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INCENTIVE AWARDS NOMINATION AND APPROVAL UNAPPROPRIATED FUNDS For use of this form, see AR 215-3; the proponent agency is DCS, G1. 1. NAME (Last, first, MI) 2. SOCIAL SECURITY NUMBER 3. WORK CENTER
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How to fill out da form 5167
Instructions on how to fill out DA Form 5167:
01
Ensure you have all necessary information: It is important to gather all relevant details and documentation before filling out DA Form 5167. This may include personal information, dates, and specifics regarding the purpose of the form.
02
Review the instructions: Before proceeding, carefully read through the instructions provided with the form. This will help you understand the purpose of each section and ensure accurate completion.
03
Start with personal information: Begin by entering your personal details, such as your name, rank, social security number, and contact information. This will help identify you as the individual completing the form.
04
Provide the purpose of the form: Indicate the reason why you are filling out DA Form 5167. This could be related to a specific request, administrative action, or any other relevant purpose. Clearly state the purpose in the designated section.
05
Complete relevant sections: Depending on the specific purpose of the form, you may need to fill out additional sections. Follow the instructions provided to accurately fill in all required information. This could include providing details about medical history, physical evaluations, or any other pertinent data.
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Review and verify information: Once you have completed all the necessary sections, carefully review the form to ensure accuracy and completeness. Make sure that all the information entered is correct and true to the best of your knowledge.
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Seek assistance if required: If you encounter any difficulties or have questions while filling out the DA Form 5167, seek assistance from a superior or designated personnel. They can provide guidance and clarification to ensure proper completion.
08
Sign and date the form: When you are satisfied that the form is accurately completed, sign and date it in the designated areas. Your signature will indicate your understanding and agreement with the information provided.
Who needs DA Form 5167?
01
Military personnel: DA Form 5167 is primarily used by military personnel. It may be required for various purposes, such as medical evaluations, administrative actions, or requests related to their service.
02
Healthcare providers: Healthcare providers, such as doctors or medical professionals, may also need to fill out DA Form 5167. This could be necessary when conducting medical examinations or assessments for military personnel.
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Administrative personnel: Administrative personnel within the military or designated offices may require DA Form 5167 to process requests, maintain records, or complete necessary paperwork for various purposes.
Note: The specific individuals who need DA Form 5167 may vary depending on the specific requirements and regulations within a particular military branch or organization.
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What is da form 5167?
DA Form 5167 is a document used by the Department of the Army to report certain information.
Who is required to file da form 5167?
The individuals required to file DA Form 5167 are specified by the Department of the Army.
How to fill out da form 5167?
To fill out DA Form 5167, you should follow the instructions provided by the Department of the Army.
What is the purpose of da form 5167?
The purpose of DA Form 5167 is to collect and report specific information as required by the Department of the Army.
What information must be reported on da form 5167?
The specific information that must be reported on DA Form 5167 is specified by the Department of the Army.
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