Forms Revision Chart for FEMA Form 119-17-2

FORMS ACTION REQUEST

FEMA Form 119-17-2

V. FORMS REVISION CHART (ONLY COMPLETE if a Revision to a Form being Requested):
Location of Text (e.g., Page 2, Line 3)	Current Text (e.g., Action Office: RMD)	Revised Text (e.g., Action Office: Records Management Division (RMD))
Title of Form	Request for Use of NETC Facilities	Request for Use of NETC Facilities
In Paperwork Burden Box	1800 South Bell Street, Arlington, VA 20598-3005	500 C Street SW, Washington, DC 20472
Duplicate of Paperwork Burden box	REMOVE duplicate box	REMOVE duplicate box
Lowest box on bottom	Commercial: (301) 447-1179	REMOVE
“	FTS: 652-1179	REMOVE
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Note: If additional space is needed, please print and attach as a separate sheet.

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