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Orange registry 2004-2019 form

Orange registry 2004-2019 form-2025

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The document is an Agent Orange Registry Code Sheet used for collecting information from veterans regarding their exposure to Agent Orange during military service. It outlines the data collection process, including personal details of the veteran, service history, health assessments, and potential birth defects in children. The form emphasizes that participation is voluntary and that the information may be shared for research purposes.

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Versions	Form popularity	Fillable & printable
2005	4.8 Satisfied (109 Votes)
2004	4.1 Satisfied (54 Votes)
2001	4.2 Satisfied (61 Votes)

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