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Fax Cover Letter

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					CIVILIAN PAYROLL IMAGING FAX COVER LETTER
Fax to: Toll free: 1-866-401-5849 or Commercial: 1-317-510-9795 (DSN 699-9795) 9796 9797 9798
Date: _______________

From: Name: _______________________________________________ Phone #: Comm_____________________ DSN______________ Fax #: ________________________ Email address: _________________________________________ To Payroll: Indianapolis Cleveland (please circle one only)

Team/Database/Payblock # ___________________________ Subject: ___________________________________________________ Employee Name: ____________________________________________ SSN: ______________________________ UIC/PAS CODE: ______________________________________ Remedy Action Request Number:______________________ Total # Pages: __________________________ Remarks/CPMS Issued Workaround Number: __________________________ __________________________________________________________________ __________________________________________________________________
DO NOT TRANSMIT CLASSIFIED INFORMATION OVER UNSECURED TELECOMMUNICATION SYSTEMS. OFFICIAL DOD TELECOMMUNICATIONS SYSTEMS ARE SUBJECT TO MONITORING. USING DOD TELECOMMUNICATIONS SYSTEMS CONSTITUTES CONSENT TO MONITORING. The following pages may contain information subject to the Privacy Act of 1974 as amended. Use for official purposes only.


				
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