OMB
.report
Search
Form RRB Form G-204 RRB Form G-204 Verification of Worker's Compensation/Public Disability
Application for Employee Annuity Under the Railroad Retirement Act
Form G-204 (11-02)
Application for Employee Annuity Under the Railroad Retirement Act
OMB: 3220-0002
OMB.report
RRB
OMB 3220-0002
ICR 200704-3220-002
IC 178327
Form RRB Form G-204 RRB Form G-204 Verification of Worker's Compensation/Public Disability
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0002 can be found here:
2024-06-28 - Revision of a currently approved collection
2020-12-10 - Revision of a currently approved collection
Document [pdf]
Download:
pdf
|
pdf
File Type
application/pdf
File Modified
2006-11-14
File Created
2006-11-14
© 2024 OMB.report |
Privacy Policy