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DEPARTMENT OF THE ARMY *CASCOM&FL Pam 25-30HEADQUARTERS, U.S. ARMY COMBINED ARMS SUPPORT COMMANDAND FORT LEEFort Lee, Virginia 23801-60001 Feb 2001
Information Management: Publishing and Printing
Index of FT LEE Forms and Form Letters
Summary. This pamphlet on FT LEE blank forms has been revised.
Applicability. The provisions of this pamphlet apply to all users of FT LEE blank forms.
Impact on the New Manning System. This pamphlet does not contain information that affects the New Manning System.
Interim Changes. Interim changes to this pamphlet are not official unless they are authenticated by the Director of Information Management. Users will destroy interim changes on their expiration dates unless sooner superseded or rescinded.
1. PurposeThe purpose of this pamphlet is to provide an updated listing of approved FT LEE blank forms, form letters (FL), labels, and posters.
2. ReferencesAR 25-30 (The Army Integrated Publishing and Printing Program) is a related publication.
3. ResponsibilitiesMajor organization commanders and chiefs of staff sections are responsible for reviewing Appendix A prior to submitting an application for a new form, label, poster, or form letter to determine if an approved form, label, poster, or form letter already exists which will satisfy the requirement. If the needed form does not exist, the forms assistant of each activity will follow the provisions in AR 25-30, para 3-2, in requesting approval for the new form.
4. Availability of Forms DOIM assigns each approved form, label, poster, and form letter (FL) a control number for identification purposes and control. The Publication Section, does not stock any local forms. Activities are responsible for maintaining required stockage at their level.
5. Current FT LEE Forms, Form Letters (FL) Labels, and Posters See Appendix A for listing. 6. This publication is available on the FT LEE Homepage at http://www.lee.army.mil._____________________________________*This pamphlet supersedes CASCOM&FL Pam 25-30, Oct 90
1
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT1
2
95 MAY
99 JUL
RECORD OF ACCOUNTABLE MAIL
THREE STAR NOTE PAD
AG/MAIL
CG
3 91 JAN PHASE V PASS FORM 266TH
4 91 JAN BAY GUARD ROSTER 266TH
6 91 JAN PAPA COMPANY AITPASS REGISTER
266TH
8 90 DEC SIDPERS CYCLE CONTROL PARAMETERS
AG/PAB
9 R-91 DEC STANDARD REQUESTFOR DECOLLATIONSHEET
AG/PAB
10 93 AUG AG NOTE PAD AG
11 R-91 APR FEDERAL SUPPLYCLASSIFICATION & SUFFIX LISTING
DOC
12 95 DEC QM GENERAL TASK LIST
QMC&S/QMG
15 R-91 JUL PURCHASE REQUEST CANCELLATION/RETURNFOR INFO
DOC
16 R-90 OCT STORAGE OF HOUSEHOLD GOODS EXCEEDING CAPACITY OF GOVT QTRS
DPW/HSG
18 R-91 JUN EEO REVIEW OF REFERRAL AND SELECTIONREGISTERS
EEO
20 91 AUG POR WILL WORKSHEET
SJA
21 R-94 NOV OVERSEAS ORIENTATION MEMO
AG/PERS SEC
40 92 AUG CLASS ATTENDANCE REPORT
QMC&S/NCOA
2
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
47
48
49
93 MAR
99 JAN
99 JAN
DON'T JOG CARDS
VIDEO TAPE LIBRARYCHECKOUT CARD
VIDEO TAPE LIBRARYDUE DATE CARD
DPS/SAFETY
DPS/SAFETY
DPS/SAFETY
57 R-90 0CT PARACHUTE RIGGER CERTIFI-CATION CARD
QMC&S/ A&FSD
59 R-90 OCT INSPECTOR AIRDROP LOAD CERTIFICATION
QMC&S/ A&FSD
64 92 APR UNIT SAFETY PROGRAM CHECKLIST
DPS/SAFETY
66 92 AUG REORDER CARD (SAFETY PROMOTIONS POSTER)
DPS/SAFETY
67 92 AUG REORDER CARD(TRAINING HANDOUTS)
DPS/SAFETY
69 R-90 0CT STATEMENT OF SHIPMENT OF HHG & PERSONALEFFECTS
DOL/TRANS DIV
70 93 AUG RESIDENTIAL LEASE SJA
73 R-93 OCT TRAVELOPTIONSTATEMENT
AG/PERS SEC
74 R-90 OCT BOAT/TRAILER PARKING PERMIT
PMO
78 91 FEB ID TAGS FORMS AG/PPB
85 R-93 MAY AFTERACTION REVIEW (AAR)
244TH CO/E
85-1
88
97 FEB
98 SEP
AIT EXIT SURVEY CRITIQUE
WE WANT TO GETTO KNOW YOU
266TH QM BN
CHAPLAIN
3
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
89 R-90 0CT PRELIMINARYEMERGENCY RESPONSE LOG
DPS/FIRE DEPT
93 R-95 MAR OFFERING CONTROL SHEET
CHAPLAIN
94 95 AUG MEMORIAL CHAPEL HYMN REQUEST
CHAPLAIN
103 93 DEC LOGISTICSWARRIORS AFTER ACTION REVIEW
QMC&S/ NCOA
105 90 JUN CASUALTYCASE CHECKLIST
AG/PER OP BR
106-E R-92 OCT LOGC INFORMATION SHEET
CASCOM/ CMD
106-1-E 95 MAR ALMC INFORMATION REPORT
ALMC
106-E R-92 FEB LOGC INFORMATION SHEET
CASCOM/ CMD
111 R-95 SEP CATHOLIC REGISTRATION/RELIGIOUS EDUCATION CENSUS
CHAPLAIN
112 93 OCT LICENCEAPPLICATION FOR BAGGINGGROCERIES AT FT LEE
DOL
114 94 APR PRINCE GEORGE DECALS
PMO
118 94 JUN POV INSPECTIONCHECKLIST
QMC&S/ NCOA
120 92 AUG HUNTERS DAILYBAG REPORT
PMO
121 91 APR ACS INFORMATION AG/ACS
4
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTPACKET
123 R-79 JUN RECORD OF TRAINING - CIVILIANPERSONNEL
CPO
123-1 R-91 APR MONTHLY FEEDBACK ON TRAININGCOMPLETED
CPO
128 92 JUL TRAINING HEART RATEFORMULA
QMC&S/ NCOA
132 93 MAR TRANSCRIPTLOG
ALMC/ DAS
133 93 MAR GRADE LOG ALMC/ DAS
135 95 NOV AUTOMATED 1556 TRAININGLOG
ALMC/ SLS
136 R-90 OCT INCOMINGRECORD - AND PERSONALEFFECTS
DOL/ TRANS DIV
138 92 SEP STATEMENT (AR 601-280)
AG/ REENLIST
145 93 OCT 49TH QM ROUTING SLIP
49TH QM GP
150
151
90 MAR
00 MAR
CRIME PREVENTION CRIME WATCH REPORTING
JUVENILE OFFENDERSPROGRAM
