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# DLA Official Forms

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| Form Number:  DLA2063                                                                                                                                                                                 |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  DLA Energy Request for Customer QR Code (spreadsheet attached, and RE)                                                                                                                   |
| Form Version:  JAN 2024                                                                                                                                                                               |
| Status:  Active                                                                                                                                                                                       |
| Functional Area:  Energy                                                                                                                                                                              |
| Opr:  BASS                                                                                                                                                                                            |
| Safeguards:  Yes (CUI when filled)                                                                                                                                                                    |
| Electronic:  Yes                                                                                                                                                                                      |
| Form Link:  Documents/FormsSite/forms/DL2063 (with attachment-RE).pdf                                                                                                                                 |
| Type:  Modified                                                                                                                                                                                       |
| Prescribed:  DLA Energy P-29                                                                                                                                                                          |
| Description:  To be used by DLA-Energy external and internal customers to request customer QR codes which will be used to allow for fuel purchase through the Electronic Point of Sales System (EPoS) |
| Records Retention:  5335.07 Equipment Administrative and Operational Records.  Temporary. Cutoff at end of CY. Destroy when 3 years old or no longer needed.                                          |
| Form Audience:                                                                                                                                                                                        |

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