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U.S. Air Force Form AF469 DUTY LIMITING CONDITION REPORT FORM NUMBER AF469 FORM TITLE DUTY LIMITING CONDITION REPORT U.S. GOVERNMENT AGENCY U.S. Air Force USAF POINTS OF CONTACT USAF Forms Management Officer USERS FILE FORMATS PDF OPTIMIZED T PRINTABLE FILLABLE SAVABLE OBTAINING FROM 1 AF.mil 2 USA-Federal-Forms. com 3 Fillable. com ISSUANCES ADOPTED PRESCRIBED PREVIOUS EDITIONS ACCEPTED FORM CONTROLLED SPONSOR FUNCTION CODE MANDATORY PRINT SPECIFICATIONS PRIVACY ACT IMPLICATIONS RCS IRCN OMB...

How to fill out af form 469 pdf

How to fill out AF Form 469:

1. Start by obtaining the AF Form 469, also known as the Duty Limiting Condition Report (DLCR), from your unit's administration office or through an authorized online system.
2. Familiarize yourself with the instructions on the form, ensuring you understand the purpose and requirements of the DLCR.
3. Begin by filling out your personal information in the designated fields. This includes your name, rank, social security number, date of birth, and any other required identification details.
4. Provide information regarding your medical condition or injury in the appropriate sections. Include details such as the date of onset, the nature of the condition, and any diagnosis or treatment received.
5. If applicable, consult with your healthcare provider to complete the "Provider Information" section, ensuring that all medical information is accurate and up to date.
6. Specify the duties or conditions that are limiting your ability to perform your regular job functions. Be clear and concise in explaining how the condition affects your duty performance.
7. Indicate whether the condition is duty related or not, as well as any contributing factors that may have led to the injury or illness.
8. If you have been placed under any temporary profiles or restrictions, mention them in the appropriate section, along with their duration and the date they were initiated.
9. Review the completed AF Form 469 thoroughly for accuracy and legibility before submitting it to your unit's administration office or healthcare provider.

Who needs AF Form 469?

1. Active duty military personnel who have experienced an illness, injury, or medical condition that impacts their ability to perform their regular job duties.
2. Service members who have been placed under temporary profiles or restrictions by a healthcare provider or who require an evaluation for limited duty or fitness for duty.
3. Individuals who are seeking medical documentation to support their disability claims or require accommodation in their work environment.

Overall, anyone who is subject to duty limitations or needs to provide relevant medical information to their unit or healthcare providers may require the AF Form 469.

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What is af form 469?

AF Form 469 is a United States Air Force document used to report medical readiness and profile for physical fitness.

Who is required to file af form 469?

Members of the Air Force who have medical conditions impacting their ability to perform physical training or fulfill their duties are required to file AF Form 469.

How to fill out af form 469?

To fill out AF Form 469, you must provide personal information, a detailed description of the medical condition, the required physical profile restrictions, and any recommendations from a healthcare provider.

What is the purpose of af form 469?

The purpose of AF Form 469 is to document and communicate medical profiles that affect a service member's physical readiness and to ensure they receive the necessary accommodations.

What information must be reported on af form 469?

AF Form 469 must include the service member's information, details of the medical condition, specific limitations or restrictions, duration of the profile, and recommendations for physical activity.