PMO
PMO
157 R-90 OCT PUBLICATION STOCKROOM
DUE-OUT ACCOUNT
DOIM/ PUBS
159 96 AUG MAIL DELIVERYREGISTER
QMC&S/S-1
160 R-90 OCT UNIT CRIME PROGRAM
PMO
5
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT162 SEP 98 DISCREPANCIES WITHIN
FAMILY HOUSINGDPW
163
169
170
R-98 MAR
OCT 99
99 APR
FAMILY HOUSING CUSTOMER FEEDBACK SURVEY
OCCUPANCY PREV MAINT
BARRACKSCLEAR CHKLST
DPW/HSG
DPW
DPW
171 90 DEC REPORT OF INSPECTION -GUARD MOUNT
PMO
172 96 DEC STUDENT FOLDER CONTENTS
QMC&S NCOA
174 96 DEC COMMONLEADER EVALUATIONS
QMC&S/NCOA
179 R-92 FEB INFORMATION FOR HOMETOWN NEWS RELEASE - CIV
PAO
180 94 MAY ANCOC-AC CLT PLAN
QMC&S/ NCOA/ ANCOC
181 92 OCT CLASS QUOTAREGISTER
DPS
182 R-90 OCT CLEARANCE & INVESTIGATION CARD
DPS/SECTY DIV
183 R-90 OCT REQUEST FORPERSONNEL SECURITY ACTION
DPS/ SCTY DIV
183-1 R-90 OCT PERSONNELSECURITY
CLEARANCE
DPS/SCTY DIV
186 92 SEP CHECKLIST FOR BN REENLISTMENT ACTIVITIES (CONT)
AG/REENLIST
91 R-90 OCT ADVANCERESERVATION/ PERSONNEL DATA
DPW/LODGING
6
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT192 93 DEC SAILS COURSE
CRITIQUEQMC&S/LSD
193 93 MAY WEATHER FORECAST
DPS
195
203
95 SEP
R-00 JAN
OBC INFOBRIEFING CRITIQUE FORM
REQUEST FORRETENTION OFFAMILY QUARTERS
QMC/DOI
DPW
213 96 AUG STATE TAXEXEMPTION CERTIFICATE FOR GOVT AGENCIES
QMC&S/ OQMG
215 95 JAN PROTESTANT PARISH COUNCILNOMINATION/ELECTION
CHAPLAIN
216 95 FEB ACCESS TOFORT LEE COMMISSARYPX(ASSISTING THE PATRON)
AG
216-1 95 FEB AUTHORIZATION TO ASSIST DISABLEDPATRON
AG
216-2 R-96 JUN ACCESS TOFORT LEE COMMISSARYPX (SHOPPING FOR PATRON)
AG
217 R-90 OCT RCD WAREHOUSE DPS
218 95 SEP CONTRACTBETWEENCOUNSELOR AND CLIENT
CHAPLAIN
219 91 AUG CHECKLISTFOR MAIL-IN CARD REQUESTS
AG/ID CARD SEC
221 91 APR CHAPLAIN'S COUNSELING
CHAPLAIN
7
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
227
228
229
93 JAN
00 JAN
00 JAN
RECORD
INTERNAL OUT-PROCESSING CHKLSTPERM PARTY
AIT EXIT CRITSURVEY
EIT SOLDIER COUNSELING
262D
266TH
266TH
231 93 JAN AIT/RECLASS INPROCESSING DATA SHEET
262D
232 93 APR FEEDBACKSHEET
CASCOM
234 R-92 APR TRANSMITTAL OF PAY ANDOTHER DOCUMENTS-TL
AG/PERS SEC
239 R-90 OCT AUTO SHOP AUTH FOR VEHICLE PARKING/MAJOR COMPONENTREPAIR
DCA/CRD
241 91 JUL TRAINING AREA INSPECTION AND CLEARANCE CHECKLIST
DPS
244 94 JUL APPOINTMENT MEMORANDUM
DPS
245 98 JAN SOLIDERIZATION
CHECKLIST 92A
244TH QM BN
246 98 JAN SOLDIERIZATION CHECKLIST 92Y
244TH QM BN
247 98 JAN INSTRUCTOR EVALUATION FORM
244TH QM BN
248 98 JAN SOLDIERIZATIONFORM
244TH QM BN
249 98 JAN SOLDIERIZATION EVALUATION FORM
244TH QM BN
250 96 NOV CHAPLIAN CHAPLAIN
8
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTAPPOINTMENT REFERRAL SLIP
251 96 NOV CHAPLAIN PROGRESS NOTES
CHAPLAIN
252 96 NOV CHAPLAIN INTAKE SUMMARY
CHAPLIAN
253 96 NOV TREATMENT GOALS/TREATMENT PLANS
CHAPLAIN
258 93 FEB TALLEY CHECKLIST FOR RANDOM SAMPLING(DFA)
DOL/QA
259 96 OCT MENU LIST 266TH
260 96 OCT INPROCESSINGBRIEFING
266TH
261 96 OCT SOLDIER INFORMATION SHEET
266TH
262 96 OCT INVENTORY CIVILIAN CLOTHING
266TH
265 91 JUL DINER COMMENT SHEET
DOL/ INSTL FD ADV
266 R-93 FEB TALLEY CHECKLIST FOR RANDOM SAMPLING FULL
FOOD SERVICE (FFS)
DOL/ INSTL FD ADV
267 R-93 FEB TALLEY CHECKLISTFOR RANDOM SAMPLING MGT & FOOD PRODUCTION
DOL/ INSTL FD ADV
270 91 JUL RECORD OF CONTRACTOR'S RESPONSE TO CONTRACT DISCREPANCY RPT
DOL/INSTL FD ADV
270-1 95 NOV CONTINUATION SHEET FOR QUALITY ASSURANCE
DOL
9
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTDISCREPANCY RECORD
271 91 JUL QUALITY ASSURANCE DISCREPANCY RECORD
DOL/ INSTL FD ADV
272 94 MAY EMERGENCY MEDICAL SERVICE FIELD INFORMATION SHEET
DPS
274 96 SEP STUDENT BACKGROUND SURVEY
ALMC/ SMS
275 R-94 MAR WORK ORDERCONFIRMATION DPM CONTRACT
DOL/ TRANS DIV
276 96 SEP CERTIFICATION OF BREATH ALCOHOL TEST
PMO
277 96 SEP GATE CHECK SHEET
PMO
280 R-96 SEP PROVOST MARSHALOFFICE, ROAD PATROL EQUIPMENT SIGN OUT
PMO
281 R-96 AUG PRINT COST ESTIMATE INCREASE
DOIM/REC MGT
282 91 FEB DAILY VEHICLE INSPECTION AND MAINTENANCEWORKSHEET
PMO
284 94 JAN END OF COURSE CRITIQUE
QMC&S/ PWD
285
289
91-R JUN
98 NOV
ARMY EDUCATION CENTER CLASSENROLLMENT
AIT CLERANCERECORD
DPS
23D BDE
297 91 FEB ADMOC INFORMATION BRIEFING EVALUATION
QMC&S/ A&FSD
300 R-90 OCT REQUEST FOR TNG AREA/RANGE FACILITY/EQUIP OR
DPS
10
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTSPT REQUIREMENT
300-1 R-93 APR REQUEST FOR PERSONNEL/EQUIPMENT SUPPORT
DPS
301 R-90 OCT RECORDS MANAGEMENT ANALYSIS & CHECKLIST
DOIM/REC MGT
302-E
303-E
304-E
305-E
97 MAR
99 JAN
99 JAN
99 JAN
INFORMATION CAPABILITYREQUIREMENT (CAPR) WORK ORDER
HELP DESK ORDER FORM
DOIM HELP DESKADP EQUIPMENTSUBMISSION
VIRUS REPORTING FORM
DOIM
DOIM
DOIM
DOIM
306 R-95 OCT AG QUALITY ASSURANCE CRITIQUE
AG
307 R-90 OCT EQUIP JUSTIFICATION/
APPROVAL (NONCONTROLLED STD/COMMERCIAL)
DRM/FORCE MGT DIV
309 95 AUG EVALUATION REPORT DATA CARD
AG
314 94 APR WALL LOCKER INSPECTION CHECKLIST
244TH
315
316
91 APR
98 SEP
PERFORMANCE INTERVIEW (CONT) (DA 1315 CARD)
FAC MGT PEST ACT SHEET
AG/REUP
DPW
11
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
317
324
98 SEP
94 MAY
FAC MGT PEST ACT LTR
CMD INFO ANNOUNCEMENT REQUEST
