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Get the free DA FORM 4187, JAN 2000. Medical Marijuana Center License Application Supplemental Ma...

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Print Form Reset Form C i r c l e the pro pr IAT e c o by d e s i NATO r Copy 1 C o by 2 Copy 3 C o by 4 PERSONNEL ACTION F o r us e o f t h i s f o r m, s e e A R 6 0 0 – 8 – 6 a ND D A P A M
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DA Form 4187 Jan is a Personnel Action Form used by the United States Army.
Any Army personnel who need to request a personnel action or an exception to policy.
DA Form 4187 Jan must be completed with accurate and up-to-date information, signed by the appropriate authority, and submitted through the proper channels.
The purpose of DA Form 4187 Jan is to request personnel actions or exceptions to policy in the United States Army.
DA Form 4187 Jan must include details such as the Soldier's personal information, the requested action or policy exception, and any supporting documentation.
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