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Click ‘Get Form’ to open the 3676 form in the editor.
Begin by entering your personal information in the 'Information on Requestor' section. Fill in your name, occupational series, grade level, telephone number, office details, fax number, and email address.
In the 'Request' section, select the date of your request and check one of the options that best describes your need: application process, performing job functions or accessing work environment, accessing a benefit or privilege, or personal assistance services.
Specify the type(s) of accommodation you are requesting. This could include adaptive equipment, staff assistance, or removal of architectural barriers.
If your accommodation request is time-sensitive, provide a detailed explanation in the 'Reason(s)' field.
Finally, sign and date the form at the bottom to complete your submission.
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38 U.S. Code 3676 - Approval of nonaccredited courses
The educational institution offering such course submits to the appropriate State approving agency a written application for approval of such course.Read more
Form H3676, Managed Care Pre-Enrollment Assessment
Program Support Unit (PSU) staff uses Form H3676 to: record information pertinent to the nursing assessment and development of the individual service plan (ISP)Read more
Page Revision for Forms | OperationsCommander (OPSCOM)
This is a refactored module. Existing form data from older versions of the system is not compatible, and old forms will need to be recreated using this tool.
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