.
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Purchase Of Credited Service Frequently Asked Questions Plans B And E Non Represented Employees
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A detailed guide explaining the rules and procedures for purchasing additional service credits for retirement plans B and E for non-represented employees.
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Purchase Request
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A form for Alameda County Employees' Retirement Association members to purchase service credit prior to retirement.
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Instructions For Purchase Of Service Credit Application Form
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Instructions for city employees to purchase forfeited or prior service credit towards their pension plan benefits.
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Purchase Transfer Request
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A form for transferring funds from qualified retirement plans to purchase service credits in Alabama state retirement systems
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Domestic Relations Order Drafting Request Form
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A legal form used to request drafting of a Qualified Domestic Relations Order for division of retirement benefits during divorce proceedings.
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Qualified Illinois Domestic Relations Order (QILDRO)
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A legal document for dividing a member's retirement system benefits between the member and an alternate payee during a domestic relations proceeding.
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QILDRO Calculation Court Order
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Quartermaster Corps Honors Program Hall Of Fame Nomination Form
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A form for nominating distinguished Quartermaster Corps members for hall of fame recognition based on significant military accomplishments.
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Quick Reference Guide
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Comprehensive guide for Maryland state employees covering health insurance, retirement, human resources, and payroll information.
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PensionsFormR57 Local Government Pension Scheme
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Instructions for completing retirement forms for the Local Government Pension Scheme, including details about Lifetime Allowance calculations.
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Leaving Covered Employment Requesting A Refund
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Detailed instructions for members seeking a refund from their South Carolina Retirement System after leaving covered employment.
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Retirement Benefits Training Service Purchase Payments
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Guidelines for retirement service purchase payments including acceptable payment methods, installment details, and tax considerations for fiscal year 2025.
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Rawls College Of Business Incident Report Template Guidelines
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A confidential template for documenting security incidents within the Rawls College of Business, with guidelines for reporting and tracking potential security events.
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Retired Employees Association Membership Form
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Membership form for retired University of West Florida employees to join the Retired Employees Association and support the organization's mission.
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Application For Out Of State Tuition Differential Waiver For Recently Separated Military Personnel
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Application for military service members and their families to receive in-state tuition rates at Valdosta State University within 12 months of military separation.
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Record Of Employment
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A form for documenting employment status for unemployment insurance claims in New York State
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Recruitment Trailer Request Form
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Form for Veterans of Foreign Wars (VFW) members to request a recruitment trailer for an event.
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TIAA Retirement Plan Contribution Form
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A form for employees to specify retirement plan contributions and allocations through TIAA at Kenyon College.
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Referral Form
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A comprehensive form for collecting participant details, living environment, benefits information, and referral source details.
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HSD Property Control Contractor Form C 063 IT
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Form for tracking and managing transfer, donation, destruction, or recycling of IT equipment valued under $5,000
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Refund Request Form State Employees
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A form for state employees to request refunds of insurance premium overpayments with W-2 tax adjustment provisions.
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Contract Of Release And Waiver Of Liability
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A legal document releasing liability for participants in military-style training activities with acknowledgment of inherent risks.
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Report Of Survey Request For Retirement Of Property
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A form used by Florida International University to request retirement and accountability relief for university property assets valued at $5,000 or more.
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REQUEST FOR APPLICATION FORM
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A form to request a pension application for various retirement benefits from the Michigan Carpenters' Pension Fund.
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REQUEST FOR APPLICATION FORM
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A form to request a pension application for various retirement benefits for workers in the cement mason and plasterer trades.
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Request For Copy Of Military Discharge Form
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A county-level form for requesting a copy of a military discharge document with personal identification requirements.
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Request For Application Plumbers Pipefitters Local 172 Pension Plan
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A formal request form for obtaining a pension application for retirement benefits from the Plumbers and Pipefitters Local 172 Pension Plan.
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Social Security Overpayments Request For Change In Overpayment Recovery Rate
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A form to request a lower monthly repayment rate for Social Security overpayments that provide financial flexibility for recipients.
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Aflac Benefit Services Request For Reimbursement Form
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A form for requesting reimbursement from a Flexible Spending Account (FSA) for medical care expenses.
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Wage And Hour Survey Form
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A survey form for collecting detailed wage and benefit information from employers about worker compensation across different occupations.
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Residency Application Form
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An application form for seniors seeking residency at Seton Villa Retirement Centre, a supportive housing environment for independent living.
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Residency Application Form
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A comprehensive application form for potential residents of Seton Villa Retirement Centre, collecting personal and medical information for housing placement.
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HING TECHNICIAN RESIGNATION FORM
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Form for military technicians to process their resignation and manage separation benefits and documentation.
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Separation Form
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A form to document and process an employee's departure from the organization, covering final pay, benefits, and clearance procedures.
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RetirementResignation Form
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A form for employees to officially submit their retirement or resignation from the PYLUSD school district.
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Resolution 2015 01 Confidentiality Of Benefits And Insurance Information
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A resolution establishing guidelines for accessing and protecting confidential benefits and insurance information in compliance with federal privacy laws.
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Wage And Hour Survey Form
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Survey form for collecting wage and hour information from employers about worker compensation and benefits.
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Dental AndOr Vision Option Election Form
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Form for electing optional dental and vision insurance coverage for retired laborers.
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Enrollment Form
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Insurance enrollment form for University of California employees and retirees seeking accidental death and dismemberment coverage through Prudential Insurance
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ANUBHAV Online System For Submission And Display Of Commendable Work Done By Retiring Employees
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An online system allowing retiring Central Government employees to showcase their professional achievements and contributions before retirement.
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Retiree Or Inactive Change Of Address Form
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A form for retirees and inactive members to update their personal contact information with the Employees' Retirement System of Georgia (ERSGA)
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Change Of Address Or Name Form
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A form for Montgomery County employees to update personal contact information and address for retirement plans
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STATE AND PUBLIC SCHOOL RETIREE CHANGE OF ADDRESS FORM
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A form for state and public school retirees to update their mailing address with the Employee Benefits Division.
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Retiree Change In NameAddress Form
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A form for Fulton County Retirement System retirees to update personal information, including name and address changes.
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RETIREE HEALTH COVERAGE CONTACT FORM
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A form for collecting updated contact and personal information for retirees to maintain health coverage communication.
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RETIREE DENTAL VISION ENROLLMENT FORM
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Form for retirees to enroll in dental and vision insurance coverage through Emory Benefit Plans.
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Emergency Contact Form
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A form for collecting emergency contact details and contact information for retired employees.
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Pre 65 65 Retiree Life Insurance Decrease Coverage Or Cancellation Form
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Form for University of New Mexico (UNM) retirees to decrease or cancel life insurance coverage based on age category.
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NTEU Retiree Membership Form
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Membership form for retired members of the National Treasury Employees Union (NTEU)
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Retiree Change Of Address Form
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A form for University of Missouri System retirees to update their contact and address information for retirement programs.
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Retirement Allowance Estimate Request
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A form for CalPERS members to request an estimate of their potential retirement benefit amounts within one year of their anticipated retirement date.
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Faculty And Staff Retirement Checklist
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A comprehensive guide for faculty and staff retirement preparation at Seminole State College, outlining key steps for retiring employees.
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Faculty And Staff Retirement Checklist
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Comprehensive retirement checklist for Seminole State College faculty and staff, providing step-by-step instructions for retirement planning and documentation.
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State Of West Virginia Public Employee Insurance Agency Retiree Health And Life Insurance Enrollment
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A form for West Virginia public employees to enroll in health and basic life insurance coverage upon retirement.
