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Model COBRA Continuation Coverage General Notice The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice To use this model general notice properly, the Plan Administrator must fill in the blanks with the appropriate plan information The Department considers use of the model general notice to be good
Department of the Army Letterhead 3 Attached to this request are copies of the Foreign Award Certificate, English Translation of Award Certificate (indicating who translated), and Soldier’s ORB ERB
Department of Labor The guidance recommends employers develop written plans for employee rest and relief, training, acclimatization, and emergency protocols A worksite-specific plan can help prevent heat-related injuries and illnesses while supporting worker health and productivity
datcp. wi. gov Certification: I certify to the best of my knowledge that the information in this application is true and correct and that I am legally authorized to sign and submit this application on behalf of this organization, which is legally eligible to enter into a grant contract
Request for a Hearing - State of Michigan The appointment of an authorized hearing representative must be made in writing and signed by you before that person can make a hearing request or take any other action on your behalf The Hearing request will be denied if it is signed by a person not authorized by law, court order, or a signed statement from you
M21-4, Appendix B - Veterans Affairs , the date of claim (DOC) is the earliest date the claim or information is received in any Department of Veterans Affairs (VA) facility This date should be identified from the earliest VA date stamp For requirements on applications received prior to, or on or after March 24, 2015, see M21-1, Part III, Subpart ii, 2 B 1