November 15, 2007
3095-0057
The term "Identification Card" replaced all references of Federal Identity Card (FIC) and Personal Identity Verification (PIV) throughout the form. The Privacy Act Statement was modified to include access to NARA IT systems. Lastly, section B certification was amended to provide specific reference to two other actions that must be certified on the form.
| File Type | application/msword |
| File Title | This form was originally created as a bridge to allow customers to order forms for genealogical research |
| Author | Tamee E. Fechhelm |
| Last Modified By | Tamee E. Fechhelm |
| File Modified | 2007-11-15 |
| File Created | 2007-11-15 |