TB 1-2840-248-20-2
Block 27. Manhours (to remove). If removal of the component/module is necessary to comply with the
MWO, enter the manhours in hours and tenths of an hour it took to do the removal.
Block 28. UIC (shipped to). Leave this block blank.
Block 29. Signature and telephone number. The individual verifying entries and the completed action will
sign this block and enter their telephone number. The phone number (DSN/AUTOVON) will be used at the
national level if entries need to be clarified.
Blocks 30, 31, and Remarks. Leave these blocks blank. Discard copy 2.
COPY 3--SECTION IV--INSTALLATION (Figure 9, Sheet 2 of 5)
Block 41. Installed on (Nomen NHA). Enter "uninstalled" in this block.
Blocks 42 through 51. Leave these blocks blank.
Block 52. Date installed. Enter the julian date the actions in Section IV are completed.
Block 53. UIC (this action). Enter the unit identification code for the activity that determined the
NSN/PN/Serial number is to be changed, if it is a contractor enter the proper CAGE code prefixed with a "K".
Block 54. Manhrs to install. Leave this block blank.
Block 55. Signature and telephone number. The person who completes this form will sign in this block and
enter their telephone number (DSN/AUTOVON or commercial).
Block 56. New - NSN/PN/SN. Enter the new national stock number, part number and serial number of the
item.
Block 36. Inspection & action codes. Enter "C" next to (C) MWO due.
Block 57. Reason for loss code. Enter "M" in this block, (See Table 1-15 at the end of chapter 1 in DA
Pamphlet 738-751).
Blocks 58 through 62. Leave these blocks blank.
NOTE: When copy 3 of the existing DA Form 2410 is completed, start a new DA Form 2410.
COPY 1--SECTION I--IDENTIFICATION (Figure 9, Sheet 3 of 5)
Block 1. Nomenclature. Enter the item name.
Block 2. NSN. Enter the new national stock number of the item shown in block 56 of the old copy 3 DA
Form 2410.
Block 3. Part number. Enter the new part number of the item shown in block 56 of the old copy 3 DA Form
2410.
Block 4. Serial number. Enter the old serial number of the item shown in block 4 of the old copy 3 DA
Form 2410.
Block 5 through 13. Copy this information from copy 3 of the old DA Form 2410.
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