Dd Form 294 - Application For A Review By The Physical Disability Board Of Review Of The Rating Awarded Accompanying A Medical Separation From The Armed Forces Of The United States Page 2

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12. CONTINUATION OF ITEM 3 (If applicable)
13. CONTINUATION OF ITEM 4 (If applicable)
14. CONTINUATION OF ITEM 5 (If applicable)
15. REMARKS (If applicable)
MAIL COMPLETED APPLICATIONS TO THE ADDRESS BELOW:
SAF/MRBR
ATTN: PDBR INTAKE UNIT
550 C STREET WEST, SUITE 41
RANDOLPH AFB TX 78150-4743
DD FORM 294, JAN 2009
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