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AUTHORIZATION FOR PSYCHIATRIC SERVICE TREATMENT For use of this form see AR 403; the proponent agency is the Office of The Surgeon General. STATEMENT OF AUTHORIZATION 1. I hereby request and consent
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How to fill out da form 4359-r 1
How to fill out DA Form 4359-R 1:
01
Start by gathering all necessary information. This may include personal details, unit information, and the purpose for which the form is being completed.
02
Begin filling out the top portion of the form, which typically includes the unit name, location, and the date the form is being filled out.
03
Next, fill in your personal information. This may include your name, rank, social security number, and contact information.
04
Provide the purpose for which the form is being completed. This could be for requesting leave, documenting a training event, or any other required information.
05
If applicable, fill out the section for authorized leave. Include the start and end dates of the requested leave, any special requests, and the name and contact information of the approving authority.
06
If the form is being used for training documentation, fill out the appropriate section with the details of the training event. This may include the date, location, duration, and any other relevant information.
07
Continue filling out any additional sections as required by your specific situation. This may include sections for special pay, allowances, or any other information that needs to be documented.
08
Review the completed form for accuracy and completeness. Make any necessary corrections before submitting the form.
09
Once the form is complete, sign and date it to certify that the information provided is accurate to the best of your knowledge.
10
Submit the form to the appropriate authority or keep a copy for your records.
Who needs DA Form 4359-R 1:
01
Military personnel who are requesting leave or documenting training events.
02
Anyone who needs to provide documentation of their activities or requests within the military.
03
Individuals who are required to submit this form as part of their official duties or responsibilities.
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What is da form 4359-r 1?
Da Form 4359-r 1 is a form used by the Department of the Army to document the Medical Protection System-USA (MEDPROS) Immunization Tracking.
Who is required to file da form 4359-r 1?
Active duty military personnel and Department of the Army civilian employees are required to file Da Form 4359-r 1.
How to fill out da form 4359-r 1?
Da Form 4359-r 1 must be filled out with accurate information regarding immunizations received by the individual. The form can be filled out electronically or manually.
What is the purpose of da form 4359-r 1?
The purpose of Da Form 4359-r 1 is to track and document the immunization status of military personnel and Department of the Army civilian employees.
What information must be reported on da form 4359-r 1?
Information such as the date of immunization, type of vaccine administered, lot number, and healthcare provider must be reported on Da Form 4359-r 1.
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