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Get DA 4186 1985

FOR FLYING DUTY For use of this form, see AR 40-501; the proponent agency is the Office of The Surgeon General TO: FROM: 1. NAME (Last, First, MI) 2. SSN 3. GRADE 5. ORGANIZATION 4. DATE OF BIRTH 6. TYPE FLYING DUTY PERFORMED SECTION A - QUALIFYING ACTION RECOMMENDED BY MEDICAL AUTHORITY 7. MEDICAL CLEARANCE IS RECOMMENDED FOR THE FOLLOWING REASON(S): (Check one or more) a. TERMINATION OF TEMPORARY MEDICAL SUSPENSION g. ISSUE OF WAIVER FOR MEDICAL DISQUALIFICATION b. MEDICAL EXAMINA.

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