Notice Of Entry Of Appearance As Attorney Or Accredited Representative

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Attachment 1
INSTRUCTIONS FOR COMPLETING AD FORM 112
The AD FORM 112 will be used as the tracking form for the disposal of media. The media is
not a reportable item. It is not necessary to complete the entire form. This form is only being
used as an internal record of disposal. Only Section 1 will be used.
SECTION 1: ACCOUNTABLE PROPERTY OFFICER’S REPORT
(1)
Block 1: STATUS OF PROPERTY: Select the box that best describes the status.
Typically for the purposes of this Directive it will be Unserviceable or Obsolete.
(2)
Block 2: REPORTING ACTIVITY: Fill in the physical address of your office.
(3)
Block 3: PROPERTY ITEMS: Fill in the available information for each item
being disposed of in accordance with paragraph 4.d.(3)(a).
(4)
Block 4: CUSTODIAN: Not used.
(5)
Block 5: PROPERTY OFFICER: The APHIS Data Center Computer Room
Manager will fill in and sign this block.

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