13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED (All periods of service) 17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION 18. REMARKS 13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED (All periods of service) 17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION 18. REMARKS COPY DESIGNATION (Printed in lower right margin) MEMBER - 1 SERVICE - 2 VETERANS ADMINISTRATION - 3 MEMBER - 4 DEPARTMENT OF LABOR - 5 STATE DIRECTOR OF VETERANS AFFAIRS - 6 SERVICE - 7 SERVICE - 8 Copy 1 (the original) does not have Items 23 - 30, and the page ends after Item 22. Copies 2, 4, 7, and 8 contain all items. Copies 3, 5, and 6 contain all items, but Items 25 through 27 are blacked out. [54 FR 9985, Mar. 9, 1989] 13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED (All periods of service) 17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION 18. REMARKS 19.5. MAILING ADDRESS AFTER SEPARATION (Include Zip Code) H 19.6. NEAREST RELATIVE IN and address include Zip Code) |
