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Da 5248  Form

Da 5248 Form

Use a da 5248 template to make your document workflow more streamlined.

Compartmented Information Only 1. REPORTING COMMANDER 3. UNIT IDENTIFICATION CODE 4. SOCIAL SECURITY NUMBER 5a* NAME Last first MI 5b. ALIASES Former/Maiden name 6a* DATE OF BIRTH Year month day 6b. PLACE OF BIRTH State or Country 8a* CURRENT CLEARANCE 8b. SCI Check appropriate box YES 7a* RANK 8c* DATE GRANTED 7b. STATUS see Item 16 8d. DATE/TYPE OF INVESTIGATION NO 9. TYPE OF REPORT Check appropriate box INITIAL FOLLOW-UP FINAL 10. UNIT ACTION TAKEN Check appropriate box SCI ACCESS SUSPENDED...
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