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State Of West Virginia Public Employee Insurance Agency Retiree Health And Basic Life Insurance Enro
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A form for West Virginia public employees to enroll in retirement health and basic life insurance coverage
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Twin City Hospital Workers Pension Plan
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Instructions for submitting a pension application for hospital workers, detailing required documentation and processing timeline.
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Retirement Plan And Disability Waiver Form
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Form for waiving waiting period for retirement and disability coverage when transferring employment to Northeastern
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Retirement Planning Checklist For Full Time Employees
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A comprehensive checklist for district employees preparing to retire, covering steps related to retirement applications, benefits, and insurance.
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RetirementResignation Form
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A form for employees of Brockton Public Schools to formally notify the organization of their retirement or resignation.
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Certificated Retirement Or Resignation Form
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Form for certificated employees to formally document their retirement or resignation from Simi Valley Unified School District
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RetirementResignation Form
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A comprehensive form for employees to document their retirement or resignation process, including personal information, job details, and required steps.
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Retirements And Retiree Benefits
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Comprehensive guide for Pittsburg State University employees detailing retirement eligibility, benefits, and process for retiring staff and faculty.
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Retirement Separation Checklist
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A comprehensive guide for military personnel preparing for retirement or separation, outlining key steps and resources for career transition.
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Federal And Maryland State Tax Withholding Request
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A form for filing federal and Maryland state tax withholding elections for retirement account holders
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Direct Reimbursement Claim Form
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A form for submitting vision care service reimbursement claims for out-of-network providers through Davis Vision.
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Reverse Referral Form
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A form used to request and document referral status for social service programs like TANF and SNAP.
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QDRO Guidelines Defined Benefit Plans
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Guidelines for determining the qualified status of a Qualified Approved Domestic Relations Order (QDRO) for State of Connecticut employees during divorce proceedings
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IRA Transfer Request Form
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A form for transferring Individual Retirement Account (IRA) assets between financial institutions or account types.
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RFA Membership Form
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Membership form for University of North Carolina-Chapel Hill retired faculty to join or renew their association membership.
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Managed Service Provider Request For Proposal
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Request for Proposal for selecting a Managed IT Services Provider for a school district serving approximately 520 students.
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Retired Faculty Of The University Of Florida Membership Form
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Annual membership form for retired faculty at the University of Florida, collecting personal and payment information for membership dues.
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NDPERS Retiree Health Insurance Credit (RHIC) Program Claim Form
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A claim form for North Dakota Public Employees Retirement System retirees to claim health insurance premium reimbursements.
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Representative Payee Application
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Application for managing retirement benefits for annuitants who cannot handle their own payments, used by the U.S. Office of Personnel Management.
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Quartermaster Corps Parachute Rigger Honors Program Rigger Nomination Form
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A form for nominating military personnel for honors in the Quartermaster Corps Parachute Rigger program based on significant accomplishments.
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Veteran Affairs Providence Healthcare System Pharmacy Residency Programs
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Overview of pharmacy residency programs at Veteran Affairs Providence Healthcare System, including program history, hospital details, and pharmacy service structure.
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Retiree Health Care Cancellation Form
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A form for state retirees to cancel their or their spouse's health care coverage with the Rhode Island Office of Employee Benefits.
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Account In The Name Of Revocable Living Trust (RLT) Instructions
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Comprehensive instructions for establishing a trust account with Pentagon Federal Credit Union, detailing required forms and procedures for trust account creation.
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Referral Form For Representative Payee Services
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A referral form for DC Department of Behavioral Health consumers to receive representative payee services through Bread for the City.
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PERSI Durable Limited Power Of Attorney
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A legal document allowing a PERSI member to designate an attorney-in-fact to act on their behalf in matters involving PERSI
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Electronic Funds Transfer Direct Deposit Enrollment Application
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Application for enrolling in electronic funds transfer and direct deposit for New York State & Local Retirement System benefits
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Notice Regarding Federal And State Income Tax Withholding Requirements On Retirement Income
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Important document explaining tax withholding options and requirements for retirement income from Los Angeles County Employees Retirement Association.
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Application For Benefits Fraud Warning
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Legal document providing state-specific warnings about insurance claim fraud and potential criminal penalties for false claims.
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RSVP Retired Senior Volunteer Program Volunteer Application Form
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Application form for seniors and retired individuals interested in volunteering in Louisville, Kentucky
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Prescription Drug Reimbursement Coordination Of Benets Claim Form
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A form for submitting prescription drug reimbursement claims and coordinating medical benefits for pharmacy services.
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Request For ChangeCorrection In Subscriber Master Details AndOr Reissue Of I PinT PinPRAN Card
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A form for requesting changes to personal details, nominations, or reissuing identification documents for a retirement account.
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Request For ChangeCorrection In Subscriber Master Details AndOr Reissue Of I PINT PINPRAN Card
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A form for NPS subscribers to request changes to their personal details or reissue of identification documents.
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Senate Action Form No. 1175
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A university senate action form approving a loan policy for an optional retirement plan at the University of Northern Colorado.
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TAX WITHHOLDING
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Form for determining federal and California state income tax withholding for retirement allowance recipients.
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Cadet Initial Entry Training (CIET) Medical Operations Pre Participation Physical Form Medical Hi
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Comprehensive medical history form for cadets participating in initial entry training, capturing health conditions, injuries, and personal medical information.
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Sagewell Healthcare Benefits Trust FAQ
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Detailed FAQ document explaining the structure, administration, and key details of the Sagewell Healthcare Benefits Trust group insurance arrangement.
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STATE OF VERMONT STATE EMPLOYEE DEFERRED COMPENSATION PLAN EMPLOYEE REQUEST FOR PAYROLL DEDUCTION
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A form for Vermont state employees to request payroll deductions for a deferred compensation retirement investment plan under Section 457(b).
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Daughters Of Union Veterans Of The Civil War National Department Sales Order Form
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Order form for badges, ribbons, pins, and medals for members of the Daughters of Union Veterans of the Civil War organization.
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Health Care Benefits Renewal
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A renewal form for health care benefits from the Texas Health and Human Services Commission for individuals to update their personal and financial information.
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NOMINATION FOR ACCESS TO SCI
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Official form for nominating an individual for access to Sensitive Compartmented Information (SCI)
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Initial Application For CalFresh, Cash Aid, AndOr Medi CalHealth Care Programs
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A comprehensive application form for food assistance, cash aid, and health care programs in California for eligible individuals and families.
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S.B. 1635 Bill Analysis
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A bill to clarify legislative intent regarding voluntary contributions to the Fund for Veterans' Assistance through vehicle registration.
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SB1338 Handgun Permit Military Training Exception
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A legislative act amending Tennessee Code to modify handgun permit verification procedures for military personnel's training credentials.
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Power Of Attorney For California Military Marriages
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Instructions for military personnel stationed overseas to obtain a marriage license through an attorney-in-fact when unable to personally appear.
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Survivor Benefit Application Form
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An application form for survivors to claim pension benefits for a deceased account holder
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Tuition Discount Application And Verification Form For Employees And Dependents Of Scholarship Ameri
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Form for employees and dependents of Scholarship America to apply for tuition discounts at Regent University
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SCI Handlers Official Unofficial Foreign Travel Pre And Post Travel Requirements Form
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A security form for military, government, and defense contractor personnel detailing foreign travel requirements and potential risks for SCI handlers.
