Drms Form 103 PDF Details

Drms Form 103 is a document used to report the death of an individual. The form can be used by medical professionals, law enforcement officials, or other individuals who have knowledge of the death. The form contains information about the deceased individual, including their name and date of birth, as well as the cause and manner of death. It is important to complete Drms Form 103 accurately so that the deceased individual's family can receive any benefits they may be entitled to.

QuestionAnswer
Form NameDrms Form 103
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesQTY, DRMO, DTID, drms form 103

Form Preview Example

SCREENERS TALLY TO FREEZE/HOLD EXCESS PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PF #

DATE

(Prescribing Directive: DRMS-I 4160.14, Vol III)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCREENERS NAME

 

 

 

 

 

SCREENERS AGENCY

 

 

PHONE

 

 

 

 

 

 

DRMO-

PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAX

 

 

 

 

 

 

 

 

FAX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter Pf

 

 

 

 

 

on your requisition.

(SF 122, SF 123, DD 1348)

 

 

STATUS:

 

 

 

 

 

OK = Process within 14 days (be cancelled thereafter)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If requistion not received by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOR = Not on record or inventory

property may be cancelled.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NA = Zero'd out or frozen to prior customer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please check appropriate agency:

 

 

 

FAX DATE

 

INIT

 

 

 

 

 

 

 

NA = Past screening (Cannot be screened after blue-light)

 

 

Federal

 

State

 

 

RLSO

 

 

DoD

 

OTHERS

 

 

 

 

 

 

 

 

Columns with an asterisk (*) to be filled by DRMO personnel only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NSN

UNIT

OF

ISSUE

QTY

DTID

STORAGE SITE LOCATION

DEMIL*

FED CC

*

UNIT

PRICE

*

EXT.

PRICE

*

RSC

*

ARD

*

NOUN

DESCRIPTION

(Completed at Option OF SCREENER)

STATUS*

DRMS FORM 103, FEB 2001 (EF)

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