Professional legal forms

Certificate of origin template... DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection United States-Caribbean Basin Trade Partnership Act (CBTPA) OMB 1651-0083 Exp. 08-31-2013 CERTIFICATE OF ORIGIN 19 CFR 10.234, 10.236

Fema elevation form fillable FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO. 3067-0147 Expires September 30, 2005 ELEVATION FORM PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this form is estimated to average

Us customs air worthiness cert... U.S. Department of Transportation INFORMATION FOR APPLICANT Federal Aviation Administration APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE Privacy Act Statement Information on FAA Form 8130-6, Application

Bi 154 birth certificate form G.P.-S. 017-0174 BI-154 REPUBLIC OF SOUTH AFRICA DEPARTMENT OF HOME AFFAIRS APPLICATION FOR BIRTH CERTIFICATE This form must be handed in at a Regional or District office together with the prescribed

Alaska certificate of fitness... APPLICATION FOR CERTIFICATE OF FITNESS Alaska Department of Labor & Workforce Development Mechanical Inspection 3301 Eagle Street, Suite 302 Anchorage, Alaska 99503-4149 Anchorage (907) 269-4925

Nj certificate rehabilitation... ROSS CHAIRMAN SAMUEL J. PLUMERI JR. VICE-CHAIRMAN Application for Certificate of Rehabilitation Certificate Suspending Certain Employment Occupational Disabilities or Forfeitures Instructions All questions must be answered in full. Use typewriter or print legibly in ink. You may attach additional sheets to provide the information required please number your answers accordingly. Send the completed application to New Jersey State Parole Board PO Box 862 Trenton NJ 08625-0862 NAME ADDRESS TEL. I am requesting a Certificate for the following reason state reason for Certificate and/or identify the specific license or public employment position you are seeking 1. State of New Jersey CHRIS CHRISTIE GOVERNOR KIM GUADAGNO NEW JERSEY STATE PAROLE BOARD P. O. BOX 862 TRENTON NEW JERSEY 08625 TELEPHONE NUMBER 609 292-4257 YOLETTE C. ROSS CHAIRMAN SAMUEL J* PLUMERI JR* VICE-CHAIRMAN Application for Certificate of Rehabilitation Certificate Suspending Certain Employment Occupational Disabilities or Forfeitures Instructions All questions must be answered in full* Use typewriter or print legibly in ink. You may attach additional sheets to provide the information required please number your answers accordingly. Send the completed application to New Jersey State Parole Board PO Box 862 Trenton NJ 08625-0862 NAME ADDRESS TEL* I am requesting a Certificate for the following reason state reason for Certificate and/or identify the specific license or public employment position you are seeking 1. List any other names by which you have been known 2. Provide all previous NJDOC SBI or other identification numbers New Jersey Is An Equal Opportunity Employer List Date of Parole Parole District Office or location Max Date end of supervision Did you successfully complete your parole term without any violation of parole or sanction Yes No If you answered No explain how you violated parole and the Final Revocation Decision made by the Board Panel 4. Date of Birth Soc* Sec* Drivers Lic* State 5. Have you been arrested since your release from parole supervision If so list the date of arrest the specific offense and the arresting agency or Police Dept. 6. List all final Court disposition s pertaining to any arrest noted in item 5 Date of Sentence Location of Court Sentence Fine etc* 7. Do you currently have a pending charge against you If yes list the date of arrest specific offense and arresting agency or Police Dept. 8. List each term of community supervision Parole and/or Probation Agency Date Supervision Began Date of Discharge Violation 9. List each instance or occasion you were incarcerated in a State or County correctional facility NJ and any other jurisdictions must be included Name and Location of Facility Date Entered Date Released 10. List all offenses for which you have been convicted as an adult offender or adjudicated delinquent as a juvenile offender. You must include the specific offense type and degree of the offense for which you were convicted or 11. Have you been the subject of any action under the Prevention of Domestic Violence Act or had a restraining order placed against you since your release from parole supervision If yes please explain in detail 12.

Death certificate south caroli... A photocopy of a government, school or employer photo identification must be submitted with all requests. Applications without proper identification will be returned unprocessed. Vital Records Marriage/Divorce

Dmv vehicle removal certificat... VEHICLE REMOVAL CERTIFICATE Purpose: VSA 40 (10/01/2009) This form is used by any person (individual, business, government; see VA Code 1-230) or their authorized agents to track and record the disposition

Online certificate fillable ll... DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 49 C.F.R. PART 26 UNIFORM CERTIFICATION APPLICATION ROADMAP FOR APPLICANTS Should I apply? o o o o Is your firm at least 51%-owned by a socially and economically

Fax application for wisconsin... DEPARTMENT OF HEALTH SERVICES Division of Public. Health F-05292 Rev. 01/15 STATE OF WISCONSIN Chapter 69. 21 1a 2b Wis. Stats Page 1 of 2 FAX APPLICATION FOR A WISCONSIN BIRTH CERTIFICATE Personally identifying information requested on this form including credit card information and your signature will be used to process your application and payment for the requested copies.

