Pub/Form Number | DA FORM 4159 |
Pub/Form Date | 05/01/2009 |
Pub/Form Title | REQUEST FOR MEDICAL CARE IN A FEDERAL MEDICAL TREATMENT FACILITY OUTSIDE DEPARTMENT OF DEFENSE |
Unit Of Issue(s) | |
Pub/Form IDN |
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Pub/Form PIN | 003052 |
Pub/Form Proponent | TSG |
Pub/Form Status | ACTIVE |
Product Status | ACTIVE |
Prescribed Forms/Prescribing Directive | AR 40-400 |
Authority (Superseded By/Rescinded By) | |
Superseded/Replaced Other Pub/Form | |
Footnotes | 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA 45-https://armypubs.army.mil 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21) |
Security Classification | UNCLASSIFIED |
Dist Restriction Code | A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED |
Changes |
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