Search results with tag "For office use"
V. FEE SUMMARY (for office use only) CONSTRUCTION …
www.nj.govV. FEE SUMMARY (for office use only) $ 1. Number of Stories VI. BUILDING/SITE CHARACTERISTICS (office use only) 3. Area — Largest Floor sq. ft. 4. New Building Area sq. ft. 5. Volume of New Structure cu. ft. 2. Height of Structure ft. VII. DESCRIPTION OF BUILDING USE A. RESIDENTIAL (primary use) 1. State Specific Use: 2. Use Group, Proposed: 3.
(FOR OFFICE USE ONLY) INSTRUCTIONS: CIVIL COURT OF …
nycourts.gov(FOR OFFICE USE ONLY) CIVIL COURT OF THE CITY OF NEW YORK SMALL CLAIMS PART STATEMENT OF CLAIM INSTRUCTIONS: Place only ONE letter or number in each space and leave a blank space between words. (Your) I. CLAIMANT'S INFORMATION LAST NAME FIRST NAME MIDDLE INITIAL BOROUGH, CITY, STATE ZIP TOWN OR VILL. OTHER INFO [Doing …
PATIENT REGISTRATION INFORMATION - …
myhealthrecord.comFor Office Use Only: Account Number: JWM MD: Date HIPAA Form Signed: Notes: Last Name: First Name: Middle Name: Middle Name 2: Maiden Name: Credentials:
FORM 8 (See Rule 56) FORM OF APPLICATION FOR …
www.mspcindia.orgFORM 8 (See Rule 56) FORM OF APPLICATION FOR REGISTRATION OF PHARMACISTS (UNDER SECTION 33 OF THE PHARMACY ACT, 1948) For office use To be filled in by office For office use
FOR OFFICE USE ONLY State of Rhode Island Division of …
www.tax.ri.govFOR OFFICE USE ONLY PERMIT #_____ BUSINESS APPLICATION and REGISTRATION if YES AND Include Complete Additional Yes No Fee: Sections: Information