Product Details | PRINTED FORM

7540-00-142-8759 A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes CARD, TABULATING, ELECTRIC ACCOUNTING MACHINE; PAPER, TABULATING MACHINE, CONTINUOUS FLAT FOLD; PAPER, GRAPH; INDICATING SLIP, DICTATING MACHINE; ENVELOPE (as modified); LABEL; CHART (as modified) and TAG (as modified).20275300027Stationery and Record Forms75400014Standard Forms

Part Alternates: OPTIONAL FORM 58, OPTIONALFORM58, 7540-00-142-8759, 00-142-8759, 7540001428759, 001428759

Office Supplies and Devices | Standard Forms

Supply Group (FSG) NSN Assign. NIIN
75 05 JUN 1968 00-142-8759

Cross Reference | NSN 7540-00-142-8759

Part Number Cage Code Manufacturer
OPTIONAL FORM 58 80244 GENERAL SERVICES ADMINISTRATION FEDERAL SUPPLY SERVICE

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Technical Data | NSN 7540-00-142-8759

Characteristic Specifications
DOCUMENT TITLE REPORT OF MEDICAL HISTORY
IDENTIFICATION DESIGNATOR OPTIONAL FORM 58
INTERLEAVED W/CARBON PAPER FEATURE NOT INCLUDED
SHEET WIDTH 8.000 INCHES NOMINAL
SHEET LENGTH 10.500 INCHES NOMINAL
UNIT PACKAGE QUANTITY 100
UNIT PACKAGE TYPE BAND
III FSC APPLICATION DATA GOVT WIDE USE

Restrictions/Controls & Freight Information | NSN 7540-00-142-8759

Category Code Description
Hazardous Material Indicator CodeNThere is no data in the HMIS and the NSN is in an FSC not generally suspected of containing hazardous materials
Demilitarization Code:ANon-Munitions List Item/ Non-Strategic List Item - Demilitarization not required.
Precious Metals Indicator Code:AItem does not contain precious metal
Criticality Code:X The item does not have a nuclear hardened feature or any other critical feature such as tolerance, fit restriction or application.
Category Code Description
No Freight Information