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# DLA Official Forms

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Form Information
| Form Number:       | DLA1623                              |
|--------------------|--------------------------------------|
| Form Title:        | Sworn Statement                      |
| Form Version:      | Aug 2011                             |
| Status:            | Active                               |
| Functional Area:   | Installation Management              |
| Opr:               | DM                                   |
| Safeguards:        | PAS, FOUO                            |
| Electronic:        | Yes                                  |
| Form Link:         | Documents/FormsSite/forms/DL1623.pdf |
| Type:              | Primary                              |
| Prescribed:        | coming soon                          |
| Description:       | coming soon                          |
| Records Retention: | coming soon                          |
| Form Audience:     |                                      |

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