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Get Da Form 638 2012-2024

Rst, Middle Initial) 5. HOME ADDRESS (Street, City, State and Zip Code) 7. HOME TELEPHONE NO. (Include area code) 2. BRANCH OF SERVICE 3. RANK OR GRADE 4. SOCIAL SECURITY NUMBER 6. CURRENT MILITARY DUTY ADDRESS (If applicable) (Street, City, State and Zip Code) 8. DUTY TELEPHONE NO. (Include area code) 9. AMOUNT CLAIMED 10. CIRCUMSTANCES OF LOSS OR DAMAGE (Explain in detail. Include date, place, and all relevant facts. Use additional sheets if necessary.) 11. DID YOU HAVE PRIVATE INSURA.

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