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Get GSA Form 159 1987-2024

CASES MONTH PB-39 SECTION I - SUMMARY OF MONTHLY EXPERIENCE IRMS REGION STAFF DAYS CASES OF PAGES TOTAL DAYS CASES DAYS MAN HOURS WORKED SECTION II - LOG OF INJURIES (Continue on GSA Form 159 - A if necessary) ENTRY NO. SERVICE AND ORG. CODE DATE OF INJURY NAME GS SERIES/ GRADE NAME OF OCCUPATION 1. 2. 3. 4. 5. 6. REPORT PREPARED BY (Name and title) GENERAL SERVICE ADMINISTRATION DATE PREPARED TRAUMATIC INJURY NATURE OF TYPES OF PARTS OF INJURY/ INJURY/ BODY ILLNE.

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Keywords relevant to GSA Form 159

  • org
  • II
  • Occupational
  • Administrator
  • summary
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