DD 689 1963 free printable template

DATE INDIVIDUAL SICK SLIP ILLNESS INJURY LAST NAME-FIRST NAME-MIDDLE INITIAL OF PATIENT SERVICE NUMBER/SSN ORGANIZATION AND STATION GRADE/RATE UNIT COMMANDER S SECTION MEDICAL OFFICER S SECTION IN LINE OF DUTY REMARKS DISPOSITION OF PATIENT DUTY QUARTERS CHIEF COMPLAINT SICK BAY NOT EXAMINED HOSPITAL OTHER Specify SIGNATURE OF UNIT COMMANDER DD FORM 689 MAR 1963 SIGNATURE OF MEDICAL OFFICER PREVIOUS EDITIONS ARE OBSOLETE. APD PE v2.

How to fill out form sick - glwach

How to fill out DD 689

1. Obtain a copy of DD Form 689 from the appropriate military or government website.
2. Start by entering personal information at the top, including your name, rank, and social security number.
3. Provide details about the medical condition causing the need for the form, including date of onset and treatment received.
4. Fill out the 'Request for Medical Treatment' section with specifics about the medical services or evaluations needed.
5. Sign and date the form at the designated sections to certify that all information is accurate.
6. Submit the completed DD 689 to the appropriate medical facility or command for processing.

Who needs DD 689?

1. Active duty military personnel who require medical evaluation or treatment.
2. Reserve and National Guard members seeking medical assistance.
3. Individuals conducting duty that may require documentation of medical conditions or treatment.

People Also Ask about

Is form 7202 only for self-employed?

Form 7202 is used to claim a Refundable Tax Credit for Sick Leave and Family Leave for Certain Self-Employed Individuals.

What is form 7202 about?

The FFCRA also extended equivalent refundable credits to self-employed individuals, and Form 7202 is used by self-employed taxpayers to figure the amount to claim for qualified sick and family leave equivalent credits.

How much can you get with form 7202?

If you received wages as an employee in addition to your self-employment income and received qualified sick leave wages from your employer because of the reasons described earlier under Line 36, your Form(s) should show the qualified sick leave wages subject to the $511 per-day limit.

Is form 7202 still available?

These credits expired during 2021 and will not be available for 2022 returns. For Tax Year 2021 ONLY, the credit: For Self-employed taxpayers will be able to use 2020 earnings if greater than 2021. Had two separate benefit periods in 2021.

Will form 7202 be available for 2022?

These credits expired during 2021 and will not be available for 2022 returns. For Tax Year 2021 ONLY, the credit: For Self-employed taxpayers will be able to use 2020 earnings if greater than 2021.

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What is DD 689?

DD Form 689, also known as the Individual Sick Slip, is a Department of Defense form used by military personnel to report and document sick leave or medical conditions that affect their duty status.

Who is required to file DD 689?

Active duty service members and reservists who are unable to perform their duties due to illness or injury are required to file DD Form 689.

How to fill out DD 689?

To fill out DD Form 689, you need to enter your personal information, including your name, rank, service number, and unit. Then, provide details about your medical condition, the date you reported sick, and attach any relevant medical documentation or statements from a healthcare provider.

What is the purpose of DD 689?

The purpose of DD Form 689 is to officially document a service member's sick leave or medical condition, ensuring proper leave management, tracking, and accountability within the military healthcare system.

What information must be reported on DD 689?

DD Form 689 requires the reporting of the service member's personal identification details, the nature of the illness or injury, the dates of absence, the unit information, as well as signatures from both the service member and the supervising officer.