Form Information
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FORM NUMBER: DD1058

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TITLE: ANIMAL ISSUE RECORD

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EDITION DATE: 19580301 CANCELLATION DATE: 19990722

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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: A DD Form 67 was submitted to rescind this Army-sponsored form. The prescribing document, TB MED

255/NAVMED P-5103/AFM 163-15, was rescinded in 1985; concurrence was obtained from the Air Force and

the Navy. The form was an LRA form which appeared in the prescribing document.
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ISSUANCES: AS ISSUED BY USING DOD COMP
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SPONSOR / POC: A SUB-SPONSOR:
NUMBER OF PAGES: 1
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USERS*: A N MC
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PRESCRIBED OR ADOPTED?: A

DISPOSITION:

FUNCTION CODE: 6400

FORM CONTROLLED:

MANDATORY PRINT SPECIFICATIONS:

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:
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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.