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OMB Control Number 1093-0006
Expiration Date 10/31/2024
VOLUNTEER SERVICE AGREEMENT-NATURAL & CULTURAL RESOURCES
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

D
D
D
D
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
12. (Optional):  
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 

 

D D D
D
0
D
D
D
D
0
D
EMERGENCY CONTACT INFORMATION


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
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GOVERNMENT OFFICIAL COMPLETES THIS SECTION
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D D 
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  
 


 
D
D
D
D

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




D
D
Volunteer Service Agreement
OPTIONAL FORM 301A (REV. 10/2021)
USDOI - USDA - USDOC -USDOD
PARENTAL CON SENT FOR VOLUNTEER UNDER AGE 18
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 

  
 
 
 
VOLUNTEER & GROUP LEADER AFFIRMATION
 D 



D
D
D
D







I do hereby volunteer my services as described above, to assist in authorized activities at
and I agree
to follow all applicable safety guidelines. See attached OF301b attached if a member of a group.
(NAME OF FEDERAL AGENCY)
 

 

 
 
 
TERMINATION OF AGREEMENT
 44. Agreement Terminated Date:
46. Signature of Government Representative:
PUBLIC BURDEN STATEMENT

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