Form Information
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FORM NUMBER: DD2480

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TITLE: DOD MEDICAL EXAMINATION REVIEW BOARD (DODMERB) REPORT OF DENTAL EXAMINATION

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EDITION DATE: 20000901 CANCELLATION DATE: 20040310

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AVAILABLE FILE FORMATS: PLEASE NOTE:
Fillable Adobe: If no hyperlink appears next to a format, the form is not available electronically. To
Perform Pro: obtain hard copies of current forms not available in electronic format, please contact
Form Flow 2.0: your own Military Service or DoD Component Forms Management Officer.
Form Flow 99: Cancelled forms are not available in electronic formats. Click on link for a list of
Other: Forms Management POCs.

Forms Management POCs

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REMARKS: This form is being cancelled by DODMERB due to mission changes.
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ISSUANCES: AR 40-29 NAVMEDCOM 6120.2A

AFR 160-13 CGCOMDT M6120.8B
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SPONSOR / POC: AF SUB-SPONSOR: DODMERB/SAS
NUMBER OF PAGES: 2
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USERS*: A N AF CG
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PRESCRIBED OR ADOPTED?: A

DISPOSITION: S

FUNCTION CODE: 6130

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: N

RCS:

IRCN:

OMB: 0704-0396

PRIVACY ACT IMPLICATIONS: Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.