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# DLA Official Forms

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| Form Number:  DLA4002                                                                                                                                                                                                                                                                            |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  DLA MHE LICENSE AND CERTIFICATION REQUEST                                                                                                                                                                                                                                           |
| Form Version:  Dec 2022                                                                                                                                                                                                                                                                          |
| Status:  Active                                                                                                                                                                                                                                                                                  |
| Functional Area:  Distribution                                                                                                                                                                                                                                                                   |
| Opr:  MHE                                                                                                                                                                                                                                                                                        |
| Safeguards:  None                                                                                                                                                                                                                                                                                |
| Electronic:  Yes                                                                                                                                                                                                                                                                                 |
| Form Link:  Documents/FormsSite/forms/DL4002.pdf                                                                                                                                                                                                                                                 |
| Type:  Primary                                                                                                                                                                                                                                                                                   |
| Prescribed:  DLAI 4500.02                                                                                                                                                                                                                                                                        |
| Description:  There is no current GSA, DoD, or DLA form for this use case. To collect information needed to support the fields of the OF346 operator's license and the DLA Form 12 rolling calendar with equipment requested with Supervisor approval. Items as required in the DLAI 4500.02.    |
| Records Retention:  5335.21 Vehicle/Equipment Operator Files. Temporary. Cutoff at end of Event. Destroy 3 years after separation of employee or 3 years after rescission of authorization to operate Government-owned vehicles, whichever is sooner. GRS 5.4, Item 110 (DAA-GRS-2016-0011-0014) |
| Form Audience:  All                                                                                                                                                                                                                                                                              |

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