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Dd 1797 Form
Information contained in this system of records may be provided to a carrier, for the purpose of helping to resolve or
adjudicate claims brought by Defense Transportation System users.
DISCLOSURE: Voluntary; however, failure to provide the requested information may delay settlement of a claim.
1. NAME (Last, First, Middle Initial)
2. SOCIAL SECURITY NUMBER
3. GRADE/RANK/RATING
4. ISSUING AUTHORITY
5. ORDER NUMBER AND
PARAGRAPH
6. DATE (YYYYMMDD)
7. CHECKLIST (Record special instructions...
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