VA Form 0711 (Portland VA Medical Center)

Item 5 - Enter Mail Routing Symbol. Part F - Sponsor Authorization and Certification - Completed by Sponsor. Item 1 - Enter name of sponsor. Item 2 - Enter Sponsor Credentials and Organizational Title. Item 3 - Enter Certificate Number which is issued by the Registrar. Contact your Registrar if you do not know the number. Items 4-9 - Self ... ................
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