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Quality Management Document under 10 USC 1102. Copies of this document, enclosures thereto, and information therefrom will not be further released under penalty of the law. Unauthorized disclosure carries a statutory penalty of up to $3,000 in the case of a first offense and up to $20,000 in the case of a subsequent offense.

DA FORM 4106 was published on February 1, 2004, and it remains an active document used by the military. The form’s proponent is the The Surgeon General (TSG), and it is governed by the prescribing directive AR 40-68. Notably, this form requires a Privacy Act Statement as per AR 340-21 and is only available in electronic media format.

Addeddate 2015-11-06 18:52:01 Identifier A4106-form Identifier-ark ark:/13960/t9n33kh9f Ocr ABBYY FineReader 11.0 Ppi 300Army form

View, download and print fillable Da 4106 - Incident Report in PDF format online. Browse 33 Da Forms And Templates collected for any of your needs.

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