Instructions

TB 1--1520--240--20--121

The following format must be used if submitting an electronic 2028. The subject

line must be exactly the same and all fields must be included; however only the

following fields are mandatory: 1, 3, 4, 5, 6, 7, 8, 9, 10, 13, 15, 16, 17, and 27.

From:

"Whomever" <whomever@avma27.army.mil>

To:

<ls--lp--@redstone.army.mil>

Subject: DA Form 2028

1. From: Joe Smith

2. Unit: home

3. Address: 4300 Park

4. City: Hometown

5. St: MO

6. Zip: 77777

7. Date Sent: 19--OCT--93

8. Pub no: 55--2840--229--23

9. Pub Title: TM

10. Publication Date: 04--JUL--85

11. Change Number: 7

12. Submitter Rank: MSG

13. Submitter FName: Joe

14. Submitter MName: T

15. Submitter LName: Smith

16. Submitter Phone: 123--123--1234

17. Problem: 1

18. Page: 2

19. Paragraph: 3

20. Line: 4

21. NSN: 5

22. Reference: 6

23. Figure: 7

24. Table: 8

25. Item: 9

26. Total: 123

27. Text:

This is the text for the problem below line 27.

078162-000