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Forms! of ' vith Carbon Fae toe 8 weap come wie Easegat eat Form Plus a Swell Piece of Cardboar he Shelve Plus a Swell Plus a Swell Piece of Cardboard so the Pack Stands Up on the Shelves And a page Code 7 Bureaucratic ind MinisAdventure Introduction Greetings, Citizen, Congratulations for pur chasing ths fine Paranoia product. In addition to various triplicate forms, this pack contains the megafun Code 7 mini-epic adventure titled Hole in the Complex. I's designed to introduce your players to the wide world of bureaucracy — Alpha Complex syle What's "bureaucracy’ Friend Computer? Your security clearance, Citizen? Uteavilet, Friend Computer. Excellent, honored Citizen, The CPU Alpha Complex Inerdepartmental Relations and Pro jee! Coordination Department, Division of Bureau Creation and Policy Definitions, Field Manual TIA, defines bureaucracy 2s: "the system whereby departments and bureaus use reestablished criteria to determine mest and reed when allocating sources or completing “signments, thereby minimizing or supplant ing the need fr case-by-case judgments while permitting the system to operate with litle or ‘ho individual input, thus guaranteeing, impar tialty and requiring workers with fe skill and Title or no initiative, whose primary function is to protect their avn jobs and expand the power and inertia ofthe bureaucracy to galac: fie proportions under the guise of maintain ing the extensive record Keeping and cross checking needed to reduce repeated work, Design: Steven Gilbert siting: Paul Murphy Graphics: Stephen Crane and Susan Kramer ind Control and Fear: The Computer we Valetmes West End Games, Inc 251 West 30th Steet New York, NY 10001 A Hole In The Complex duplication of effort and redundancy within the system, while devouring atleast 90% of the reassigned resources prior to distibution for completion of sai assignment” Wow! And this adventure is going to in troduce my players to all that? And then some, Citizen, This Form Pack contains Tour Equipment Complaint Forms, four EquipmentWeapon/Vehicle Reque Forms, and ten Foim Request Forms, During the course ofthe adventure, your players will tse one each of the two equipment forms and two Foo Request Forms. Hence, you have enough forms to replay this adventure four (0000, All praise The Computer! Just so. To play this adventure, you will need a tbunch of players with trand-new Redlevel characters (the adventure is-perfect for in troducing new players to the furfilled world of Paranoia). Or, if you wish, you can modify the adkenture for higher level characters by simply boosting the security clearances of the NPCS and alteting the read-aloud text as During the adventure you'll be instructed to hand! certain forms to your players. Make sure your players fil them out completely and cor. really, Deliberate falsification or destruction ‘of offcial Paranova forms fs treason. First time ftfenders will be terminated. ARer tha, punishment is more severe, Red Dawn The Troubleshooters inthis adve just been promoted from Infaved to Red clearance, Read: Greeting, Citizens. Congratulations. on your promotion to Red security clearance. This is evidence of The Computer's faith and ‘rust in you. Please report to CDO sector HPD&MC Department of Troubleshooter Housing for your new Red secur lerance ning. assignment. Aiterwards, proceed tively to your new quartets and ana fr ther orders. ‘Say alert Trust no one! Keep your laser handy! When the Troubleshooters artive at HPDEMC Department of oubleshooter Housing (HPO:DTH), read: HPD-DTH isa long narrow room bisected by a transparent syatheplas blast-shield. On the far side of the syntheplast, an Orange- level female clerk is furiously kicking. a Bouncy Bubble Beverage dispenser. The clerk, Ir-OAE2, likes Bouncy Bubble Beverage, Sie likes ia Tot. tn fact, she tends to goa litle whacko when she hasnt had any for oh, say, two hours oF more It’s been six hours since her Bouncy Bub ble Beverage dispenser broke down. 1-0 is ture have ina very, Very, VERY bad mood. Guess who she takes it out ont ‘When the Troubleshooters request a hous: ingassignment, e-O smirs vill. "Cenainly, Chizens” she says while typing into her keyboard. “'m assigning you to RAD sector: Red Dorm 48¢ Red Dorm Rising ‘When the Troubleshooters reach RAD sec tor read the following out loud: AA synthesteel barricade blocks the en- trance to the RAD sector Red-level housing facilities. On either end of the barricade, flashing lights illuminate a hastily-erected sign — “DANGER! EXCESSIVELY LETHAL RADIATION BEYOND THIS POINT!’ Two. ‘Vulture goons wearing bulky Green radiation suits stand beside the barricade. Beyond them lies a twisted corridor, illuminated by ‘a mysterious pulsating blue-green glow. One of the Vultures asks in 3 staticky, mechanical voice: “Chhh ... what are you Reds doing here. chhchhe’ ithe Toubleshooters tell the Vultures about thei housing assignment, the guaeds let ther pass, Questions about safety are shrugged off, ‘Chhchly youve Reds, shouldnt bother you too much”. chhchh 50 rads a minute, maybe less. chhchh” ‘this point, out heroes have three choices: 1.Go to 48C: A fine ad loyal choice. As the Troubleshooters walk down the hall they start toeel funny, You know... kind of sick By the time they reach dorm 48C, each Toubleshooter is taking. 100 rads a minute ‘Troubleshooters who makean endurance rol 3 manage to crawl inside 48C before dy ing, Give Troubleshooters who fail the roll one treason point, posthumously. Thal each 2. Ask The Computer for new housing ‘Citizen, RAD sector offers the finest in Red level housing” Complaint about the radiation receive the following reply: "48C has an ac Cepable radiation level for Red clearance Citizens. Please report immediately to our housing assignment as given by HPD&MC.” Continued complaints result in eassignment to the food vats 3. Get ie to assign a new housing number: This is the correct answer. Thank you very much, Yow may now continue. with the adventure WH Let's Make A Deal ‘When the Troubleshooters return to HPD: DTH, read Inside you find Ire-O where you lat left her’ -.- attacking her Bouncy Bubble Beverage dispenser. Ths time she's using a hammer. When the Troubleshooters request new housing m0 casually asks, “What's the mat A Hole In The Complex ‘Adventure Flowchart HPDEMC Department of ‘roubleshooter Housing Deparment of Vending Machine Dispensing, Office of Resource Allocation and Tracking Department of Form Allocation and Distbution ter, RAD sector litle too warm?” (Leave no doubt that ie-O is well aware ofthe situation ‘down there) “The tick s for our eroes to get Ir-O to give them a new housing assignment. Intimidation, fast talk, bootlicking. con and spurious logic are all ineffective, Physical treats won't work either ithe syntheplast wall is completely in pervious to laser fire). Only bribery will se eed and Ie already knows what she wants: ‘2 Bouncy Bubble Beverage dispenser, Model 760K Troubleshooter: Listen are you gonna change ‘Our housing assignment, oF lre-0: | understand the PLC Department of Vending Machine Dispensing, has some new Model 760XL. Bouncy Bubble Beverage dispensers in stock. (Wink) They're much better than the old 3373s. (wink) ‘Troubleshooter: t’m warning you. Ifyou Say, what's wrong with your eyet lne-0: Oh nothing. Life in Alpha Complex is So perfect, every citizen has every thing she needs. (Wink! Like if want a 76OXL I'm sure gett wink, wink), and if you want 4 new housing assignment Fm sure you'l Bet Wink, wink, wink, wink, wink) Alter they wise up, re-O agrees to change the Toubleshooters” housing. assignment if they get her a BBB 760KL from the PLC Depart- ment of Vending Machine Dispensing ‘Of course, loyal Troubleshooters might ty to expose Ire 5 atrator. Bad plan. She has ‘machine empathy. Bureay of Inta-Comples Coordination and Communication Deparment of Forms, vouchers Memos Tangue Pint Registration Public Relations Bureau for Equipment Complaints Department of Vending Machine Maintenance: EEE ‘A Hole In The Complex Now you'e ready to get the meat ofthe adventure. Have you ever heard the song, ""There’s'9 Hole in the Bucket, Dear