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U.S. DOD Form dod-da-5017 CIVILIAN EMPLOYEE CONSENT STATEMENT For use of this form see DA PAM 600-85 the proponent agency is ODCSPER NOTE Prepare this form in the original only and file in the ASAP client case file folder. Reproduction and distribution of this form are prohibited* SECTION I - JUSTIFICATION Purpose of this statement is to request and enlist the cooperation and assistance of your immediate supervisor in your behalf* His/her involvement in your treatment plan will greatly assist...
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