A SAMPLE form FAA 8100-1 is discussed on pages 2-4 and 2-5 of the revised Order 8120.22A. The order was revised to incorporate the change from the CMIS system to ACASIS.  This change can be viewed on page 205, #7, of the order. Note in the Order on page 1-2 that current forms versions are still usable until the new revision is available.