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Silent Partner The Clock Is Ticking Dates And Deadlines In The Military Divorce Case
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A legal resource discussing critical dates and deadlines in military divorce cases, focusing on pension division and spousal benefits.
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Servicemembers Civil Relief Act (SCRA)
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Comprehensive legislative index detailing the sections and provisions of the Servicemembers Civil Relief Act for military personnel legal protections.
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SDMFC Email Newsletter Submission Form
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Guidelines and submission form for a bi-weekly newsletter focused on military and community events
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Receipt Of Retirement Information Acknowledgement
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Form for acknowledging receipt of retirement information and election package for state miscellaneous and industrial members
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F4.5 Other Services To Faculty
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Comprehensive policy detailing various services and benefits available to full-time faculty members at East Central University.
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Standard Form 86, Questionnaire For National Security Positions
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Department of Defense modifies security clearance form to reduce barriers to mental health counseling for military personnel.
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Group Insurance Disability Claim Form
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A comprehensive form for submitting a disability insurance claim by an employee, physician, and employer or plan administrator.
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Seidemann Family Military Form
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A form for collecting detailed military service information about family members for a family reunion display
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SEL 531 Fax Or Email Vote Secret Ballot Waiver Form For Military And Overseas Voters
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Form allowing military and overseas voters to submit ballots via fax or email, acknowledging waiver of ballot secrecy.
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Selective Service Compliance Form
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A form documenting a male student's compliance with federal Selective Service registration requirements for university enrollment or employment.
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ACTIVE MEMBER BENEFICIARY NOMINATION FORM
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A legal document for nominating principal and contingent beneficiaries for retirement benefits with the Pennsylvania State Employees' Retirement System.
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Permanent Mailing Address Form
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Employment and retirement system membership form for school employees in Ohio, collecting personal and job classification information.
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RefundRollover Request Form
PDF template
Form for state employees to request withdrawal of accumulated pension deductions, which terminates retirement system membership.
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U.S. Service Academy Information
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Application guidelines and requirements for obtaining a nomination to a U.S. Service Academy from Representative Mike Levin's office.
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Request For Service Credit Cost Information Service Prior To Membership
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A form for requesting service credit cost information for employment prior to CalPERS membership
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CalPERS Service Retirement Election Application
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Official form for California Public Employees' Retirement System members to elect service retirement and select annuity options.
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TRS 1, TRS 2 And TRS 3 Service Retirement
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Informational bulletin explaining retirement eligibility and calculation for Teacher Retirement System members in TRS 1, TRS 2, and TRS 3.
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SERVICE WAIVER FORM
PDF template
A form for employees to document previous employment and retirement plan eligibility when waiving a waiting period for retirement plan enrollment.
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Seton Villa Residency Application Form
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Application form for seniors seeking residency at Seton Villa Retirement Centre in Burnaby, BC, with eligibility requirements for applicants 65 years or older.
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Severance Pay, Policy, And Practices Survey
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A comprehensive survey by the American Society of Employers collecting data on severance pay practices and policies across organizations.
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SEVERSTAL WHEELING, INC. RETIREMENT COMMITTEE Et Al V. WPN CORPORATION Et Al
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Legal opinion and order from United States District Court in a retirement plan dispute between Severstal Wheeling and WPN Corporation
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Standard Form 1199A Direct Deposit Sign Up Form
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Government form for setting up direct deposit payments for various federal benefit and payroll programs.
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BASIC TRAINING PHYSICAL ASSESSMENT FORM
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Comprehensive physical fitness evaluation form for tracking individual performance across different age and gender groups in sit-ups, push-ups, and 1.5 mile run.
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POWER OF ATTORNEY INSTRUCTIONS
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Detailed guide for San Francisco Employees' Retirement System members on completing a power of attorney for retirement affairs.
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SFSU Incident Report Form
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A form for reporting information security incidents at San Francisco State University that potentially compromise IT asset confidentiality, integrity, or availability.
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Request Shared Leave
PDF template
A form for employees to request shared leave from colleagues, potentially for medical, military, or emergency situations.
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DA 325 Shared Leave Request Form
PDF template
A form for state employees to request shared leave benefits for serious medical conditions affecting themselves or family members.
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Shared Leave Request Form
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A form for City of Tacoma employees to request shared leave due to severe illness, injury, or medical condition that has exhausted their accrued leave.
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Voluntary Shared Leave Request Form
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A form for employees to request donated leave from other employees when they have exhausted their own leave time.
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Direct Deposit Request Alberta Seniors Benefit
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A form for seniors to set up direct deposit for government benefits through the Ministry of Seniors and Housing in Alberta.
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Shopping Sheet Information For VeteransDependents
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Comprehensive guide for veterans and their dependents explaining educational costs and VA benefits coverage at educational institutions.
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Granite School District Short Term Disability Claim Form
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A form for Granite School District employees to file a claim for short-term disability benefits, documenting medical condition and work absence details.
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Granite School District Short Term Disability Claim Form
PDF template
A form for employees of Granite School District to file a claim for short-term disability benefits, detailing medical condition and leave requirements.
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Short Term Disability Claim Form
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A policy document detailing short-term disability benefits for employees, including eligibility, compensation, and leave requirements.
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Short Term Disability Benefits Claim Form
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A claim form for supplemental short-term disability benefits for hospital staff, providing coverage for up to 26 weeks at 70% of basic weekly salary.
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SHORT TERM DISABILITY BENEFITS CLAIM FORM
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Claim form for supplemental short-term disability benefits for hospital staff, providing up to 70% of weekly salary for up to 26 weeks.
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MCEA Sick Leave Bank Cancellation Form
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A form for members to cancel participation in the MCEA Sick Leave Bank program and halt future sick leave donations.
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SIMON Access Request Form
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Form authorizing an individual to access employer data through Vimly's SIMON portal with specified permissions
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District Employee Benefits Enrollment Form
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A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with detailed personal and dependent information.
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SELF INSURED SERVICES COMPANY REIMBURSEMENT FORM
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A form for employees to submit medical expense claims for reimbursement through a self-insured employer benefit program.
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SuperEasy KiwiSaver Superannuation Scheme Benefit Application Form
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A form for members of the SuperEasy KiwiSaver Superannuation Scheme to request withdrawal of their savings under various permitted conditions.
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SLTD Premium Waiver Form
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Form to terminate a Supplemental Long Term Disability premium waiver when an employee returns to work.
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Management Benefits Fund Superimposed Major Medical Plan (SMMP) Claim Form
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A comprehensive medical claim form for submitting healthcare expenses and patient information to the Management Benefits Fund insurance plan.
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Sheet Metal Workers Local 10 Pension Fund Summary Plan Description
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Comprehensive document detailing pension plan benefits, eligibility, and provisions for Sheet Metal Workers' Local 10 union members.
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SNAP 301 1 Non Financial Requirements Citizenship
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Policy document outlining citizenship and nationality requirements for SNAP (Supplemental Nutrition Assistance Program) applicants and benefits eligibility.
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Vision Group Insurance Form
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A comprehensive form for submitting vision insurance claims, to be completed by employees and vision care providers.
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Social Pension For Indigent Senior Citizens Application Form
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Application form for senior citizens to apply for social pension benefits for economically disadvantaged elderly individuals.
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Standard Form 1199A Direct Deposit Sign Up Form
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A form for enrolling in direct deposit for various federal government payments such as Social Security, Veterans' Benefits, and other federal benefits.
