Office of the new york state comptroller new york state and local retirement system employees' retirement system police and fire retirement system 110 state street, albany, new york 12244-1 application for military service credit under article...
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Continued health care benefit program (chcbp) application form approved omb no. 0704-0364 expires jun 30, 2005 please do not return your application to the above address. return completed application with premium payment to: humana military...
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(this form is affected by the privacy act of 1974. use blanket pas - dd form 2005.) receipt for records and patients property to: (include zip code) from: (include zip code) date type of separation records 1. va form 10-10, application for medical...
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Application for 10-point veteran preference (to be used by veterans & relatives of veterans) u.s. office of personnel management person applying for preference 1. name (last, first, middle) form approved: o.m.b. no. 3206-1 2. name of civil service...
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Continued health care benefit program (chcbp) summary what is the chcbp? the continued health care benefit program (chcbp) is a program of temporary health benefit coverage for certain eligible individuals who lose military health benefits. the...
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Application for combat-related special compensation (crsc) privacy act statement authority: 10 u.s.c. 1413a, e.o. 9397, november 1943 (ssn), pdusd(p&r) memorandum (may 21, 2003), subject: combat-related special compensation (crsc). principal...
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Application for combat-related special compensation (crsc) privacy act statement authority: 10 u.s.c. 1413a, e.o. 9397, november 1943 (ssn), pdusd(p&r) memorandum (may 21, 2003), subject: combat-related special compensation (crsc). principal...
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Application for combat-related special compensation (crsc)privacy act statementauthority: 10 u.s. code 1413a, as amended; e.o. 9397, november 1943 (ssn).principal purpose(s): used by career retirees to apply for combat-related special compensation...
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Claim for retroactive stop loss payment (read privacy act statement and instructions before completing form.) omb no. 0704-0464 the public reporting burden for this collection of information is estimated to average 30 minutes per response,...
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Mv-150 (4-10) bureau of motor vehicles 1101 s. front street harrisburg, pa 17104 application for u.s. military veteran registration plate check the applicable block below. note: if your vehicle does not have current registration and you are...
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Registration for plumbing apprentice michigan department of licensing and regulatory affairs bureau of construction codes / plumbing division p.o. box 30255, lansing, mi 48909 517-241-9330 .michigan.gov/bcc this form can be completed by tabbing to...
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Iowa state fire marshal division attn: licensing administrator 215 e seventh street; des moines, ia 50319 email: fmlicensinginfo dps.state.ia.us application checklists (effective immediately) 1. do not mail an incomplete application packet or it...
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Print form disabled veterans' real estate tax exemption program application for exemption from real property taxes every blank must have an entry or the application will be returned. no determination can be made until all required information is...
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Application for certified copy of dd-214 1 dd-214 information: number of copies requested: name of veteran first middle last year document recorded 2 applicant information: name: first middle last address: number and street city state zip code...
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Form mv-9w (rev. 08-2014) web and mv manual clear print georgia department of revenue - motor vehicle division request for manufacture of a special veteran license plate purpose of this form: this form is to be used to apply for a military license...
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