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# DLA Official Forms

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Form Information
| Form Number:       | DLA2051                                                                                                                                      |
|--------------------|----------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | DLA Energy MIPR Material Request                                                                                                             |
| Form Version:      | Oct 2014                                                                                                                                     |
| Status:            | Active                                                                                                                                       |
| Functional Area:   | Energy                                                                                                                                       |
| Opr:               | Energy                                                                                                                                       |
| Safeguards:        | none                                                                                                                                         |
| Electronic:        | Yes                                                                                                                                          |
| Form Link:         | Documents/FormsSite/forms/DL2051.pdf                                                                                                         |
| Type:              | Primary                                                                                                                                      |
| Prescribed:        | DLA Energy P-22                                                                                                                              |
| Description:       | Request form to be used for the reimbursement/procurement of filter and coalescer elements at approved DFSPs as outlined in DLA-Energy P-22. |
| Records Retention: | GRS 1.1 Item 010 or 011                                                                                                                      |
| Form Audience:     |                                                                                                                                              |

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