Liza?” Well this fa lot like that. Basically, the Troubleshooters need a new housing assign iment, which we'll all tem, but 10 et they'e gonna have to give le-O "8, 3-new Bouncy Bubble Beverage dispenser but to get 1B they're going to have give someone else ‘Cand to give someone else °C’ they need 1 et, ete. Get the picture? Great Above is flowchart showing how everything works Following isan outline describing each fencounter When running the adventure follow the outline and use the flowchart asa visual aid. Keep in mind these are just sketches of the encounter fel free to spice them up |, HPD&MC Department of Troubleshooter Housing (HPD-DTH): Ire agrees to change the Troubleshooters’ housing assignment if they gether a new Bouncy Bubble Beverage lispenser 760. from the PLC Deparment of Vending Machine Dispensing 2. PLC Department of Vending Machine Dispensing (OVMDY: Aline of clones snakes back froma shoulderhigh counter, behind wich stands a tall, hawk-nosed clerk named Snack-O-PCK2. Beyond Snack-O isa giant warehouse ‘facility filed with vending ‘machines of all shapes and sizes. Offcious and arrogant, Snack-O refuses to issue a 760XL to the Troubleshooters without first seeing an ‘Approved’ Equipment\Weapond Vehicle Request Form, Ifthe Toubleshooters don't have one, Snack-O refers them to the PLC (Office of Resource Allocation and Tracking 3. PLC Office of Resource Allocation and Tracking (ORAT): Medium-sized office with sway too many desks. Each desk has a pair of form wansit tubes leading from the ceil dawn tot, One tube fs marked In, the other ‘Out’ Equipment Request Forms ative through the iv chute, are processed by the clerk, then either sent back Approved’ or ‘Denied’ (and kept on ile Several" Yellow. supervisors ‘oversee operations. One, Push)-GU¥S, walks up to the Troubleshooters and demands to Know what they want. Pushy is the Assistant Office Manager for ‘ORAT. Requests for an Equipment Weapon! Vehicle Request Form are rudely rebufed, "We do not dstnbute forms, we process ther. You ‘must be looking fr the CPU Department of Form Allocation and Distibution 4. CPU Department of Form Allocation and Distribution (DFAD): Tis sgantic warehouse is packed to the ceiling (90 feet above) with Cates of forms. Scueying amongst the rows fof crates ae dozens of Infared drones, Red ‘workers, and. Orange to Greerslevel super Visors, Several crates lie smashed onthe floor {sf they dfallen from some great height (ay 90 feet oso ‘One ofthe Green supervisors, Cage-G walks up to the Tloubleshooters and grows, "You're late. Stack up those Fizz Wizz Request Forms ‘over there” Troubleshooters who don't speak Ua quickly mightend up working here for the rest oftheir ives... maybe longer Tia Toubleshooter asks for a Equipment \Weapoa/Vehicle Request Focm Cage-G shrugs and says, “Listen Mac, fd really like to help 4a, but there's nothing can do unless you Soita 22127HHK, understand?” He then refers the PCS tothe CPU Bureau of Inta-Complex Coordination and Communication: Depart ment of Forms, Vouchers, Memos, and Tongue Print Registration, 5. CPU Bureau of Intra-Complex Coordina- jon and Communication: Department of Forms, Vouchers, Memos, and Tongue Print Registration (BICC: DFVMTPR): Normally, to get 2212/HHK; ala clone must dois ask Any ofthe more than 20 Red clerks manning this office "normaly When the Troubleshooters arrive they find 50 oF $0 citizens milling around outside the fice. Inside the room, one of the clerks, Bob-R, a recent conver to Purge, i threaten ing to torch the room. He's armed with 2 flamethrower (Damage TI, Skil 12. “Zom8, superisor for BICCC: DEVMTPR, demands that the Troubleshooter arrest ob immediately. "Uh - without harming ‘of The Computer's valuble forms, of course.” Zom-8 wants Bob-R out; he won't accept No’ for an answer. Toubleshooters. who hesitate are strongly teminded that The Com puter has alow a opinion of those citizens who A Hole In The Compl {alto obey their security clearance superiors ‘Questions about how thsall stared are quick Wy glossed over: “Bored, probably There are number of possible