Get 3938 Form

U.S. DOD Form dod-da-3938 DATE SERVICE REQUIRED LOCAL SERVICE REQUEST LSR For use of this form see AR 25-1 the proponent agency is ODISC4. S.A MAINTENANCE SERVICE NUMBER C. S.A. NUMBER BUILDING 1ST PAIR X CONN SEE ATTACHED CUT SHEET OUT IN RECORDS POSTED WIRE CHIEF WORK COMPLETED BY DATE DUE CHIEF OPERATOR ACCOUNTS CLERK EQUIPMENT USED SERVICE ORDER CLERK DIRECTORY CLERK DA FORM 3938 DEC 77 PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE. DATE COMPLETED APD V2. TO NAME AND TELEPHONE NUMBER OF PERSON WITH EXACT LOCATION KNOWLEDGE THIS REQUEST IS FOR INSTALL REMOVE MOVE MAIN LINE LOCAL TELEPHONE SERVICE EXTENSION S WATS KEY S FX OTHER TELEPHONE NO. SPECIAL REQUESTS WORK DETAILS ADDITIONAL DIRECTORY AND NAME CHANGES JUSTIFICATION FUND CITE ETC. PRESENT LOCATION OF EQUIPMENT PRESENT DIRECTORY LISTING Hq Div Br Sec PROPOSED LOCATION OF EQUIPMENT PROPOSED DIRECTORY LISTING CLASS OF SERVICE DESIRED DATE OF REQUEST TYPED NAME OF REQUESTER SIGNATURE OF VALIDATING OFFICIAL INSTRUCTIONS ALL COPIES WILL BE FORWARDED TO THE SUPPORTING C-E OFFICER* CONSENT STATEMENT ALL UNOFFICIAL CLASS R MILITARY TELEPHONE SUBSCRIBERS WILL READ AND SIGN THE FOLLOWING CONSENT STATEMENT I DO DO NOT DESIRE TO HAVE MY HOME TELEPHONE NUMBER PUBLISHED IN THE POST TELEPHONE DIRECTORY AND NOR LISTED IN THE POST OPERATOR INFORMATION FILES* IT IS FURTHER UNDERSTOOD AND AGREED THAT CONSENT OF LISTING AND PUBLICATION CONSTITUTES CONSENT TO PUBLIC DISCLOSURE* NAME AND RANK FOR USE OF THE C-E OFFICE WORK ORDER NUMBER REQUEST APPROVED BY CHARGES MONTHLY CHARGES NONRECURRING CABLE PAIR CONTRACT NUMBER TERMINAL No* LOCATION CONTRACT AUTHORIZATION RENTED SERVICE C. TO NAME AND TELEPHONE NUMBER OF PERSON WITH EXACT LOCATION KNOWLEDGE THIS REQUEST IS FOR INSTALL REMOVE MOVE MAIN LINE LOCAL TELEPHONE SERVICE EXTENSION S WATS KEY S FX OTHER TELEPHONE NO. SPECIAL REQUESTS WORK DETAILS ADDITIONAL DIRECTORY AND NAME CHANGES JUSTIFICATION FUND CITE ETC. PRESENT LOCATION OF EQUIPMENT PRESENT DIRECTORY LISTING Hq Div Br Sec PROPOSED LOCATION OF EQUIPMENT PROPOSED DIRECTORY LISTING CLASS OF SERVICE DESIRED DATE OF REQUEST TYPED NAME OF REQUESTER SIGNATURE OF VALIDATING OFFICIAL INSTRUCTIONS ALL COPIES WILL BE FORWARDED TO THE SUPPORTING C-E OFFICER* CONSENT STATEMENT ALL UNOFFICIAL CLASS R MILITARY TELEPHONE SUBSCRIBERS WILL READ AND SIGN THE FOLLOWING CONSENT STATEMENT I DO DO NOT DESIRE TO HAVE MY HOME TELEPHONE NUMBER PUBLISHED IN THE POST TELEPHONE DIRECTORY AND NOR LISTED IN THE POST OPERATOR INFORMATION FILES* IT IS FURTHER UNDERSTOOD AND AGREED THAT CONSENT OF LISTING AND PUBLICATION CONSTITUTES CONSENT TO PUBLIC DISCLOSURE* NAME AND RANK FOR USE OF THE C-E OFFICE WORK ORDER NUMBER REQUEST APPROVED BY CHARGES MONTHLY CHARGES NONRECURRING CABLE PAIR CONTRACT NUMBER TERMINAL No* LOCATION CONTRACT AUTHORIZATION RENTED SERVICE C.