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# DLA Official Forms

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Form Information
| Form Number:       | DLA1855-2                                                                                                                                                                                            |
|--------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | Inclusion Action Team (IAT) Action Plan                                                                                                                                                              |
| Form Version:      | Jan 2018                                                                                                                                                                                             |
| Status:            | Active                                                                                                                                                                                               |
| Functional Area:   | Installation Management                                                                                                                                                                              |
| Opr:               | DM                                                                                                                                                                                                   |
| Safeguards:        | PII                                                                                                                                                                                                  |
| Electronic:        | No                                                                                                                                                                                                   |
| Form Link:         | Documents/FormsSite/forms/DL1855-2.pdf                                                                                                                                                               |
| Type:              | Primary                                                                                                                                                                                              |
| Prescribed:        | DLAI 1015.02                                                                                                                                                                                         |
| Description:       | This form will collect and provide necessary health related information and guidance to assist the child development staff in the appropriate care of children/youth enrolled in DLA CYP activities. |
| Records Retention: | 7304.1 Child Development Center - Child Records. Mintain records as long as a child is enrolled. Upon termination from program forward records to child Dev Coordinator                              |
| Form Audience:     |                                                                                                                                                                                                      |

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