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# DLA Official Forms

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| Form Number:  DLA1963                                                                                                                                                                                                                                                                                    |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  DLA Sexual Assault Incident Response Oversight Report                                                                                                                                                                                                                                       |
| Form Version:  Aug 2017                                                                                                                                                                                                                                                                                  |
| Status:  Active                                                                                                                                                                                                                                                                                          |
| Functional Area:  Human Resources                                                                                                                                                                                                                                                                        |
| Opr:  J1                                                                                                                                                                                                                                                                                                 |
| Safeguards:  none                                                                                                                                                                                                                                                                                        |
| Electronic:  Yes                                                                                                                                                                                                                                                                                         |
| Form Link:  Documents/FormsSite/forms/DL1963.pdf                                                                                                                                                                                                                                                         |
| Type:  Primary                                                                                                                                                                                                                                                                                           |
| Prescribed:  DLAI 6495.02                                                                                                                                                                                                                                                                                |
| Description:  This form will be completed for each new report of sexual assault within DLA. It is designed to ensure that all relevant information is considered and gathered, and exclude all unnecessary or confidential information. The completed form will be sent with the CCIR for each incident. |
| Records Retention:  5010.19 SITREP Files - Retention: Destroy 2 years after no further action is required or when no longer needed for reference, whichever is later                                                                                                                                     |
| Form Audience:                                                                                                                                                                                                                                                                                           |

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