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12b. Official title 12c. Telephone number incl. area code 12d. Date mm.dd/yyyy Check here if this address is the same as the address in item 13. Give the approximate date you became disabled for your position mm/yyyy. Notice for FERS and CSRS Offset Applicants ONLY 9. 11a. Have you applied for disability benefits from the Social Security 11b. Is the application receipt or award notice attached Administration CSRS/FERS Handbook for Personnel and Payroll Offices 12. In general there is no...

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