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Special Operational Equipment Tailored Logistic Support Program Customer Guidelines Document
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A comprehensive guide for authorized customers to understand and use the Special Operational Equipment Tailored Logistic Support Program operated by DLA Troop Support.
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Provider Nomination Form
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A form for members to recommend new dental or eye care providers to be added to Solstice Benefits' network.
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SoonerSave Participant Quick Enrollment Form
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Enrollment form for Oklahoma State Employee's Deferred Compensation Plan allowing employees to set up retirement contributions.
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SoonerSave Participant Quick Enrollment Form
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Enrollment form for Oklahoma State Employee's Deferred Compensation Plan allowing participants to set up payroll contributions to retirement accounts.
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VISION CLAIM FORM
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A standard form for submitting vision insurance claims with patient and insurance details.
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Bricklayers Union No. 1 Of Kentucky Pension Trust Fund Pension Plan Summary Plan Description
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A comprehensive summary of the pension plan provisions for members of Bricklayers Union No. 1 of Kentucky, including benefits, application procedures, and recent changes.
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SPECIAL ISSUANCE PASSPORT CHECKLIST
PDF template
Comprehensive checklist for obtaining special issuance passports for military personnel and dependents at RAF Alconbury, covering requirements for applicants under and over 15 years old.
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CalPERS Special Power Of Attorney
PDF template
A comprehensive guide explaining how to designate an attorney-in-fact for managing CalPERS retirement and survivor benefit decisions.
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PERS OSS 138 Designation Of Attorney In Fact (Agent)
PDF template
A legal document allowing appointment of an attorney-in-fact to make retirement-related decisions for the principal within CalPERS systems.
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Retiree Special EnrollmentWaiver Form
PDF template
A special enrollment form for NYC retirees to modify health benefits, Medicare plan, or prescription drug coverage for September 1, 2023.
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Spouse Disability Benefit Application Form
PDF template
Insurance claim form for spouse disability benefits, requiring comprehensive personal and medical information for claim assessment.
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A Guide To Your Benefits From The Seafarers Pension Plan
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Comprehensive guide detailing pension benefits, eligibility, calculation, and application process for Seafarers Pension Plan participants.
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Military Service Optional Form For Notification Of A PartyS Military Status
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A new optional form to inform courts about a party's military status in criminal or juvenile dependency cases to help address legal issues and comply with relevant regulations.
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SPS Alert 234 HR, Timekeeping, Payroll And Benefits Updates
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Update on termination process for Pre-Offer Check and details about Satellite Agency employee handling in Workday.
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Dual Benefit Reimbursement Form
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A form for open-shop contractors to request reimbursement from Seattle Public Schools for employer-sponsored benefit plan costs for core workers on SCWA projects.
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Supplemental Retirement Account (SRA) Employee Payroll Deduction Form
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Form for employees to establish payroll deductions for retirement accounts under 457(b) and 403(b) sections at Michigan Technological University.
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Declaration Of Payroll Deduction
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Form allowing employees to authorize payroll deductions for retirement accounts, contributions, and miscellaneous purposes at Lincoln Memorial University.
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Workplace Savings Plan Contribution Form
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Form for directing paycheck deductions to a selected retirement plan with various contribution type options.
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SSC 001C SUPP STATEMENT OF CLAIM FORM
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A comprehensive form for filing a group disability insurance claim, to be completed by the employee, employer, and healthcare provider.
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Supplemental Salary Funds Agreement
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A document outlining the process for faculty members receiving external fellowship funds through university payroll and maintaining benefits.
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Staff Child Care Benefit Plan Application Form
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Application form for staff to claim child care benefits for the prior plan year, requiring detailed documentation of child care expenses.
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Dental EnrollmentChangeWaiver Group Insurance Form
PDF template
A form for employees to enroll, change, or waive dental group insurance coverage with details about employee and dependent information.
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Standard Equipment Request Form
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A form for requesting computer equipment and accessories for staff, faculty, and labs at an educational institution.
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Standard RetirementResignation Form
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A form for employees to formally request retirement or resignation from their position with the school district.
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STANDARD WARRANTY CLAIM FORM
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A form for submitting warranty claims for tire defects or issues to Tireco.
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State Employee Tuition Waiver Instructions
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Guidelines for state employees to receive tuition waivers for up to six credit hours per semester at eligible institutions.
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State Income Tax Withholding Request
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A form for selecting state income tax withholding preferences for retirement payments across several Midwestern states.
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Statement Of Rights Disability Benefits Law
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Official document outlining employee rights for non-occupational disability benefits in New York State.
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State Of Maryland Employee And Retiree Health And Welfare Benefits Program Health Assessment
PDF template
A comprehensive health survey for Maryland state employees and retirees to assess their current physical and mental health status.
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RefundRollover Request Form
PDF template
Form for state employees to request withdrawal of accumulated pension deductions and terminate retirement system membership.
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STD 101C GROUP SHORT TERM DISABILITY (STD) CLAIM FORM
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A comprehensive form for employees to file a short-term disability claim, requiring detailed information about their medical condition and work status.
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Short Term Disability Claim Form Report Of Continued Disability
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A form for participants to report ongoing short-term disability and provide medical update information for continued claim processing.
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Disability Claims Accident Sickness (AS)Short Term Disability (STD)Salary Continuance
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A comprehensive form for filing disability claims, including sections for employer, employee, and physician/provider information.
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Guardian Life Short Term Disability (STD) Claim Form
PDF template
A comprehensive form for employees to file a short-term disability insurance claim with detailed personal and medical information.
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Your Disability Benefit Claim
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Comprehensive guide and forms for applying for disability insurance benefits through Standard Insurance Company.
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Short Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a short-term disability claim, providing personal, employment, and medical information.
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Granite School District Short Term Disability Claim Form
PDF template
A form for employees of Granite School District to file a claim for short-term disability benefits, detailing the nature of disability and employment information.
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STANDARD WARRANTY CLAIM FORM
PDF template
A form for submitting warranty claims and product returns for tire defects or issues.
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Disability Claim For Accident SicknessShort Term DisabilitySalary Continuance
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An employer-completed form for filing a disability insurance claim covering accident, sickness, and short-term disability benefits.
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Short Term Disability Claim Process
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Comprehensive guide for filing a short-term disability claim with USAble Life, detailing submission steps, claim phases, and contact information.
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Stryker Benefits Summary
PDF template
Comprehensive benefits summary for Stryker employees, including location-specific healthcare provisions and insurance options.
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Recreational Vehicle Registration Form
PDF template
A form for registering a recreational vehicle with a homeowners association and obtaining a parking permit for the vehicle.
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Strike Purchase Information From The CAAT Pension Plan
PDF template
Information for CAAT Pension Plan members about purchasing pensionable service lost during a strike, with a special purchase window starting in June 2018.
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Department Paid Health Insurance Request Form
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Form for departments to request health insurance coverage for visiting researchers and students with tax reporting guidance.
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Subgrant Application
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Guidelines for American Legion Auxiliary entities seeking subgrant funding through the ALA Foundation as a fiscal agent for third-party grants.
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The Servicemembers Civil Relief Act A Guide For Family Law Attorneys
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A comprehensive legal guide explaining the Servicemembers Civil Relief Act and its implications for family law involving military personnel.
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Summary Of The Pension Plan For Lay Employees
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Comprehensive summary of the pension benefits provided by the Archdiocese of Galveston-Houston for lay employees, explaining eligibility, retirement options, and benefit calculations.
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YMCA Retirement Fund Summary Plan Description Booklet
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A comprehensive summary of the retirement and savings plans offered by the YMCA Retirement Fund for its members and employees.
