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FORM NUMBER:

DD2374

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TITLE:

DOD MEDICAL EXAMINATION REVIEW BOARD (DODMERB) HEART MURMUR EVALUATION

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EDITION DATE:

20040301

CANCELLATION DATE:

20070723

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AVAILABLE FILE FORMATS:

PLEASE

Fillable Adobe:

If no hyperlink appears next to a format, the form is not available

Perform Pro:

electronically. To obtain hard copies of current forms not available in

Form Flow 2.0:

electronic format, please contact your own Military Service or DoD

Form Flow 99:

Component Forms Management Officer. Cancelled forms are not

Other:

available in electronic formats. Click on link for a list of Forms

Forms Management POCs

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REMARKS:

THIS FORM WILL BE CANCELLED BY DODMERB DUE TO MISSION CHANGES.

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ISSUANCES:

AR 40-29

NAVMEDCOMINST 6120.2A

AFJI 36-2018

CGCOMDTINST M6120.8B

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SPONSOR / POC:

AF

SUB-SPONSOR:

DODMERB/SAS

NUMBER OF PAGES:

1

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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

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.