UP Service Units Regions 2021

Pine Bluff Memphis Dexter Jct Poplar Bluff Little Rock Oklahoma City Wichita Wagoner Topeka Sharon Springs Kansas City St. Louis Jefferson City Des Moines Minneapolis St. Paul Duluth Milwaukee Butler Adams Chicago Woodland Jct. Fort Madison Joliet Omaha North Platte Cheyenne Denver Salt Lake City Ogden Granger Mounds Carlin Elko Wells Pocatello

  Pine, Bluff, Pine bluff

OMB No. 0607-1006: Approval Expires 11/30/2021

Person 2 3 1. Print name of Last Name(s) First Name MI If more people were counted in Question 1 on the front page, continue with Person 3 on the next page. 2. IJ Does this person usually live or stay somewhere else?