Va Form 3011 at a glance
What it is: Reproduction Request: submit in duplicate to Publications Service.
Who signs: The Division Chief and the Station Publication Control Officer sign Approved for Reproduction.
A filled-in Va Form 3011 example: a clerk requests photocopies of a handout

How to fill out Va Form 3011, box by box
Requestor and request
Services requested
Special instructions
Print and paper
Disposition of original copy
Signatures and certification

The Division Chief and the Station Publication Control Officer sign at Signature of Division Chief and Signature of Station Publication Control Officer, Approved for Reproduction.
Enter Deliver To if different from the originating office.
Date and Received By are the Certification that the material was received in good condition.
More rules for Va Form 3011
Each side of a page is one (1) original unit. Multiply the total original units by the number of copies to obtain total printed units.
Complete each item pertinent to the satisfactory completion of your request.
Common questions about Va Form 3011
Where do I file it?
Reproduction Request: submit in duplicate to Publications Service.
Sources
[1] Va Form 3011 (JUN 1990), Reproduction Request (the Official source link on this page).






