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# DLA Official Forms

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| Form Number:  DH01728                                                                                 |
|-------------------------------------------------------------------------------------------------------|
| Form Title:  Request for HQC Contractor Badge and Information Technology Access                       |
| Form Version:  Oct 2004                                                                               |
| Status:  Active                                                                                       |
| Functional Area:  Intelligence                                                                        |
| Opr:  DI                                                                                              |
| Safeguards:  PII, PAS                                                                                 |
| Electronic:  Yes                                                                                      |
| Form Link:  Documents/FormsSite/forms/DH1728.pdf                                                      |
| Type:  Primary                                                                                        |
| Prescribed:  unknown                                                                                  |
| Description:  Used to gather information for the issuance of a DLA HQ building badge for contractors. |
| Records Retention:  unknown                                                                           |
| Form Audience:                                                                                        |

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