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| Form Title: | Log of Federal Occupational Injuries and Illnesses |
| Form Number: | GSA3624 |
| Current Revision Date: | 04/1991 |
| Authority or Regulation: | PBS P 5900.2C |
| Special Instructions: |
| Accessible FormNet Screen Fillable Forms - ATT8RKNN (132.7 kb) |
| PDF Version - Gs3624.pdf (38.4 kb) |
| FormFlow Version 1.1 - gsa3624.frp (35.3 kb) |
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