Form 4283-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part A. Enter your CUSTOMER ID, which should be one to three alphanumeric characters as per local DPW policy.
  3. Fill in the DOCUMENT SERIAL NUMBER, ensuring it consists of five alphanumeric characters. This uniquely identifies your request.
  4. Indicate the FISCAL YEAR by entering the last digit of the year, such as '3' for Fiscal Year 2003.
  5. Provide a SHORT JOB DESCRIPTION limited to 30 alphanumeric characters summarizing the work to be performed.
  6. Enter the DATE when the Work Request was completed in the format - DD MON YY.
  7. Input the INSTALLATION ABBREVIATION and FACILITY NUMBER, both of which are crucial for identification purposes.
  8. In REMARKS, include contact information for your Primary and Alternate Points of Contact (POC).
  9. Complete fields for INSTALLATION NAME, CUSTOMER NAME, POC NAME, and POC PHONE NUMBER accurately.
  10. Describe the WORK DESCRIPTION thoroughly, including justification for the request.
  11. Finally, type or print your name as AUTHORIZED REQUESTOR and provide your signature along with the date.

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