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ILWU PMA Welfare Plan Supplemental CSDI Disability Claim Form
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A comprehensive disability claim form for ILWU-PMA Welfare Plan members to report disability details and seek benefits.
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Deduction Authorization Form For EnrollmentChangeCancellation In FIDELITY INVESTMENTS 403(B) Supplem
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A form for University System of Maryland employees to authorize, change, or cancel retirement plan deductions through Fidelity Investments 403(b) Supplemental Retirement Plan.
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Supplement In Lieu Of Pension Policy
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Policy providing a cash supplement for employees adversely affected by pension tax allowances who opt out of pension contributions.
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Request For Proposal IT Staff Enrichment Solutions
PDF template
A request for proposal for IT staff enrichment solutions issued by SURS, seeking vendor proposals for staffing and training services.
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Statewide Volunteer Firefighter (SVF) Plan
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Detailed explanation of a defined benefit plan for volunteer firefighters with benefit levels and vesting requirements.
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Contracting With The Enemy The Contracting OfficerS Dilemma
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Research analysis of risks and challenges in preventing US military contracts with enemy-affiliated business entities in contingency environments.
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Technical Assistance Agreement (TAA)
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A comprehensive overview of Technical Assistance Agreements (TAA) under the International Traffic in Arms Regulations (ITAR)
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Instructor Observation Rubric
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A comprehensive evaluation form for assessing instructor performance and professional development documentation.
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TANF 301 1 Citizenship
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Document detailing citizenship and nationality requirements for Temporary Assistance for Needy Families (TANF) program applicants and participants.
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Employee Enrollment Form Flexible Spending Account (FSA)
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A form for employees to enroll in Flexible Spending Account (FSA) benefits with pre-tax salary reduction elections.
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REQUEST FOR INCOME TAX WITHHOLDING
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A form for Arlington County Employees' Supplemental Retirement System members to request or modify income tax withholding for their retirement benefits.
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TCDRS Durable Power Of Attorney
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A legal document explaining the requirements and usage of a durable power of attorney for the Texas County & District Retirement System
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Teacher Day Count Verification Of School Days Worked
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A form for verifying school days worked by teachers for the Employees' Retirement System of Rhode Island to establish service credit.
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TEACHER RETIREMENT EARLY NOTIFICATION INCENTIVE HR 9
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District policy offering a $1,500 stipend for teachers who submit retirement or resignation by February 1st for the current school year.
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TechNET IT Timesheet Portal Guide
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A comprehensive guide for using TechNET's online timesheet submission and tracking portal for employees.
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Young Technology Scholar Award Application
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Scholarship award for high school seniors in Utah demonstrating technology skills and leadership in computer information technology courses.
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Telephone Change Request Form
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Form for modifying existing telephone settings or requesting changes to phone services at Bergen Community College.
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Headquarters Air Force Telework Remote Work Guide
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Comprehensive guide providing clarification on telework and remote work policies for Air Force and Space Force personnel during and after the COVID-19 pandemic.
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Short Term Temporary Disability Benefits
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Policy describing temporary disability benefits for non-union employees of the Diocese of Camden, outlining eligibility requirements and benefit calculations.
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Inbuilt Temporary Incapacity Benefits For Defined Benefit Division Members
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Detailed guide explaining temporary incapacity benefits for Defined Benefit Division members, including eligibility requirements and claim process.
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Term Extension Job Requisition Form
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A form for requesting an extension of an employee's current job term with details about position, salary, and benefits eligibility.
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Termination Leave Option Form
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A form detailing leave payout options for employees separating from University of Wyoming service, including vacation and sick leave compensation.
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Termination Of Employment Benefits Fact Sheet
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Comprehensive guide for University of California employees detailing benefits procedures and deadlines upon job separation or retirement.
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Authorization For Direct Deposit
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Official form for setting up direct deposit of retirement benefits for North Dakota Teachers' Fund for Retirement annuitants.
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TFFR Retirement Guide
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Comprehensive guide for North Dakota teachers to understand and apply for retirement benefits from the Teachers' Fund for Retirement (TFFR).
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DentalOptical Benefit Application Form
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Application form for claiming dental and optical benefits through the Transport Friendly Society, requiring detailed expense and payment information.
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Osteopathic Benefit Application Form
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Application form for claiming osteopathic treatment benefits, specifically for members of the Transport Friendly Society who joined prior to 1996.
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Contribution Form Building Service 32BJ Supplemental Retirement Savings Plan
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Form for participants to start, change, or stop pre-tax contributions to a supplemental retirement savings plan.
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ENROLLMENT FORM
PDF template
Comprehensive enrollment form for employees to select insurance and benefits options through The Hartford.
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Payroll Deduction Authorization
PDF template
Authorization form for allowing payroll deductions for organizational membership dues and benefit programs.
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TIAA Retirement Plan Contribution Form
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A form for employees to specify retirement plan contributions and allocate funding for their retirement annuity contract at Kenyon College.
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TIME OFF REQUEST
PDF template
A form for employees to request time off using various benefit types at Karen Ann Quinlan Hospice
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Report Of The Ninety Third Session Of The TIR Executive Board (TIRExB)
PDF template
Official report of the 93rd session of the TIR Executive Board held in Geneva on 10 October 2022, documenting attendance and key discussions.
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Title 38 United States Code Section 3679(E) School Compliance Form
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A form requiring educational institutions to certify compliance with veterans' educational benefits regulations under the Veterans Benefits and Transition Act of 2018.
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WARRANTY CLAIM FORM
PDF template
A comprehensive form for submitting warranty claims for wheels and tires, including detailed vehicle and contact information.
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Assessment Form
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A form for collecting household information to identify potential utility assistance programs for Tacoma Public Utilities (TPU) customers.
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Direct Deposit Agreement
PDF template
A form for setting up electronic transfer of monthly benefit payments to a personal bank account for TRA members or beneficiaries.
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OTC Office Of Workforce Liaison Weekly TRA 22 Student Compliance Form
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A weekly form documenting student attendance and academic progress for Trade Act benefit recipients.
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Traditional IRA Contribution And Investment Selection Form
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Form for making contributions, rollovers, and investment selections for a Traditional Individual Retirement Account (IRA)
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Traditional IRA Contribution And Investment Selection Form
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A detailed form for making contributions to a Traditional Individual Retirement Account (IRA), including contribution type and investment selection.
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TRADITIONAL IRA TRANSFER REQUEST
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A form for transferring funds between Traditional IRA accounts or inheriting IRA funds from a decedent.
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TRADOC Onboarding Itinerary
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Comprehensive onboarding guide detailing pre-boarding, initial phase, and first-day activities for new civilian employees at TRADOC.
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NLC For Military Spouses Video Transcript
PDF template
A webinar transcript explaining the Nurse Licensure Compact (NLC) and multistate licensing for military personnel, federal nurses, and their spouses.
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Travel Trailer Rental Agreement
PDF template
A legal agreement for renting a travel trailer, specifying terms of rental, location, and responsibilities of both owner and renter.
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403(B)(7) Custodial Account Application
PDF template
Application form for opening or modifying a 403(b) retirement custodial account with T. Rowe Price for employees.
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Pre Retirement Package
PDF template
A comprehensive guide for employees preparing for retirement, providing consultation details and key preparation steps.
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Stanford Federal Credit Union Trust Account Agreement
PDF template
A document for establishing a trust account with Stanford Federal Credit Union, detailing trust type, trustees, and beneficiaries.
