HAS A COPY OF THIS ENROLLMENT FORM AND SUPPORTIVE DOCUMENTATION
BEEN SENT TO YOUR FPA OR DRC?
YES_____ DATE_____
NO_____
HAS A COPY OF THIS ENROLLMENT FORM AND SUPPORTIVE DOCUMENTATION
BEEN SENT TO HEADQUARTERS (G-PWL-2)?
YES_____ DATE_____
NO_____
ESTIMATED DATE/YEAR OF REASSIGNMENT:_______