Reduced form

Results: 215



#Item
151Medicine / Social Security / Government / Disability / Educational psychology / Population / Social Security Disability Insurance / Supplemental Security Income / Developmental disability / Federal assistance in the United States / Social programs / Health

Spokane Transit Reduced Fare Card for Senior Citizens and People who are Disabled E nclosed in this brochure is a form that must be completed in order to apply for Spokane

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Source URL: www.spokanetransit.com

Language: English - Date: 2014-06-13 14:21:35
152Construction / Irrigation / Reduced pressure zone device / Backflow / Check valve / Calibration / Heart valve / Backflow prevention device / Plumbing / Fluid mechanics / Valves

BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE RECORD City of Bethlehem Water Bureau THIS FORM MUST BE COMPLETED BY A CERTIFIED BACKFLOW ASSEMBLY TECHNICIAN I. GENERAL INFORMATION Job Number Return to BWB no later t

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Source URL: www.bethlehem-pa.gov

Language: English - Date: 2008-09-24 07:44:13
153Meals / Dinner / Lunch

Meal Plan for International Horseshoe Crab Symposium Print Form There are two ways to sign up for meals: 1) select the entire meal plan or 2) select individual meals. Meals are being offered at a reduced cost as part of

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Source URL: www.horseshoecrab.org

Language: English - Date: 2008-08-27 14:26:55
154

Print Form CELLULAR DEVICES REDUCED PURSUANT TO EXECUTIVE ORDER B-1-11 CERTIFICATION

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Source URL: www.documents.dgs.ca.gov

Language: English - Date: 2011-07-15 12:32:35
    155Multisport / Prevention / Security / Safety / Helmets / Protective gear / Hockey helmet

    2009 HELMET ORDER FORM Vermont SAFE KIDS is a chapter of the National SAFE KIDS Coalition. This partnership allows us to offer bicycle and multisport helmets at reduced prices. All helmets meet the Consumer Products Safe

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    Source URL: www.healthandlearning.org

    Language: English - Date: 2013-01-08 11:20:23
    156Disability / Educational psychology / Population / Medicare / Cerebral palsy / Government / Federal assistance in the United States / Social programs / Health

    REDUCED FARE PROGRAM Fixed Route Bus Service Only INSTRUCTIONS – FULL FORM [Use this form if you have a disability and do not have a Medicare Card] Reduced Fare is for those individuals that are age 65 and older or tha

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    Source URL: dartfirststate.com

    Language: English - Date: 2013-07-16 15:54:08
    157Presidency of Lyndon B. Johnson / Government / Medicare card / Medicare / Security / Identity document / Health / Manatee County Area Transit / Medicare Advantage / Healthcare in Australia / Federal assistance in the United States / Healthcare reform in the United States

    REDUCED FARE APPLICATION Fixed Route Bus Service Only INSTRUCTIONS – SIMPLIFIED FORM [Use this application if you are 65 or older or have a Medicare Card] If you have a disability and do not have a Medicare Card, you m

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    Source URL: dartfirststate.com

    Language: English - Date: 2013-07-16 15:54:08
    158

    Reduced Change Reporting for Food Stamps - Phase IIB - Six Month Report Form, Operations Memo 04-27

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    Source URL: www.dhs.wisconsin.gov

    Language: English - Date: 2004-05-26 09:28:36
      159Break / Snack food / Reduced price meal / Dinner / Meals / Lunch / Supper

      REQUEST FOR CHANGES OF MEAL TIMES, OPERATION HOURS AND/OR/NUMBER OF DAYS When a time change is required, please complete this form stating the current meal times, operation hours and/or number of days. Then complete the

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      Source URL: www.mtnstatesgroup.org

      Language: English - Date: 2012-11-02 18:03:37
      160Telephony / Electronics / Mobile phone / New media / Videotelephony / In case of emergency / Notification system / Technology / Electronic engineering / Mobile telecommunications

      NASA AOD FLIGHT OPERATIONS REDUCED GRAVITY MISHAP NOTIFICATION FORM THIS FORM IS DUE IMMEDIATELY UPON ARRIVAL AT ELLINGTON FIELD. This form will be used for notification purposes in the event of an emergency. PRINT CLEAR

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      Source URL: jsc-aircraft-ops.jsc.nasa.gov

      Language: English - Date: 2013-02-14 13:35:26
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