Model: DA FORM 5570

Printed Form

Special Features:

8 x 10-1/2 in.; da form 5570; title: health questionaire for dental treatment

Properties:

Identification Designator

Da form 5570

Document Title

Health questionaire for dental treatment

Part Name Assigned By Controlling Agency

Form printed da 5570 "health questionaire for dental treatment"

NSN

7540-01-458-2237

Part Number

DA FORM 5570

Description

Form,printed

CAGE

4W874

A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes card, tabulating, electric accounting machine; paper, tabulating machine, continuous flat fold; paper, graph; indicating slip, dictating machine; envelope (as modified); label; chart (as modified) and tag (as modified).

Part DA FORM 5570 NSN 7540-01-458-2237

INC

FIIG

Concept No.

App. Key

Cond. Code

Status

INC:

05403

FIIG:

T393-D

Concept No.:

App. Key:

Cond. Code:

Status:

Material Classification

Hazardous material, precious metals, criticality, enviroment, and electrostatic discharge indicators

HMIC

PMIC

ESD/EMI

ENAC

MMAC

CRITL

HMIC:

PMIC:

ESD:

MMAC:

CRITL:

Packaging & Shipping

Est. Pack Size

Est. Pack Weight

Est. Item Weight

Est. Item Dim.

Pack Size:

Paclk Weight:

Item Weight:

Item Dim:

OPI

SPI No.

SPI Rev.

SPC Mkg.

LVL A

LVL B

OPI:

SPI No.:

MPPWN00001

SPI Rev.:

SPC Mkg:

LVL_A:

LVL_B:

Freight Classification

NMFC

UFC

LTL

LCL

WCC

TCC

SHC

ACC

NMFC:

153250

UFC:

75450

LTL:

65.0

LCL:

WCC:

737

TCC:

SHC:

ACC:

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Schedule B and Export

Schedule B: 4911990000
SITC: 89289
End Use: Books, printed matter
NAICS: 323111
USDA: 1

Freight Class: Printed matter, nesoi