Form 422 PDF Details

Form 422 is a key document in the estate planning process. It lists all of the assets and liabilities of the deceased, as well as their executor and beneficiaries. This form is important for ensuring that the estate is administered properly and that creditors are paid. Anyone involved in estate planning should be familiar with this form.

This basic guide will allow you to figure out how long it will require you to fill out form 422, the number of pages it has, and a handful of other unique details about the PDF.

QuestionAnswer
Form NameForm 422
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesaf form 422a, af form 422 physical profile serial report, af 422 pdf, air force form 422a

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PHYSICAL PROFILE SERIAL REPORT

 

 

 

PATIENT ID

(Use plastic card or type/print name)

 

 

 

GRADE

 

DATE

 

 

 

 

 

 

 

 

AFSC

 

SSN

 

 

 

 

 

 

 

 

UNIT

 

 

 

 

 

 

 

 

 

 

BASE

 

 

 

 

PROFILE

P

U

L

H

E

S

SUFFIX

 

BLOOD GROUP DATA

 

PREVIOUS

 

 

 

 

 

 

 

TYPE AND RH

 

REVISED

 

 

 

 

 

 

 

 

DEFICIENCY

 

 

 

 

 

 

 

 

 

G6PD

 

TEMPORARY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

YES

 

 

 

 

 

 

 

 

 

REVISED

 

 

 

 

 

 

 

 

SICKLE CELL TRAIT

 

 

 

 

 

 

 

HEMOGLOBIN-S

 

PERMANENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

YES

 

 

 

 

 

 

 

 

 

RELEASE DATE OF TEMPORARY PROFILE OR DUTY RESTRICTION

 

WORLD-WIDE

 

YES

NO

 

 

 

 

 

 

 

 

 

 

INDIVIDUAL DEFECTS/RESTRICTIONS

 

 

 

PASSES COLOR

 

YES

NO

 

 

 

 

 

 

 

 

 

 

MEDICAL DEFECT/CONDITION REQUIRES MEB OR PEB PROCESSING. ASSIGNMENT AVAILABILITY CODE(AAC) 37 APPLIES.

As shown by examination or review of Health Record or current course of treatment, individual is cleared for

 

OVERSEAS ASSIGNMENT

 

RETIREMENT/SEPARATION WITHIN ONE (1) YEAR

 

 

 

 

 

REMOTE/ISOLATED TOUR

 

OTHER (Specify)

 

 

 

 

REMARKS

TYPED OR PRINTED NAME AND GRADE OF HEALTH CARE PROVIDER

SIGNATURE

 

 

 

 

 

 

 

TYPED OR PRINTED NAME AND GRADE OF PES MANAGER

 

SIGNATURE

 

 

 

 

 

 

 

TYPED OR PRINTED NAME AND GRADE OF PROFILE OFFICER

 

SIGNATURE

 

 

 

 

 

 

 

DPMUO

DPMUM

DPMU(R)

DPMPC

DPMAR

 

 

 

 

 

 

 

 

 

AF IMT 422, 19890401, V2

PREVIOUS EDITION WILL BE USED.

COPY 1 - HEALTH

How to Edit Form 422 Online for Free

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filling in how to air force 422 stage 1

Type in the necessary details in the MEDICAL DEFECTCONDITION REQUIRES, As shown by examination or review, OVERSEAS ASSIGNMENT, RETIREMENTSEPARATION WITHIN ONE, REMOTEISOLATED TOUR, Specify OTHER, REMARKS, TYPED OR PRINTED NAME AND GRADE OF, and SIGNATURE part.

Filling out how to air force 422 part 2

The program will ask you to include specific vital data to conveniently fill in the section TYPED OR PRINTED NAME AND GRADE OF, SIGNATURE, TYPED OR PRINTED NAME AND GRADE OF, SIGNATURE, TYPED OR PRINTED NAME AND GRADE OF, SIGNATURE, DPMUO, DPMUM, DPMUR, DPMPC, DPMAR, AF IMT V, PREVIOUS EDITION WILL BE USED, and COPY HEALTH.

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