Name | Value |
---|---|
NAME | RT REQUEST/NOTICE TRANSFER |
MESSAGE | =============================================================================== |5| ------------------------------------------------------------------------------- 5. [CN] |6| [SS] |7| ------------------------------------------------------------------------------- 6. [SN] |8| ------------------------------------------------------------------------------- 8. TYPE OF TRANSFER [|10|] Permanent [|11|] Temporary ------------------------------------------------------------------------------- 11. TRANSFER CLAIMS FOLDER [|12|] ------------------------------------------------------------------------------- |1| 12a. DATE OF TRANSFER 12b. REC. STAT. NO. 12c. TRF. STA. NO. |14| |15| |16| ------------------------------------------------------------------------------- 13. OTHER FOLDER TRANSFER MED HOSP X- [|21|] LG [|22|] PG [|23|] OPT [|24|] REC [|25|] CORRESP [|26|] RAY COUNSELING/TRAINING [|27|] R&E [|28|] INS [|29|] SUBFOLDER [|30|] SPECIFY SPECIFY: |300| ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 14. REASON FOR TRANSFER OR REMARKS |31| |32| ------------------------------------------------------------------------------- 15. ADJUDICATION ACTION PENDING [|33|] YES [|34|] NO ------------------------------------------------------------------------------- 16. FROM (originating office) |35| ------------------------------------------------------------------------------- 17. DATE |36| Station Name Number Mail Routing Symbol ------------------------------------------------------------------------------- 18. CHECK WHEN COPY 2 IS SENT TO TELECOM [|37|] UNIT ------------------------------------------------------------------------------- |100| |100A| 1a. |2| 1b. |3| 1c. |4| ------------------------------------------------------------------------------- 4. NAME (Last,First,Middle) |
SUBJECT | BULLETIN FOR THE REQUEST OR NOTICE OF TRANSFER |
DESCRIPTION | LJFGKL |