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    • EMPLOYEE’S WITHHOLDING ALLOWANCE …

      www.edd.ca.gov/pdf_pub_ctr/de4.pdf

      certificate for your state income tax withholding, you may ... For more information, please call our Taxpayer Assistance Center at 888-745-3886. DE 4 Rev. 45 ...


    certificate for your state income tax withholding, you may ... For more information, please call our Taxpayer Assistance Center at 888-745-3886. DE 4 Rev. 45 ...



    PART B: AMOUNT OF CARE NEEDED: When answering these questions, keep in mind that your patient’s need for care by the employee seeking leave may include assistance ...


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    • CMS 855I Form - Centers for Medicare and …

      www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855i.pdf

      submitted the CMS 855I since 2003 ... contractor) that services your State is responsible for processing your enrollment application. To locate the


    submitted the CMS 855I since 2003 ... contractor) that services your State is responsible for processing your enrollment application. To locate the


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    • Application for Social Security Card

      www.ssa.gov/forms/ss-5.pdf

      Application for a Social Security Card. ... We will return any documents submitted with your application. For assistance call us at 1-800 ... Social Security ...


    Application for a Social Security Card. ... We will return any documents submitted with your application. For assistance call us at 1-800 ... Social Security ...


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    • 21-2680 - vba.va.gov

      www.vba.va.gov/pubs/forms/VBA-21-2680-ARE.pdf

      DOES THE CLAIMANT NEED ASSISTANCE IN BATHING AND ... Information that you furnish may be utilized in computer matching programs with other Federal or state ...


    DOES THE CLAIMANT NEED ASSISTANCE IN BATHING AND ... Information that you furnish may be utilized in computer matching programs with other Federal or state ...



    complete a new Form IL-W-4 to update their exemption amounts and increase their Illinois ... • Call our Taxpayer Assistance Division at 1 800 732-8866 or 217 782-3336


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    • OMB Number: 2900-0798 - U.S. Department of …

      www.va.gov/vaforms/medical/pdf/vha-10-3542-fill.pdf

      OMB Number: 2900-0798 Estimated Burden: ... City, State, Zip below) 3. I am claiming reimbursement of expenses other than ... For assistance in completing the form, ...


    OMB Number: 2900-0798 Estimated Burden: ... City, State, Zip below) 3. I am claiming reimbursement of expenses other than ... For assistance in completing the form, ...


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    • the Family and Medical Leave Act - dol.gov

      www.dol.gov/whd/fmla/employeeguide.pdf

      by state family and medical leave laws. Government agencies (including local, state and federal employers) and elementary and secondary schools are covered by the ...


    by state family and medical leave laws. Government agencies (including local, state and federal employers) and elementary and secondary schools are covered by the ...


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