solutions to this problem. The Troubleshooter could spike Some Bouncy Bubble Beverage with EZ-DUZ- IT pill and tick Bob into drinking it. Or they might try fo convince rn that they’ ze his allies. Really sneaky Toubleshooters can just, Dick up one oF two of the 2212/HHKs ying around the office and then leave, claiming to be “going. for back-up!" Realy violent Troubleshooters might jst open fire and hope they can vaporize Bob-R before he tuins the alice into a bonfire. If your ‘Troubleshooters save the office, Zom8 will ghe each of them a 10 credit bons ‘minus 5 redits for each form that sas destroyed in the process. Zom-B also gives them 2 222/HHK, Fou Request Form “Toubleshooters ‘may now return t0 the Department of Form Allocation and Distribution, 6 DEAD Again (sce 84 for description} CagesG takes the 2212/HHK" and gives the ‘Toubleshootes an EquipmenvVveapom Veh cle Request Form, Then he sends them back to ORM, 7, ORAT Again (ee #3): Here the Trouble shooters get a nasty suprise, Pushy wants to know where the vending machine i: going When the Troubleshooters tell him, PushY abe-checks the Vending Machine Complex ‘Authorization and Allocation Gri (VMICAAG), ‘ifthe Troubleshooters lied about where the machine is going: Cage-G discovers the ruse immediately and summons intSec the Troubleshooters tell the truth: CageG refuses to approve the 760XL because the Department of Troubleshooter “Housing, already has a vending machine. ‘Ifthe Troubleshooters then claim that the Department of Troubleshooter Housing's vending machine is broken: Push¥ demands to see their 84379-10(398Y/7R_ (Equipment Complaint Form) verifying that Maintenance has checked out the defective vending machine and declared it inoperative. Pusha refers the Troubleshooters to the Department of Vending Machine Maintenance. 8. Department of Vending Machine Maintenance (OVMIM): A middle-aged, punchy Yellow Tech employee sits beside the Sesk reading athreesveel old copy of Vidnews Daily, His name is BIILYBOYS. BillY is friendly, good-natured kind of guy who takes life one dayeycle ata time. When the Troubleshooters tell BillY what they want, he stares at them for about twenty seconds, cchomps on his synthegum, then says, "Yup, {see yer problem, but cart help you out until you ill uta B437940(398)/7R and those arent iy department. | just file ‘em: Billy directs the Troubleshooters to the Public Relation Bureau for Equipment Complaints. 9, Public Relations Bureau for Equipment Complaints (PRBEC) This large room with, single service window, Winding back fom the window Is 2 lengthy line of clones, many holding the equipment that they wish o.com plain about, The wait is 4 hours. When the Troubleshooters finally reach the front ofthe line, they meet GiteR, a nervous, twitchy clerk behind the window. Git-R deals with ‘extremely isitated “and. frequently dangerous citizens all day long. After three ‘months she has developed a severe case of bat ‘ter hearing their complaint, Gitt says she'll be happy to issue an Equipment Com plaint Form, as soon as the Troubleshooters hhand ber their Form Request Form, IWthe Troubleshooters don't have a Form Request Form, Gite nervously explains that she's not authorized to issue an Equipment Complaint Form to clones without a Form Re- quest Form. Foubleshooters who see Git-R’s ervousness as a sign of weakness are sadly mistaken, Any attempt to bully oF intimidate itt results in her having "an attack” ie, she pulls out a laser rifle and sprays the oor, Twoubleshooter who don't have a Form Re- {quest Form must go back tothe CPU BICC BrvMrPR 10: CPU BICCC: DFVMTPR Again f the PCS subdued BobR with a minimum of damage to The Computer's valuable forms (and the supewsisor’s valuable career), Zom-B issues them another Form Request Form, Otherwise, happy fora chance to get even, Zom-8 cheer fully tli them that they will have to wait uni the damage is cleared up — in, oh, say, three months of so. Theft bebery (200+ credit), (or forgery are the PCS’ only options. 