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235709

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This form is used for voluntarily releasing a surrendered newborn for adoption by a parent in Michigan.

This form is used for managing and recording the property of offenders in the state of Washington. It helps in the organization and documentation of items owned by offenders while in custody.

This form is used for requesting an appeal of a child abuse or neglect investigative finding in the state of Kentucky.

This form is used for releasing property damage or injury claims in the state of Florida. It allows individuals to settle disputes and release any further liability.

This form is used for applying for a lead worker position in the state of Illinois.

This form is used for Illinois residents to apply for payment of Medicare premiums, deductibles, and coinsurance through mail-in application.

This form is used for hiring employees in Washington and helps employers make smarter hiring decisions.

This document is a certification form used in Illinois for individuals who are seeking an exemption from E-Filing their taxes.

This form is used for filing for unemployment compensation in the state of Pennsylvania. It is required for residents who have lost their jobs and are seeking financial assistance.

This form is used for providing feedback on interpreter services for individuals in Minnesota who require assistance.

This form is used for delegating authority within the Army Military Clothing Stores. It allows certain individuals to make decisions and perform tasks related to clothing and uniform items.

This form is used for applying to reopen a claim in the state of Washington when there has been a worsening of a medical condition.

This form is used for filing an appeal regarding a civil rights complaint in the state of Tennessee. It provides a structured way for individuals to address their concerns and seek resolution for any alleged violations of their civil rights.

This form is used for authorizing deductions from an individual's paycheck in the state of Arizona. It allows for the authorization of specific deductions, such as taxes or insurance premiums, to be taken directly from an employee's wages.

This form is used for requesting a waiver for acquired brain injury (ABI) in Connecticut. It is specifically designed for individuals who have suffered from ABI and need assistance.

This Form is used for determining household eligibility for a program in Texas.

This form is used for organizing and documenting a Family Support Team Meeting in the state of Missouri. Family Support Team Meetings are typically held to discuss and coordinate services for families in need of support and intervention.

This form is used for creating an Individualized Family Service Plan (IFSP) in Arizona. It is a packet that includes all the necessary documents and information for developing a plan specific to the needs of a child with developmental delays or disabilities and their family.

This Form is used for filing a claim for unpaid wages in the state of Connecticut. The Form WCA-1 allows employees to seek compensation for wages that have not been paid by their employer.

This Form is used for making payments to the IRS for certain small employers. It serves as a payment voucher when submitting payments with Form 944.

This form is used for consumers in California to file a complaint against a business or corporation. It allows consumers to document their grievances and seek resolution for any issues they have encountered with a specific business or corporation.

This Form is used for general comments or questions related to California.

This form is used as an addendum to the Medicaid Buy-In for Workers with Disabilities (MBIWD) program in Ohio. It includes additional information that needs to be provided with the application.

This form is used for making a decision on your request for a hardship exemption in the state of Ohio.

This form is used for filing grievances and appeals in the state of Connecticut. It provides a packet of information and instructions for individuals who want to challenge a decision or action taken by a government agency or organization.

This document is an affirmation used in the state of New York for individuals providing pro bono services.

This document is for affirming the low-bono status in New York.

This form is used for physicians in New York City to report on a patient's disability. It helps provide documentation for disability benefits and accommodations.

This form is used for employers in Connecticut to report their status for unemployment compensation.

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