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Line of Duty Checklist SSN:Full Name: Rank:MOS:Date of Injury:Unit:**********Submit all supporting documents listed below with this checklist*********** DA Form 2173 (Statement of Medical Examination
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The gangmilportals49line of duty checklist is a form used to document and report incidents that occur while on duty.
All employees who have experienced incidents while on duty are required to file the gangmilportals49line of duty checklist.
To fill out the gangmilportals49line of duty checklist, employees must provide detailed information about the incident, including date, time, location, and a description of what occurred.
The purpose of the gangmilportals49line of duty checklist is to ensure that incidents that occur while on duty are properly documented and reported.
The gangmilportals49line of duty checklist must include details such as date, time, location, description of incident, and any injuries sustained.
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