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# DLA Official Forms

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| Form Number:  DLA1855-2                                                                                                                                                                                            |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  Inclusion Action Team (IAT) Action Plan                                                                                                                                                               |
| Form Version:  Jan 2018                                                                                                                                                                                            |
| Status:  Active                                                                                                                                                                                                    |
| Functional Area:  Installation Management                                                                                                                                                                          |
| Opr:  DM                                                                                                                                                                                                           |
| Safeguards:  PII                                                                                                                                                                                                   |
| Electronic:  No                                                                                                                                                                                                    |
| Form Link:  Documents/FormsSite/forms/DL1855-2.pdf                                                                                                                                                                 |
| Type:  Primary                                                                                                                                                                                                     |
| Prescribed:  DLAI 1015.02                                                                                                                                                                                          |
| Description:  This form will collect and provide necessary health related information and guidance to assist the child development staff in the appropriate care of children/youth enrolled in DLA CYP activities. |
| Records Retention:  7304.1 Child Development Center - Child Records. Mintain records as long as a child is enrolled. Upon termination from program forward records to child Dev Coordinator                        |
| Form Audience:                                                                                                                                                                                                     |

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