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United States Department of Labor Employees Compensation Appeals Board ___ B.J., Appellant and DEPARTMENT OF VETERANS AFFAIRS, EAST ORANGE VA MEDICAL CENTER, East Orange, NJ, Employer ___)) )) ))

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How to fill out 24-0405 mb and department

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Start by filling out the contact information section on the form.

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Fill in the date of the request and the appropriate department that you are seeking information from.

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Individuals or organizations seeking specific information from a department within a government agency may need to fill out form 24-0405 mb and department.

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