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OMB No. 1205-0342
Expires: 3/31/2016

Petition for Trade Adjustment Assistance (TAA)
and Alternative Trade Adjustment Assistance (ATAA)

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Warning

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* = required fields
** = May be required for some petitioners


NOTE: The "back" button does not work in this application. If you wish to modify information that you have provided on previous screens, you will be given the opportunity to review and edit all of the information you have entered through a special edit screen which will appear at the end of this application.

ETA-9042A-1

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