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Ky. gov/ Office Use Only BUS CERTIFICATE BUS Plate Fee TRANSPORTATION NETWORK COMPANY TNC Plate Fee DISABLED VEHICLE CERTIFICATE DPV Plate Fee LIMOUSINE CERTIFICATE LIMO Plate Fee TAXICAB CERTIFICATE TAXI Plate Fee Cert 250. 00 SECTION 1 COMPANY INFORMATION Legal Name DBA Name City Street Phone State Fax Zip Email required SECTION 2 VEHICLE INFORMATION UNIT VEHICLE IDENTIFICATION Serial MAKE YEAR PLATE STATE FEE PER VEHICLE PLATE TOTAL FEES SUBMITTED SEATING CAPATICY MC PLATE/DECAL SECTION 3...
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01
To fill out TC 95-39, follow these steps:
02
Begin by entering the date on the top right corner of the form.
03
In the 'Soldier's Name' section, write the full name of the soldier for whom the form is being filled out.
04
Provide the necessary information in the 'Unit or Organization' section, including the soldier's unit or organization name.
05
Fill in the 'Address' field with the complete address of the soldier.
06
Enter the soldier's rank and social security number in the respective fields.
07
In the 'Medical Condition' section, indicate any applicable medical conditions that the soldier has.
08
Write down any current medications being taken by the soldier in the 'Current Medications' field.
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Mention any known allergies or sensitivities in the 'Allergies' section.
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Provide any additional comments or information in the 'Remarks' field, if necessary.
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Finally, review the entire form for accuracy and completeness before submitting it for further processing.
Who needs tc 95-39?
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TC 95-39 is required by medical staff or healthcare professionals who need to gather information about a soldier's medical condition or history.
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It is usually used for medical evaluations, assessments, or when providing medical treatment to military personnel.
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The form helps ensure that the medical professionals have accurate and up-to-date information to make informed decisions regarding the soldier's health and well-being.
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