Da4283: Fill out & sign online

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Click ‘Get Form’ to open the da4283 in the editor.
Begin by entering your CUSTOMER ID, which should follow local DPW policy. This identifies the user or organization submitting the request.
Input the DOCUMENT SERIAL NUMBER, ensuring it consists of five alphanumeric characters as per local procedures.
Fill in the FISCAL YEAR using the last digit of the year (e.g., '3' for 2003).
Leave the TYPE field blank; this will be completed by DPW Work Reception.
Provide a SHORT JOB DESCRIPTION summarizing the work in up to 30 alphanumeric characters.
Enter the DATE when you complete the Work Request in the format - DD MON YY.
Fill in INSTALLATION ABBREVIATION and FACILITY NUMBERS as required, ensuring they adhere to local codes.
In REMARKS, include contact information for both Primary and Alternate Points of Contact (POC).
Complete sections for WORK DESCRIPTION and AUTHORIZED REQUESTOR SIGNATURE before submitting your form.

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