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Form G-88A.1 (02-05) G-88A.1 (02-05) Request for Verification of Date Last Worked
Employer Reporting
Form G-88A.1
Request for Verification of Last Date Carried on Payroll
OMB: 3220-0005
OMB.report
RRB
OMB 3220-0005
ICR 201301-3220-002
IC 45673
Form G-88A.1 (02-05) G-88A.1 (02-05) Request for Verification of Date Last Worked
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0005 can be found here:
2022-09-21 - Extension without change of a currently approved collection
2019-04-30 - Revision of a currently approved collection
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application/pdf
File Modified
2006-07-07
File Created
2006-07-07
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