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U.S. DOD Form dod-ngb-5941 PAGE 1 OF 3 ANNEX DD FORM 4/DA FORM 4836 SIMULTANEOUS MEMBERSHIP PROGRAM AGREEMENT ARMY NATIONAL GUARD (For use of this Form, see NOR 600-200 the proponent agency is NGB-ARP-PE)
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How to fill out US DOD Form DOD-NGB-5941:

01
Gather all necessary information and documents required to complete the form.
02
Start by carefully reading the instructions provided with the form to ensure accuracy and understanding.
03
Begin filling out the personal information section of the form, including your name, contact information, and any other requested details.
04
Next, provide information about your military service, such as your rank, unit, and dates of service.
05
In the following sections, provide information regarding your medical history and any previous disabilities.
06
If applicable, provide information about any dependents or family members that should be considered in the evaluation of your claim.
07
Complete any additional sections relevant to your specific circumstances or the purpose of the form.
08
Double-check all provided information for accuracy and make any necessary corrections.
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Sign and date the form where indicated, and ensure any required witness signatures are also obtained.
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Make copies of the completed form for your records before submitting it to the appropriate authority.

Who needs US DOD Form DOD-NGB-5941:

01
Active duty military personnel requiring medical evaluations for potential disability claims.
02
National Guard and Reserve members seeking medical evaluations for potential disability claims.
03
Individuals who experienced a military-related injury or illness and require a medical evaluation in relation to disability entitlements or benefits.
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US DoD Form DoD-NGC-5941 is a form used by the Department of Defense (DoD) to collect information about National Guard and Reserve members who have been selected for deployment or mobilization.
National Guard and Reserve members who have been selected for deployment or mobilization are required to file US DoD Form DoD-NGC-5941.
To fill out US DoD Form DoD-NGC-5941, you need to provide information about your personal details, unit information, deployment/mobilization orders, and any dependents you may have. The form can be filled out electronically or in paper format.
The purpose of US DoD Form DoD-NGC-5941 is to collect information about National Guard and Reserve members who have been selected for deployment or mobilization. This information is used for administrative and logistical purposes.
US DoD Form DoD-NGC-5941 requires reporting of personal details such as name, rank, contact information, unit information, deployment/mobilization orders, and information about any dependents.
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