USDA | Departmental Management (DM) | Home

To the best of your knowledge, describe the physical characteristics of the individual (age, height, weight, hair color, eye color, complexion, mark, scars, tattoos, etc.) Add any additional comments you feel are necessary. _____ _____ Signature of Employee Date. For Agency Use Only: Subject’s SSN: ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download