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VERY SERIOUSLY ILL/SERIOUSLY ILL/SPECIAL CATEGORY PATIENT REPORT For use of this form, see AR 40-400; the proponent agency is OSG. TO: PERSON TO BE NOTIFIED PATIENT ADMINISTRATOR 5. RELATIONSHIP ADMINISTRATIVE
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Start by carefully reading the instructions provided on the form to familiarize yourself with the requirements.
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Who needs DA Form 2984:

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Individuals in the military or civilian personnel who are required to participate in or attend an event, training, or activity that necessitates documentation and coordination.
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DA Form 2984 is a form used by the military to report accidents and near misses.
All military personnel, including active duty, reserve, and National Guard, are required to file DA Form 2984 if they are involved in an accident or witness a near miss.
To fill out DA Form 2984, you need to provide information about the accident or near miss, including date, time, location, involved personnel, and a detailed description of what happened. The form should be filled out completely and accurately.
The purpose of DA Form 2984 is to provide a standardized way to report accidents and near misses in the military. It helps identify trends, prevent future accidents, and improve safety measures.
On DA Form 2984, you must report information such as date, time, location, personnel involved, a detailed description of the accident or near miss, injuries sustained, and any property damage.
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