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# DLA Official Forms

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Form Information
| Form Number:       | DLA1622                                         |
|--------------------|-------------------------------------------------|
| Form Title:        | Rights Warning Procedure and Waiver Certificate |
| Form Version:      | Aug 2011                                        |
| Status:            | Active                                          |
| Functional Area:   | Installation Management                         |
| Opr:               | DM                                              |
| Safeguards:        | PAS, FOUO                                       |
| Electronic:        | Yes                                             |
| Form Link:         | Documents/FormsSite/forms/DL1622.pdf            |
| Type:              | Primary                                         |
| Prescribed:        | coming soon                                     |
| Description:       | coming soon                                     |
| Records Retention: | coming soon                                     |
| Form Audience:     |                                                 |

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