Form Information
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FORM NUMBER: SD822

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TITLE: DEPARTING EMPLOYEE CHECKLIST

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EDITION DATE: 20100701 CANCELLATION DATE:

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

Forms Management POCs

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REMARKS:
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ISSUANCES: AI 15
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SPONSOR / POC: WHS SUB-SPONSOR: ESD/RDD
NUMBER OF PAGES: 1
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USERS*: OSD COMPONENTS
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PRESCRIBED OR ADOPTED?: P

DISPOSITION:

FUNCTION CODE: 5015

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: N

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS: N
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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.