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Fsis 5200 15 2012 form

Fsis 5200 15 2012 form-2026

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The document outlines the requirements for submitting a request for official inspection operation hours to the U.S. Department of Agriculture's Food Safety and Inspection Service, in accordance with the Paperwork Reduction Act of 1995. It includes sections for applicant information, requested hours for two shifts, and approval signatures from both the applicant and district manager.

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Click ‘Get Form’ to open the fsis 5200 15 2012 form in the editor.
Begin by entering your name in the 'NAME OF APPLICANT' field, followed by the 'DATE OF REQUEST'.
Fill in the 'DISTRICT / IID-HEADQUARTER OFFICE' and provide your 'MAILING ADDRESS'. Select whether this is a new application or an update.
For each shift, specify the 'HOURS OF OFFICIAL INSPECTION OPERATIONS REQUESTED'. Fill in the days of the week along with start times, lunch breaks, and end times.
Complete the signature section by signing as the applicant and printing your name. Then, fill out the manager's details including their printed name and signature.
Finally, ensure all fields are completed accurately before submitting your form for processing.

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