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U.S. DEPARTMENT OF HOMELAND SECURITY U.S. Coast Guard CG-2055A Rev. 02-10 RESERVE RETIREMENT TRANSFER REQUEST Section I -Completed by Member Complete Blocks 1-14 submit this form at least 90 days prior to desired transfer date. 17. CGPSC Arlington rpm RECOMMENDATION Signature Include Name Rank Title U.S. DEPT. OF HOMELAND SECURITY USCG CG-2055A Rev. 02-10 Instructions on Reverse E-Mail as an attachment Reverse of CG-2055A Rev. 02-10 Item Explanat.

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