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Alabama Forms
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141.
BC/BS Expense Claim
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Alabama
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Claims
142.
Dispensing Physician’s Registration Form
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Alabama
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Other
143.
Withholding Certificate for Pension or Annuity Payments W-4P
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Alabama
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Retirement
144.
Form IB20 Southland Vision Enrollment/Cancellation Form
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Alabama
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Other
145.
Certification of Free Medical Clinic
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Alabama
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Other
146.
Form RSA 14 APAD Acceptable Proof of Age Documents
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Alabama
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Retirement
147.
Department of Defense Dependent School Service
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Alabama
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Retirement
148.
Application for Reinstatement of Physician Assistant/ Anesthesiologist Assistant License
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Alabama
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Other
149.
Application and Certification for Out of State Service Credit
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Alabama
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Retirement
150.
Form 12, Insurance Authorization
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Alabama
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Retirement
151.
Form ERS 10MB Multiple Beneficiaries Attachment
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Alabama
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Retirement
152.
Archival Transmittal Continuation Form
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Alabama
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Administration/Filing Fees
153.
Appendix E Medicaid Forms
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Alabama
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Abortion
154.
Transfer to Purchase Service Credit
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Alabama
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Retirement
155.
Authorization to Defer Compensation
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Alabama
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Retirement
156.
State Record Center Reference Request
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Alabama
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Administration/Filing Fees
157.
Form CL-438 Medical Expense Claim
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Alabama
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Claims
158.
Application for Name Change Alabama Medical License
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Alabama
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Name Change
159.
WC Notice of Cancellation Form WC
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Alabama
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Claims
160.
Transfers from 457 Plans to RSA-1
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Alabama
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Retirement
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