DPW
PAO
325 93 JUN MEDIA ALERT PAO
328 R-96 JAN FORT LEE NEWS RELEASE
PAO
338 R-93 MAR DPTMS CUSTOMER SERVICEQUESTIONNAIRE
DPS
339 R-96 SEP CG ROUTING SLIP QMC&S/ CG
340 91 JAN OFFICER BASIC COURSE LABORATORY WORKSHEET
QMC&S/ PWD/LTD
344 93 NOV ALMC INFORMATION CENTER LOG SHEET
ALMC/ ISO
346 93 NOV TOP DOG AWARD ALMC/ SAM
347 R-90 OCT CONFERENCEFACILITY SCHEDULING WORKSHEET
CASCOM/ EXEC SVCS
348-6 R-90 OCT DUMMY FOR WORK ORDER NUMBER
DOIM/PRTG & PUBS
349 93 AUG EXAMPLE OF MANAGEMENT EXCELLENCE
ALMC
349-1 93 AUG EXTRA MILE ACHIEVER
ALMC
349-2 R-95 JUN TEAM AWARD ALMC
349-3 R-95 JUN EMPLOYEE TO EMPLOYEE AWARD
ALMC
354
355
R-93 JAN
00 MAY
LEADERSHIP EVALUATION
ATTENDANCE REGISTRATION
QMC&S/ NCOA
CHAPLAIN
12
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
356 95 JAN MEMORIAL CHAPEL DIREC-TORY FORM
CHAPLAIN
357 98 JUN SPONSORSHIP INFO SHEET
ALMC
357-1 R-00 MAY CHAPLAIN'S INFORMATIONDATA
CHAPLAIN
358 R-92 AUG COPIER SERVICE CALLS INFO
DOIM/REC MGT
359
360-E
361-E
93 DEC
99 MAY
99 MAY
MPI ACTION RECORD
ACCREDITATIONTO PROCESS SECRET INFO
ACCREDITATION TOPROCESS SENSETIVE INFO
PMO
DOIM
DOIM
363 R-90 OCT CASE PROGRESS SUMMARY
PMO
364
367
90 MAY
00 MAY
MILITARYPOLICE INVESTIGATION INTERVIEWWORKSHEET
ATTENDANCE REG FORM
PMO
CHAPLAIN
368 95 OCT CHAPLAIN FAMILYLIFE CENTER FAMILYSOCIAL HISTORY
CHAPLAIN
369 95 OCT CHAPLAIN FAMILY LIFE MINISTRY CENTER APPT AND PERSONAL DATA
CHAPLAIN
370 95 OCT CHAPLAIN FAMILY LIFE AUTH FOR RELEASE OF CONFIDENTIAL INFO
CHAPLAIN
13
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT371 97 MAY FAMILY RELIGIOUS
INFO PROTESTANT SUNDAY SCHOOL
CHAPLAIN
372 97 MAY VACATIONBIBLE SCHOOL
CHAPLAIN
375
376
382
99 FEB
99 JAN
R-93 MAY
MARRIAGE COUNSELINGINTAKE (COUPLE)
PARISH REGISTTRATION FORM
FLEXITIME CONTROL CHART
CHAPLAIN
CHAPLAIN
CPAC
388 97 DEC FOOD SERVICE SPECIALISTPERSONNEL DATA SHEET
QMC&S/ACES
392 91 MAR NCOA STUDENT CRITIQUE
QMC&S/ NCOA
395 R-91 JAN GARRISON COMMANDER MEMO
GARRISON
396 92 SEP ALMC INSTRUCTIONAL MATERIAL QUALITY RATING EVALUATION
ALMC/ DAS
397 92 SEP REQUEST FOR INSTRUCTOR ASSISTANCE
ALMC/ DAS
398 92 SEP ALMC FACULTY RATING SHEET
ALMC/ DAS
400 R-93 DEC OFFICIAL TRANSCRIPT
ALMC/ DAS
401 92 AUG ALMC CERTIFICATE
ALMC/ DAS
402 R-96 MAR REQUEST FOR TRANSCRIPT
ALMC/ DATSS
403 R-94 JAN REQUEST FORWAIVER
ALMC/ DATS
404 R-94 JAN CHANGE OF ALMC/ DATS
14
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTACADEMIC REPORTS
405 92 SEP RELEASE STUDENT
ALMC/ DATS
410 R-90 OCT MEDICAL EXAM FOR SEPARATION/RETIREMENT STATEMENT OF OPTION
AG/ PERS SEC
411 R-96 MAR REQUEST FOR ADDITIONAL INFO/TRANSCRIPT REQUEST
ALMC/ DATS
412 R-94 JAN STANDARD FORM 71/LEAVELETTER
ALMC/ DAS
413 R-96 MAR STUDENT PROCESSINGINFO
ALMC/ DAS
414 R-96 MAR NON-RESIDENT MODE RECORDS OF
ATTENDANCE
ALMC/ DAS
417 R-94 AUG ALMC COURSEEVALUATION QUESTIONNAIRE
ALMC/ DAS
422 R-90 OCT DAILY OPERATINGLOG - WJM-TV
CASCOM
423 93 AUG GRADE RECORD ALMC/ SAM
423-1 93 AUG GRADE REPORT ALMC/ SAM
424 93 OCT STUDENT INFO SHEET
ALMC
428 R-95 MAY YS VOLUNTEER CONSENT FOR COMPILATION &DISCLOSUREOF INFO
MWR/CYPD/YS
432 93 JAN DESIGNATION OF TEST CONTROL OFFICERS
ALMC/ DAS
433 93 APR PERSONNEL DATA - SIPERS
ALMC
15
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
434 93 JUN EXAM ANSWER SHEET
ALMC/ DATS
435 93 AUG MATERIELACQUISITION MANAGEMENT COURSE DATA SHEET
ALMC/ DAS
436 95 JAN BATTALION STATUS CARDS
49TH SPECIAL TROOPS
437
440
97 APR
00 MAR
PRIVATELY OWNED VEHICLE REGISTRATION INFORMATIONFORM
REPORT OF FUNERALHONORS
PMO
AG
441 R-90 OCT INPROCESSING CHECKLIST
AG/PERS SEC/ IN PRO
441-1 R-97 JAN FORT LEE INPROCESSING CHECKLIST
AG
441-2 R-97 JAN FORT LEE INPROCESSING CHECKLIST-49TH QM GROUP
AG
442 R-92 SEP RECYCLE/RELIEF/EARLY GRADUATION OF STUDENT
QMC&S/OTMO
443 R-95 OCT VISA BANKCARD PURCHASE LOG
DOC
443-1
444-E
R-95 OCT
03 APR
CREDIT CARD PURCHASE REQUEST
CONTRACTOR VEHICLE REGISTRATION
DOC
DOC
459 92 NOV CERTIFICATION OF DAU STUDENTS SMALL PURCHASE
ALMC/ DAS
16
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT460 92 NOV CERTIFICATION OF
DAU MANDATORY STUDENTS - CONTR FUNDAMENTALS
ALMC/ DAS
461 R-94 JAN COVER LETTER - COLLEGE
ALMC/ DAS
462 92 NOV SOUNDOFF ALMC/ DPP
463 R-96 JUN CLASSROOM ASSIGNMENT
ALMC/ DAS
468 R-90 OCT QUAL ANALYSIS/ASSESSMENT OF POTENTIAL FOR SUPV POSITION
CPO
470 R-90 OCT STATEMENT OFUNDERSTANDING - CRIME PREVENTION
PMO
472 R-90 OCT DESIGNATION OF POSITIONS
CASCOM/ DRM/SCTY
473 91 JUN TASK COMPLETION SHEET (PACK BRANCH)
QMC&S/ A&FSD
474 91 JUN STATUS REPORT - AIRDROP BRANCH
QMC&S/ A&FSD
475 91 JUN STUDENT ABSENTEE SHEET
QMC&S/ A&FSD
476 R-90 OCT HANDBALL/RACKETBALL COURT RESERVATION
DCA/SPORTS
478 93 AUG ROUTING MEMO PAD
49TH QM GP
479 93 OCT INFO FOR CASCOM PER DIR/DATA SHEET
CASCOM
484 R-92 JAN RELIGIOUS INFOR-MATION CARD
CHAPLAIN
485 97 MAR PETROLEUMWATER DEPT TEST #08
USMC/QMC&S
486 97 MAR PETROLEUM AND WATER
USMC/QMC&S
17
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTDEPT TEST #07
487 97 MAR PETR & WATERDEPT TEST #E-06
USMC AND QMC&S
488 97 MAR PET & WATER DEPT TEST #-02
USMC/QMC&S
489 97 MAR PET & WATER PORTABLE WATER PLANNING GUIDE
USMC/QMC&S
