Notice to Reviewer

revisions 1240-0017.doc

Death Gratuity

Notice to Reviewer

OMB: 1240-0017

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  • Form 40 –added extra spacing to allow for additional beneficiaries in Section C.


  • Form CA-41, added questions 21 through 23.

File Typeapplication/msword
File Titleplan on loading much of the information in ROCIS today
AuthorUS Department of Labor
Last Modified ByUS Department of Labor
File Modified2010-05-13
File Created2010-05-13

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