An official website of the United States government         Here's how you know         
**Official websites use .mil**
A **.mil** website belongs to an official U.S. Department of Defense organization in the United States.
**Secure .mil websites use HTTPS**
 A **lock (lock )** or **https://** means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

Skip to main content (Press Enter).

Defense Logistics AgencyThe Nation's Combat Logistics Support Agency

Search
Search

Search

-  Home		 
-  What DLA Offers    -  Excess Property Disposal             
  -  Document Services             
  -  Products             
  -  Services             
  -  Programs 
-  Working With DLA    -  Applications             
  -  Small Business             
  -  Federal and International Cataloging             
  -  Defense Data Standards             
  -  Events             
  -  Procurement Policies             
  -  Government Programs             
  -  Forms 
-  Organizations    -  DLA Headquarters             
  -  DLA Aviation             
  -  DLA Disposition Services             
  -  DLA Distribution             
  -  DLA Energy             
  -  DLA Land and Maritime             
  -  DLA Troop Support             
  -  DLA CENTCOM & SOCOM             
  -  DLA Europe & Africa             
  -  DLA Indo-Pacific 
-  Customer Support    -  Self Help Tools             
  -  How to Order             
  -  Find Your Order             
  -  Customer Facing Offices             
  -  Training             
  -  Brochures             
  -  Warfighter Support             
  -  Customer Service Management 
-  Careers		 
-  About DLA    -  Contact Us             
  -  Locations             
  -  Leaders             
  -  News             
  -  History             
  -  Media Gallery             
  -  DLA Campaigns 

HomeWorking With DLAFormsDLFormList

# DLA Official Forms

**If you experience an issue opening or downloading Adobe PDF files, click this banner for more assistance. Once you’ve adjusted your settings: From the form’s details page, click on the file link to either open or save the form to your computer download folder.**

Browse records in  that Search

Form Information
| Form Number:       | DLA1855-1A                                                                                                                                                                                                         |
|--------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | DLA Child and Youth Program Respiratory Medical Action Plan                                                                                                                                                        |
| Form Version:      | Aug 2019                                                                                                                                                                                                           |
| Status:            | Active                                                                                                                                                                                                             |
| Functional Area:   | Installation Management                                                                                                                                                                                            |
| Opr:               | DM                                                                                                                                                                                                                 |
| Safeguards:        | PAS, PII, OMB Collections                                                                                                                                                                                          |
| Electronic:        | Yes                                                                                                                                                                                                                |
| Form Link:         | Documents/FormsSite/forms/DL1855-1A.pdf                                                                                                                                                                            |
| Type:              | Primary                                                                                                                                                                                                            |
| Prescribed:        | DLAI 1015.02                                                                                                                                                                                                       |
| Description:       | This form will be used as the Medical Action Plan for child(ren) in a Child and Youth Program requiring respiratory-related medications and measures.                                                              |
| Records Retention: | 7304.1 Child Development Center. Temporary. Cutoff at end of Event. Maintain records as long as a child is enrolled. Upon termination from the program, forward records to Child Development Services Coordinator. |
| Form Audience:     |                                                                                                                                                                                                                    |

                      - Contact Us
                      - Site Index
                      - Strategic Plan
                      - DLA IG Hotline
                      - FOIA
                      - No FEAR Act
                      - Whistleblower Protection
                      - DLA Careers
                      - Images
                      - Webmaster
                      - EEO
                      - Section 508
                      - Public Affairs
                      - SAPR
                      - External Links Disclaimer
                      - DOD Information Quality Guidelines
                      - Privacy/Security
                      - USA.gov
                      - DOD Web Policy
                      - DOD Open Government
                      - Plain Language

### Stay Connected

Hosted by Defense Media Activity - WEB.mil