Page 49 - DIDC SOPS and Guidelinesv as of April 2019

Individual Deployment Site
DIDC Verification Checklist PMO-6018-02-h
Contingency Released Date
Operations 03/06/17 Page 1 of 1

Privacy Act of 1974 Authority: Section 3013, Title 10, United States Code; Executive Order 9307
Purpose: Information required for exercise/deployment
Routine Use: Will be used to ascertain deployable/non-deployable status. Will also provide historical data for after action
report/review

Disclosure: Voluntary failure to disclose information requested could result in improper processing

Name:

SSN:
Arrival Date:
Departure Date:

FOR OFFICIAL USE ONLY

Work Station Problems Initials/Date Status: Go/No Go
Medical
Dental

CAC Card
Training
Final Station

This candidate is:

Deployable
Not Deployable Reason

Reason:

This document contains confidential and proprietary information of DynCorp International (“DI”).
No part of it may be used, circulated, quoted, or reproduced for distribution outside of DI without the prior written approval of DI.