490
491
97 APR
99 MAR
WATER REQUIREMENT COMPUTATIONS
INSTRUCTOR DEVELOPMENT FORM
QMC&S/ PWD
QMC&S/OTMO
495 R-92 AUG PERSONAL DATAWORKSHEET
QMC&S/ NCOA
496-3 R-93 NOV WORD PROCESSING CENTER WORK REQUEST (QMS)
QMC&S/ ESD
497 94 FEB PERSONAL HISTORY SHEET/STUDENT PROGRESS SHEET
QMC&S/ ACE-S
497-2 R-90 OCT PERSONAL HISTORYSHEET FOR ENLISTEDSTUDENT
QMC&S/ S&PDD
498
500
91 NOV
99 FEB
PARENTAL STATEMENT OF UNDERSTANDING RE FAMILY CHILD CARE
BUILDING COORDINATORAPPOINTMENT
MWR/CDS/CYPD
DPW
501 R-90 OCT FCC FOLLOW-ON HOME INSPECTIONS
MWR/FCC/CYPD
502 R-90 DEC BICYCLEREGISTRATION
PMO
503 R-93 JUL ADDRESS CHANGE REQUEST
CASCOM/ LAD
18
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT504 93 JUN TELEPHONE
REGISTRATIONALMC/ DAS
506 92 OCT FORMER SPOUSES FORBENEFITS APPLICATION/INFO SHEET
SJA
507 92 OCT REQUEST FOR REPRESENTATION(ELAP)
SJA
513 R-90 OCT WELCOME LETTER - ADVANCED OFFICER COURSE
266TH
519-2 R-90 OCT PROCESSING CHECKLIST (SEPARATION)
AG/ TRANS CTR
525-E 93 FEB MEMORANDUM FOR RECORD
DOIM/REC MGT
526-E 93 FEB DOIM REPORT CARD DOIM/REC MGT
527 92 APR PRE-HOLIDAY VEHICLE INSPECTION
QMC&S/ ACE-S
535-1 R-90 OCT INDIVIDUALPLACE CARDS -CASCOM LOGO
CASCOM/ EXEC SVCS
537 96 MAY REQUEST FORMAINT PARTS/HARDWARE/SOFTWARE FOR SYS ADMIN SPT
DOIM/ ISAB
538 94 NOV EXCHANGE OF TRAFFIC ACCIDENTINFO WORKSHEET
PMO
539 R-95 APR DESK SERGEANT NOTIFICATION LIST
PMO
542 96 JUN SIGN IN/SIGN OUT SHEET
DOIM/ISSB
546 90 FEB CONDENSATE RETURN
DPW
547 90 FEB WORK SHEET 5-97 DPW
548 90 FEB CHEMICAL TREATMENT &
DPW
19
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTMAINTENANCE
549 90 FEB CHEMICALS ADDED
DPW
552 R-90 OCT SPORTS FACILITY DAILY ATTENDANCE/CHLORINE/ POTASH READING
MWR/SPORTS
554 95 JAN BILL OF SALE SJA
556 96 NOV DAILY HAZARD/ENVIRONMENTAL LOG
DPW
563 94 FEB SECURITY CHECK NOTICE
PMO
564 R-98 SEP CHILD CARE WAITING LIST REGISTRATION CARD
MWR/CYPD
566 R-90 OCT ALARM/J-SIDSACTIVATION RECORD
PMO
567 91 MAY RESPONSE CARD (GENERIC)
CASCOM/ EXEC SVCS
567-1 R-97 JAN RSVP CARDW/PAYMENT INST
CASCOM/EXEC OPS
568 R-96 SEP SECURITY CHECKS PMO
568-3 R-95 JUL MILITARY POLICE ACTIVITY REPORT
PMO
570 R-90 OCT PERSONALINVENTORY LIST
244TH
571 91 DEC PHASE V PASS CARD
266TH
572 97 FEB MISSION ESSENTIAL VUNERABLE AREA LIST
PMO
572-1 97 MAR PHYSICAL SECURITY OF INSTALLATIONBLDG
PMO
20
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT576 91 OCT EQUIPMENT
DATA WORKSHEETCASCOM/ LA
577 91 OCT DODAAC FILE WORKSHEET
CASCOM/ LA
578 91 OCT ULLS PES DATA
CASCOM/ LA
579 91 OCT ULLA BACKFILL DATA
CASCOM/ LA
580 R-90 OCT REQUEST FOR MOTOR TRANSPORTATION
DOL/ TRANS DIV
582 R-90 OCT STUDENT EVALUATION FORM
QMC&S/ MAC
585 92 APR PHASE V
PASS FORM
266 CO P
586 92 APR TRAINING INFO SHEET
266 CO P
587
589
92 JUL
01 JAN
REGISTER OF QM MUSEUM VISITORSRISK ASSESSMENT WKSHT
QMC&S/ OQMG
266TH
590 R-94 APR VISITOR LOG PMO
592 93 FEB STUDENT COMMENTS TO INSTRUCTORS
ALMC/ DAS
593 96 NOV ACADEMIC REQUIREMENTS
266TH
594 96 NOV NCO SUPPORT CHAIN
266TH
594-1 96 NOV CHAIN OF COMMAND
266TH
595
596
597
97 FEB
00 JUN
00 JUN
WELCOME LETTER
KP SIGN SIGN OUT
DAILY STATUS
266TH
244TH
244TH
21
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
598
599
600
00 JUN
00 JUN
00 JUN
REPORT
SICK CALL SIGN IN
CLASS SIGN IN
SICK CALLSIGN OUT
244TH
244TH
244TH
604 95 FEB INPROCESSINGFORM
QMC&S/ PWD
611 R-92 OCT MAINTENANCE CALL CARD
DPW
612 R-98 AUG SURVIVAIR BREATHING
APPARATUS TEST SHEET
DPS/FIRE DEPT
613 97 FEB WEEKLY SABAINSPECTION CHECKLIST
DPS/FIRE DEPT
613-1
614
97 JAN
98 SEP
WEEKLY SCBA INSPECTION CHECKLIST
STUDENT QUESTIONAIRE
DPS/FIRE DEPT
ALMC
615 95 NOV CLOAC STUDENT INFORMATION
ALMC
616 R-96 JAN COMBINATION& ADDRESS
ALMC
618 95 APR PROMOTION/AWARD BIO (OFFICER)
ALMC
618-1
619
95 APR
00 MAR
PROMOTION/AWARD BIO (ENLISTED)
INDIV DEVELOP PLAN
ALMC
ALMC
622 94 DEC POSTAL DELIVERY NOTICE/
23D QM BDE
22
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTREMINDER/RECEIPT
623 R-96 MAY STUDENT LOCATOR CARD
23D QM BDE
624 R-93 MAR RESERVE COMPONENTLIAISON OFFICE INFORMATION
QMC&S/ USAR ADV
631 R-90 OCT CONTRACT MAINTENANCE OF OFFICE MACHINES FY
DOL/MAINT BR
639 98 JAN STUDENT
EVALUATION
23D QM BDE
640 98 JAN EXIT SURVEY/CRITIQUE
23D QM BDE
641 98 JAN IET SOLDIER COUNSELING 92R
23D QM BDE
641-1 98 JAN IET SOLDIER COUNSELING 77W
23D QM BDE
641-2 98 JAN IET SOLDIER COUNSELING 43M
23D QM BDE
641-3 98 JAN IET SOLDIER COUNSELING 57E
23D QM BDE
641-4 98 JAN IET SOLDIER COUNSELING 92M
23 QM BDE
641-5 98 JAN IET SOLDIER COUNSELING 77F
23D QM BDE
641-6 98 JAN IET SOLDIER COUNSELING 77L
23D QM BDE
642 R-96 JAN STORAGE IN-TRANSIT RECORD HHG & UNACCOMPANIED BAGGAGE
DOL/ TRANS DIV
646 91 OCT OPEN REQUISITION CONTROL RECORD
DOIM/ BUDGET
648 93 FEB PERMISSION TO PUBLISH MANUSCRIPT
ALMC/ DAS
23
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT649 93 FEB CLEARANCE
STATEMENTALMC/ ALOG
650 93 FEB MANUSCRIPT CONTROL CARD
ALMC/ ALOG
654 R-99 NOV USAQMCEN & SCHOOL MEMO PADS
QMC&S/ ESD
661 R-94 APR STUDENT COVER SHEET
AG/PERS SEC
664 R-95 JUL ITOR FELLOWSHIP APPLICATION
ALMC/ SMS
670 91 AUG CONTRACT FOOD SERVICE WORKERS (KP) PERFORMANCE INSPECTION
DOL
