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# DLA Official Forms

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Form Information
| Form Number:       | DLA1845                                                                                                                          |
|--------------------|----------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | DLA Child and Youth Program (CYP) Occurrence Incident/Injury Report                                                              |
| Form Version:      | Feb 2018                                                                                                                         |
| Status:            | Active                                                                                                                           |
| Functional Area:   | Installation Management                                                                                                          |
| Opr:               | DM                                                                                                                               |
| Safeguards:        | PAS, PII                                                                                                                         |
| Electronic:        | Yes                                                                                                                              |
| Form Link:         | Documents/FormsSite/forms/DL1845.pdf                                                                                             |
| Type:              | Primary                                                                                                                          |
| Prescribed:        | DLAI 1015.02                                                                                                                     |
| Description:       | This form is used to report and document all injuries/usual occurrences sustained by a child in the DLA Child and Youth Program. |
| Records Retention: | 7304.1.02 Child Development Center. upon termination from the program forward records to Child Development Services Coordinator  |
| Form Audience:     |                                                                                                                                  |

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