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# DLA Official Forms

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| Form Number:  DLA1842-3                                                                                                                  |
|------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  DLA Child Youth Program (CYP) Child Development/Youth Center Safety Inspection                                              |
| Form Version:  Jun 2018                                                                                                                  |
| Status:  Active                                                                                                                          |
| Functional Area:  Installation Management                                                                                                |
| Opr:  DM                                                                                                                                 |
| Safeguards:  none                                                                                                                        |
| Electronic:  Yes                                                                                                                         |
| Form Link:  Documents/FormsSite/forms/DL1842-3.pdf                                                                                       |
| Type:  Primary                                                                                                                           |
| Prescribed:  DLAI 1015.02                                                                                                                |
| Description:  This form will be used to assist local sites with Multi Disciplinary Team Inspection (MDTI) and Comprehensive Inspections. |
| Records Retention:  7304.3.02 Child Care Operations. Reports. Destroy after 3 years                                                      |
| Form Audience:                                                                                                                           |

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