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DD Form 2569 Third Party Collection Program/Medical Services Account/Other Health Insurance

DD Form 2569 Third Party Collection Program/Medical Services Account/Other Health Insurance

The form for the TPCP or the Third Party Collection Program is used by the U.S. Department of Defense (DoD) beneficiaries to provide information about health insurances other than TRICARE, Medicare, or Medicaid.

Legal U.S. Department of Defense United States Federal Legal Forms

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DD Form 2792-1 Early Intervention/Special Education Summary

DD Form 2792-1 Early Intervention/Special Education Summary

This form is used to enroll in Exceptional Family Member Program (EFMP) and to record special educational needs of a dependent child from birth through the age of 21 whose health condition requires special educational services.

Legal U.S. Department of Defense United States Federal Legal Forms

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Instructions for Form IT-20, State Form 44275 Indiana Corporate Adjusted Gross Income Tax Return - Indiana, 2023

Instructions for Form IT-20, State Form 44275 Indiana Corporate Adjusted Gross Income Tax Return - Indiana, 2023

Legal Indiana Legal Forms Indiana Department of Revenue

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Form WCB-4M Modification of Compensation - Maine

Form WCB-4M Modification of Compensation - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-4D Discontinuance of Compensation - Maine

Form WCB-4D Discontinuance of Compensation - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-9 Notice of Controversy This Is a Denial of Your Benefits - Maine

Form WCB-9 Notice of Controversy This Is a Denial of Your Benefits - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-4A Consent Between Employer and Employee - Maine

Form WCB-4A Consent Between Employer and Employee - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-11 Statement of Compensation Paid - Maine

Form WCB-11 Statement of Compensation Paid - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-3 Memorandum of Payment - Maine

Form WCB-3 Memorandum of Payment - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-8 Certificate of Discontinuance or Reduction of Compensation Pursuant to 39-a M.r.s.a. 205(9)(B)(1) - Maine

Form WCB-8 Certificate of Discontinuance or Reduction of Compensation Pursuant to 39-a M.r.s.a. 205(9)(B)(1) - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-250 Request for Expedited Proceeding - Maine

Form WCB-250 Request for Expedited Proceeding - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-206 Employee Expense Form - Maine

Form WCB-206 Employee Expense Form - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form WCB-267 Independent Contractor Statement - Maine

Form WCB-267 Independent Contractor Statement - Maine

Legal Maine Legal Forms Maine Workers' Compensation Board

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Form CC-JRE-005BLF Notice of Right to Object to Expungement of Juvenile Records - Maryland (English/French)

Form CC-JRE-005BLF Notice of Right to Object to Expungement of Juvenile Records - Maryland (English/French)

Legal Maryland Legal Forms Maryland Courts Maryland Circuit Courts

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Form CC-JRE-005BLS Notice of Right to Object to Expungement of Juvenile Records - Maryland (English/Spanish)

Form CC-JRE-005BLS Notice of Right to Object to Expungement of Juvenile Records - Maryland (English/Spanish)

Legal Maryland Legal Forms Maryland Courts Maryland Circuit Courts

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Form CC-JRE-002BLK Petition for Release of Confidential Information - Maryland (English/Korean)

Form CC-JRE-002BLK Petition for Release of Confidential Information - Maryland (English/Korean)

Legal Maryland Legal Forms Maryland Courts Maryland Circuit Courts

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BLM Form 4130-1 Grazing Schedule - Grazing Application

BLM Form 4130-1 Grazing Schedule - Grazing Application

Legal U.S. Department of the Interior U.S. Department of the Interior - Bureau of Land Management United States Federal Legal Forms

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BLM Form 4130-1A Grazing Preference Application and Preference Transfer Application (Base Property Preference Attachment and Assignment)

BLM Form 4130-1A Grazing Preference Application and Preference Transfer Application (Base Property Preference Attachment and Assignment)

Legal U.S. Department of the Interior U.S. Department of the Interior - Bureau of Land Management United States Federal Legal Forms

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BLM Form 4130-1B Grazing Application - Supplemental Information

BLM Form 4130-1B Grazing Application - Supplemental Information

Legal U.S. Department of the Interior U.S. Department of the Interior - Bureau of Land Management United States Federal Legal Forms

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BLM Form 4130-5 Actual Grazing Use Report

BLM Form 4130-5 Actual Grazing Use Report

Legal U.S. Department of the Interior U.S. Department of the Interior - Bureau of Land Management United States Federal Legal Forms

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BLM Form 4130-4 Application for Exchange-Of-Use Grazing Agreement

BLM Form 4130-4 Application for Exchange-Of-Use Grazing Agreement

Legal U.S. Department of the Interior U.S. Department of the Interior - Bureau of Land Management United States Federal Legal Forms

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Results Driven Accountability (Rda) Corrective Action Plan - Indicator 12: Transition From Early Childhood to School Age Programming - Indiana

