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Commerce sf-182 Form: What You Should Know

Citation.) Firm (Name, Address, Telephone Number, and E-mail Address) Date, Time, and Location : Firm Name: Company or Organization (Name): Telephone: Firm Telephone Numbers: Fax Number: Email address of individual in charge: Title : Employee's current position within the agency. [a work-site] Date and place of certification: Authorization, Agreement, and Certification of Certification Form (Type of Certification and number), or if no form, submit the following information without form and complete it (Authorization) A. Authorization to use the certification for certification purposes B. Certification number (if appropriate) C. Date certifying the current training of an individual and date last used D. Any other information required by the appropriate agency. E. If applicable, the following: (Name of Individual [the individual certifying] [a brief statement.] [a full statement]]) (Description of position [the position of the individual certified] as it exists on the date shown above, ) Employee's Current Position within the Agency Current Position Title — Employee's current position within the agency. Name and Address — Name and address of the individual certifying the current training of the individual. [a work-site] Date of birth — If an individual is in the military, indicate enlistment date or commission expiration date if the individual has attained the age of 25 years or has completed 30 years service. If the individual is an enlisted member, indicate their dates of first commission and last discharge. Authorization (and the required certification number), or if no form, submit the following information with completed SF-182 Date, Time, and Location of certification. [a work-site] Firm Name: Company or Organization (Name): Telephone: Fax Number: Firm Telephone Numbers: Office: Fax Number: Email Address of Individual in Charge — Name, address, and e-mail address for the individual in charge of this certification process [the individual certifying] Title(s) : Employees have two names. A given title may indicate the type of job the individual holds or the position under which the individual is employed. These titles are displayed when appropriate with this certification form. The title may be different from the individual's name in this certification form.

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