DA FORM

Pub/Form Number	DA FORM 5017
Pub/Form Date	09/01/2023
Pub/Form Title	CIVILIAN EMPLOYEE CONSENT STATEMENT
Unit Of Issue(s)	PDF  (This form may require download to view. For more details visit FAQs.)
Pub/Form Proponent	G-1
Pub/Form Status	ACTIVE
Prescribed Forms/Prescribing Directive	PAM 600-85
Footnotes	PRIVACY ACT STATEMENT
Authority (Superseded By/Rescinded By)
Superseded/Replaced Other Pub/Form	REPLACED DA FORM 5017, 11/01/2001
Security Classification	UNCLASSIFIED
Dist Restriction Code	A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
Pub/Form IDN	990001
Pub/Form PIN	050262
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