MCO P1100.73B.pdf - Marine Corps
MCO P1100.73B.pdf - Marine Corps
MCO P1100.73B.pdf - Marine Corps
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DRUG STATEMENT FOR OC/PLC APPLICATIONS<br />
If the answer to block 23 of "Examination of Applicant by recruiting<br />
Officer" (NAVMC 10418-3) is "YES", set forth full circumstances below<br />
including approximate times, amounts taken, and period over which taken:<br />
_______________________________________________________________________<br />
a. Type of drug (or drugs) used:<br />
_______________________________________________________________________<br />
b. Approximate number of times used:<br />
_______________________________________________________________________<br />
c. Amounts taken:<br />
_______________________________________________________________________<br />
d. Method by which taken:<br />
_______________________________________________________________________<br />
e. Inclusive dates of use (be specific):<br />
_______________________________________________________________________<br />
f. Were you convicted or arrested for the drug use admitted?<br />
_______________________________________________________________________<br />
g. Circumstances under which the drug use occurred (use back of this<br />
sheet for statement):<br />
_______________________________________________________________________<br />
_______________________________ ______________________<br />
Signature of Witnessing Officer Signature of Applicant<br />
_______________________________________________________________________<br />
Figure 2-24.--Drug Statement for OC/PLC Applicants.<br />
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