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2. Once your current task is complete, take the next step – fill out all of these fields - a What accommodations have you, b Has your agency been able to, Yes, c What is your current status with, In pay status and working without, In leave without pay status, If you are currently in a leave, Give the approximate date you, position mmyyyy, Have you been, hospitalized for your disease or, Yes, Give date of most recent, To mmyyyy, and Notice for FERS and CSRS Offset with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!
3. Through this part, look at Name, Address, Date of Treatments, Applicants Consent and, WARNING Any intentionally false, fine of not more, I certify that all statements made, Signature Do not print, Date mmddyyyy, and Daytime telephone number. These are required to be filled in with greatest accuracy.
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