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The Trustees Handbook
PDF template
A comprehensive guide for Veterans of Foreign Wars post trustees outlining their responsibilities and providing training resources.
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Direct RolloverTransfer To ICMA RC Form Checklist
PDF template
A comprehensive form guide for transferring retirement plan assets to an ICMA-RC account with detailed instructions for completion.
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Training Support Center Request Form
PDF template
Form for requesting and tracking equipment pickup and return at Camp Atterbury Training Support Center
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The University Of Alabama Retirees Association Membership Form
PDF template
Membership form for University of Alabama retirees and their spouses to join the University of Alabama Retirees Association (TUARA)
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Benedictine College Tuition Benefit Application Form
PDF template
Application form for Benedictine College employees seeking tuition benefits for themselves or their dependents.
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Yeshiva University Tuition Remission Benefit Policy
PDF template
Policy detailing eligibility and terms for tuition remission benefits for Yeshiva University employees, spouses, and dependents.
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Prior Service Credit Request Form Tuition Benefits Program
PDF template
Form for requesting prior service credit toward Carnegie Mellon University's Faculty and Staff Tuition Benefits Program waiting period
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Faculty Staff Scholarship Waiver Application
PDF template
Application form for Bethel University employees seeking tuition scholarship benefits for academic programs
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Fort Lewis College Tuition Waiver Request Packet
PDF template
A comprehensive guide for Fort Lewis College employees to request tuition waivers for taking courses with specific eligibility and application requirements.
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Tuition Waiver Form
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Form for employees or retirees to request tuition waiver benefits for themselves or dependents at the University of Toledo.
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UAH Staff Reference Guide
PDF template
A comprehensive guide for UAH staff covering various workplace policies, benefits, and procedures.
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UC Medicare PPOHigh Option Supplement Enrollment Form
PDF template
Enrollment form for UC retirees and family members to assign and coordinate Medicare prescription drug plan coverage.
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Postdoctoral Scholar Childcare Reimbursement Form For UAW Represented (PX) Employees
PDF template
A form for University of California postdoctoral scholars to request reimbursement for eligible childcare expenses under the UAW-represented program.
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UCRP Special Durable Power Of Attorney
PDF template
A legal document that allows a UCRP member to designate a representative to manage retirement and health benefit matters.
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457 Unforeseeable Emergency Distribution Form
PDF template
A form for participants to request emergency distribution from a retirement plan due to severe financial hardship.
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Employee Enrollment Form
PDF template
A comprehensive enrollment form for employees to sign up for medical, dental, and related insurance benefits.
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Medical Claim Form
PDF template
A form for submitting medical expense claims to UnitedHealthcare for reimbursement of eligible healthcare services.
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Yandisa Benefit Application Form
PDF template
Application form for patients seeking medical benefits through Umvuzo Health Medical Scheme's Yandisa program, requiring comprehensive personal and medical information.
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UI 203 Overpayment And Fraud Detection Form
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A form for employers to report wage information to investigate potential unemployment insurance claim discrepancies or overpayments.
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LWC Certificate Of Attendance
PDF template
Guidance for unemployment benefit recipients attending approved training programs on how to maintain eligibility and document attendance.
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Unemployment Compensation For Ex Servicemembers (UCX) Program Questions And Answers
PDF template
Detailed instructions for state agencies on processing unemployment claims for former military service members, including initial claim procedures and federal verification processes.
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Unemployment Compensation For Ex Servicemembers (UCX) Program Questions And Answers
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Advisory document providing guidance to state workforce agencies about the Unemployment Compensation for Ex-servicemembers program and related claims processes.
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A GUIDE TO YOUR BENEFITS FROM THE UNITED INDUSTRIAL WORKERS PENSION PLAN
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A comprehensive guide explaining pension benefits for workers covered by United Industrial Workers multi-employer collective bargaining agreements.
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Record Of Employment
PDF template
A form for documenting employment status for unemployment insurance claims in New York State.
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Initial Unemployment Insurance Benefits Claim
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Comprehensive guide for filing an initial unemployment insurance claim in New Jersey, detailing required documentation and application process.
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State Legislator Nomination Form
PDF template
A form for state legislators to nominate a candidate for a military scholarship at the University of North Georgia.
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Transfer Form
PDF template
Application form for veterans and returning adult students applying to transfer to UNH as first-year or transfer students.
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University Of New Hampshire Technology Incident Investigation Form
PDF template
A comprehensive form for documenting and investigating technology security incidents at the University of New Hampshire.
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University Of Toronto Benefit Plan Booklet CUPE Local 3907 Graduate Assistant
PDF template
A comprehensive benefit plan booklet for graduate assistants at the University of Toronto, detailing group benefits provided through Green Shield Canada.
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DENTAL ENROLLMENT FORM
PDF template
Form for enrolling in dental insurance coverage, collecting employee and dependent information for group dental insurance.
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American Legion Auxiliary Year End Impact Report Forms
PDF template
Comprehensive reporting form for documenting volunteer hours, service, and contributions of American Legion Auxiliary members supporting veterans and military families.
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Universal Enrollment Form
PDF template
Comprehensive enrollment form for medical, dental, and vision insurance covering active employees, retirees, COBRA, and surviving spouse participants.
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Retirement Timeline And Benefits Guide
PDF template
Comprehensive guide outlining step-by-step procedures and timelines for UNM faculty preparing for retirement, including ERB and Medicare requirements.
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Unum Disability Claim Form
PDF template
A comprehensive claim form for submitting disability insurance claims with Unum Group subsidiaries, covering multiple types of disability benefits.
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How To File A Voluntary Benefits Claim
PDF template
A comprehensive guide for employees on how to file claims for voluntary benefits, including wellness and health screening benefits.
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Life Insurance Form
PDF template
A comprehensive form for employees to enroll in life insurance coverage and designate beneficiaries with multiple coverage options.
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Partials Employee Consent Form
PDF template
A consent form allowing employers to file weekly unemployment claims and report employee information for partial unemployment benefits.
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IT Purchase Request Form
PDF template
A form for requesting and approving IT equipment purchases within an organization, including details about the item, purpose, and funding.
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Memorandum And Order For Judgment Malcolm Et Al. V. Franklin Drywall, Inc. Et Al.
PDF template
Judicial document regarding personal liability of Philip J. Franklin in a union fringe benefits fund case involving Franklin Drywall and Master Drywall.
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OFFICE OF INFORMATION TECHNOLOGY AUTHORIZATION RELEASE FORM
PDF template
Authorization form for students, faculty, staff, and guests to access SUNY College of Optometry computing resources and facilities.
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VETS USERRA FACT SHEET 4 Frequently Asked Questions Notification Of Absence Due To Uniformed Servic
PDF template
A Department of Labor document explaining service members' notification requirements and reemployment rights under the Uniformed Services Employment and Reemployment Rights Act (USERRA).
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USERRA Life Insurance Form
PDF template
Form for military service members to continue life insurance coverage during active duty service under USERRA protections.
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Life Insurance Claim Form
PDF template
A comprehensive form for filing a life insurance claim with authorization and personal information sections
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Retirement Inquiry Form
PDF template
Form for determining retirement eligibility and healthcare benefits for University System of Georgia employees.
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University Of Toledo Foundation Tuition Scholarship Form
PDF template
Form for University of Toledo employees to apply for tuition scholarship benefits for undergraduate or graduate education.
