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Tion will delay your request. 2. Blocks 1 through 13 are self-explanatory. 3. Blocks 4 and 5 are only completed if the applicant is someone other than the Soldier. 4. Block 14. Provide specific details of circumstances that led to your situation and request for assistance. 5. Block 15. List each specific item and the amount requested. Amounts should match the document provided in support of the expense. Do not total up amounts (i.e. utilities, $500), list each one separately. 6. Block 16. List a.

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