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NPS Form 10930s (Rev. 07/2016) National Park Service OMB Control No. 10240026 Expiration Date XX/XX/2019 APPLICATION FOR SPECIAL USE PERMIT SHORT FORM George Rogers Clark National Historical Park
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01
Step 1: Gather all the necessary information and documents required to fill out the NPS Form 10-930s Rev.
02
Step 2: Begin by writing your personal information such as your name, address, social security number, and contact details in the designated fields.
03
Step 3: Provide details about the specific retirement system for which you are applying or requesting information.
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Step 4: Fill out the sections related to beneficiary designation, if applicable.
05
Step 5: Declare any previous or current federal employment information, including dates of service and position held.
06
Step 6: Complete the section regarding military service, if applicable.
07
Step 7: Provide any relevant dates and details regarding any previous or ongoing workers' compensation claims.
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Step 8: Sign and date the form, certifying that all the information provided is true and accurate.
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Step 9: Submit the completed NPS Form 10-930s Rev to the appropriate authority or organization as instructed.
Who needs nps form 10-930s rev?
01
Active or retired federal employees who want to apply for or seek information about specific retirement systems.
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Beneficiaries or individuals entitled to federal retirement benefits.
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Individuals who have served in the military and wish to apply for relevant retirement benefits.
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Federal employees or individuals who have or had workers' compensation claims.
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