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 TB 1- 1520-237-20-202
ELECTRONIC DA FORM 2028 INSTRUCTIONS
The following format must be used if submitting an electronic 2028. The subject
line must be exactly the same and all fields must be included; however, only the
following fields are mandatory: 1, 3, 4, 5, 6, 7, 8, 9, 10, 13, 15, 16, 17, a n d 27.
From: "Whomever" <whomever@avma27.army.mil>
Is-lp@redstone.army.mil
To:
Subject: DA Form 2028
1.
From: Joe Smith
2 . Unit: home
3 . Address: 4300 Park
4 . City: Hometown
5. St: AL
6 . Zip: 77777
7 . Date Sent: 19-OCT-93
8 . Pub No: 55-2840-229-23
9.
Pub Title: TM
10. Publication Date: 04-JUL-85
11. Change Number: 7
12. Submitter Rank: MSG
13. Submitter Fname: Joe
14. Submitter Mname: T
15. Submitter Lname: Smith
16. Submitter Phone: 123-123-1234
17. Problem: 1
18. Page: 2
1 9 . Paragraph: 3
20. Line: 4
21. NSN: 5
2 2 . Reference: 6
23. Figure: 7
24. Table: 8
25. Item: 9
26. Total: 123
27. Text:
This is the text for the problem below line 27.
5/(6 blank)
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