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REFERRAL FOR CIVILIAN MEDICAL CARE SUBMIT CHARGES TO: REFERRING UNIFORMED SERVICES FACILITY MEDICAL RECORD CAMPUS CONSULTATION SHEET REQUEST FROM: (Requesting physician or activity) TO: DATE OF REQUEST
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How to fill out dd form 2161
How to fill out dd form 2161:
01
Start by entering the date in the designated space at the top of the form.
02
Provide your personal information, including your name, rank, Social Security number, and contact information.
03
Indicate your duty status and unit information.
04
Fill out the section regarding your leave request, including the desired leave dates and the purpose of your leave.
05
If applicable, enter information about your leave address and emergency contact details.
06
Complete the leave approving authority section by providing the name, rank, and contact information of the officer who will review and approve your leave request.
07
Sign and date the form to certify the accuracy of the information provided.
Who needs dd form 2161:
01
Active duty military personnel who wish to request leave from their duties.
02
Reservists and National Guard members who require official documentation for their leave requests.
03
Dependents of military personnel who are seeking approval for their own leave or travel plans while accompanied by their sponsoring service member.
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What is dd form 2161?
DD Form 2161 is a document used by the Department of Defense (DoD) to report and track transportation discrepancies.
Who is required to file dd form 2161?
Any military member, civilian employee, contractor, or organization that identifies a transportation discrepancy must file DD Form 2161.
How to fill out dd form 2161?
To fill out DD Form 2161, you must provide details about the transportation discrepancy, including the type of discrepancy, date and time of discovery, location, responsible agency, and any corrective actions taken.
What is the purpose of dd form 2161?
The purpose of DD Form 2161 is to ensure that transportation discrepancies are properly reported, investigated, and resolved to maintain the integrity of the DoD transportation system.
What information must be reported on dd form 2161?
DD Form 2161 requires information such as the type of transportation discrepancy, date and time of discovery, location, responsible agency, corrective actions taken, and any supporting documentation.
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