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					OFFICE SYMBOL                                                          LAST DAY OF CLASS


MEMORANDUM FOR: (Student’s Name(s))

SUBJECT:      Appointment Orders for Unit Prevention Leader


1. Class Number: _____________

2. Class Dates: __________________________

3. Effective, ___________________ the following personnel are appointed as the Unit
Prevention Leader(s) for (Unit Name, UIC, City, State, Zip).

              **ONLY INCLUDE NEW STUDENTS**
           a) Rank, Name (Last, First), Last 4 of SSN (Primary {BDE,GRP,BN,Co} UPL)
           b) Rank, Name (Last, First), Last 4 of SSN (Alternate {BDE,GRP,BN,Co}UPL)

4. Authority: AR 600-85, para 2-34 (For Battalion Level) or
              AR 600-85, para 2-35 (For Company Level)

5. Purpose: To manage and supervise the Alcohol and Substance Abuse Program for: Unit
   Designation.

6. Period: Until officially released from appointment or reassigned.

7. Special Instruction: N/A.

8. Point of contact (name, telephone number).




                                            Commander’s Signature Block




                                                                               REV 2/10/2012

				
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