Transcription of AUTHORIZATION, AGREEMENT B. Request Status …
{{id}} {{{paragraph}}}
Example: tourism industry
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. 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. Pay Plan15. Series16. Grade17.
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
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
Authorization Request, Formulary Exception / Prior Authorization Request, Request, Durable Medical Equipment (DME) Authorization Request, Introducing: Standardized Prior Authorization Request, Form 3623 - Request for Confirmation of Authorization, Request for Confirmation of Authorization, USPS, Request for Authorization for Rescheduled Training