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Employee Request For Course Approval And Waiver Of Fees
PDF template
A form for University of Tennessee employees to request approval for course enrollment with potential fee waiver based on employment status.
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Catastrophic Leave Donor Authorization Form
PDF template
Form allowing employees to donate earned paid leave credits to colleagues experiencing catastrophic need within the UW System.
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Group Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a short-term disability insurance claim with medical and employment details.
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VA Educational Benefits Application Form
PDF template
Application form for veterans to request educational benefits through various VA programs and provide consent and understanding of responsibilities.
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Vacation Donation Program Contribution Form
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A form allowing state employees to donate vacation or personal leave hours to colleagues experiencing medical costs or salary needs.
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Vacation Donation Program Contribution Form
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A form allowing state employees to donate vacation or personal leave hours to colleagues facing medical costs or salary continuity needs.
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Local 134 Vacation Savings Fund Contribution Form
PDF template
Document for tracking contractor and employee vacation fund contributions with personal and financial details.
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Veterans Enrollment Form
PDF template
Form for veterans and dependents to enroll in education benefits and request VA educational support.
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Veterans Benefits Enrollment Form
PDF template
Form for veterans to enroll and apply for educational benefits through various VA programs
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Athletes Medical Information Form
PDF template
Medical evaluation form for veterans participating in the National Veterans Golden Age Games, assessing physical fitness and health status for athletic events.
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Foreign Medical Program (FMP) Registration Form
PDF template
A government form for registering and processing medical programs for veterans receiving care outside the United States.
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Interagency Agreement (IAA) Agreement Between Federal Agencies
PDF template
Government document establishing terms and conditions for collaboration between the Department of Veterans Affairs and the Department of the Army
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VA TBI Identification Clinical Interview Manual
PDF template
A semi-structured interview protocol for identifying and assessing potential traumatic brain injuries (TBI) in patients.
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403(B) Contribution Form Salary Reduction Agreement
PDF template
A form for participants to authorize salary reduction contributions to a 403(b) retirement plan, including options for before-tax and Roth contributions.
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SRSP 401(K) Contribution Form
PDF template
Form for employees to elect 401(k) contributions to the Supplemental Retirement Savings Plan (SRSP)
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Vanguard Termination Request
PDF template
A form for participants of Columbia University retirement plans to request distribution or rollover of retirement account assets.
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VAO Of The Quarter Nomination Form
PDF template
A quarterly award program to recognize outstanding Voting Assistance Officers who provide exceptional service to the Federal Voting Assistance Program.
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Vision Reimbursement Claim Form
PDF template
A form for employees to claim reimbursement for vision-related medical expenses under an employer's vision benefit plan.
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Vasavi Raksha Pension Scheme 2011
PDF template
Application form for the Vasavi Raksha Pension Scheme, collecting personal and health information from applicants.
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VA Student Evaluation Form
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Form for VA students to document and evaluate previous educational and training credentials.
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VAVS VOLUNTEER FORM
PDF template
Form for appointing and documenting volunteer representatives for Veterans Affairs Medical Center (VAMC) programs.
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VAVS Volunteer Form
PDF template
Form for VFW Auxiliary members to accept or decline appointment to VAVS Representative positions and provide contact information.
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VDF REQUISITION FORM 37 1
PDF template
A formal document used to request and approve procurement of goods or services within a military or government unit.
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DIVORCE BENEFIT APPLICATION
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A form for processing retirement fund benefits in the context of a divorce settlement, used by Alexander Forbes Financial Services.
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Vehicle Purchase Information MDHHS 5946
PDF template
Guidelines for obtaining vehicle purchase assistance through Michigan Department of Health and Human Services for eligible program recipients.
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Military Active Duty Form
PDF template
Form for verifying active duty military status to qualify for in-state tuition rates in South Carolina
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Very Important Papers
PDF template
A resource for documenting essential information to assist families upon the death of a veteran, including cemetery and documentation guidance.
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Veteran Education Benefit Declaration Form
PDF template
A form for veterans to declare and apply for educational benefits at City Colleges of Chicago with detailed eligibility and responsibility statements.
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Claim For Property Tax Exemption On Dwelling House Of Disabled Veteran
PDF template
A claim form for property tax exemption for disabled veterans, their surviving spouses, or civil union/domestic partners in New Jersey.
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Veteran Or Active Duty Military Form
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A form to verify military status for students seeking financial aid, requiring documentation of veteran or active duty service.
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Declaration Application Form WorkSafeBC PCU WHS Scholarship Pilot Project
PDF template
Application form for veterans to apply for a Disability Management Practitioner Certificate program with specialized support services.
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Park University Veteran Scholarship 2023 2024
PDF template
Scholarship form for veteran students at Park University offering up to $50 per credit hour with specific eligibility requirements.
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Veterans Contact Form
PDF template
Form for veterans to apply for educational benefits and provide personal and academic information for VA support.
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Veterans Contact Form
PDF template
A comprehensive form for veterans to apply for educational benefits and provide academic background information at Umpqua Community College.
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Veteran Income Tax Exemption Submission Form
PDF template
Form for veterans to claim income tax exemption in New Jersey by submitting discharge documentation.
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Project Welcome Home Registration Form
PDF template
A program to support returning veterans by encouraging DD 214 documentation and offering business discounts in Blair County, Pennsylvania.
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Military Certification Enrollment Form
PDF template
Form for military veterans to certify and enroll in courses for educational benefits at Marywood University
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University Of The Incarnate Word Veterans Scholarship Application
PDF template
Scholarship application for veterans, active duty military, and their dependents at the University of the Incarnate Word
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Veterans Scholarship Application
PDF template
Scholarship application for veterans, active duty military, reservists, and their dependents at the University of the Incarnate Word.
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Veterans Stone Purchase Form
PDF template
Form for Fairview residents to purchase memorial stones honoring veterans at Veterans' Park, with options for multiple names per stone.
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VPEC SICF September 2017 Self Identification Compliance Form
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A form for Purdue University employees to self-identify veteran status for compliance with federal regulations on veteran employment.
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Veterans History Project Photograph Log
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A form for documenting and logging photographs related to veterans' personal histories and experiences.
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Redding Veterans Memorial Hall Use Policy
PDF template
Policy document establishing usage guidelines and priorities for the Redding Veterans Memorial Hall, owned by Shasta County.
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New Student Form
PDF template
A form for new student veterans to register for educational benefits and services at Golden West College.
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Non Resident Waiver Form For Veterans, Spouse, And Dependents
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Form for veterans, spouses, and dependents to request in-state tuition rates at Texas A&M University-Corpus Christi based on federal educational benefits.
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Veterans Of Foreign Wars Of The United States Motorcycle Riders Groups (VFWRG) Membership (Participa
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Application form for joining the Veterans of Foreign Wars Motorcycle Riders Groups, including personal information and liability release.
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My Benefit Plan Booklet
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Comprehensive benefit plan booklet for post-doctoral fellows at the University of Toronto, detailing group benefits through Green Shield Canada.
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2023 Scholarship Form Qualifications For Applying
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A scholarship program for service members of US Army VII Corps in Desert Shield/Desert Storm and their immediate family members for higher education support.
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Out Of Network Reimbursement Instructions
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Detailed instructions for submitting out-of-network healthcare reimbursement claims to VBA, including required documentation and submission methods.
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Member Reimbursement Claim Form
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Form for members to request reimbursement for vision services from out-of-network providers or in-store promotions.
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Delta Dental Of Wisconsin EnrollmentChangeWaiver Form DeltaVision
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Insurance enrollment form for Delta Dental of Wisconsin's vision benefits, allowing employees to accept, change, or waive coverage.
