# | PAGE_NO,N,1,0 | SECTION,N,3,0 | TITLE,C,35 | LINE_NO,N,2,0 | COL_10,N,2,0 | COL_12,N,2,0 | FLD_TYPE,N,1,0 | FLD_CHECK,L | FLD_YES_NO,L | FLD_DATE,D | FLD_WIDTH,N,2,0 | FLD_TEXT,C,75
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1 | 0 | 500 | Name (Last, First Middle Initial) | 1 | 1 | 1 | 4 | | | | 63 | |
2 | 0 | 500 | SOCIAL SECURITY number | 1 | 67 | 80 | 4 | FALSE | TRUE | | 10 | |
3 | 0 | 500 | JOB TITLE or Announcement # | 3 | 1 | 1 | 4 | TRUE | TRUE | | 63 | |
4 | 0 | 500 | DATE Completed | 3 | 68 | 81 | 3 | TRUE | FALSE | 09/01/1991 | 8 | |
5 | 0 | 500 | Header for Optional Pages | 0 | 10 | 12 | 4 | | | | 55 | Addendum Page For SF 171 |
6 | 0 | 510 | Additional Information/Comments | 5 | 2 | 2 | 5 | | | | 77 | * * * * * * * * * * * * * * * * Line 1 * * * * * * * * * * * * * * * * * * |
7 | 0 | 510 | | 6 | 1 | 1 | 5 | | | | 73 | |
8 | 0 | 510 | | 7 | 1 | 1 | 5 | | | | 73 | |
9 | 0 | 510 | | 8 | 1 | 1 | 5 | | | | 73 | |
10 | 0 | 510 | | 9 | 1 | 1 | 5 | | | 01/01/1911 | 73 | |
11 | 0 | 510 | | 10 | 1 | 1 | 5 | | | 07/31/1991 | 73 | |
12 | 0 | 510 | | 11 | 1 | 1 | 5 | | | | 73 | |
13 | 0 | 510 | | 12 | 1 | 1 | 5 | | | | 73 | |
14 | 0 | 510 | | 13 | 1 | 1 | 5 | | | | 73 | |
15 | 0 | 510 | | 14 | 1 | 1 | 5 | | | | 73 | |
16 | 0 | 510 | | 15 | 1 | 1 | 5 | | | | 73 | |
17 | 0 | 510 | | 16 | 1 | 1 | 5 | | | | 73 | |
18 | 0 | 510 | | 17 | 1 | 1 | 5 | | | | 73 | |
19 | 0 | 510 | | 18 | 1 | 1 | 5 | | | | 73 | |
20 | 0 | 510 | | 19 | 1 | 1 | 5 | | | | 73 | |
21 | 0 | 510 | | 20 | 1 | 1 | 5 | | | | 73 | |
22 | 0 | 510 | | 21 | 1 | 1 | 5 | | | | 73 | |
23 | 0 | 510 | | 22 | 1 | 1 | 5 | | | | 73 | |
24 | 0 | 510 | | 23 | 1 | 1 | 5 | | | | 73 | |
25 | 0 | 510 | | 24 | 1 | 1 | 5 | | | | 73 | * * * * * * * * End of Screen 1 - Continue on next Screen * * * * * * * * |
26 | 0 | 511 | More Comments, Section 2 | 25 | 1 | 1 | 5 | | | | 73 | * * * * * * * * * * * * * * Screen 2 * * * * * * * * * * * * * * * * * * * |
27 | 0 | 511 | | 26 | 1 | 1 | 5 | | | | 73 | |
28 | 0 | 511 | | 27 | 1 | 1 | 5 | | | | 73 | |
29 | 0 | 511 | | 28 | 1 | 1 | 5 | | | | 73 | |
30 | 0 | 511 | | 29 | 1 | 1 | 5 | | | | 73 | |
31 | 0 | 511 | | 30 | 1 | 1 | 5 | | | | 73 | |
32 | 0 | 511 | | 31 | 1 | 1 | 5 | | | | 73 | |
33 | 0 | 511 | | 32 | 1 | 1 | 5 | | | | 73 | |
34 | 0 | 511 | | 33 | 1 | 1 | 5 | | | | 73 | |
35 | 0 | 511 | | 34 | 1 | 1 | 5 | | | | 73 | |
36 | 0 | 511 | | 35 | 1 | 1 | 5 | | | | 73 | |
37 | 0 | 511 | | 36 | 1 | 1 | 5 | | | | 73 | |
38 | 0 | 511 | | 37 | 1 | 1 | 5 | | | | 73 | |
39 | 0 | 511 | | 38 | 1 | 1 | 5 | | | | 73 | |
40 | 0 | 511 | | 39 | 1 | 1 | 5 | | | | 73 | |
41 | 0 | 511 | | 40 | 1 | 1 | 5 | | | | 73 | |
42 | 0 | 511 | | 41 | 1 | 1 | 5 | | | | 73 | |
43 | 0 | 511 | | 42 | 1 | 1 | 5 | | | | 73 | |
44 | 0 | 511 | | 43 | 1 | 1 | 5 | | | | 73 | * * * * * * * End of Screen 2 - Continue on next Screen * * * * * * * * * |
45 | 0 | 512 | More Comments, Section 3 | 44 | 1 | 1 | 5 | | | | 73 | * * * * * * * * * * * * * * Screen 3 * * * * * * * * * * * * * * * * * * * |
46 | 0 | 512 | | 45 | 1 | 1 | 5 | | | | 73 | |
47 | 0 | 512 | | 46 | 1 | 1 | 5 | | | | 73 | |
48 | 0 | 512 | | 47 | 1 | 1 | 5 | | | | 73 | |
49 | 0 | 512 | | 48 | 1 | 1 | 5 | | | | 73 | |
50 | 0 | 512 | | 49 | 1 | 1 | 5 | | | | 73 | |
51 | 0 | 512 | | 50 | 1 | 1 | 5 | | | | 73 | |
52 | 0 | 512 | | 51 | 1 | 1 | 5 | | | | 73 | |
53 | 0 | 512 | | 52 | 1 | 1 | 5 | | | | 73 | |
54 | 0 | 512 | | 53 | 1 | 1 | 5 | | | | 73 | |
55 | 0 | 512 | | 54 | 1 | 1 | 5 | | | | 73 | |
56 | 0 | 512 | | 55 | 1 | 1 | 5 | | | | 73 | |
57 | 0 | 512 | | 56 | 1 | 1 | 5 | | | | 73 | |
58 | 0 | 512 | | 57 | 1 | 1 | 5 | | | | 73 | |
59 | 0 | 512 | | 58 | 1 | 1 | 5 | | | | 73 | * * * * * * * * * * * * * * Last Line * * * * * * * * * * * * * * * * * * *
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