TN 1 (09-84)
Obtaining Election for Italy)
17000
17139A
17139B
17139C
17103
17002
17040
17111
17047
17055
17058
17130 (Optional)
17057*
17061*17174 or 17175 may be used for German claims. 17183 may be used for Swiss claims
17073
17100
17053
17074
(Reason for denial)
17000*
17021*Omit if 17075 used above.
17071
17072