151774
This form is used for consenting to the bridging of benefits between Medi-Cal and Healthy Families programs in California. It is available in Arabic.
This form is used for obtaining consent to transition from Medi-Cal to Healthy Families program in California. It is available in Chinese.
This type of document is a consent form used to transition from Medi-Cal to Healthy Families program in California for Hmong individuals.
This Form is used for consenting to bridge from Medi-Cal to Healthy Families in California.
This Form is used for transmitting a determination of a ward's/inmate's Medi-Cal eligibility to the CDCR Public Benefit Specialist in California.
This Form is used for adding additional parties to a small claims or commercial claims case in Nassau County, New York.
This form is used for notifying federal employees about their eligibility for unemployment insurance under the Unemployment Compensation for Federal Employees program.
This form is used for foreign limited liability companies to cancel their authority to do business in the state of Kansas.
This form is used for renewing certification as a motor vehicle inspector in New York.
This form is used for requesting restrictions on the release of individually-identifiable health information through the EHealth Exchange.
This Form is used for conducting an assessment of Supplemental Security Income (SSI) eligibility in the state of California. It helps determine an individual's qualifications for receiving SSI benefits.
This form is used for reporting the cash positions for grains, soybeans, soybean oil, and soybean meal to the Commodities Futures Trading Commission (CFTC).
This document is a sample receipt form used in New York. It can be used to provide a record of payment or transaction details.
This document is a record of a telephone conversation with parents, used to gather information or feedback.
This document is an application form for individuals who want to become child care home providers.
This document sets standards for child care facilities to ensure the health, safety, and well-being of children.
This Form is used for enrolling a child in the Child and Adult Care Food Program in Arizona. It is used to apply for benefits and ensure access to nutritious meals for children in daycare facilities.
This form is used for certifying an individual's appointment to a federal position.
This form is used for requesting to submit a quotation.
This form is used for identifying and listing creditors who have unsecured claims in bankruptcy proceedings.
This document is for a surety bond process serving agency located in New York City. The agency is responsible for handling the process serving of legal documents, ensuring that they are properly delivered to the intended recipients.
This form is used for individuals in California who were in foster care placement on their 18th birthday and are now between 18 and 21 years old. It is an application and statement of facts for various purposes related to their foster care status.
This document provides instructions for the Commercial Revitalization Program in New York City. It explains how to participate in the program and outlines the steps and requirements.
This form is used for filing a complaint regarding possible prohibited political activity.
This Form is used for filing a Georgia state estimated tax return and applying for an extension of time to file a New Jersey Motor Fuels Tax Return.
This form is used for evaluating the performance of Child Care Center monitors in Arizona. It helps measure their effectiveness and ensure quality care for children.
This form is used for reporting and paying taxes related to commuting in a government-provided vehicle.
This form is used for providing instructions and requirements for filing a New York State Garageman's Lien, which is a legal claim on a vehicle for unpaid repairs or storage fees. It outlines the process and necessary documents to file the lien in accordance with New York State law.
This Form is used for granting access to the Caloms Treatment Data System in California.
This form is used for referring property liens in the state of California.
This Form is used for documenting and tracking blood or blood component transfusions.
This form is used for tenants in Nassau County, New York to demand payment of past due rent from their landlord.
This Form is used for issuing an order to detain a defendant temporarily under the criminal statute 18 U.S.C. 3142(d).
This form is used for submitting a voucher for payment under the Federal Tort Claims Act in the United States. It is specifically designed for claims related to personal injury, property damage, or wrongful death caused by federal government employees or agencies. The form helps to streamline the process of seeking compensation for these claims.
This form is used for creating a 90-day transition plan in California.
This form is used for recording and documenting medical information and includes an anatomical figure for visual reference.
This form is used for individuals in California to request a third-party assessment for their welfare-to-work program.