Sf 3112 fillable form-2026

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  2. Begin by filling in your personal information, including your name, date of birth, and social security number. Ensure accuracy as this information is crucial for processing.
  3. In section 4, provide a detailed description of your disease(s) or injury(ies). Be specific about how these conditions affect your job performance and daily activities.
  4. Complete sections regarding accommodations requested from your agency. Clearly state if any requests were granted and attach relevant documentation if necessary.
  5. If applicable, indicate whether you have applied for Social Security disability benefits in section 11. Attach any required notices to support your application.
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