Privacy Act Notice is on the Second Page)Health and Human Services • December 6th, 2018
Contract Type FiledDecember 6th, 2018IDENTIFICATION DCCPR USE ONLY NAME (Last, First, Middle Initial) GRADE/RANK DATE REC’D. PHS SERIAL NUMBER ORGANIZATION DUTY PHONE NUMBER E MAIL
Privacy Act Notice is on the Second Page)Health and Human Services • November 28th, 2018
Contract Type FiledNovember 28th, 2018In consideration of payment of the RB for which I qualify in accordance with 37 U.S.C. 335; Commissioned Corps Directive (CCD) 151.05; and Commissioned Corps Instruction (CCI) 633.01, I hereby agree to the following: