AUTHORIZATION, AGREEMENT B. Request Status …
Office of Personnel Management Standard form 182 Revised December 2006 All previous editions not 1AUTHORIZATION, AGREEMENT AND CERTIFICATION OF training B. Request Status (Mark (X) one) ResubmissionInitialCorrectionCancellatio n1. Applicant's Name (Last, First, Middle Initial) Security Number/Federal Employee Number3. Date of Birth (yyyy-mm-dd)6. Position Level (Mark (X) one) 4. Home Address (Number, Street, City, State, ZIP Code) (Optional)5. Home Telephone (Optional) (Include Area Code)7. Organization Mailing Address (Branch-Division/Office/Bureau/Agency))1 0. Position Title12. Type of Appointment8. OfficeTelephone (Include Area Code and Extension)a. Non-supervisoryb. Managerc. Supervisoryd. Executive9. Work Email Address14. training Accreditation Indicator (Check below)YesNoIf yes, please describe below13. Education Level (click link to view codes or go to page 7)14.
U.S. Office of Personnel Management . Standard Form 182 Revised December 2006 All previous editions not usable. Page 1. AUTHORIZATION, AGREEMENT AND CERTIFICATION OF TRAINING
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