Official list of embassies from the U.S. Department of State
Retire. Civil Service Retirement (OPM) Mil. Survivor. VA Compensation or Pension. Other:_____ (specfy) TELEPHONE NUMBER. AREA CODE B. NAME OF PERSON(S) ENTITLED TO PAYMENT C . CLAIM OR PAYROLL ID NUMBER. Prefix Suffix G . THIS BOX FOR ALLOTMENT OF PAYMENT ONLY (if applicable) TYPE. N/A AMOUNT PAYEE/JOINT PAYEE CERTIFICATION ... ................
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