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This document is used for requesting a change in the EMS services in South Carolina.
This form is used for reporting and paying Gross Premiums Tax by foreign life insurance or foreign title insurance companies in Rhode Island.
This document is for registering a broodmare in the state of Iowa.
This document is a form used to request an immunization record from the City of Philadelphia, Pennsylvania.
This Form is used for requesting a vaccination card in the City of Philadelphia, Pennsylvania.
This document is used for requesting a copy of your immunization record from the City of Philadelphia, Pennsylvania. It is available in Chinese Simplified.
This form is used for requesting immunization records from the City of Philadelphia, Pennsylvania. It is available in Korean.
This form is used for requesting immunization records from the City of Philadelphia, Pennsylvania. It is written in Russian.
This Form is used for requesting a copy of your immunization record from the City of Philadelphia, Pennsylvania. It is available in French.
This form is used for a residency agreement in the state of Arizona. It outlines the terms and conditions for living in a particular residence.
This document is for informing individuals about their rights regarding monitoring and disclosure in the state of Arizona. (Spanish)
This type of document is used in Arizona to create an individualized plan for family transition services.
This document is a care coordination request report specific to North Dakota in the year 1915. It provides information and requests for coordinated care services in the state.
This document is for the review of Home and Community Based settings in North Dakota that require heightened scrutiny under Section 1915(I) of the Medicaid program. It outlines the process for on-site visits and evaluations to ensure compliance with the program's standards.
This document is used for obtaining signatures of attendees at a meeting in North Dakota. It helps verify the presence of individuals and their agreement with the topics discussed or decisions made during the meeting.