Results Driven Accountability (Rda) Corrective Action Plan - Indicator 12: Transition From Early Childhood to School Age Programming - Indiana

Legal Indiana Legal Forms Indiana Department of Education

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Results Driven Accountability (Rda) Corrective Action Plan - Indicator 4a and 4b: Suspension and Expulsion - Indiana

Results Driven Accountability (Rda) Corrective Action Plan - Indicator 4a and 4b: Suspension and Expulsion - Indiana

Legal Indiana Legal Forms Indiana Department of Education

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Results Driven Accountability (Rda) Corrective Action Plan - Indicator 11: Initial Evaluations - Indiana

Results Driven Accountability (Rda) Corrective Action Plan - Indicator 11: Initial Evaluations - Indiana

Legal Indiana Legal Forms Indiana Department of Education

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Results Driven Accountability (Rda) Corrective Action Plan - Indicator 10: Disproportionate Representation in Specific Disability Categories - Indiana

Results Driven Accountability (Rda) Corrective Action Plan - Indicator 10: Disproportionate Representation in Specific Disability Categories - Indiana

Legal Indiana Legal Forms Indiana Department of Education

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Results Driven Accountability (Rda) Corrective Action Plan - Indicator 9: Disproportionate Representation of Students With Disabilities by Race or Ethnicity - Indiana

Results Driven Accountability (Rda) Corrective Action Plan - Indicator 9: Disproportionate Representation of Students With Disabilities by Race or Ethnicity - Indiana

Legal Indiana Legal Forms Indiana Department of Education

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Form CR-63 Petition for Resentencing Pursuant to 15-22-54.1 (Administrative Violation of Probation) - Alabama

Form CR-63 Petition for Resentencing Pursuant to 15-22-54.1 (Administrative Violation of Probation) - Alabama

Legal Alabama Legal Forms Alabama Judicial System

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Form CR-65 Petition for Expungement of Records - Alabama

Form CR-65 Petition for Expungement of Records - Alabama

Legal Alabama Legal Forms Alabama Judicial System Alabama Circuit Courts

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Form PERS-53 Interim Payroll/Personnel Report - Alabama

Form PERS-53 Interim Payroll/Personnel Report - Alabama

Legal Alabama Legal Forms Alabama Judicial System

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Form CS-8 Support Agreement - Alabama

Form CS-8 Support Agreement - Alabama

Legal Alabama Legal Forms Alabama Judicial System

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Form CS-17 Application, Affidavit, and Entry of Default and Default Judgment (Paternity) - Alabama

Form CS-17 Application, Affidavit, and Entry of Default and Default Judgment (Paternity) - Alabama

Legal Alabama Legal Forms Alabama Judicial System

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Form RP-459-C-RNW Renewal Application for Exemption for Persons With Disabilities and Limited Incomes - New York, 2024

Form RP-459-C-RNW Renewal Application for Exemption for Persons With Disabilities and Limited Incomes - New York, 2024

Legal New York State Department of Taxation and Finance New York Legal Forms

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Instructions for Form ST-141 Individual Purchaser's Periodic Report of Sales and Use Tax - New York

Instructions for Form ST-141 Individual Purchaser's Periodic Report of Sales and Use Tax - New York

Legal New York State Department of Taxation and Finance New York Legal Forms

Application for Crime Victim Compensation - Alaska

Application for Crime Victim Compensation - Alaska

Legal Alaska Legal Forms Alaska Department of Public Safety

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Instructions for Form IT-20NP, State Form 148 Indiana Nonprofit Organization Unrelated Business Income Tax Return - Indiana, 2023

Instructions for Form IT-20NP, State Form 148 Indiana Nonprofit Organization Unrelated Business Income Tax Return - Indiana, 2023

Legal Indiana Legal Forms Indiana Department of Revenue

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Form C-105.11 Consent to NYS Workers' Compensation Board Jurisdiction for Non-new York Licensed Carriers (3c Coverage) - New York

Form C-105.11 Consent to NYS Workers' Compensation Board Jurisdiction for Non-new York Licensed Carriers (3c Coverage) - New York

Legal New York State Workers' Compensation Board New York Legal Forms

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Form RB-89.1 Rebuttal of Application for Board Review - New York

Form RB-89.1 Rebuttal of Application for Board Review - New York

Legal New York State Workers' Compensation Board New York Legal Forms

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Form C-32AF Carrier's/Self-insured Employer's Affirmation - New York

Form C-32AF Carrier's/Self-insured Employer's Affirmation - New York

Legal New York State Workers' Compensation Board New York Legal Forms

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Form RB-89.2 Application for Reconsideration/Full Board Review - New York

Form RB-89.2 Application for Reconsideration/Full Board Review - New York

Legal New York State Workers' Compensation Board New York Legal Forms

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Form AFF-1 Affirmation for Workers' Compensation Death Benefits - New York

Form AFF-1 Affirmation for Workers' Compensation Death Benefits - New York

Legal New York State Workers' Compensation Board New York Legal Forms

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