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# DLA Official Forms

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| Form Number:  DLA0635                                                                                                                                                                                   |
|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  Incident Report                                                                                                                                                                            |
| Form Version:  Oct  2023                                                                                                                                                                                |
| Status:  Active                                                                                                                                                                                         |
| Functional Area:  Installation Management                                                                                                                                                               |
| Opr:  DM                                                                                                                                                                                                |
| Safeguards:  PAS, OMB Collections                                                                                                                                                                       |
| Electronic:  Yes                                                                                                                                                                                        |
| Form Link:  Documents/FormsSite/forms/DL0635.pdf                                                                                                                                                        |
| Type:  Primary                                                                                                                                                                                          |
| Prescribed:  DLAI 4302, Force Protection and Security Operations                                                                                                                                        |
| Description:  To accurately gather required data for police reports and incidents.  Note:  This form was revised to update the Privacy Act Statement and OMB collections licensing and expiration date. |
| Records Retention:  6055.5; 6055.5.01 Review DLA records schedule for appropriate retention assignment.                                                                                                 |
| Form Audience:  DLA                                                                                                                                                                                     |

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