671 93 JUL ALMC NAME PLACARD
ALMC
672 97 JUL FT LEE FACILITIES ASSIGNMENT
DPW
672-1 R-90 OCT CHANGE TO ENGINEER ACCOUNTABLE INSTALLED PROPERTY
DPW/HSG DIV
676 94 SEP RADAR LOG PMO
680-1 R-95 SEP ALMC LEAVESCHEDULE
ALMC
681 95 DEC STAFF DUTYOFFICER CHECKLIST
ALMC
682 R-92 JUN UNSECURED PROPERTY
PMO
684 93 MAR PROCESS IMPROVEMENT NOMINATION
ALMC/ DAS
686 R-93 MAY GROOM TRANSPORTATION SIGN-UP SHEET
ALMC/ DAS
24
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT687 R-90 OCT TRANSMITTAL
RECORD &MESSAGE FORM
DOL/ TRANS DIV
688 93 MAY ALMC OFFICE SUPPLIES
ALMC/ DAS
689-E 94 JAN DAISM FORM
DOIM/ SCTY
693 R-90 OCT WEAPONSAMMUNITION
BADGE RECEIPT REGISTER
PMO
694 94 MAR WEAPON REGISTRATION
PMO
695 R-96 SEP PRISONERMEAL FORM
PMO
697 94 MAR IMPLIED CONSENT
PMO
698 94 MAR WAIVER STATEMENT
PMO
700 94 MAR 911 INFORMATION SHEET
PMO
702 94 MAR INTERVIEWWORKSHEET
PMO
703 94 MAR PATROL BREAKDOWN
PMO
704 94 MAR MINOR INFRACTION NOTIFICATION
PMO
705 96 AUG ELECTRONIC PRINTING DIRECTIONS
ALMC/ SMS
706 R-91 DEC CORRES-PONDENCE AND ROUTING SHEET
QMC&S/ DOES
707-4 R-90 OCT GROOME BPA VOUCHER REGISTER
DOL/ TRANS DIV
25
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT708 93 APR SAMS DATA
BASE UPDATECASCOM/ SM
710 R-90 OCT FIREWOOD LICENSE
DPW
711-E 95 AUG REQUESTER FOR INTERNET PROTOCOL (IP) ADDRESS NUMBER(s)
713 R-91 MAY SPOUSAL LETTER FOR EXPLANATION OF THE SBP
AG/RET SVCS
714 R-90 OCT NCO EVALUATION REPORT FOLDER
23D QM BDE
716 R-90 OCT OER EVALUATION REPORT FOLDER
23D QM BDE
721 R-90 OCT FOR SALE/WANTED DOIM/PRTG & PUBS
724 96 MAR PHOTO/NEGATIVE LOAN AGREEMENT
PAO
725 94 SEP WE WOULD LIKE YOUR OPNION
PAO
726 93 APR PMO PROJECT IDENT-A-KID
PMO
727 R-91 NOV REQUEST FOR ARMED FORCES PARTICIPATION IN PUBLIC EVENTS
PMO
727-1 94 SEP REQUEST FOR FORT LEE SUPPORT
PAO
728-E R-90 OCT SLIDE LAYOUT SHEET
CASCOM/ EXEC SVCS
732 R-91 MAY AIMS STUDENT ENROLLMENT
QMC&S/OTMO
745 R-90 OCT INFORMATION BRIEFING EVALUATION
QMC&S/ S&PDD
746-E R-90 OCT FUND CEILINGS AUTHORIZATION DOCUMENT
DRM/P&B DIV
26
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
747 92 FEB SELECTION OF FCC SUBSTITUTE PROVIDERS
MWR/CYPD
748 92 FEB CONTINGENCY PLAN
MWR/CYPD
749 92 FEB FCC HOME EVACUATION PLAN
MWR/CYPD
750 92 FEB DISCIPLINE POLICY
MWR/CYPD
751 92 FEB TOUCH POLICY MWR/CYPD
752 92 FEB REGARDING MOTOR TRANSPORTATIONOF CHILDREN IN MOTOR VEHICLE
DCA/CYPD
753 92 FEB FCC HOME VISIT DOCUMENTATION
MWR/CYPD
755 R-90 OCT FORT LEE VIRGINIA TEMPORARY PERMIT
PMO
756 R-93 APR FOIA REGISTER CARD
DOIM/ REC MGT
757
757-1
R-96 AUG
JAN 99
YOUTH CENTERREGISTRATION CARD
YOUTH SPORTS REGISTRATION CARD
MWR/CYPD
MWR/YS
758 R-90 OCT RUN FOR YOUR LIFE SCORE SHEET
MWR/SPORTS
759 R-90 OCT RUN FOR YOUR LIFE ENTRY APPLICATION
MWR/SPORTS
760 R-90 OCT CG DAILY CALENDAR
CASCOM/ CMD
761-FL R-90 FEB DRIVER/VEHICLE REQUIREMENTS FOR CMD GP
CASCOM/ DCOFS
27
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
764 R-90 OCT WALK FOR YOUR LIFE SCORE SHEET
MWR/SPORTS
765 R-90 OCT WALK FOR YOUR LIFE ENTRY
APPLICATION
MWR/SPORTS
767 R-90 OCT WATER QUALITY CONTROL TEST- ANSWER SHEET
QMC&S/ PWD/WTR
768 96 JUN REGISTRATION FORM SHORT TERM ALTERNATIVE CHILD CARE(STACC)
MWR/YS/CYPD
770 95 AUG STUDENT WORKSHEET,ANNEX H
QMC&S/ PWD
772 R-96 MAR CHILD DEVELO-MENT SVC ENROLLMENT AGREEMENT
MWR/CDS/CYPD
773 97 JUN SCHOOL AGE SERVICES PAYMENTRECORD
MWR/CDS/CYPD
775 R-91 DEC INSTRUCTIONS FOR STATESIDE ASSIGNMENT
AG/TRNE/ STU PROC
776 R-91 DEC INSTRUCTIONS FOR OVERSEAS ASSIGNMENT
AG/TRNE/ STU PROC
777 R-91 DEC INSTRUCTIONS FOR RETURN OVERSEAS
AG/TRNE/ STU PROC
787 R-91 NOV CHILD DEVELOPMENT SERVICES ACCIDENT/INCIDENT REPORT
MWR/CDS/CYPD
789 91 MAR SAFETY & DEFICIENCYREPORT
DPS/SAFETY
28
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT790-1 93 SEP BDE NOTEPAD 23D QM BDE
790-2 97 JUN ROUTING SLIP 244TH
795 98 MAY FAMILY CHILD CARE FOOD PROGRAM CHILD ENROLLMENT FORM
MWR/CDC
796 R-90 OCT USDA ENROLLMENT STATEMENT
MWR/CDS/CYPD
797 R-98 MAY FAMILY CHILD CARE FOOD PROGRAM
MWR/CDS/CYPD
798 94 NOV FT LEE CHILD INDENTIFICATION BOOKLET
PMO
799 94 NOV BLOTTER WORKSHEET
PMO
800 R-90 OCT DAILY INSPECTION RECORD
DOL/ TRANS DIV
801 92 MAR MILITARY POLICE ID CARD
PMO
801-3 R-98 AUG RANGE CHECKLIST DPS/ TNG BR
802 R-90 OCT MASTER SCHEDULE (TV OPERATIONS)
CASCOM/TNG BR
803 91 OCT STUDENT REGIS-TRATION FORM
CASCOM/ LA
804 91 OCT BRIEFING SING-IN SHEET
CASCOM/ LA
805 91 OCT ULLS ATTENDANCE ROSTER
CASCOM/ LA
806 91 OCT STUDENT EVALUATION OF TRAINING
CASCOM/ LA
807 R-90 OCT NOTICE TO HSG OCCUPANTS - LIABILITY FOR DAMAGE TO QTRS
DPW/HSG DIV
810 94 NOV MEMO OF AGREEMENT
DPW
29
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTBETWEEN THE U.S. ARMY/HOUSINGRESIDENTS
810-1 R-98 MAR RESIDENT RELEASE FORM
DPW
812 91 MAY SAFETY INSPECTION CHECKLIST
DS/SAFETY
814 91 MAY REQUEST FOR PASS
QMC&S/ NCOA
816 97 JUL TRAINING AREAINSPECTION/CLEARANCE CHECKLIST
DPS
817 97 NOV JESUP STREAMER QMC&S/NCOA
822 R-90 OCT CALENDAR APPOINTMENT REQUEST
QMC&S/ ESD
822-1 R-90 OCT CG's APPOINTMENTS QMC&S/ ESD
825-E 98 APR AFFIRMATIVE ACTION PLAN
EO
826 91 SEP EQUAL OPPORTUNITY REPRESENTATIVE TEST SHEET
EO
