Dd Form 2343 PDF Details

Dd Form 2343 is a Department of Defense (DoD) form that is used to report foreign travel. The form is also known as the TDY (Temporary Duty) Report. It is important to submit a completed Dd Form 2343 to your command or supervisor when you return from any type of temporary duty assignment overseas. This will ensure that your commanding officer has all the necessary information about your assignment. Improper submission of this form can affect your career advancement opportunities. Make sure to complete the form accurately and completely, and submit it on time.

QuestionAnswer
Form NameDd Form 2343
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform veterinary health record, dd form 2343, dd form health record, dd form 2343 pdf

Form Preview Example

VETERINARY HEALTH RECORD

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 136; DoD DIrective 5136.01; Army Regulation 40-905, SECNAVINST 6401-1B; AFI 48-131.

PRINCIPAL PURPOSE(S): To establish and maintain health records of animals and to locate animal owners for follow-up notification of care or treatment received.

ROUTINE USE(S): The information may be used to aid in preventive health and communicable disease control programs, report medical conditions required by law to Federal, state, and local agencies. The DoD Blanket Routine Uses found at: http://dpclo.defense.gov/privacy/SORNs/blanket_routine_uses.html may also apply.

DISCLOSURE: Voluntary. However, if you fail to provide the requested information, the animal will not be provided veterinary care.

1. SPONSOR DATA

 

 

 

 

 

 

 

 

a. NAME (Last, First, Middle Initial)

 

 

 

 

b. GRADE OR RANK

 

 

 

 

 

 

 

 

 

 

c. HOME ADDRESS (Street, City, State, Zip Code)

d. PERSONAL TELEPHONE NO. (Include Area Code)

 

 

 

 

 

 

 

 

 

 

 

e. DUTY STATUS (X one)

f. RESIDENCE (X one)

 

 

 

ACTIVE

 

RETIRED

 

ON POST

 

OFF POST

 

 

 

 

 

 

 

 

 

g. ORGANIZATION

 

 

 

 

h.

DUTY PHONE (Include Area Code)

 

 

 

 

 

 

 

 

 

2. ANIMAL DATA

a. NAME

b. SPECIES

c. BREED

d. COLOR

e. DATE OF BIRTH

f. SEX

g. MICROCHIP #

3. IMMUNIZATION DATA

 

 

a. DATE

b. VACCINE

c. MANUFACTURER

d. LOT

TYPE

NUMBER

 

 

a. DATE

b.VACCINE TYPE

c. MANUFACTURER

d.LOT

NUMBER

DD FORM 2343, AUG 2013

PREVIOUS EDITION IS OBSOLETE.

Adobe Professional X

4. LABORATORY PROCEDURES

a. DATE

b. LABORATORY TEST - RESULT - REMARKS

a. DATE

b. LABORATORY TEST - RESULT - REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. MASTER PROBLEM LIST

a. PROBLEM NO.

b. DESCRIPTION

c. DATE

d. DATE

ENTERED

RESOLVED

 

 

DD FORM 2343 (BACK), AUG 2013

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DD FORM  AUG, DD FORM  AUG, and PREVIOUS EDITION IS OBSOLETE Adobe of form veterinary record online

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