CURRENT RESIDENCE AND DEPENDENCY REPORT - COLLINS, CHARLES P.

Complete in duplicate. The data recorded on this form, is essential in determining travel expenses allowable in connection with leave at government expense, overseas duty, return to residence upon separation, and for providing current residence and dependency infor- ' s official personnel folder, mation required in the event ofan employee emergency. The original of this' form will be filed in the employee NAME OF EMPLOYEE ast) (First) (Middle) ( SOCIAL SECURITY NUMBER RESIDENCE DATA ,UCE WHEN IN...