№ lp_1_2_21627
File format: docx
Character count: 4896
File size: 115 KB
The document provides a detailed client referral form for individuals seeking supported independent living (SIL) services, collecting personal, medical, and support requirements, along with consent for information sharing.
Note:
Year
Subject:
Referral Form for Client Support
Document Type:
Referral Form
Organization / Institution:
Rise Network
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
Not provided
Region / City:
Not specified
Topic:
Research ethics, manuscript submission
Document type:
Template
Author:
Not specified
Target audience:
Authors submitting research articles
Period of validity:
Not provided
Approval date:
Not specified
Date of changes:
Not specified
Year:
2026
Region / City:
United States
Topic:
Occupational illness compensation, impairment evaluation
Document type:
Letter, response form
Organization / Institution:
U.S. Department of Labor, Office of Workers’ Compensation Programs
Author:
Unknown
Target audience:
Claimants under EEOICPA
Period of validity:
Indefinite
Approval date:
Not provided
Modification date:
Not provided
Year:
2025
Region / City:
Irvine, California
Topic:
Human Research Protection, IRB, FDA Compliance, HIPAA
Document Type:
Letter
Institution:
University of California, Irvine
Author:
UC Irvine Investigators
Target Audience:
Study sponsors, UC Irvine researchers
Effective Period:
Ongoing
Approval Date:
January 31, 2003
Amendment Date:
September 15, 2025
Year:
2023
Region / City:
Eastern Atlantic and the Mediterranean
Subject:
Bluefin Tuna Management and Reporting
Document Type:
Recommendation
Organization / Institution:
ICCAT
Author:
ICCAT Secretariat
Target Audience:
CPCs (Contracting Parties and Cooperating non-Contracting Parties)
Period of validity:
Ongoing
Approval Date:
N/A
Date of Amendments:
N/A
Year:
2023
Region / city:
Australia
Topic:
Oncology, Pharmaceuticals
Document Type:
Resubmission
Institution:
Australian Government, Pharmaceutical Benefits Advisory Committee
Author:
AstraZeneca Pty Ltd.
Target Audience:
Healthcare professionals, regulatory bodies
Effective Period:
Ongoing
Approval Date:
November 2021
Date of Changes:
November 2021
Year:
2023
Region / city:
United Kingdom
Subject:
Export procedure codes, returned goods relief
Document type:
Official trade tariff appendix
Issuing authority:
HM Revenue & Customs
Related legislation:
Council Regulation (EU) No. 952/2013; Commission Delegated Regulation (EU) No. 2015/2446; Commission Implementing Regulation (EU) No. 2015/2447
Procedure codes covered:
23 00
Declaration categories:
B1, B4, C1
Declaration types:
EX, CO
Additional declaration types:
D, F, K, Y, Z
Relevant notices:
Notice 236, Notice 275
Intended users:
Exporters submitting UK export declarations
Scope:
Temporary exportation of goods for re-importation under Returned Goods Relief (RGR)
Year:
2017
Region / City:
United States
Topic:
Healthcare, Insurance, State-based Marketplaces
Document Type:
Approval Request
Organ / Institution:
Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO)
Author:
Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO)
Target Audience:
State-based Exchange Administrators, Insurance Program Managers
Period of Validity:
Until December 31, 2017
Approval Date:
December 7, 2017
Amendment Date:
Not specified
Year:
Not specified
Region / City:
Not specified
Theme:
Research Ethics, Author Contribution Statements
Document Type:
Template
Institution:
Not specified
Author:
Not specified
Target Audience:
Researchers, Authors
Period of Validity:
Not specified
Date of Approval:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / city:
Not specified
Subject:
Ethical considerations in academic manuscript submission
Document type:
Submission template
Institution / organization:
Not specified
Author:
Not specified
Target audience:
Authors submitting manuscripts for academic journals
Effective period:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Year:
2025
Region / City:
Wisconsin
Topic:
Health Services
Document Type:
Form
Organization:
Department of Health Services, Division of Public Health
Author:
Department of Health Services
Target Audience:
Managed Care Organizations, IRIS Consultant Agencies, PACE Organizations, Bureau of Quality & Oversight
Period of Effectiveness:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Contextual Description:
Form used by organizations to request disenrollment from the Family Care, PACE, Partnership, and IRIS programs in Wisconsin.
Year:
2025
Region / city:
Brussels
Topic:
Civil society, democracy, fundamental rights, rule of law
Document type:
Opinion
Organization / institution:
European Economic and Social Committee
Author:
European Economic and Social Committee
Target audience:
Civil society organizations, European Commission, policy makers
Period of validity:
N/A
Approval date:
17 July 2025
Date of amendments:
N/A
Year:
Not specified
Region / City:
Not specified
Subject:
Involuntary disenrollment from the Health Home program
Document Type:
Procedure/Guideline
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Health Home Care Coordinators, Lead
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
Procedure for handling involuntary disenrollment from the Health Home program due to beneficiary behaviors or environmental concerns.
Year:
[Year]
Region / City:
[Local Agency Name]
Theme:
[Type of Services]
Document Type:
Request for Proposals (RFP)
Agency / Organization:
[Agency Name]
Author:
[Agency Name]
Target Audience:
Consultants and Contractors
Period of Validity:
[Contract period, if provided]
Approval Date:
[Date proposals are due]
Modification Date:
[Date if any changes are made]
Note:
Year
Theme:
Child development, Early Years Education
Document type:
Progress Check
Target audience:
Parents, caregivers, childcare providers
Contextual description:
A progress check document assessing the developmental milestones of a child at age two, focusing on key areas such as communication, physical, social, and emotional development, completed by the childcare provider.
Year:
2017
Region / Institution:
University of Iowa
Department:
Biology
Employee:
Ima Hawk
Position:
HR Associate / PGA1
Supervisor:
Ura Boss
Initiated by:
Ura Boss
Date Initiated:
11/6/2017
Date of Last Review:
6/8/2017
Date Signed:
11/13/2017
Type of Document:
Career Development Record
Scope:
Employee responsibilities, performance evaluation, compliance tracking
Note:
with “[Your COG’s name] 205(j) Grant Proposal” in the subject line by midnight on Thursday, September 18, 2025.
Year:
2025
Region / City:
North Carolina, USA
Subject:
Water Quality Grant Proposal
Document Type:
Application Form
Organization:
North Carolina Department of Environmental Quality
Author:
Robin Hoffman
Target Audience:
Local government agencies, organizations, and project managers
Period of validity:
September 18, 2025
Approval Date:
Not specified
Amendment Date:
Not specified
Note:
and the site visit team chair eight (8) weeks prior to the site visit)(4.2024)
Year:
2024
Region / City:
N/A
Theme:
Accreditation
Document Type:
Schedule Template
Organization / Institution:
ARC-PA
Author:
N/A
Target Audience:
Program administrators, Site visit team
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A