Last Updated 12/01/2008 07:51:59 AM CST
Forms - DHS Fed
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PRODUCT BRANDS & MODELS
MAY VARY DURING CONTRACT CHANGES
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000000000SSA827
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AUTHORIZATION TO DISCLOSE THE
SSA,ICN 159250 REV 6/03 (100/PK) 24-J |
PK |
$5.00 |
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Quantity On Hand: 374 |
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0000000SSA64039
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BOOK, DISABILITY EVALUATION UN
DER SOCIAL SECURITY EA. ICN 468600 1/05 (YELLOW) 36-C |
EA |
$0.25 |
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Quantity On Hand: 144 |
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0000000SSA64045
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BOOK, EVALUATING DISABILITY
UNDER SOCIAL SECURITY ICN 953650 PK/10 (YELLOW) |
PK |
$2.50 |
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Quantity On Hand: 0 |
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000000025-01307
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BOOK, TITLE II, FUNDAMENTALS,
ICN 964108 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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000000025-01308
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BOOK, TITLE II,FUNDAMENTALS,
ICN 964109 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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000000024-01338
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BOOK, TITLE XVI, FUNDAMENTALS,
ICN 963772 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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000000025-01337
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BOOK, TITLE XVI, FUNDAMENTALS,
ICN 963771 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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00000000SSA1128
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CARD, ATTORNEY REPRESENTATION
100/PD 8735 ICN 177500 REV 8/2005 (YELLOW) 24-J |
PD |
$5.00 |
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Quantity On Hand: 267 |
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0000000SSA538F6
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EVALUATION, CHILDHOOD
DISABILITY PK/100 WAS SSA538F4 ICN 007800, REVISION: 01/2001 36-A |
PK |
$5.00 |
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Quantity On Hand: 5 |
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000000000009414
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FOLDER, FEDERAL CASE
ICN 617498, 3 BX/100 PER CASE (YELLOW) 24-J |
BX |
$2.00 |
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Quantity On Hand: 54 |
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0SSAPUBNO640617
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FOLDER, FILE YELLOW MULTI
SECTION ICN: 440200 50/CS (YELLOW) 36-A |
CS |
$50.00 |
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Quantity On Hand: 7 |
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00000000SSA2640
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FORM, DISABILITY HEARING
CASE PK/100. ICN 290496 |
PK |
$5.00 |
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Quantity On Hand: 11 |
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00000000SSA2200
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FORM, MONITORED TERICASE,
(HUMAN SERV DDS ONLY)PK/100, ICN 289093 36-C |
PK |
$5.00 |
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Quantity On Hand: 0 |
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000000SSA2506BK
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FORM, PSYCHIATRIC TEECH,
ICN 290085, 100/PK 8753 24-J |
PK |
$5.00 |
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Quantity On Hand: 113 |
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0000000SSA64068
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FORM, USE OF AUTOMATED PERIMET
Y IN THE SS DISABILITY PROGRAM ICN 436936 EACH (YELLOW) |
EA |
$0.05 |
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Quantity On Hand: 0 |
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0000000SSA64048
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GUIDE, CHILLDHOOD DISABILITY:
FOR PHYSICIANS/HEALTH PROFESSONALS ICN ICN 436930 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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0000000SSA64049
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GUIDE, CHILLDHOOD DISABILITY:
FOR SCHOOL PROFESSIONALS ICN 43935 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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000000025-01432
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GUIDE, INSTRUCTOR/COORDINATOR
ICN 963437 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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000000025-01434
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GUIDE, INSTRUCTOR/COORDINATOR
UNIT 2 ICN 963439 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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000000025-01438
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GUIDE, STRUCTOR/COORDINATOR
UNIT 6 ICN 963442 (YELLOW) |
EA |
$0.25 |
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Quantity On Hand: 0 |
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000000000SSA865
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NOTICE, SPECIAL INSTRUCTION
CE/DISABILITY, PD/100. 8726 ICN 162625 (YELLOW) 36-B |
PD |
$5.00 |
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Quantity On Hand: 158 |
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00SSAPUB0510061
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PAMPHLET THE TICKET TO
WORK AND SELF SUFFICENCY PROGRAM 100/PK ICN 463262 REV. 7/08 36-A |
PK |
$4.00 |
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Quantity On Hand: 100 |
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00SSAPUB7010281
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PAMPHLET SS YOUR RIGHT TO
HEARING/REVIEW OF YOUR SS CASE 100/PK RED, WHITE, BLUE 36-A |
PK |
$5.00 |
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Quantity On Hand: 116 |
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00SSAPUB0510072
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PAMPHLET, HOW YOU EARN SOCIAL
SECURITY CREDITS 100/PK ICN 467510, 8776 (YELLOW) 36-B,I |
PK |
$5.00 |
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Quantity On Hand: 1,109 |
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00SSAPUB0510058
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PAMPHLET, QUESTION THE DECISIO
N/SS CLAIM, PK/100, 8775 ICN 463250 03/07 (YELLOW) 36-B |
PK |
$5.00 |
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Quantity On Hand: 62 |
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00SSAPUB0510087
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PAMPHLET, SPECIAL EXAM/
DISABILITY CLAIM, PK/100. ICN 468580, 8777 3/07 (YELLOW) 36-C |
PK |
$5.00 |
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Quantity On Hand: 0 |
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00SSAPUB0510095
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PAMPHLET, WORKING WHILE DISABL
HOW SOCIAL SECURITY CAN HELP ICN 468625, PK/100 36-C |
PK |
$5.00 |
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Quantity On Hand: 1,465 |
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00SSAPUB0511008
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PAMPHLET, YOUR RIGHT TO QUESTI
ON, PK/100. 10/04 ICN 480246 THE DECISION MADE ON YOUR SSI CLAIM. |
PK |
$5.00 |
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Quantity On Hand: 62 |
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00000000SSA1994
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REPORT, CONFIDENTIAL
ICN 283500, PK/100. 8752 (YELLOW) 36-B |
PK |
$5.00 |
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Quantity On Hand: 26 |
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00000000SSA5002
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REPORT, OF CONTACT,
ICN 304500, PD/100. 8769 (YELLOW) 36-B |
PD |
$5.00 |
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Quantity On Hand: 705 |
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000000000SSA408
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SLIP, ROUTE SSA-408,
ICN 087250, 8705, PD/100. (YELLOW) 36-B,C |
PD |
$5.00 |
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Quantity On Hand: 6,707 |
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