TB1-2840-248-20-21
The following format must be used if submitting an electronic 2028. The subject line must be exactly the same and all
fields must be included; however only the following fields are mandatory: 1,3, 4, 5, 6, 7, 8, 9, 10, 13, 15, 16, 17, and 27.
From:
"Whomever" <whomever@avma27.army.mil>
To:
<Is-lp@redstone.army. mil>
Subject: DA Form 2028
1.
From: Joe Smith
2.
Unit: home
3.
Address: 4300 Park
4.
City: Hometown
5.
St: MO
6.
Zip: 77777
7.
Date Sent: 19-DEC-98
8.
Pub no : 1-2840-248-20-21
9.
Pub Title: TB
10. Publication Date: 15-NOV-98
11. Change Number: N/A
12. Submitter Rank: MSG
13. Submitter FName: Joe
14. Submitter MName: T
15. Submitter LName: Smith
16. Submitter Phone: 123-123-1234
17. Problem: 1
18. Page: 2
19. Paragraph: 3
20. Line: 4
21. NSN: 5
22. Reference: 6
23. Figure: 7
24. Table: 8
25. Item: 9
26. Total: 123
27. Text:
This is the text for the problem below line 27.
7/(8 blank)
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