Form Information
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FORM NUMBER: DD855

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TITLE: EMERGENCY ACTION STATEMENT

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EDITION DATE: 19561101 CANCELLATION DATE: 19810304

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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: Cancelled per memo dated 4 Mar 81, from Arthur Ehlers, OSD(C), Organizational and Management Planning,

stating that the form is not prescribed by DODD 3020.26 and has not been a requirement for many years.
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ISSUANCES: ANNEX H, DODD 3020.26
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SPONSOR / POC: COMP SUB-SPONSOR:
NUMBER OF PAGES:
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USERS*: A N AF NIMA
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PRESCRIBED OR ADOPTED?: P

DISPOSITION:

FUNCTION CODE:

FORM CONTROLLED:

MANDATORY PRINT SPECIFICATIONS:

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:
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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.