U.S. USDA Form usda-ers-13
UNITED STATES DEPARTMENT OF AGRICULTURE
ECONOMIC RESEARCH SERVICE
1800 M STREET, NW
WASHINGTON, DC 20036-5831
EMPLOYEE IDENTIFICATION CARD REQUEST FORM
2. Social Security Numb
1. Name (Last, First, Initial)
4. Room Number
3. Division/Branch
7. Requested By(Print Name of Administrative Officer of Designate)
5. Telephone Number
6. Lengt
8. Signature (Administrative Officer of Designate)
10. Please check one of the following:
NEW CARD
REPLACEMENT
11. For COS Office Use Only
ASSIGNED IDENTIFICATION NUMBER
”
Picture ID's are taken daily between the hours of 9:00 a.m. thru 11:00 a.m. in room 315A Sub-basemen
located at 1400 Independence Avenue, SW, Washington, DC 20250.
12. Additional Information
ERS-13
12/2000
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