DLA Official Forms

If you experience an issue opening or downloading Adobe PDF files, click this banner for more assistance. Once you’ve adjusted your settings: From the form’s details page, click on the file link to either open or save the form to your computer download folder.

Browse records in that Search

Form Information

Category	Details
Form Number:	DLA1855-1D, Part 3
Form Title:	DLA CYP Diabetes Weekly Food and Carbohydrate Log
Form Version:	Aug 2019
Status:	Active
Functional Area:	Installation Management
Opr:	DM
Safeguards:	PAS, OMB Collection
Electronic:	Yes
Form Link:	Documents/FormsSite/forms/DL1855-1D Part III.pdf
Type:	Primary
Prescribed:	DLAI 1015.02
Description:	This form will be used as the log for tracking food and carbohydrates for children with Diabetes 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: