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This form is used for applying for the Veterinarian Loan Repayment Program in North Dakota. It allows veterinarians to apply for loan repayment in exchange for practicing in a designated shortage area.
This document is used to request the turnover of surplus funds in the state of Illinois. It allows individuals to petition for the distribution of funds that exceed the amount needed for a particular purpose.
This form is used for appealing a Minimum Data Set (MDS) in North Dakota. It allows individuals to request a review of the MDS assessment and provide additional information for consideration.
This document is an agreement between an Emergency Medical Services (EMS) agency and a medical director in North Dakota. It outlines the responsibilities and expectations of the medical director in providing medical oversight and guidance to the EMS agency.
This document is an agreement for Squad Leaders in an EMS (Emergency Medical Services) agency in North Dakota. It outlines the roles and responsibilities of Squad Leaders within the agency.
This document is a report filed after an ambulance collision in North Dakota. It provides details and information regarding the incident.
This Form is used for notifying the Oregon Address Confidentiality Program about changes or withdrawals from the program.
This Form is used for updating the allowed email domain for district employees in the state of Tennessee.
This document is a sworn statement used in Rhode Island to certify operation of a truck, trailer, or bus in interstate commerce.
This form is used for applying for elective focus hardship in Tennessee.
This form is used for applying to energy assistance programs in Ohio. These programs provide financial assistance to eligible low-income individuals and families to help with the cost of energy bills.
This document is for requesting energy assistance programs in Ohio.
This document provides a professional recommendation for an individual or business located in North Dakota. It highlights the skills, qualifications, and achievements of the applicant, and can be used for various purposes such as job applications, college admissions, or professional references.
This document provides recommendations for visiting and exploring North Dakota, including nature, attractions, and cultural activities.
This document is a personal statement for individuals applying for the Certified Peer Support Specialist I position in North Dakota.
This document is a personal statement for a Certified Peer Support Specialist II position in North Dakota. It details the individual's qualifications and experience in providing support and assistance to individuals with mental health conditions.
This document is used for verifying work or volunteer hours for Certified Peer Support Specialists in North Dakota.
This form is used for filing a complaint against a judicial officer in the County of Kern, California.
This document is a questionnaire used in Kern County, California for evaluating child custody arrangements. It helps gather information to determine the best interests of the child in custody cases.
This document is used for filing a customer complaint with the court in Kern County, California. It provides a standardized form for individuals to report any issues or concerns they may have regarding the court's services.
This document is a template for creating a vaccine management plan specifically for North Dakota. It provides guidance on the necessary steps and measures to effectively manage the administration and distribution of vaccines in the state.
This Form is used for referring individuals to the Primary Care Case Management (PCCM) Program in North Dakota.
This Form is used for billing medical travel and lodging expenses in North Dakota. It provides instructions on how to complete the SFN1731 form for reimbursement purposes.
This form is used for submitting health insurance claims in North Dakota. It is known as Form UB-04 or CMS-1450. The form is used by healthcare providers to bill insurance companies for medical services provided to patients.