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Accountable Health Care IPA ALTA LOS ANGELES DIRECT REFERRAL FORM Tel: (562) 4353333 Fax: (562) 5950673 The purpose of this Direct Referral Form is to provide direct access by our patients to selected
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To fill out DA Form ALTA LA, follow these steps:

01
Start by obtaining a copy of the form. The form can be downloaded from the official U.S. Army website or obtained from the unit's administrative office.
02
Begin filling out the form by providing the necessary identification information. This includes your name, rank, social security number, and contact information.
03
Proceed to the next section, which requires you to specify the nature of the request or purpose of the form. This could be related to leave request, travel, reimbursement, or any other applicable category.
04
Fill in the specific details related to your request. For example, if it is a leave request, mention the requested dates, type of leave, and the reason for the leave.
05
If applicable, provide any supporting documentation required for your request. This may include travel orders, receipts, or medical certificates.
06
Make sure to review the filled form for accuracy and completeness. Double-check all the provided information to avoid any errors or omissions.
07
Once you have confirmed the accuracy of the form, sign and date it at the designated spaces.
08
If necessary, submit the completed form to the appropriate approving authority for further processing. This may be your immediate supervisor, administrative officer, or any other designated personnel.

Who needs DA Form ALTA LA?

01
Active duty soldiers: Any active duty soldier in the U.S. Army may need to fill out DA Form ALTA LA for various administrative purposes such as leave requests, travel requests, or reimbursement claims.
02
Reservists: Reserve soldiers, whether on active duty or in a drilling status, may also need to fill out this form for similar administrative purposes.
03
Military dependents: In some cases, military dependents may be required to fill out DA Form ALTA LA if they are authorized to travel or undergo certain administrative processes within the military system.
In summary, DA Form ALTA LA needs to be filled out accurately and completely by active duty soldiers, reservists, and military dependents for various administrative purposes like leave requests, travel, or reimbursement claims.
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DA Form ALTA LA is a document used by the Army to track annual leave balances for military personnel.
All military personnel in the Army are required to file DA Form ALTA LA to track their annual leave balances.
DA Form ALTA LA can be filled out by entering information such as name, rank, unit, and leave balances in the designated fields.
The purpose of DA Form ALTA LA is to track annual leave balances for military personnel in the Army.
Information such as name, rank, unit, and leave balances must be reported on DA Form ALTA LA.
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