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DA 5680 2004-2025 free printable template

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MATERIEL FIELDING TEAM AFTER ACTION REPORT Requirements Control Symbol CSG LD 1957 For use of this form, see DA PAM 700-142; the proponent agency is ASA (ALT) COMMAND AND CONTROL DATA 1. FIELDING
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How to fill out DA 5680

01
Gather necessary personal information, including name, Social Security number, and contact details.
02
Fill out the identification section at the top of the form.
03
Indicate the type of claim you are filing in the appropriate section.
04
Provide details about the incident or claim, specifying dates and relevant facts.
05
List any additional information or supporting documents as required.
06
Review all entries for accuracy and completeness.
07
Sign and date the form before submitting it to the appropriate office.

Who needs DA 5680?

01
Military personnel or their dependents who are filing for a Department of Veterans Affairs (VA) claim.
02
Individuals seeking reimbursement for specific travel expenses related to military duty.
03
Anyone involved in an incident that requires compensation or support through the military's administrative processes.
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DA 5680, also known as the 'Report of Medical History,' is a form used by the U.S. Army to document an individual's medical history during the military service.
Service members and individuals undergoing medical evaluations and examinations in conjunction with military service may be required to file DA 5680.
To fill out DA 5680, individuals should provide accurate and complete information regarding their medical history, including past illnesses, surgeries, medications, and any other relevant health-related details.
The purpose of DA 5680 is to ensure that the military has a comprehensive and accurate record of an individual's medical history to facilitate appropriate medical care and readiness.
Reported information on DA 5680 includes personal identification details, medical history related to illnesses, surgeries, allergies, medications, and any other significant health factors.
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