Get the free DA FORM 2664-R MAY 1982 - United States Army - apd army

WEIGHT REGISTER For use of this form, see AR 1908; the proponent agency is PMG. NAME (Last, first, MI) WEIGHT INTERNMENT SERIAL NUMBER DATE DA FORM 2664R, MAY 1982 WEIGHT DATE EDITION OF 1 JUL 63

How to fill out da form 2664-r may

Steps to fill out DA Form 2664-R May:

1. Start by entering the required personal information in Section I. This includes your name, rank, unit, date, and other identifying information.
2. Move on to Section II and provide a detailed description of the medical condition or injury that prompted the need for this form. Include relevant dates and any supporting documentation.
3. In Section III, provide information about the medical treatment received and the healthcare provider or facility involved. Include dates, treatment details, medications prescribed, and any follow-up appointments.
4. In Section IV, indicate whether the injury or condition is related to military service. If yes, provide additional information about the circumstances and any reports filed.
5. If there are any limitations or restrictions resulting from the medical condition, document them in Section V.
6. Section VI requires you to provide information regarding your duty status and whether you are able to perform your regular duties or require any special accommodations.
7. Use Section VII to disclose any previous injuries or medical conditions that may be relevant to the current one being reported.
8. Section VIII is reserved for the healthcare provider's remarks or recommendations. Ensure that all necessary medical documentation is attached or provided separately if required.
9. Finally, review the completed form for accuracy and sign and date it in Section IX.

Who needs DA Form 2664-R May:

1. Active duty military personnel who have suffered an injury or develop a medical condition requiring medical attention and treatment.
2. Reserve component soldiers who sustained an injury or illness while performing military duties or during inactive training periods.
3. National Guard members who experienced a medical condition or injury while on active duty or during authorized training.

It is important to note that specific guidance regarding the use and submission of DA Form 2664-R may vary depending on the individual's military branch, unit, and medical support processes. Therefore, it is recommended to consult with your chain of command or medical personnel for any additional requirements or instructions.

For pdfFiller’s FAQs

What is da form 2664-r may?

Da form 2664-r may is a form used by the military to report medical conditions.

Who is required to file da form 2664-r may?

Active duty service members are required to file da form 2664-r may.

How to fill out da form 2664-r may?

Da form 2664-r may can be filled out by providing detailed information about the medical condition being reported.

What is the purpose of da form 2664-r may?

The purpose of da form 2664-r may is to document and report medical conditions of service members.

What information must be reported on da form 2664-r may?

Information such as the nature of the medical condition, diagnosis, treatment, and prognosis must be reported on da form 2664-r may.

How can I send da form 2664-r may to be eSigned by others?

Once your da form 2664-r may is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.

How do I make edits in da form 2664-r may without leaving Chrome?

Install the pdfFiller Chrome Extension to modify, fill out, and eSign your da form 2664-r may, which you can access right from a Google search page. Fillable documents without leaving Chrome on any internet-connected device.

Can I create an electronic signature for the da form 2664-r may in Chrome?

Yes. By adding the solution to your Chrome browser, you may use pdfFiller to eSign documents while also enjoying all of the PDF editor's capabilities in one spot. Create a legally enforceable eSignature by sketching, typing, or uploading a photo of your handwritten signature using the extension. Whatever option you select, you'll be able to eSign your da form 2664-r may in seconds.