Department of the treasury please print or type 1. exporter name and address united states customs service north american free trade agreement certificate of origin 19 cfr 181.11, 181.22 2. blanket period from to tax identification number: 3....
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Ocfs-4880 (10/2008) front new york state office of children and family services individual training tracking form for child care personnel individual's name: director/provider: title: license/ registration period ccfs license/registration number...
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Css-sub-01 nys opwdd consolidated supports and services (css) start-up broker agreement this agreement identifies for the broker, the participant and family services that should be provided by the startup broker and the expected outcomes of this...
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Work order invoice number company name date due: person ordering phone time: proof date: address will call city, state, zip call dates: delivery ship am pm / / / / / / purchase order no. job description # custom stock (include 5% over each...
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Tuition reimbursement program undergraduate reimbursement request form instructions after each class ends the tuition reimbursement department must receive a completed copy of this form, a copy of your grade report, and an itemized receipt...
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Request/consent for information from previous employer on alcohol & controlled substances testing print name of applicant: social security no.: i authorize my previous employer, at address: and phone number: to release and forward information...
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Schl readiness provider applicationfy 2011-2012who must complete the application?each private provider or public school (homes, informal care, school age) delivering school readiness (sr)services and receiving compensation must complete this...
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Ssa support. services. alliance. an excellus company mail claim to: ssa, inc. po box 340 cobleskill, ny 12043 (800) 322-3920 fax (518) 234-3026 flexible spending plan reimbursement request form for plan year personal information employer st....
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T.r.form no.-7 (see t.r. ) challan for deposit of money in the account of government of west bengal 1. name of the bank & branch: 2. (a). name of the treasury: (b). treasury code: 3. account code: (14- digits must be filled up properly) 3. detail...
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Blanket earnings and expense application/worksheet public sector services name of insured mailing address of applicant (no., street, city, state, zip) description of operations proposed effective date operations locations location address location...
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I financial aid office 9045 lincoln boulevard, los angeles, california 90045 tel 310 665 6880 fax 310 665 6884 email otisaid otis.edu website .otis.edu/finaid 20132014 independent child support verification your free application for federal...
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