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This form is used for requesting prior authorization for the medication Kineret in the state of Vermont.
This Form is used for requesting prior authorization for opioid medications in Vermont. It ensures the safe use of morphine milligram equivalent (MME) for patients.
This form is used for submitting a prior authorization request for oral oncology treatment in the state of Vermont.
This form is used for requesting prior authorization for Vivitrol medication in the state of Vermont.
This document is an exception to the required 90-day maintenance medication fill in the state of Vermont.
This document is a Cimzia Prior Authorization Form specific to the state of Vermont. It is a required form to obtain prior authorization for Cimzia medication.
This document is used for requesting prior authorization for dental services in the state of Vermont.
This Form is used for requesting prior authorization for limited orthodontic treatment in the state of Vermont.
This Form is used for requesting prior authorization for treatment to control harmful habits in the state of Vermont.
This document is a form used in Vermont for individuals under the age of 21 or pregnant women to request prior authorization for denture services.
This type of document is used for third-party attestation in North Carolina when the reason for leaving a program is not unsubsidized employment.
This Form is used for obtaining an engineering permit in the city of Berkeley, California. It allows individuals or businesses to apply for permits related to engineering projects within the city.
This type of document is a Fire Permit Application specifically for Special Events, Operating, Temporary Uses, and Football Parking. It is required by the City of Berkeley, California.
This document is for staff consultation and review in the City of Berkeley, California. It provides a framework for discussing and evaluating various issues and proposals within the city government.
This form is used for applying for temporary "No Parking" signs for engineering permits in the City of Berkeley, California. It allows individuals or organizations to request temporary parking restrictions for construction or other engineering-related activities.
This form is used for submitting a request for an unreasonable hardship exemption in the City of Berkeley, California.
This document is a submittal checklist for obtaining a building permit for one or two-family dwellings in the City of Berkeley, California. It outlines the required documents and information needed for the permit application process.
This form is used for ensuring code compliance for decks, porches, and stairs in the City of Berkeley, California. It helps property owners and contractors ensure that their construction projects meet the necessary regulatory requirements.
This form is used for ensuring code compliance for low-rise residential buildings in the City of Berkeley, California, specifically pertaining to the Reach Code.
This document is for ensuring code compliance for non-residential buildings, highrise residential buildings, and hotel/motels in the City of Berkeley, California. It provides a checklist to evaluate if the building meets the requirements of the Reach Code.