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M TAB TAB TAB INITIAL ACTIVE DUTY ASSIGNMENT INSTRUCTIONS REQUEST For use of this form, see AR 614-105; the proponent agency is MILPERCEN. DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY: PRINCIPAL
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How to fill out the US DoD Form DoD-DA-4255-R:

01
Start by carefully reading the instructions provided on the form. This will help you understand what information needs to be provided and how to fill out each section correctly.
02
Begin by entering your personal information in the designated spaces. This will typically include your name, rank, social security number, and contact details.
03
Next, provide details about your current assignment or unit. This may include information such as your duty station, supervisor's name, and contact information.
04
Fill out the form's sections related to medical history and physical fitness. Provide accurate and detailed information about any pre-existing medical conditions, injuries, or surgeries, as well as any current medications you are taking.
05
In the next section, you may need to outline any special qualifications or certifications you possess that are relevant to your military role or assignment. Be sure to include any necessary supporting documentation if required.
06
If applicable, complete the sections related to foreign-language proficiency, security clearance, or any other specific requirements for your job or assignment.
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Review the completed form to ensure all the necessary information has been provided and that there are no errors or omissions.
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Once you are satisfied with the accuracy of the form, sign and date it as required to certify that the information provided is true and correct.
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Submit the form as instructed, whether it be through your chain of command, to a specific office, or via an online system.

Who needs US DoD Form DoD-DA-4255-R?

01
Military personnel: This form is typically required for active duty, reserve, and National Guard members to provide essential information about their medical history, physical fitness, and qualifications. It helps the Department of Defense assess the readiness and suitability of individuals for specific roles, deployments, or assignments within the military.
02
Department of Defense officials: The form may also be required for certain DoD officials who need comprehensive information about military personnel under their supervision or in relation to ongoing activities, missions, or operations.
03
Healthcare professionals: Healthcare providers within the military, such as military doctors and nurses, may need access to the form to review an individual's medical history and physical fitness as part of their evaluation and treatment process.

Instructions and Help about us dod form dod-da-4255-r

From the Conference Center at Temple Square in Salt Lake City, this is the Saturday afternoon session of the 186th Annual General Conference of The Church of Jesus Christ of Latter-day Saints, with speakers selected from the General Authorities and general officers of the Church. The music for this session is provided by a choir comprised of students attending BYU-Idaho. This broadcast is furnished as a public service by Bonneville Distribution. Any reproduction, recording, transcription, or other use of this program without written consent is prohibited. President Henry B. Eyeing, First Counselor in the First Presidency of the Church, will conduct this session. Brothers and sisters, we welcome you to the Saturday afternoon session of the 186th Annual General Conference of The Church of Jesus Christ of Latter-day Saints. President Thomas S. Monsoon, who presides at the conference, has asked that I conduct this session. We extend our greetings to all who are in attendance or who are participating by means of television, radio, or the Internet. We likewise welcome those who are viewing the proceedings in stake centers in various parts of the world where the conference is being carried by satellite transmission. The music for this session will be provided by a choir comprised of students attending BYU-Idaho, under the direction of EDA Ashby and Rebecca Lord, with Bonnie Guideline at the organ. The choir will open this meeting by singing “Sing Praise to Him.” The invocation will then be offered by Elder Hugo E. Martinez of the Seventy. [MUSIC PLAYING — “SING PRAISE TO HIM”] Our dear Heavenly Father, we humbly and lovingly bow our heads so that we may express our gratitude for the words that have been spoken already in this conference and the words that will be spoken now, that they may lead us and guide us as we receive the blessings of the same Spirit that inspired these servants of Thee and Thy Son, Jesus Christ. We are grateful for families. We are grateful for the restoration of the priesthood and the Church, of the power and authority that is found again on earth to bring together Israel and to be able to lead them to the temple. We're grateful for the opportunity to better prepare for the Sabbath day tomorrow so that we may as families gather together and rejoice in all the blessings that come from Thy gospel. May we be led to help those in need and do so according to Thy Son, Jesus Christ, we pray in His holy name, even Jesus Christ, amen. President Dieter F. Uchtdorf, Second Counselor in the First Presidency, will now present the general officers and Area Seventies of the Church for sustaining vote, after which Kevin R. Jorgensen, managing director of the Church Auditing Department, will read the annual report. He will be followed by Brook P. Hales, secretary to the First Presidency, who will present the statistical report of the Church for the year 2015. Brothers and sisters, President Monsoon has invited me to present the names of the...

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US DoD Form DoD-DA-4255-R is the form used by the Department of Defense for reporting safety data.
All Department of Defense personnel and contractors are required to file US DoD Form DoD-DA-4255-R when reporting safety incidents.
US DoD Form DoD-DA-4255-R can be filled out electronically or manually with the required information about the safety incident.
The purpose of US DoD Form DoD-DA-4255-R is to document and report safety incidents within the Department of Defense.
Information such as the date, time, location, description of the incident, and the people involved must be reported on US DoD Form DoD-DA-4255-R.
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