DLA Official Forms

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Form Information

Category	Details
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: