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Get PHS-2874 2005-2024

Fficers called to duty or transferred. This is not a travel reimbursement form. (Instructions and Privacy Act Notice on Reverse) 1. 2. IDENTIFICATION a. Last Name, First Name, Middle Initial (Print or Type) b. Grade / Rank c. PHS Serial Number d. Organization and Station e. Duty Phone Number f. SSAN TRAVEL a. Authorization for Travel Personnel Order Number: _________________ Date of Order: _____________________ Effective Date: _____________________ b. Purpose of Travel . .. Call to .

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