11, PRBEC Aain: Troubleshooters who have a Form Request Form are given a £84373:10(398/7R and should then head back to the OVMM. 12, DVMM Again: Bill hems and haws over the completed 4379.10(398)/7R for a few minutes, then says, “Yup, looks all in order. 1M send a team right ever to check that sucker ‘out and if it don't work ike you say then Vl boring it on into the shop” "Right over’ to BIILY means about a week: oycle maybe two. Fortunately, BIIY is susceptible to bribes. "Heck, I don't need to Send an inspection team. You just head tight fon over to ORAT and I dont think youl have any trouble this time! 13. ORAT Again: Pushy stamps their Equip- meat Request Form ‘Approved’. The Troubleshooters may now proceed back to DMD. 14. DYMD Again: Snack-O snes atthe form, then orders toteboto bring out 2 760. The ‘otebot deposits the 760Xt all 800 pounds of it in front of the Toubleshooters. tis new up to the Troubleshooters to push, carry or dra the ‘erate back to the Department of Troubleshooter Housing, a Soylent Green and Then Some When the Toubleshooters get back to the Department of Troubleshooter Housing with the 76OXL, read the following: {As soon as you enter, re-O turns and sees the 760KL. For a moment she seems stunned, then her eyes widen and a smile spreads across her face. Turning to her keyboard, Ire punches a single button. The syn ‘theplast shield sinks into the floor. The fist thing t-O ay is, "What took yout She then direct the oubleshoote ‘nove the od vending machine out of hero {cand replace with the 700K. During ts procedure reO is her novmal abusive sl ‘Who thy tnshed “ust let me make sue you haven't dam aged my machine” re-O says haughty pal ina plasticredit rom her jumpsuit “i this doesert work, PAD sector will seem fike an Voluntary Entertainment Center compared 0 where Fitsend you” Ire pushes the pasticredit into the coin slot, presen the Tetmost of fur selection batons al of wich are abled Bouncy Bub ble Beverage, and bends over oper nto the ‘inch by seinch Bouncy Bubble Beverage dispenser slot. Second pass» nothing happens. then the “pty ht besins tovash ire turns toward you, her eyes dark with hate ip compressed Suddenly —ametalic hand zips out ofthe machine, grabs herby the writ, and yanks Ire-O back ino the machine’ through the. Bouney Bubble Beverage dapenser slot. The machine shud dlrs violently for # few momen then is lint The “pty ight goes of My, now ist this an interesting tur of cet The question i what re our Trouble shooter gonna do about it Loy cizens right repo the incident, but then they no ng thane to explain wy they we not hee tstined vestige av order. Altona he TToubleshootss can wat around unl he-O- TALSshows up and hope that shes nice than he last clone ont bet on Las and by all means the levers, the Twubieshooters can switch ther housing signment on ther nn an easy encigh se ail requtes isa successl Dam Search rll tofind thts Housing Assignment Fle onthe ofice termina, Then again, once. your ‘Toubleshooter hive ther houning sgn ment ile wy sete fora Red clearance dont Wy noi all root Or indigo Or even tn Ulraviokt see Or couse, Foubleshootes ‘tho asin themselves. accommodations Swe ther security clearance might have» iad time geting bome a night, bt mabe they can getamay witnitonce ust once) and Ine amine in extreme ity ‘hh fe she can e'so sweet. Greetings Citizen! Thank you for reporting the faulty equipment in your possession. To aid in preventing future failure of this and other equipment, please fill out this Faulty Equipment Complaint Form. Be sure to write in ail of the indicated spaces below. Thank you for your cooperation. Name Equipment Name 129.45 6 (circle clone number) Date Equipment Serial No. lM Describe, in your own words, the intended function of the equipment and how it failed to perform that function, ‘What is the value of the equipment in credits? 1H Was the equipment malfunctioning when first received? Yes(@) \ No) 1 What caused the equipment faire? (check one box) 1 Failure to follow equipment directions: D Unintentional or repeated abuse of the equipment. 5 Computer error. High velocity impact. 1D Spontaneous combustion. 