Transcription of AD-349, Employee Address
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AD-349, Employee Address
FORM AD-349(REV. 12/93)AGENCY USEAGENCY1. name (Last, first , middle )2. SOCIAL SECURITY STREET Address OR BOX5. CITY NAMECITY CODE6. STATE or COUNTRY NAME7. ZIP CODE13. SIGNATURE OF EMPLOYEE14. DATE DEPARTMENT OF AGRICULTUREEMPLOYEE ADDRESSACTIONCODEEFFECTIVEDATESECTION IComplete Section I with your current or new residence mailing Address . This Address is used tomail out Employee Pay and TSP statements, W-2 forms and other personal documents. NOTE: This form does not change the Savings Bond APT USECOUNTY CODESTATE OR COUNTRY CODESECTION IIFOR EMPLOYEES WITH DIRECT DEPOSIT COMPLETE BLOCKS 13 AND 14 who wish to receive their checks in the mail complete blocks 8 through 14 withyour current or new check mailing STREET Address or BOX10.
form ad-349 (rev. 12/93) agency use agency 1. nam e (last, first, middle) 2. social security no. 3. street address or p.o. box 5. city name city code 6. state or country name 7.
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