opnavinst 5350.4 d - Navy Medicine - U.S. Navy
opnavinst 5350.4 d - Navy Medicine - U.S. Navy
opnavinst 5350.4 d - Navy Medicine - U.S. Navy
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OPNAVINST <strong>5350.4</strong>D<br />
4 Jun 09<br />
!a) OPNAV 535W1 (4-go), Drug and Alcohol Abuse<br />
Statement i ~f<br />
Understanding, S/N 0107-LF-006-.5200.<br />
b) OPNAV 535C17 (6-92), Drug and Alcohol Abuse<br />
?epor - , r:eh- based form.<br />
iiemarks .<br />
e) NAVPERS 1C70/613 (Rev. 10-81), Administrative<br />
i;. -rhe following forms are available on DoD Forms<br />
2~Ianagement. Program Web site at<br />
inii i whs; i-- l.. i . r ectives / inf omgt / fiorms/ f ormsprogram. htm.<br />
d) DD 1966 (10-05), Record of ~ilitary processing -<br />
Irrnea For:-2s of the United States.<br />
b) DD 2624 (2-98), Specimen Custody Document - Drug<br />
rsst ;ng, : G102-LF-016-7600.<br />
C) DD 1384 (4-66), Transportation Control and<br />
"12vercent Dd~umen~, S/N 01Ct2-LF-013-5700.<br />
1 : 1 DAAR required by subparagraph 8p(20) and enclosure<br />
(1; ' (paragraphs 4, 8b and 9d) is assigned Report Control Symbol<br />
3PNAV 5350-i:. DAARS are created online at ADMITS Web site<br />
vhp.mil, index/htm. An account is<br />
ADMITS staff identification form to<br />
:he ADMITS processing off ice.<br />
i i i i Laboratory Urinalysis Report required by enclosure<br />
12 , append:^ B, paragraph 4f, is assigned Report Control Symbol<br />
')PNKd 535!1-4<br />
Vice ~d(nip1.<br />
U.S. <strong>Navy</strong><br />
Deputy b'ef of Naval Operations<br />
(Manpower, Personnel, Training<br />
and Education)
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