DLA Official Forms

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Form Number: DLA7012
Form Title: Ebola Post-Exposure Symptom Diary
Form Version: Canceled
Status: Canceled
Functional Area: Installation Management
Opr: DM
Safeguards: PAS, PII
Electronic: Yes
Form Link: |options=W
Type: Primary
Prescribed: Pre-deployment, Deployment, and Post-deployment Training, Screening, and Monitoring Guidance for Department of Defense Personnel Deployed to Ebola Outbreak Areas. Dated October 10, 2014.
Description: THIS FORM IS CANCELED AS A RESULT OF THE 2020 FORMS SURVEY ON DLA-LEVEL FORMS. Form was be used to document the monitoring of symptoms for returning deployed DLA civilian and military personnel.
Records Retention: 162.40 Employee Medical File (GRS 1, Item 21)
Form Audience: