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Get VA 0722 2012-2024

Fy that whenever I have usable transit benefits left over at the end of a distribution period due to leave or travel, I will reduce my next transit benefit by the amount of benefits I did not use during the previous distribution. I certify that my usual monthly public transit commuting costs (excluding any parking costs) are $ 11. OFFICE TELEPHONE NO. (rounded to the nearest dollar). 12B. DATE 12A. SIGNATURE OF EMPLOYEE SUPERVISOR CERTIFICATION I certify that the above applicant is employed.

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