Transcription of AUTHORIZATION, AGREEMENT B. Request Status …
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AUTHORIZATION, AGREEMENT B. Request Status …
Office of Personnel Management Standard Form 182 Revised December 2006 All previous editions not 1 AUTHORIZATION, 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.
1a. Immediate Supervisor - Name and title 1b. Area Code / Telephone Number 1c. Email Address
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