Cancelled 7/1/2001. Replaced by OPM Form 630B. Copy located on http://www.opm.gov/forms. Current Revision Date: Obsolete
Forms Library assistance:Jan Wendlerjan.wendler@gsa.gov
Instructions for downloading this form using the required applications:
Accessible FormNet SoftwareTM Accessible FormNet SoftwareTM
Instructions for Formflow Users Instructions for Formflow Users
Adobe Acrobat (pdf) Users Instructions for Adobe Acrobat (pdf) Users
™Accessible FormNet is a registered trademark of Intercon Associates, Inc.
The GSA Forms Library contains hundreds of electronic forms in a variety of formats including Accessible FormNet, PDF, and FormFlow. GSA's Forms and Printing Policy Division, Office of Governmentwide Policy, has responsibility for obtaining required approval for these forms.