827 R-90 OCT REGISTER OF TEMPORARY AUTO PERMIT
PMO
830 95 SEP ABANDONED VEHICLE VIOLATIONNOTICE
PMO
831 R-92 MAR SELECTED SUVIVOR BENEFIT PLAN OPTIONS
AG/RET SVCS
833 R-90 OCT SPOUSE'S COUNSELING STATEMENT
AG/RET SVCS
834 R-97 JAN OFFICER RECORDS WORKSHEET
AG/PERS SEC
835 R-90 OCT SHOPPING LIST/WANT LIST
QMC&S/ S&PDD
30
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
836
837
842
848
489
850
851
852
R-00 MAY
00 MAY
00 MAR
00 SEP
00 JUN
00 JUN
R-90 OCT
98 SEP
STUDENT ENROLLMENT FORM
SIDPERS PROCESSING SHEET
LIAB FOR DAMAGE TOASSIGNED HOUSING
FAMILY HOUSINGMAINT CHECKLIST
TALLY CHECKLIST RANDOM SAMPLING DINING FACILITY
TALLY CHECKLIST RANDOM SAMPLING TR/INST
CHKBK MAINTENANCEPERFORMANCE TEST
PROJECTED AVAILABILITYOF GOV'T QUARTERS
AG/ TRNE/SP
AG
DPW
DPW
DOL
DOL
MWR/FINANCE
DPW
853 R-98 FEB APPLICATION FOR ENROLLMENT IN ALMC CERTIFICATE PROGRAM
ALMC/ DAS
856 R-92 SEP AFFIDAVIT SJA
857 94 MAR ANSWER SHEET QMC&S/ PWD
857-1 95 FEB ANSWER SHEET-LTD-ANS-350.1
QMC&S/ WD
858
859
860
861-E
R-90 MAY
99 MAR
99 MAR
99 OCT
INDIVIDUAL RUN REPORT
SAFETY OFFICE HAZARD NOTIFICATION
SAFETY OFFICE CUSTOMERCOMMENT CARD
BIOGRAPHICAL SKETCH
DPS/FIRE
DOPS/SAFETY
DOPS/SAFETY
49TH GP
31
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT865 R-90 OCT CASH COLLECTION
SHEETMWR/CLUB
869 R-90 OCT MAINTENANCE ACTION/ SERVICE COMPLAINT
DPW/ BLTG BR
873 R-90 OCT HARTMAN'S POOL SIGN-IN SHEET
MWR/SPORTS
874 92 OCT WORKSHEETFOR PERSONNEL QUALIFICATION RECORD
AG/ TRNE/STU PROC
875 92 JUL CERTIFICATE OF ACHIEVEMENT
PMO
876-1 R-OCT 90 WORKSHEET FOR RECORD OF EMERGENCY DATA
AG/PER SVCS/ TRNE-SP
877 92 FEB OPERATING SYSTEM WORKSHEET
CASCOM/LA
878 92 FEB VOLUME CONFIGURATION WORKSHEET
CASCOM/LA
879 92 FEB DOS WORKSTATION CONFIGURATION WORKSHEET
CASCOM/LA
881 R-92 FEB FCC HOME CHECKLIST MWR/CDS/CYPD
885 R-92 AUG DESIGN REVIEW COMMENTS
DPW/ PLANS DIV
889 90 OCT RAM AIR SPECIAL PARACHUTE RIGGER QUALIFICATIONS CARD
QMC&S/ A&FSD
890
891-E
892-E
R-90 OCT
99 SEP
99 SEP
EXCEPTIONAL FAMILY MEMBER SCREENING INFORMATION
FMEAP COUNSELINGCRITIQUE
FMEAP TNG
ACS
ACS
ACS
32
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
893-E
894-E
895
896
897
99 SEP
99 SEP
00 SEP
00 SEP
00 SEP
COURSE EVAL
FMEAP CLIENTPROFILE
FMEAP SIGNIN SHEET
EMPOLYMENTREADINESS CLIENT INQUIRY
ACS OUTREACHASSESSMENT QUESTIONAIRE
ACS SATISFACTIONSURVEY
ACS
ACS
ACS
ACS
ACS
900 R-90 OCT 244th QM BN CERTIFICATE OF ACHIEVEMENT
244TH
900-1 96 SEP CERTIFICATE OF APPRECIATION 244TH
244TH QM BN
901
904
91 DEC
00 AUG
EXPLOSIVE ORDNANCE DISPOSAL INCIDENT REPORT- CHEMICAL
SEWING SERVICE TAG
147TH ORD
16TH FLD
906-E 92 APR USAQMC&S SGI TEAM LEADER ASSESSMENT
QMC&S/ DOTD
907-E 92 APR USAQMC&S INSTRUCTORASSESSMENT
QMC&S/ DOTD
909 R-90 OCT FT LEE CHILD AND YOUTH SERVICES REGISTRATION CARD
MWR/CYPD
911 R-96 AUG EXAM ANSWER SHEET(OBC ENGLISH
KNOWLEDGE)
QMC&S/ DOI
911-1 R-96 AUG EXAM ANSWER SHEET (OBC)
QMC&S/ DOI
33
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
912 95 FEB AIRDROP EQUIP REPAIR TEST #1
QMC&S/ A&FSD
912-1 95 FEB AIRDROP EQUIP REPAIR TEST #2
QMC&S/ A&FSD
917 R-94 JAN SOLICITATION MAILING LIST APPLICATION
DOC
920 92 APR UTILITY WAIVER SUPPORT CLUB AGREEMENT - GAS CO
MWR/FM
925 R-92 APR UTILITY WAIVER SPT CLUB AGREEMENT-VA POWER
MWR/FM
928 R-90 OCT APPLICATION FOR JOB OPPORTUNITY & PROMOTION & APPRAISAL
CPO
930 92 APR JOB HAZARD ANALYSIS
DPS/SAFETY
934 95 JUL AG PAT ON THE BACK
AG
937 93 APR CONFINED SPACE PERMIT FORM
DPS/SAFETY
940 R-90 OCT BATTALION CERTIFICATE OF APPRECIATION
240TH
941 R-99 APR BATTALION CERTIFICATE OF ACHIEVEMENT/240TH
240TH
943 R-94 MAR CONTRACTOR WORK ORDER
DOL/ TRANS DIV
946 91 OCT RESPIRATOR CERTIFICATION CARD
DPS/SAFETY
947 91 OCT RESPIRATOR SELECTION
DPS/SAFETY
34
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
948 91 OCT RESPIRATOR USAGE
DPS/SAFETY
952 98 MAR NOTICE OF EXP/EXT OF NONTEMPORARY STORAGE OF HOUSEHOLD GOODS
DOL/TRANS
954 94 DEC EXAM SHEET AREA 7
QMC&S/ A&FSD
954-1 94 DEC MEDIUM-DUTY SEWING EXAM SHEET
QMC&S/ A&FSD
954-2 94 DEC ZIGZAG SEWING EXAM SHEET
QMC&S/ A&FSD
954-3 94 DEC LIGHT-DUTY SEWING EXAM SHEET
QMC&S/ A&FSD
954-4 94 DEC HEAVY-DUTY SEWING EXAM SHEET
QMC&S/ A&FSD
954-5 94 DEC VERY-HEAVY DUTY MACHINE EXAM SHEET
QMC&S/ A&FSD
957 91 JUN EXAMINATION COVER SHEET
QMC&S/ A&FSD
958 R-94 APR COMBINED LOGISTICS OFFICER ADVANCED COURSE DIPLOMA
ALMC/ SLS
958-1 94 SEP POST GRADUATE SURVEY FOR THECLOAC PART 1-GRAD QUESTIONNAIRE
ALMC
958-2 94 SEP POST GRADUATE SURVEY FOR THE CLOAC PART 2-SUPV QUESTIONNAIRE
ALMC
960 91 JUN EXAMINATION PAGE
QMC&S/ A&FSD
35
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT961 R-93 JAN INFO PERTINENT
TO OVERSEAS SSIGNMENT
AG/PERS SEC
967 93 JUN ALMC ADPE/WPE SENSITIVITY DETERMINATION WORKSHEET
ALMC/ DAS
968 93 JUN DAILY CALENDAR - DEPUTY TO THE COMMANDING GENERAL
CASCOM/ CMD
969 R-JAN 97 SLING LOAD INSPECTOR CERTIFICATION CARD
QMC&S/ A&FSD
970 R-97 FEB YOUTH SERVICES SCHOOL AGE/LATCH KEY REGISTRATION CARD
MWR/YS/CYPD
973 R-90 OCT BRIEFING NOTICE CASCOM/ SGS
975 92 OCT CREST CERTIFICATE ALMC/ DAS
976 R-90 OCT DAILY CALENDARCHIEF OF STAFF
CASCOM/ SGS
977 R-90 OCT QMS SGI TEAM LEADER ASSESSMENT
