TB 1-1520-238-20-102
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:
<mpmt%avma28@st-louis-emh7.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.
8