Part Details | PRINTED FORM
7540-01-249-5573 A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes CARD, TABULATING, ELECTRIC ACCOUNTING MACHINE; PAPER, TABULATING MACHINE, CONTINUOUS FLAT FOLD; PAPER, GRAPH; INDICATING SLIP, DICTATING MACHINE; ENVELOPE (as modified); LABEL; CHART (as modified) and TAG (as modified).
Alternate Parts: SF 3104, 7540-01-249-5573, 01-249-5573, 7540012495573, 012495573
| Supply Group (FSG) | NSN Assigned | NIIN | Item Name Code (INC) |
|---|---|---|---|
| 75 | FEB 13, 1987 | 01-249-5573 | 05403 ( FORM, PRINTED ) |
REFERENCE DRAWINGS & PICTURES
Cross Reference | NSN 7540-01-249-5573
| Part Number | Cage Code | Manufacturer |
|---|---|---|
| SF 3104 | 81955 | SUPERINTENDENT OF DOCUMENTSGOVERNMENT PRINTING OFFICE |
Technical Data | NSN 7540-01-249-5573
| Characteristic | Specifications |
|---|---|
| DOCUMENT TITLE | APPLICATION FOR DEATH BENEFITS (FERS) |
| IDENTIFICATION DESIGNATOR | STANDARD FORM 3104 |
| INTERLEAVED W/CARBON PAPER FEATURE | NOT INCLUDED |
| PUBLISHER IDENTIFYING NUMBER | SF 3104 |
| SHEET WIDTH | 8.500 INCHES NOMINAL |
| SHEET LENGTH | 11.000 INCHES NOMINAL |
| COLOR | BUFF |
| SPECIAL FEATURES | 5-PART SNAPOUT, SHRINK WRAPPED |
| ENVIRONMENTAL ATTRIBUTE CODE | COMPREHENSIVE PROCUREMENT GUIDELINE - PAPER AND PAPER PRODUCTS - PRINTING AND WRITING PAPERS |