QMC&S/OTMO
976-1 97 NOV CHIEF OF STAFF MEMO PAD
CASCOM
978 R-96 MAY QMS INSTRUCTOR MONITORING FORM
QMC&S/OTMO
980 R-90 OCT REQUEST FOR OVERTIME AUTHORIZATION
DRM/ P&B DIV
981 R-90 OCT LEADERSHIP ASSESSMENT
QMC&S/ S&PDD
986 R-90 OCT SPORTS FACILITIES DAILY ATTENDANCE
MWR/SPORTS
989 R-90 OCT PROCEDURES FOR END-OF-SHIFT SECURITY
MWR/SPORTS
36
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
990 R-90 OCT COUNTER ISSUEINVENTORY
MWR/SPORTS
991 R-90 OCT OUTBOUND BILL OF LADING REGISTER
DOL/ TRANS DIV
992 97 FEB STUDENT PROGRESS CARD
USMC/PETR TNG DIV
993 91 SEP SOLDIER IN TRAINING ROSTER
262D
994 96 JUN OBSERVATION SHEET
QMC&S/NCOA
996 91 AUG CG MEMO PADS (QMC&S)
QMC&S/ ESD
997 R-90 OCT STUDY HALL ATTENDANCE ROSTER
QMC&S/ S&PDD
999 R-90 OCT REQUEST FOR VISIT AUTHORIZATION
CASCOM/ DRM/ SCTY
1000 R-93 DEC ASSOCIATE LOGISTICS EXECUTIVE DEVELOPMENT COURSE DIPLOMA
ALMC
1001 R-93 JUN LARGE DIPLOMA- NCO ACADEMY(QM GENERAL)
QMC&S/OTMO
1002 93 JUL LOGISTICS EXECUTIVE DEVELOPMENT COURSE DIPLOMA
ALMC/LEDC
1003-6 R-90 OCT SIGN-IN GENERAL CRAFTS AREA
MWR/SPORTS
1006 R-90 OCT PMO CERTIFICATE OF RECOGNITION
PMO
1008 R-93 JAN HUSBAND OF CIVILIAN RETIREE CERTIFICATE OF APPRECIATION
CPAC
1008-1 R-93 JAN WIFE OF CIVILIAN CPAC
37
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTRETIREE CERTIFICATE OF APPRECIATION
1010 93 AUG CERTIFICATE OF COMPLETION
USMC
1011 R-91 MAR EEO COUNSELOR CERTIFICATE
EEO
1012 R-94 MAR CASCOM CERTIFICATEOF ACHIEVEMENT
CASCOM/ SGS
1014 R-90 OCT PROVISIONAL FAMILY CHILD CARE CERTIFICATE
MWR/CDS/CYPD
1015 93 JUL CODE OF THE NON-COMMISSIONED OFFICER
QMC&S/ PWD
1016 92 FEB CERTIFICATE- GERMAN ARMY
CASCOM/ GER LNO
1017 93 JUL CERTIFICATE IN MAINTENANCE MANAGEMENT
ALMC
1018 R-90 OCT FAMILY CHILD CARE CERTIFICATE
MWR/CDS/CYPD
1019 R-90 OCT BPLD CERTIFICATE OF ACHIEVEMENT
QMC&S/ PWD/BPLD
1021 97 MAR CERTIFICATE OF ACHIEVEMENT WARRIOR OF THE DAY
262D
1023 92 APR CLAIMANT SATISFACTION SURVEY
SJA
1024 R-90 OCT 266TH QM BN CERTIFICATE OF SERVICE
266TH
1025 R-90 OCT NCO ACADEMYOATH OF ENLISTMENT
QMC&S/ NCOA
1026 97 MAR CASCOM CERTIFICATEOF APPRECIATION
CASCOM
38
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT1027 97 MAR CASCOM CERTIFICATE
OF ACHIEVEMENTCASCOM
1029 R-96 FEB CERTIFICATE OF ACHIEVEMENT-BRIGADE
23D QM BDE
1029-1 97 MAR CERTIFICATE OF APPRECIATIONBRIGADE
23D QM BDE
1030 R-90 OCT ENLISTED PERSONNEL APPOINTMENTAUTHORIZATION
23D QM BDE
1033
1033-1
R-00 MAR
00 MAR
CERTIFICATE OF AFFILIATIONQM GEN
CERTIFICATE OFHONORARYAFFILATION
QMC&S/ DOTD/ARB
QMC&S/ARB
1034-1 95 APR MORTUARY AFFAIRS CERTIFICATE(BLANK)
QMC&S/ MAC
1035 92 MAR CSM SUPPORT EXCELLENCE CERTIFICATE
23D QM BDE
1036 93 AUG CERTIFICATE OF APPRECIATION
49TH QM GP
1037 R-00 FEB CERTIFICATE OFACHIEVEMENT
49TH QM GP
1038 R-91 OCT CREED OF THE NON-COMMISSIONEDOFFICER
49TH QM GP/240TH
1038-1 94 APR CREED OF THE NONCOMMISSIONEDOFFICER
266TH
1039 97 FEB CERTIFICATE OF APPRECIATION
QMC&S
1044 94 MAY CERTIFICATE OF ACHIEVEMENT(INTERNATIONALMIL STUDENTS)
ALMC
39
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
1046 97 JUL CERTIFICATE OF ACHIEVEMENT
QMC&S/NCOA
1049 R-92 DEC DRY TANK CERTIFICATE
QMC&S/ PWD
1050 94 FEB SENIOR PARACHUTIST CERTIFICATE
QMC&S/ A&FSD
1050-1 94 FEB MASTER PARACHUTIST CERTIFICATE
QMC&S/ A&FSD
1051 R-90 OCT RECORD OF INJURY
DPS/SAFETY
1053 94 SEP FLATS/LOGISTICIANBULLETIN
ALMC
1054 96 FEB CERTIFICATE OF ACHIEVEMENT (W COMPANY/244TH)
244TH W CO
1055 94 MAR SWORD & KEY CERTIFICATE
49TH QM GP/240TH
1057 R-90 OCT REQUEST FOR SHIPMENT
DOL/ TRANS DIV
1058 94 MAY BULLDOG CERTIFICATES
266TH
1059 R-91 JUL CERTIFICATE OF APPRECIATION- 262D BN
262D
1060 92 JUL CERTIFICATE-NCOLP
CASCOM/ HHC
1062 90 DEC QMC&S DEPARTURE CERTIFICATE
QMC&S/ ESD
1065 R-91 MAR PAO CERTIFICATE OF APPRECIATION
PAO
1066 R-90 OCT 54TH QM CO CERTIFICATE OF ACHIEVEMENT
49TH QM GP/ 54TH
1068 R-92 AUG 262D CERTIFICATE OF ACCOMPLISHMENT
262D
1069 92 MAR GARRISON CERTIFICATE OF APPRECIATION
GARRISON
40
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
1070 92 FEB SUPPORT EXCELLENCE CERTIFICATE
23D BDE
1071 R-90 SEP PARACHUTE RIGGER VISITOR SUPPORTAWARD
QMC&S/ A&FSD
1072 R-90 OCT PARACHUTERIGGER VISITOR TOUR AWARD
QMC&S/ A&FSD
1073 R-95 APR CERTIFICATE IN PHYSICALDISTRIBUTION MANAGEMENT
ALMC/ DAS
1073-1 R-95 APR CERTIFICATE IN DISPOSAL OPERATIONS
ALMC/ DAS
1074 93 APR ALMC TQM "PAT ON THE BACK" CERTIFICATE
ALMC/ DAS
1075 R-90 OCT CERTIFICATE OF QUALIFICATION
QMC&S/ PWD
1076 93 JUL CERTIFICATE OF ATTENDANCE
ALMC
1077
1077-1
R-90 OCT
98 DEC
PROUD TO SERVE AWARD CARD
PROUD TO PUMPAWARD
49TH QM GP/ 240TH
49TH QM
1078 R-92 AUG CERTIFICATE OF APPRECIATION (QUARTERMASTER)
QMC&S/ ESD
1079 R-90 OCT BLANKET PURCHASE AGREEMENT SUMMARY
DOC
1080 91 DEC CERTIFICATE OF APPRECIATION - PWD
QMC&S/ PWD
1082 R-OCT 90 ACCIDENT AVOIDANCE TRAINING
DOL/ TRANS DIV
1083 97 MAR CERTIFICATE OF ACHIEVEMENT WARRIOROF THE DAY
244TH
41
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
1084 R-JUL97 CERTIFICATE OF APPRECIATION ACADEMY
QMC&S/ NCOA
1085 MAR 92 109TH CERTIFICATEOF APPRECIATION
49TH QM GP/ 109TH
1087 R-APR 91 AG CERTIFICATE OF APPRECIATION
