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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.

Note: This agreement must be signed by the nominee for Government training that exceeds 80 hours (or such other designated period, less than 80 hours as prescribed by the agency) for which the Government approves payment of

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