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REVIEWING AUTHORITY - REASONS AND SUBSTITUTED FINDINGS 21. APPROVING AUTHORITY - REASONS AND SUBSTITUTED FINDINGS DD FORM 261 BACK OCT 1995. DD FORM 261 OCT 1995 EG PREVIOUS EDITION WILL BE USED. APD PE v1. 01ES 17. SSN 18. GRADE 19. APPOINTING AUTHORITY - REASONS AND SUBSTITUTED FINDINGS 20. 1. REPORT DATE YYMMDD REPORT OF INVESTIGATION LINE OF DUTY AND MISCONDUCT STATUS 2. INVESTIGATION OF X one INJURY 3. STATUS X as applicable DISEASE ILLNESS DEATH a* REGULAR OR EAD 4. TO Major Army or Air Force Commander b. CALLED OR ORDERED TO AD FOR 1 MORE THAN 30 DAYS 2 30 DAYS OR LESS 5. NAME OF INDIVIDUAL Last First Middle Initial 6. SSN 7. GRADE c* INACTIVE DUTY TRAINING Type 8. ORGANIZATION AND STATION d. SHORT TOUR OF ACTIVE DUTY FOR TRAINING 9. OTHER MILITARY PERSONNEL INVOLVED IN THE SAME INCIDENT NAME Last First Middle Initial a* SSN b. c* d. LOD INVESTIGATION MADE X YES NO e. DURATION Applies ONLY to 3. c* and d. DATE YYMMDD HOUR 1 START 2 FINISH 10. BASIS FOR FINDINGS As determined by investigation a* CIRCUMSTANCES 2 DATE YYMMDD 3 PLACE 4 HOW SUSTAINED b. MEDICAL DIAGNOSIS d. IF ABSENT X c* PRESENT FOR DUTY X WITH AUTHORITY Do not complete 10. e. and f* in death cases. e. WAS INTENTIONAL MISCONDUCT OR NEGLECT THE PROXIMATE CAUSE X f* WAS INDIVIDUAL MENTALLY SOUND X g. REMARKS 11. FINDINGS X one. Do not complete in death cases. IN LINE OF DUTY a* TYPED NAME Last First Middle Initial f* SIGNATURE 13. ACTION BY APPOINTING AUTHORITY c* X one. Indicate reasons and substituted findings on back. APPROVED f* BRANCH OF SERVICE a* HEADQUARTERS d. SSN 14. ACTION BY REVIEWING AUTHORITY g. SSN 15. FINAL APPROVAL For action of office indicated in Item 4. 1. REPORT DATE YYMMDD REPORT OF INVESTIGATION LINE OF DUTY AND MISCONDUCT STATUS 2. INVESTIGATION OF X one INJURY 3. STATUS X as applicable DISEASE ILLNESS DEATH a* REGULAR OR EAD 4. TO Major Army or Air Force Commander b. STATUS X as applicable DISEASE ILLNESS DEATH a* REGULAR OR EAD 4. TO Major Army or Air Force Commander b. CALLED OR ORDERED TO AD FOR 1 MORE THAN 30 DAYS 2 30 DAYS OR LESS 5. NAME OF INDIVIDUAL Last First Middle Initial 6. CALLED OR ORDERED TO AD FOR 1 MORE THAN 30 DAYS 2 30 DAYS OR LESS 5. NAME OF INDIVIDUAL Last First Middle Initial 6. SSN 7. GRADE c* INACTIVE DUTY TRAINING Type 8. ORGANIZATION AND STATION d. SHORT TOUR OF ACTIVE DUTY FOR TRAINING 9. SSN 7. GRADE c* INACTIVE DUTY TRAINING Type 8. ORGANIZATION AND STATION d. SHORT TOUR OF ACTIVE DUTY FOR TRAINING 9. OTHER MILITARY PERSONNEL INVOLVED IN THE SAME INCIDENT NAME Last First Middle Initial a* SSN b. c* d. OTHER MILITARY PERSONNEL INVOLVED IN THE SAME INCIDENT NAME Last First Middle Initial a* SSN b. c* d. LOD INVESTIGATION MADE X YES NO e. DURATION Applies ONLY to 3. c* and d. DATE YYMMDD HOUR 1 START 2 FINISH 10. LOD INVESTIGATION MADE X YES NO e. DURATION Applies ONLY to 3. c* and d. DATE YYMMDD HOUR 1 START 2 FINISH 10. BASIS FOR FINDINGS As determined by investigation a* CIRCUMSTANCES 2 DATE YYMMDD 3 PLACE 4 HOW SUSTAINED b.

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