Form Information
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FORM NUMBER: DD2567

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TITLE: PEARL HARBOR COMMEMORATIVE MEDAL APPLICATION/INFORMATION

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EDITION DATE: 19910201 CANCELLATION DATE: 19931206

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AVAILABLE FILE FORMATS: PLEASE NOTE:
Fillable Adobe: If no hyperlink appears next to a format, the form is not available electronically. To
Perform Pro: obtain hard copies of current forms not available in electronic format, please contact
Form Flow 2.0: your own Military Service or DoD Component Forms Management Officer.
Form Flow 99: Cancelled forms are not available in electronic formats. Click on link for a list of
Other: Forms Management POCs.

Forms Management POCs

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REMARKS: Canceled and replaced by "None". Letter requests are sufficient to obtain medal.
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ISSUANCES: PL 101.510, SECTION 1492
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SPONSOR / POC: P&R SUB-SPONSOR:
NUMBER OF PAGES: 2
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USERS*: A N AF MC DVA
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PRESCRIBED OR ADOPTED?: P

DISPOSITION: S

FUNCTION CODE: 1348

FORM CONTROLLED:

MANDATORY PRINT SPECIFICATIONS: N

RCS:

IRCN:

OMB: 0704-0322

PRIVACY ACT IMPLICATIONS: Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.