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FORM NUMBER:

DD877-1

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TITLE:

REQUEST FOR MEDICAL/DENTAL RECORDS FROM THE NATIONAL PERSONNEL RECORDS CENTER

(NPRC) (ST. LOUIS, MISSOURI)

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EDITION DATE:

19980401

CANCELLATION DATE:

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AVAILABLE FILE FORMATS:

PLEASE NOTE:

Fillable Adobe:

PDF-Ext

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Perform Pro:

To obtain hard copies of current forms not available in electronic format, please

Form Flow 2.0:

contact your own Military Service or DoD Component Forms Management

Form Flow 99:

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a list of Forms Management POCs.

Forms Management POCs

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REMARKS:

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ISSUANCES:

AS ISSUED BY USING DOD COMP

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SPONSOR / POC:

A

SUB-SPONSOR:

SGPS-AOP

NUMBER OF PAGES:

2

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USERS*:

A N AF

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PRESCRIBED OR ADOPTED?:

A

DISPOSITION:

FUNCTION CODE:

6040

FORM CONTROLLED:

N

MANDATORY PRINT SPECIFICATIONS:

N

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:

N

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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.