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# DLA Official Forms

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Form Information
| Form Number:       | DLA1842-3                                                                                                                  |
|--------------------|----------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | DLA Child Youth Program (CYP) Child Development/Youth Center Safety Inspection                                             |
| Form Version:      | Jun 2018                                                                                                                   |
| Status:            | Active                                                                                                                     |
| Functional Area:   | Installation Management                                                                                                    |
| Opr:               | DM                                                                                                                         |
| Safeguards:        | none                                                                                                                       |
| Electronic:        | Yes                                                                                                                        |
| Form Link:         | Documents/FormsSite/forms/DL1842-3.pdf                                                                                     |
| Type:              | Primary                                                                                                                    |
| Prescribed:        | DLAI 1015.02                                                                                                               |
| Description:       | This form will be used to assist local sites with Multi Disciplinary Team Inspection (MDTI) and Comprehensive Inspections. |
| Records Retention: | 7304.3.02 Child Care Operations. Reports. Destroy after 3 years                                                            |
| Form Audience:     |                                                                                                                            |

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