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United States Department of Labor Employees Compensation Appeals Board ___ ) ) ) and ) ) U.S. POSTAL SERVICE, POST OFFICE, ) Coppell, TX, Employer ) ___ ) E.A., AppellantAppearances: Appellant, pro
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How to fill out 22-0779 jm and us
How to fill out 22-0779 jm and us
01
To fill out form 22-0779 JM:
02
Enter the veteran's name, social security number, and VA file number in the required fields.
03
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04
Indicate the type of application being made, such as initial application, appeal, or request for reevaluation.
05
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06
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07
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08
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10
Enter the veteran's name, social security number, and VA file number in the appropriate fields.
11
Provide the current address, phone number, and email address of the veteran.
12
Specify the program or activity for which the request for personal use is being made.
13
Describe the nature of the request and the expected duration of personal or unauthorized use of the VA's computer or network resources.
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Sign and date the form, acknowledging the responsibility for the appropriate use and protection of VA systems and data.
15
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