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UNION REP (NAME AND TITLE) AREA CODE PHONE (OFFICE) E-MAIL 5 LOCAL UNION PRESIDENT (NAME) AREA CODE PHONE (OFFICE) E-MAIL ADDRESS CRAFT CITY LEVEL STATE STEP DUTY HOURS ZIP PHONE NO. OFF DAYS WORK LOCATION CITY AND ZIP CODE E-MAIL SENIORITY DATE PREF. ELIGIBLE YES NO STEP 1 MEETING AND DECISION 6 UNIT/SEC/BR/STA/OFC 7 STEP 1 DECISION BY (NAME AND TITLE) 8 9 10 11 12 POSTAL INSTALLATION LEVEL DATE/TIME DATE/TIME DISCIPLINE TO: USPS STEP 2 DESIGNEE (NAME AND TITLE.

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