Army community service (acs) accreditation checklist for use of this form, see ar 608-1; the proponent agency is acsim. (note: pre-site materials are annotated with an asterisk *) 10 structure 11 criteria for center (para 1-6, ar 608-1) 11.1 the...
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Reset form readiness and deployment checklist for use of this form, see da pam 600-81 and ar 600-8-101; the proponent agency is dcs, g-1. data required by the privacy act of 1974 authority: purpose: routine uses: disclosure: 10 usc section 3013,...
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Limits of confidentiality for use of this form, see ar 40-66; the proponent agency is the office of the surgeon general. as part of your healthcare team, our goal is to provide you with quality care and to protect the privacy of your personal...
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Chaplains' fund annual summary financial data report for use of this form, see da pam 165-18; the proponent agency is cch 1. name of fund 2. fiscal year 3. nafi code 4. address of fund 5. sub-account section a - income/expense statement operating...
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U.s. dod form dod-dd-2680 military water well completion summary report to from (list unit and complete mailing address to include street and 9-digit zip code) director us army topographic engineer center attn: cetec-tc-h ft. belvoir, va...
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House staff evaluation report for use of this form, see ar 351-3; the proponent agency is otsg. name (last, first, middle initial) date of report grade service as (check one) intern: rotating straight (specify) resident fellow year specialty name...
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U.s. dod form dod-dd-2475 loan program (x one) control no. dod educational loan repayment program (lrp) annual application form approved active duty lrp omb no. 0704-0152 health professionals lrp expires may 31, 2006 selected reserve lrp the...
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U.s. dod form dod-dd-2842 department of defense (dod) public key infrastructure (pki) certificate of acceptance and acknowledgement of responsibilities subscriber 1. certificate accepted by a. name (typed or printed) (last, first, middle initial)...
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U.s. dod form dod-dd-577 appointment/termination record - authorized signature (read privacy act statement and instructions before completing form.) privacy act statement authority: e.o. 9397, 31 u.s.c. ss 3325, 3528, dod financial management...
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Form no. 602 r 4/21/2009 notice of completion of groundwater development use this form for completed groundwater developments where the water has been put to use for the purposes identified with a maximum use of 35 gpm not to exceed 10 ac-ft per...
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Inpatient treatment record cover sheet for use of this form, see ar 40400; the proponent agency is otsg 1. register number 4. sex 11. fmp 15. flying status 21. source of admission/authority for admission 24. name/relationship of emergency...
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Military police report for use of this form, see ar 19045; the proponent agency is pmg. privacy act statement title 10 usc section 301; title 5 usc section 2951; e.o. 9397 dated november 22, 1943 (ssn). authority: principal purpose: to provide...
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U.s. dod form dod-dd-2756 report control symbol weight-based assessment of military postal service - outgoing 1. agency/user (spell out completely) 2. status 3. location 4. agency zip code 5. parent zip code report weights in pounds and ounces...
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Tab to navigate within form. use mouse to check applicable boxes, press spacebar or enter. h print save wisconsin homestead credit 2013 check here if an amended return claimant s social security number spouse s social security number claimant s...
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