TB 1-1520-238-20-112
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
PIN: 078680-000
