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This Form is used for requesting summary administration and consent in the state of New Hampshire.
This Form is used for adding an addendum to Form ODM03623 for Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) in Ohio. It specifically addresses Behavioral Redirection and Medical Monitoring Outlier Services.
This Form is used for adding an additional note to the ODM03623 form specifically for Nursing Facilities (NFS) in Ohio providing Pediatric Outlier Services.
This form is used for nursing facilities in Ohio to request traumatic brain injury outlier services.
This form is used for submitting an adjustment request specifically for hospitals in the state of Ohio.
This form is used for submitting an adjustment request in the state of Ohio.
This form is used for parents or guardians in Ohio to provide an affidavit of identity for a child who is 16 years old or younger.
This document is used for non-agency-employed service providers participating in the Home Choice Demonstration Program in Ohio. It is an affidavit of tax payment compliance.
This form is used for authorizing an agreement between the state Medicaid program and an ICF-MR facility in Ohio for individual assessments.
This form is used for authorizing the issuance of a certificate of group health plan coverage in the state of Ohio.
This Form is used for declaring the coverage of a Group Health Plan in Ohio. It provides a certificate stating the details of the plan and the coverage it offers.
This form is used for the technical section of elevator subcode in New Jersey.
This Form is used for submitting additional information related to elevator code compliance for multiple equipment in the state of New Jersey.
This Form is used for submitting an application for a variation in the state of New Jersey. Applicants can use this form to request a change or amendment to an existing license or permit issued by the Uniform Construction Code (UCC).
This document provides assurances and contract details for heating system improvement dealers and service providers in New Jersey. It ensures that customers receive quality service and protection for their heating systems.
This form is used for keeping a record of your work search activities in New Jersey. It helps track your efforts in finding employment and may be required by the state's unemployment insurance program.
This form is used by individuals in New Jersey to complete a worksheet for reemployment services and eligibility assessment.
This form is used for disclosing site improvements by the landlord in a manufactured dwelling park in Oregon.
This form is used for renewing various licenses in New Jersey, such as driver's licenses, professional licenses, or business licenses.
This type of document is a grant application form specifically for obtaining riparian grants in the state of New Jersey.
This form is used for collecting and organizing data from organizations in the state of New Jersey.
This document is used for stating ownership of property in New Jersey.
This document is used as an addendum to include additional signatures on legal agreements or contracts in the state of New Jersey. It allows for the parties involved to sign and acknowledge any changes or additions made to the original document.
This document is used for submitting an addendum to the UCS-840C form, which is used in the Commercial Division of the New York court system to request judicial intervention.
This document is a checklist for creating, restoring, or enhancing a coastal wetland as part of a mitigation proposal in New Jersey.
This Form is used for requesting a refund related to land use regulation fees paid in the state of New Jersey.
This form is used for property owners in New Jersey to certify their electronic submission of a Letter of Interpretation (E-LOI).
This form is used for providing the necessary information required for a Highlands Jurisdictional Determination in New Jersey.
This document is a checklist for the Highlands Resource Area Determination (HRAD) application in the state of New Jersey. It provides guidance and ensures that all necessary information and materials are included in the application process.
This document is a checklist for the Highlands Preservation General Permit Authorization Application in New Jersey. It provides guidance on the required information and documents needed for this application process.
This document provides a model newspaper advertisement checklist for the Highlands Application process in New Jersey. It outlines the necessary steps and requirements for placing an advertisement in a newspaper for the application process.
This form is used for notifying individuals or businesses in New Jersey about the applicability of Highlands regulations and requirements.