Sick Call Record Form

Identity and Assignment

Complaint Details

Contact Info

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Final Submission

Prototype & Security Notice

Please read carefully before proceeding

Prototype Application

This is a non-official, prototype-only form designed for demonstration and testing purposes.

Not DOW Endorsed

This application is not approved or utilized by the U.S. Army or Department of War.

Data Security Warning

Though data is encrypted, it is not stored on DOW-approved/compliant servers (e.g., IL-4/IL-5). This system is for demonstration only.

⚠️ Do not enter PII or sensitive/classified information.