You can download free da 4876 form in many formats from our site: da 4876 fillable pdf, da 4876 fillable word, blank da 4876 (ibm lotus) :
- da Form 4876 xfdl
- da 4876 doc
- da Form 4876 PDF format
desc: request and release of medical information to communications media
note:
- requires privacy act statement (ar 21)
- only produced in electronic media