DA 4465 2001-2025 free printable template
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SIGNATURE OF COUNSELOR DA FORM 4465 NOV 2001 23. NAME AND GRADE OF CLINICAL DIRECTOR APD LC v2. 00 PRIVACY ACT STATEMENT AUTHORITY 5 USC Section 301 Department Regulations 10 USC Section 3013 Secretary of the Army 42 USC Section 290dd Army Regulation 600-85 Army Substance Abuse Program ASAP and E.O. PATIENT INTAKE/SCREENING RECORD PIR REQUIREMENTS CONTROL SYMBOL CSGPA-1400 For use of this form see DA PAM 600-85 the proponent agency is ODCSPER SEE FOLLOWING PAGE FOR PRIVACY ACT STATEMENT...
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How to fill out physician certificate form
How to fill out DA 4465
01
Obtain a copy of the DA Form 4465 from the appropriate authority or website.
02
Fill in the personal information section, including your name, rank, and service number.
03
Specify the type of leave you are requesting in the applicable section.
04
Provide the dates of your requested leave.
05
Include any necessary remarks or justifications for your leave request.
06
Ensure all required signatures are obtained before submission.
07
Submit the completed form to your immediate supervisor or the designated office.
Who needs DA 4465?
01
Military personnel who are requesting leave from their duties.
02
Service members who need to document their leave for official record-keeping.
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What is DA 4465?
DA 4465 is a Department of the Army form used for the purpose of requesting authority to leave or travel outside the United States.
Who is required to file DA 4465?
Military personnel, including active duty members and certain civilians associated with the Army, are required to file DA 4465 when they intend to travel outside the country.
How to fill out DA 4465?
To fill out DA 4465, applicants need to provide personal details such as name, rank, organization, and the nature of travel, including destination and dates.
What is the purpose of DA 4465?
The purpose of DA 4465 is to document and approve requests for travel outside the U.S., ensuring compliance with military regulations and security protocols.
What information must be reported on DA 4465?
Required information includes the applicant's personal information, travel itinerary, reasons for travel, and any associated risks or considerations.
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