1D Other. Be specific: —____ 1H Name the person or persons responsible for the equipment’s failure, detailing precisely the actions on thelr part which resulted in the matfunction. 1 What punishment would you recommend? Verbal reprimand. O Security clearance demotion G Reassignment to Docbot Test Lab: Surgieal Division; Spleen and Liver Banks. 1D Brain sottening and re-education D Summary execution. o credit fine Who administered this form? zt Was the form administered fairly? Yes Noo 1 Were the office personnel who issued the form clean ‘and courteous? Yes) No The Commie mutant traitor threat is worse now than ever before. Yes NoO If you answered yes, why is the threat worse now? Who is, responsible? Does this mean The Computer's an ineffective leader? Are you suggesting that you could do a better job than The Computer? If you answered no, why? Do you feel that The Computer, is exaggerating the Commie menace? Why would you think that? Name one thing you would like to see changed in Alpha ‘Complex and why. Wyes;wh¥igid you accept the equipment? Draw, as accurately as Aossible, the equipment in ‘question. Be sure to indigate any design flaws which ‘may have led to the equipments failure, Check the box below which best describes your feel- ings about the following statement. “I think the new taste of Bouncy Bubble Beverage is: CIA marked improvement over the old Bouncy Bubble Beverage. O Great! C1 was unaware of any change. Ol Super scrupdillyitious!t 1 Yucky. Loyal Citizens prefer the taste of old Bouncy Bubble Beverage. For Office Use Only Complainant's name se a ‘Number of previous complaints Was there evidence of equipment abuse? Internal Security Only Citizen's previous Loyalty Rating [] Citizen's new adjusted Loyaity Rating C1 Foum 897510350778 Citizen, please fill in all indicated spaces. Upon conclusion send completed form via Form Transit Tube to the Office of Resource Allocation and Tracking. If “Approved” white copy of this form may be redeemed for re- quested item at any PLC Distribution Center. Maintain the yellow copy for your own records. Name: — Mission Number: _ For Office Use Only WW Security Clearance: Ah IW Service Group: — | Office No. Registered Mutation: 1 Secret Society: internal Security Security Rating Affix Applicant's 1 Please check box to indicate appropriate item type < BET Tongue int Here J Weapon Gi Communications Equipment Bot IH Why do you need this item? Hasn't The Computer pro- i Vehicle vided for all of your needs? 0 Credits Yes No Fa way naptasniante 1 If °No™ please ist all other ways in which you feel Fi Phermaceuiioeta ‘The Computer has erred. Other. fle 1 Please describe, in detail, the item you are re- questing. Be sure to list its model number, primary function, value (in credits), and security clearance. Win your own words, how will receiving this item benefit the whole of Aipha Complex? Be specific. Will you return this item undamaged? Yes No Will you return this item? Yes ONo ‘Have you seen anyone drinking the New Bouncy Bubble For Office Use Only Beverage? (0 Yes No Wo"ves Team Requested When? Model umber Where were they? Seria Number ‘What was the Bouncy Bubble Beverage batch number? ‘Gizen Requesting Kem — aes Secury Closrance of Cen ‘iter drinking the Bounoy Bubble Bovorage how did the Soeur Clearance offen. Citizen behave? Was he alive when lat sean? nial Loyaly Rang of Can Agusted Loyal Rating of zon Slated Reason for Request “Adal Reason fr Request \m Have you tied the New Bouncy Bubble Boverage? Yes (No Recommendation IF °No" would you ike to ty if? "No," way not? ‘Request Approved Termination Yes (No CG Request Denied 1D Memory Reconstruction eee a ea Distributed by the CPU Bureau of ira-Complex Coordination and Communication: Department of Forms, Vouchers, Moms, and Tongue Prin Regisiation Name: 1.2345 6 (cirde done number) Form Requested Form Request Form 2212/HHK’ | Accusation of Treason/Termination Voucher Request Form Termination Voucher(s)* Fine Assessment Form 18BR-6/A Form Return Form 9999-C (0 Mutation Registration Form DNA424 R&D Experimental Equipment Testing Report Form | Treason