Forms and Documents
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USACC Form 104-R, Planned Academic Program Worksheet, Sep 13
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USACC Form 139-R, Cadet Application and Enrollment Record, Apr 19
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CC Form 137-R, Authorization for Access to Student Records, Aug 02
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CC Form 136-R, Briefing on Government Sponsored Benefits for ROTC Cadets, Aug 01
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DD Form 2005, Privacy Act Statement-Health Care Records, Jun 16
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DD Form 2058, State of Legal Residence Certificate, Jan 18
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DA Form 3425-R, Medical Fitness Statement for Enrollment in Basic Course, Senior ROTC, Sep 68
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Statement of Acknowledgement for Civilian Medical Records
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SF 1199A, Direct Deposit Sign-Up Form, Mar 97
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IRS Form W-4, Employee’s Withholding Allowance Certificate, 2019
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Beneficiary Form, for DD Form 93 Record of Emergency Data, Jan 08