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DD Form 3176, "REQUEST FOR A MEDICAL EXEMPTION OR DELAY TO THE COVID-19 VACCINATION REQUIREMENT"
ICR 202110-0704-007 · OMB 0704-0619 · Object 115665900.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | DD Form 3176, "REQUEST FOR A MEDICAL EXEMPTION OR DELAY TO THE COVID-19 VACCINATION REQUIREMENT" |
| Author | DoD Component |
| File Modified | 2021-10-19 |
| File Created | 2021-10-18 |
| Conversion State | failed_conversion |