Contession/Spontaneous Organ Donor Release Form 1/777B (0 Chapstick Cap Replacement Form (Part 1 of 7) (0 Security Clearance Breach Authorization Form (0 Mission Report Form 1A/887-2 | Mandatory Bonus Duty Application Form |-WNT/U | Form Receipt Form HS30/2.45782-AAA CC902:B, Commendation Certificate" Treasonous Action Authorization Form 33A ( Equipment/Weapon/Vehicle Request Form | Death Leopard Membership Application Form | Change of Address Form 3JJRSN-4BF/7 Teela-O-MLY Fan Letter Request Form (Version 2B) Jacuzzi Request Form (0 Jacuzzi Installation Voucher (J Jacuzzi Repair Request Form | Fizz-Wizz Request Form ( Information Request Form ( Damage Report/Explanation/Alibi Form 4882-00 (0 Clone Activation/Replacement Form 123456/X ( c [ ] Sector Transfer Form "1 Interrogation Results Report Form 1S/876/D0A | Bouncy Bubble Beverage Complaint Form PLC/4823/YUK © Antillery/Air Strike Request Form AFizero-six-niner 1D Bot Request Form’ ( Xtra Cold Fun Portion Request From 4333(399/C Co Personality Stabilizer Request Form PCP481 C3 Security Clearance Promotion Request Form (2A1) © Security Clearance Demotion Request Form (242) O Fitness Drill Absence Excuse Form 36277/ARGHHH © [Deleted for Security Reasons] 237/34,FIDKJNT-A © Mandatory Voluntary Freefall Impact Test Form S2FTIS2 0 Other _ Affix Tissue Sample Here i Have you ever filled out one of these forms before? Do you know what you're getting into? Yes No Do you promise to fill out this form correctly? Why? | What if we don't give you the form you request? Who will you tell? For Office Use Only Farms Previously Requested Forms Received Forms Compited Forms Completed Cara Farms Competed Incorrect Error Return Average Parcenlage Forwarded to Internal Secusly Percentage Kept by Inlemal Secu Porcentage Chance of Clone Surviving T Form la Kept by Inornal Security “Bulk rates available may be oUt of stock Comyn © 980 est En Games, ne are ¥/2006-40 Place Bet Here (2 credit minimum R&D Experimental Equipment Testing St Js]e]g el a Tg) Distibuted by the Oca of information Collection and the Orfce of Forms and Vouchers, PLC MH Please describe, in detail, the test of the experimental Equipma equipment, isting the nature, situation, environ- Ienticeton Number mont, contol, and reattons ofa fost po. formed on the equipment while in the testing Experiment Tie: __ agent's possession Project Reference Cod R&D Project Supervisor: W R&D Sector Office: W Testing Agent's Name; Wi Next of Kin: @ Witnesses to Equipment Test: For Official Use Only Name: Tittes/OFFices: ating IBN Est 1 Description of Experimental Equipment: {@ Please list any and all instances in which the equipment was handled by any citizen other than the authorized testing agent listed above. 1m Was the equipment damaged in any way before, during, or after the test? If so, how? —— 1m Did the experimental equipment perform as described? Hf not, ‘what problems did you have with the equipment? Yes No 1 Wore the instructions included with the equipment adequate? If ‘ot, what other methods of crowd control can you think of? Yes CNo Was the equipment damaged in any way before, during, or after the test? If so, in what way? ves. CI No For oneal Un ony [Tay T_T ' What do you think of the new taste of Bouncy Bubble Bev- HE 3 ae erage? Are there any other Commissary products that you think | | | PostTesting Resutant 1 5) £5) EE ‘need improving? Ploaso put your answers in the box provided | || Persone! Disposion || S}° ||| p.iver Below: AD Supervisor Chit Enginesr Production Sypeniser Testing Agent Hygiene Ofer 1 Do you have any complaints with the way that this equipment was, | Fetes OTE designed? Sgosoing Hah Prog Yes. C1 No Form 1208-4528.23-N5 II there wore flaws or problems in the equipment, who do you i Pink oapone Dan Peco O The Compute D The Testing Agent 9 1D The R&D Supervisor 1 Communists IntSec Approval 1D Other R&D Personnel 1 Other S| Pratontyllow py debating oer. Send yotOw opy to ZIN Sector: Deparment of Experimental Equpment Evaluation, Maina yellow copy fr your own records

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