DLA Official Forms

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Form Number: DLA1855-1
Form Title: DLA Child and Youth Program Health Assessment for Enrollment & Renewal
Form Version: Aug 2019
Status: Active
Functional Area: Installation Management
Opr: DM
Safeguards: PAS, PII, OMB Collections
Electronic: Yes
Form Link: Documents/FormsSite/forms/DL1855-1.pdf
Type: Primary
Prescribed: DLAI 1015.02
Description: This form will be used as the initial and annual health assessment on child(ren) in a Child and Youth Program.
Records Retention: 7304.1 Child Development Center. Temporary. Cutoff at end of Event. Maintain records as long as a child is enrolled. Upon termination from the program, forward records to Child Development Services Coordinator.
Form Audience: