NSN 7540-01-458-2237 · NIIN 014582237 · FSC 7540
NO DASHES 7540014582237
In Stock
FORM,PRINTED
Standard Forms
Technical characteristics
4 rows
Straight from the federal item record. Entries the record leaves empty are shown empty — nothing is filled in on its behalf.
| MRC | Requirement | Value |
|---|---|---|
| AJKH | IDENTIFICATION DESIGNATOR | DA FORM 5570 |
| ALYQ | DOCUMENT TITLE | HEALTH QUESTIONAIRE FOR DENTAL TREATMENT |
| CXCY | PART NAME ASSIGNED BY CONTROLLING AGENCY | FORM PRINTED DA 5570 "HEALTH QUESTIONAIRE FOR DENTAL TREATMENT" |
| FEAT | SPECIAL FEATURES | 8 X 10-1/2 IN.; DA FORM 5570; TITLE: HEALTH QUESTIONAIRE FOR DENTAL TREATMENT |
Cross-references
2 manufacturer part numbers on file for this NSN — each shown against the CAGE code it belongs to.
| Manufacturer part number | CAGE |
|---|---|
| DA FORM 5570 | 4W874 |
| 98-0600 | 89875 |