EFTA00038967

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2022 Director's Awards 
Non-USAO Supervisor Concurrence Form 
I have read and reviewed the United States Attorneys Offices' Director's Award 
Nomination of 
Special A ent 
Task Force Officer 
 Staff Operations 
Specialist 
, and Victim Specialist 
of the Federal Bureau 
of Investigation. 
and concur with the submission of the nominee(s). 
Name & Thle 
Instructions 
Enter the relevant award nominees' names in the blank above. Then replace "blame & Title" with the supervisor's 
information. This form may be electronically signed in Acrobat, or you may print and sign the form. 
EFTA00038967

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