Get the free da form 4691 feb 2004 - armypubs army

SECTION III - LICENSURE/CERTIFICATION/REGISTRATION 14a. STATE LICENSING/AUTHORIZING AGENCY 15a. DEA/CDS REGISTRATION DA FORM 4691-1 FEB 2004 Specify state as applicable.

How to fill out da form 4691 feb

How to Fill Out DA Form 4691 Feb?:

1. Begin by reviewing the instructions provided on the DA Form 4691 Feb. Familiarize yourself with the purpose of the form and the information it requires.
2. Gather all the necessary information and documents that you will need to complete the form accurately. This may include personal identification details, employment details, medical history, and any other relevant information as stated on the form.
3. Start by entering the date of the report in the designated section.
4. Provide your personal information, such as your full name, rank, social security number, and contact information, in the appropriate fields.
5. If applicable, specify your unit information, including the unit name, address, and phone number.
6. Follow the instructions on the form to accurately report any injuries, illnesses, or conditions that you are experiencing. Include detailed information about the incident or onset of the medical issue.
7. Enter the date when the medical condition began and the date it was first treated, if applicable.
8. If medical treatment has been sought, provide the name and contact information of the healthcare provider who treated you, as well as any additional details they may require.
9. Indicate whether the condition was caused by a service-connected injury or if it is unrelated. If it is service-connected, provide details and previous injury claim information, if available.
10. Attach any supporting documentation to the form, such as medical records, test results, or witness statements, as required.
11. If you need additional space to provide more information or clarifications, use the continuation sheet provided or attach additional pages.

Who Needs DA Form 4691 Feb?:

1. Active duty military personnel who have experienced an injury, illness, or medical condition that requires reporting to the military command.
2. This form may also be used by Reserve, National Guard, and other military personnel as required by their specific guidelines and regulations.
3. Individuals seeking disability claims or requesting medical evaluations for service-connected injuries or conditions are often required to submit DA Form 4691 Feb.

Note: It is recommended to consult the specific regulations and guidelines of your military branch or unit to ensure accurate completion and submission of DA Form 4691 Feb.

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What is da form 4691 feb?

DA Form 4691 Feb is a form used by the Department of the Army for reporting travel itineraries.

Who is required to file da form 4691 feb?

Personnel within the Department of the Army who are traveling on official duty are required to file DA Form 4691 Feb.

How to fill out da form 4691 feb?

DA Form 4691 Feb must be filled out with the traveler's personal information, including travel dates, destinations, and purpose of travel.

What is the purpose of da form 4691 feb?

The purpose of DA Form 4691 Feb is to report travel itineraries in order to ensure the safety and accountability of Army personnel.

What information must be reported on da form 4691 feb?

Information such as travel dates, destinations, purpose of travel, and contact information must be reported on DA Form 4691 Feb.