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Fillable U.S. Army Nonappropriated Fund Disability Application NONE ... - army

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APPENDIX A-6 U.S. Army Nonappropriated Fund Disability Application EBB Form 766-R CONTROL NUMBER: GAC 3730 EMPLOYER: The form should be given to the employee with instructions to mail it when completed by the claimant and the Attending Physician to the U.S. Army Employee Benefits Branch, P.O. Box 107, Arlington, Virginia 22210-0107. PART A (to be completed by Employee) EMPLOYEE: (1) Please fill out and sign...
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