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Get AF IMT 357 1995-2024

ADE, AND SSN (Complete Block B. only when a military couple with family members share a joint domicile and have the same family care plan.) B. DATE SIGNATURE TYPED OR PRINTED NAME, GRADE, AND SSN SECTION II. CAREGIVER CERTIFICATION (The following statements may be signed by as many as three different individuals or as few as one) 5. PRIMARY SHORT TERM CAREGIVER: I agree to accept responsibility for the family members of report for duty for extended work hours, recall or TDY for a duration o.

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