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MISSILE AND ROCKET MALFUNCTION REPORT Requirements Control Symbol CSG LD 1961 For use of this form, see AR 75-1; the proponent agency is DIALOG TO FROM Commander U.S. Army Missile Command ATTN: AMSMI-LC-AM
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The DA Form 4379, or the Dependency Statement - Parent - Mother, is a U.S. Army form used to document and verify the dependency status of a soldier's parents and determine their eligibility for certain benefits.
Any U.S. Army soldier who wants to claim dependency status for their parents and provide them with certain benefits is required to file DA Form 4379.
To fill out DA Form 4379, you need to provide personal information about the soldier, such as name, rank, and Social Security Number. You also need to provide detailed information about the parents, including their names, addresses, and income. It is important to accurately complete all sections of the form and attach any required supporting documents.
The purpose of DA Form 4379 is to determine the dependency status of a soldier's parents and establish their eligibility for certain benefits, such as medical coverage, educational benefits, and housing allowances.
On DA Form 4379, you must report personal information about the soldier, such as name, rank, and Social Security Number. You also need to provide detailed information about the parents, including their names, addresses, income, and their dependency status.
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