Da Form 1559 - Inspector General Action Request Page 2
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1
2THIS SIDE FOR USE BY INSPECTOR GENERAL
(When completed, this form becomes an official communication in accordance with AR 20-1.)
Y
Y
M
M
D
D
*
*
*
ORIG:
CASENO:
OPENENDATE:
Y
Y
M
M
D
D
*
SUSPENSE
CASENAME:
*
CASENAMETYPED:
SSN:
HOME CMD:
HOME UNIT:
*
RECIPIENT:
RECEIPTMODE:
*
*
CASESTATUS:
SOURCE:
*
*
SUBJECT:
COMPONENT:
*
CASETYPE:
INSPGENL:
*
*
TIMEAO:
TIMETOTAL:
GRADE:
RACE:
Y
Y
M
M
D
D
*
GENDER
SPECIALTY:
ACKNOWLEDGE:
(M/F/U)
Y
Y
M
M
D
D
Y
Y
M
M
D
D
*
NOTIFICATIONDATE:
CLOSEDATE:
*
*
*
FUNCTION
AGCMDAGN
DETER
AGAINSTUNIT
*
*
UNITTYPE
USERCODE
LIFE CYCLE
RESOURCE
*
SYNOPSIS
(Enter case summary, facts determined, action taken):
*
Indicates a Required Data Element.
REVERSE OF DA FORM 1559, APR 2001
USAPA V1.00
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