AG
1088 R-MAR 92 GARRISON CERTIFICATE OF ACHIEVEMENT
GARRISON/ HQ CO
1088-2 R-OCT 90 DESIGNATED AGENTSTATEMENT
DOL/ TRANS DIV
1089 R-00 MAR FOOD SERVICE SANITATION CERTIFICATION
QMC&S/OTMO/ARB
1090 R-00 MAR CERTIFICATE OFACHIEVEMENT-QMS
QMC&S/OTMO/ARB
1091 R-00 MAR CERTIFICATE QMC&S/OTMO/ARB
1091-1 R-00 MAR CERTIFICATE OF ATTENDANCE
QMC&S/OTMO /ARB
1092 R-00 MAR DIPLOMA QMC&S/OTMO/ARB
1092-1 94 DEC QMS DIPLOMA (SMALL)
QMC&S/ DOI/ARB
1094 R-00 MAR QM SCHOOL TESTIMONIAL
QMC&S/OTMO/ARB
1095 R-94 NOV DODGE AWARD QMC&S/OTMO/ARB
1096 R-94 NOV QM SCHOOL DISTINGUISHED INSTRUCTOR AWARD
QMC&S/OTMO/ARB
1097 R-00 MAR DIPLOMA (OFFICER COURSE)
QMC&S/OTMO/ARB
1098 R-92 JUN SUPERIOR PHYSICAL PERFORMANCE AWARD
USMC
1104 93 JAN CERTIFICATE IN CONTRACT
ALMC/DAS
42
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
1105 00 MAY
MANAGEMENT
CERT OF TNGUPL COURSE
AG/ADCO
1106 R-91 APR ACS VOLUNTEER CERTIFICATE
DCA/FSD/ ACS
1107 98 FEB MEMORIAL CHAPEL CERTIFICATE OF APPRECIATION
CHAPEL
1107-1 R-90 OCT MERITORIOUS AWARD
QMC&S/OTMO/ARB
1108 93 MAR ALMC CERTIFICATE OF ACHIEVEMENT
ALMC/ DAS
1109 93 MAR ALMC CERTIFICATE OF APPRECIATION
ALMC/ DAS
1111 R-90 SEP PARACHUTE RIGGER WARRANT OFFICER HALL OF FAME
QMC&S/ A&FSD
1112 R-97 AUG FINALIST CERTIFICATE
QMC&S/ ACE-S
1115 96 AUG LIFETIME HONORARY STAFF AND FACULTY CERTIFICATE
ALMC/ DAS
1117 R-90 OCT S&PDD CERTIFICATE OF MERIT
QMC&S/ S&PDD
1118 R-90 OCT S&PDD CERTIFICATE OF APPRECIATION
QMC&S/ S&PDD
1119 90 NOV BPLD CERTIFICATEOF ACHIEVEMENT
CASCOM
1120 91 JAN CERTIFICATE OF COMMUNITY ACHIEVEMENT
QMC&S/ ESD
1121 91 JUL USMC LETTER OF APPRECIATION
USMC
1122 92 JUL 1154TH USARSCHOOL CERTIFICATE OF APPRECIATION
DPS
43
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT1124 R-97 MAY SAFETY CERTIFICATE
OF ACHIEVEMENTDPS/SAFETY
1125 R-96 FEB CERTIFICATE/DIPLOMA ALMC/ DAS
1127 92 DEC CERTIFICATE OF ACHIEVEMENT FIRST SERGEANT ASSOCIATION
QMC&S/NCOA
LABEL 1 R-91 DEC PERSONAL CORRESPONDENCE
AG/PERS SEC
LABEL 3 92 SEP MAILING LABEL-CASCOM (WITHOUT SYMBOL)
CASCOM/IS
LABEL 5 R-91 MAR MAILING LABEL CASCOM
CASCOM/ LA
LABEL 6 R-90 OCT RAPID OUT PROCEDURES-ENLISTED (ROPE)
AG/PERS SEC
LABEL 7 91 DEC FOOD SERVICE EQUIPMENT SCHEDULE COVER SHEET
QMC&S/ ACE-S
LABEL 8 R-90 OCT INSTRUCTIONAL MATERIAL SHIPPINGLABEL
QMC&S/ DOTD
LABEL 10 R-96 MAR ADDRESS LABEL-ILOGS
CASCOM/PM-ILOGS
LABEL 11 R-90 OCT LAST WILL AND TESTAMENT
SJA
LABEL 13 R-90 OCT INDIVIDUAL FLAGGED
AG/PERS SEC
LABEL 14 92 AUG MP-STOP THIEF TAG
PMO
LABEL 17 97 OCT CASCOM RETURN ADDRESS
ALMC
LABEL 19 R-94 APR FRONT DOCUMENT COVER FOR STUDIES
ALMC/ DLSIE
44
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTBIBLIOGRAPHY
LABEL 20 R-98 JUN PROMOTION PACKET FOLDER
AG
POSTER 7 91 OCT JOGGING SAFETY DPS/SAFETY
POSTER 8 91 OCT SLIPS, TRIPS, &FALLS
DPS/SAFETY
POSTER 10 91 JUN HOW TO SIT AT A COMPUTER
DPS/SAFETY
POSTER 11 93 MAR SAFETY IS FOR ALL SEASONS
DPS/SAFETY
POSTER 13 93 MAR SAFETY AROUND THE CLOCK
DPS/SAFETY
POSTER 14 94 APR DPW RENOVATION DPW
POSTER 15 91 JUN DRINKING & DRIVING
DPS/SAFETY
POSTER 17 93 JUL FISHING DPS/SAFETY
POSTER 18 93 JUL SCHOOL'S OPEN
DPS/SAFETY
POSTER 20 91 APR MOTORCYCLE HELMET USE
DPS/SAFETY
POSTER 21 91 APR SMART LIFTING DPS/SAFETY
POSTER 22 R-90 OCT PLEDGE OF FOODSERVICE
QMC&S/ ACE-S
POSTER 23 93 JUL ENJOY YOUR HOLIDAY
DPS/SAFETY
POSTER 24 91 APR SAFE DRIVING DPS/SAFETY
POSTER 25 93 JUL HORSEPLAY HURTS
DPS/SAFETY
POSTER 27 R-92 FEB CRIME PREVENTION-HELP THEM HELP YOU
PMO
POSTER 28 R-90 OCT CRIME PREVENTION - BARRACKS THIEF
PMO
POSTER 29 R-90 OCT CRIME PREVENTION- LOCKS, KEYS, &
PMO
45
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENTCOMBINATIONS
POSTER 30 R-90 OCT CRIME PREVENTION - VICTIM OF ASSAULT/ROBBERY
PMO
POSTER 31 R-90 OCT CRIME PREVENTION - CRIME PENALTIES
PMO
POSTER 32 R-90 OCT CRIME PREVENTION - PROTECT YER VALUABLES
PMO
POSTER 36 91 AUG CASKET DPA/SAFETY
POSTER 37 91 AUR PROTECTIVE EQUIPMENT
DPS/SAFETY
POSTER 38 91 AUG SAFETY SHOES DPS/SAFETY
POSTER 39 91 AUG OFFICE EQUIPMENT HAZARD
DPS/SAFETY
POSTER 40 91 AUG LADDER DPS/SAFETY
POSTER 41 91 SEP SAVE YOUR BACK
DPS/SAFETY
POSTER 42 92 SEP MACHINE GUARDING DPS/SAFETY
POSTER 43 92 SEP LOCK OUT DPS/SAFETY
POSTER 44 92 SEP TAG OUT DPS/SAFETY
POSTER 46 92 MAY DOUBLE TROUBLE DPS/SAFETY
POSTER 47 92 JUN HORSEPLAY DPS/SAFETY
POSTER 48 92 JUL SAFE JOGGING DPS/SAFETY
POSTER 49 93 JUL HALLOWEEN SAFETY
DPS/SAFETY
POSTER 50 93 JUL BACK EXERCISES DPS/SAFETY
POSTER 51 93 AUG CHECK YOU VEHICLE
DPS/SAFETY
POSTER 52 93 SEP DON'T BE CARRIED AWAY
DPS/SAFETY
POSTER 53 93 SEP DON'T BE A DUMMY, BUCKLE UP
DPS/SAFETY
46
CASCOM&FL Pam 25-30
FT LEE NO. DATE FORM TITLE PROPNENT
POSTER 54 93 OCT DON'T GET CAUGHTUNPREPARED
DPS/SAFETY
47
CASCOM&FL Pam 25-30
The proponent agency of this pamphlet is the Directorate of Information Management. Users are invited to send comments and suggested improvements on DA Form 2028 (Recommended Changes to Publications and Blank Forms) directly to Commander, USACASCOM&FL, ATTN: ATZM-IML-CR, Ft Lee, VA
OFFICIAL: PETER B. MACK COL, QM Garrison Commander//signed//ALFREDA McMURRENDirector of Information Management
49