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Vision Enrollment
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Form for ACERA retirees to enroll in or modify vision insurance coverage options.
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Supplemental Vision Active Employee Enrollment Form
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Employee enrollment form for supplemental vision insurance coverage through Delta Dental of Wisconsin.
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Vision Claim Form
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A form for submitting vision care expenses for reimbursement through a health benefits plan.
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VitalityLife Discretionary Trust
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A legal document outlining the terms of a discretionary trust related to life insurance benefits, allowing flexibility in benefit allocation and ownership.
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Military Test Waiver
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A form allowing qualified service members to apply for a Commercial Driver License (CDL) with potential waiver of skills and knowledge testing.
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VLSC Software Assurance Guide
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A comprehensive guide for organizations to understand and manage their Software Assurance benefits through Volume Licensing.
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VMSDEP TRANSFER REQUEST FORM
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Form for transferring education waivers for military survivors and dependents between educational institutions in Virginia
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LOCAL VOLUNTEER APPLICATION FORM
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Comprehensive application form for potential volunteers at the National Naval Aviation Museum, capturing personal, emergency contact, and military history information.
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Voluntary Deduction Cancellation Form
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A form for employees to request cancellation of a voluntary payroll deduction at Santa Monica College.
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BOA Volunteer Firefighter Disability Claim Form
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Official claim form for Alabama volunteer firefighters seeking disability benefits due to service-related injury.
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Complaint Resolution Form
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A form for veterans to document and submit complaints related to their educational experience at Fullerton College.
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Voluntary Retirement Incentive Program Waiver, Release, And Resignation
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A document outlining terms for voluntary employee separation and retirement incentive program offered by Onondaga County.
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V Roth After Tax (Rev. 72018) INVESTMENT AGREEMENT FOR THE KANSAS BOARD OF REGENTS (KBOR) VOLUNTARY
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A form for employees of Pittsburg State University to make Roth contributions to the voluntary retirement plan, specifying contribution amount and authorization.
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Enrollment Form With Dependent Data
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A form for employees to enroll in health insurance coverage and provide dependent information.
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Volunteer Time Off (VTO) Policy
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A policy that allows Johnson County employees to earn up to 8 hours of paid volunteer time per calendar year by converting sick leave, promoting community engagement.
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Investment Agreement For The Kansas Board Of Regents (KBOR) Voluntary Retirement Plan
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Mandatory form for employees of Pittsburg State University to make pre-tax contributions to the voluntary retirement plan under IRC Section 403(b).
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VIP PRO DEAL PURCHASE ORDER FORM
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A purchase order form for professional customers with special pricing and purchase restrictions from Vortex Optics.
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NAVCOMPT Form 3065, Leave RequestAuthorization
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A legal document completed by service members to request various types of leave, including sick, emergency, and graduation leave.
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W 4N Instructions
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Official guidance for completing the Nebraska state income tax withholding form for public employees retirement system annuity payments and distributions.
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FEDERAL TAX WITHHOLDING FORM
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Guidance for federal tax withholding on pension payments, explaining legal requirements and individual options for tax withholding.
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Withholding Certificate For Pension Benefit Payments
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A form for selecting federal and state tax withholding options for pension benefit payments.
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Waiver Of Health, Dental AndOr Vision Coverage
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A form allowing employees to decline health, dental, and vision insurance coverage offered by their employer.
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Waiver Of Medical Insurance Coverage
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A form for employees to waive medical insurance coverage while certifying alternative group medical insurance and applying premium sharing to optional coverage.
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USACC Form COIRWL 1, V. 1.1
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A liability release form for participants in Army ROTC/JROTC military-style training activities, acknowledging voluntary participation in potentially risky events.
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Waiver Of Pre Tax Insurance Form
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A form allowing employees to opt out of pre-tax deductions for employer-sponsored insurance premiums at UND.
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Brazos Valley Veterans Memorial Contribution Form
PDF template
Contribution form for donating to the Brazos Valley Veterans Memorial and adding veterans' names to the Wall of Honor.
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TIAA Contribution Form 2024
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A retirement contribution form for employees to reduce monthly salary and allocate funds to TIAA and CREF accounts.
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ELIGIBILITY EVALUATION CHECKLIST
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A form used by rehabilitation specialists to evaluate workers' compensation reemployment benefits eligibility for injured workers in Alaska.
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Employee Handbook
PDF template
Comprehensive guide outlining employment policies, benefits, and conduct for employees of the Workforce Development Board serving Herkimer, Madison, and Oneida Counties.
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Super And Pension Application Form
PDF template
Application form for opening a superannuation and pension account with ClearView WealthFoundations
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Weekly Disability Benefit Claim Form
PDF template
A form for filing a weekly disability benefit claim for Teamsters Health and Welfare Fund members seeking disability benefits.
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Weekly Disability Claim Form
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A comprehensive form for reporting employee disability claims, including sections for employee, employer, and physician statements.
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Premium Continual Reimbursement Form
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Form for employees to request continual reimbursement of health care premium expenses through their benefit plan.
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Wellness Benefit Claim Form
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A claim form for submitting wellness-related medical tests and screenings for potential insurance benefits.
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Routine Physical Exam Affidavit
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A form for employees to qualify for 8-hour wellness leave by completing a health assessment and routine physical exam.
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SALES ORDER FORM
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Sales order document for a recreational vehicle model with detailed pricing and package options
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APPLICATION FOR WIDOWS ANDOR CHILDRENS PENSION
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Official form for widows to apply for pension benefits under the Papua New Guinea Defence Force Pensions Act
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Deferred Compensation Plan NYCE IRA Withdrawal Cancellation Form
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A form used to cancel distributions or rollovers from 457, 401(k), or NYCE IRA accounts with time-sensitive submission requirements.
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Military HR Booking Form
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A form for coordinating transportation of deceased military service members, including escort and honor guard details.
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Roth Individual Retirement Custodial Account
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A document for establishing a self-directed Roth Individual Retirement Account with instructions and legal requirements.
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Traditional IRA Organizer Self Directed
PDF template
A comprehensive document for establishing a traditional self-directed Individual Retirement Account (IRA) with detailed guidance and instructions.
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Working Spouse Premium Waiver Form
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Form for Purdue employees to certify spouse's medical insurance eligibility and waive working spouse premium
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My Benefit Plan Booklet
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Group benefits booklet for professional firefighters in the City of Windsor, provided through Green Shield Canada.
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MY BENEFIT PL AN BOOKLET
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A benefit plan booklet for retired firefighters and their surviving spouses from the City of Windsor, providing group benefits through Green Shield Canada.
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WRRS Prior Non Membership Service Purchase Form
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Form for purchasing prior non-membership service credits in the Worcester Regional Retirement System
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Mountaineer Flexible Benefits Enrollment Form
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A comprehensive form for employees to enroll, modify, or cancel flexible benefits during open enrollment period.
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Standard Operating Procedure For Youth Scholarships And Activities Committee
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Standard operating procedures for managing youth scholarship and activity programs for the Department of Hawaii Veterans of Foreign Wars.
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Area VII Young Riders Silent Auction Procurement Form
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A form for collecting item donations for a young riders benefit silent auction fundraising event.
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ZERO INCOME MONTHLY REPORT
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A form used to report monthly household income status for housing authority participants with potential zero income sources.
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Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
A comprehensive form for employees to enroll in and select flexible spending account options for healthcare and dependent care expenses.
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