Disability parking certificate... There is a fee of 5 per commercial disability parking certificate requested. Commercial parking certificates are issued for three-year periods. You may qualify for two 2 certificates if you do not have disability license plates. Parking certificates are valid until the last day of the month indicated on the certificate. Residents of other states must make an application for Permanent Certificates in their home states. HOW DO I USE THE DISABILITY PARKING CERTIFICATE or the passenger. mirror is illegal and very dangerous. Certificates cannot be issued to taxi or limousine services as their disabled patrons should have their own personal parking certificates. Knowingly allowing the misuse of the certificate or disability license plates shall result in the cancelation of disability parking privileges. MISUSE OF PARKING PRIVILEGE Any unauthorized use or reproduction of the Department issued Disability Parking Certificate is subject to the revocation of parking privilege. The disability must be re-certified before a new or subsequent parking certificate will be issued. Persons with a permanent disability are issued a 6 Year Certificate. TDD 651 282-6555 Web dvs. dps. mn.gov Applications new and renewal for commercial disability parking certificates must be made in a written request format explaining the proposed certificate usage in conjunction with the transportation of disabled individuals as well as internal controls i.e. ensuring proper accountability of the certificates. MINNESOTA DEPARTMENT OF PUBLIC SAFETY DRIVER AND VEHICLE SERVICES Print Form FOR CENTRAL OFFICE USE ONLY 445 Minnesota Street St* Paul MN 55101-5164 Phone 651 297-3377 Web dvs. Two certificates are not an option if applicant has disability license plates If applying for replacement check reason Lost Stolen Damaged Other Please Explain I hereby certify the above information is complete and accurate to the best of my knowledge. I also give permission to the Health Professional to supply the information requested* Date Signature Certificate Type HEALTH PROFESSIONAL MEDICAL STATEMENT SECTION Fee 5 ea* Temporary 1 to 6 Months Must Specify Short Term 7 to 12 Months No Fee Long-Term 13 to 71 Months 6-year Certificate For permanent disabilities g Certificate Expiration Date / Month IMPORTANT If no date is indicated the certificate will be issued for the minimum duration of certificate type Year The applicant must meet one or more of the definition s of a physically disabled person described below Check which definition s the applicant meets Listing symptoms such as Back Pain Leg Pain etc* will require further explanation causing delays in issuance. Incomplete/missing information will cause significant delays in issuance Deputy Stamp Has a cardiac condition to the extent that the applicant s functional limitations are classified in severity as Class III or Class IV according to the standards set by the American Heart Association* Uses portable oxygen Has an arterial oxygen tension PAO2 of less than 60 mm/Hg on room air at rest.

Ar birth certificate applicati... ARKANSAS DEPARTMENT OF HEALTH VITAL RECORDS Slot 44 4815 West Markham Street Little Rock AR 72205 Date BIRTH CERTIFICATE APPLICATION Only Arkansas births are recorded in this office. Overnight shipping is available for an additional fee. AMOUNT OF MONEY ENCLOSED Walk-in You may order a certified copy of the birth record by coming into this office. Orders are accepted for same day issuance from 8 00 A. M. until 4 00 P. M. Monday through Friday. The office is located at 4815 West Markham St. Little Rock AR 72205. There are a limited number of birth records filed in this office prior to February 1 1914. The fee is 12. 00 for the first copy ordered and 10. 00 for each additional copy of the same record. The fee must accompany the application* Send check or money order payable to the Arkansas Department of Health. DO NOT SEND CASH. Of the total fee you send 12. 00 will be kept to cover search charges if no record of the birth is found. Only the names and dates listed will be searched for the 12. 00 fee. Names and other dates submitted later will require an additional 12. 00 non-refundable fee. Mail this application a copy of your photo id and the money to the address above. Please allow 4-6 weeks for delivery. List Below All Possible Birth Dates and Names Under Which the Certificate May be Registered* Type or Print First Name Middle Name Last Name 1 Full Name at Birth Date of Birth Month Day City or Town Year County Sex Age Last Birthday State Place of Birth Name of Hospital or Street Address Full Name of Father 5. Full Maiden Name of Mother Name Before Marriage If this child has been adopted please give original name if known* If this is a delayed certificate when was it filed What is your relationship to the person whose certificate is being requested Is the person whose certificate is being requested still living Yes No Signature and telephone number of person requesting this certificate. X All requests for certificates require photo identification* Certificates may also be ordered by the following methods Internet www. vitalchek. com* All internet orders are expedited* The service fee and the certificate fee are charged to your debit or credit card Visa Master Card Discover or American Express. Overnight shipping is available for an additional fee. HOW MANY 1st copy costs 12. 00 Each additional copy costs 10. 00 OR Telephone Toll free 866 209-9482. All telephone orders are expedited* The service fee and the certificate fee are charged to your debit or credit card Visa Master Card Discover or American Express. Overnight shipping is available for an additional fee. AMOUNT OF MONEY ENCLOSED Walk-in You may order a certified copy of the birth record by coming into this office. Orders are accepted for same day issuance from 8 00 A. M. until 4 00 P. M. Monday through Friday. The office is located at 4815 West Markham St* Little Rock AR 72205. Please order family history and genealogy by mail or internet. Please PRINT the name and address of the person who is to receive this request on the line below.

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