Model: OPTIONAL FORM 58

Printed Form

Properties:

Identification Designator
Optional form 58
Document Title
Report of medical history
Interleaved W/carbon Paper Feature
Not included
Sheet Width
8.000 inches
Sheet Length
10.500 inches
Fsc Application Data
Govt wide use
NSN
7540-00-142-8759
Part Number
OPTIONAL FORM 58
Description
Form,printed
CAGE
80244

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 OPTIONAL FORM 58 NSN 7540-00-142-8759

INC
FIIG
Concept No.
App. Key
Cond. Code
Status
INC:
05403
FIIG:
T393-D
Concept No.:
App. Key:
DE
Cond. Code:
2
Status:
A

Material Classification

Hazardous material, precious metals, criticality, enviroment, and electrostatic discharge indicators
HMIC
PMIC
ESD/EMI
ENAC
MMAC
CRITL
HMIC:
N
PMIC:
A
ESD:
ESD:
MMAC:
CRITL:
X

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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

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