Get the free DA FORM 5701-64-R

AH-64 PERFORMANCE PLANNING CARD For use of this form, see TC 3-04.42; the proponent agency is TRADE. DEPARTURE PA FAT LOAD TAKEOFF GET lb SINGLE ENG DUAL ENG FUEL MSN #1 lb #2 ATF: ETF: ETF: TR TR

How to fill out da form 5701-64-r

How to fill out DA Form 5701-64-R:

1. Start by entering the date in the designated space at the top of the form.
2. Next, provide your personal information, including your name, rank, and unit. It is important to provide accurate information to ensure the form is properly processed.
3. Proceed to section 1 of the form, which requires you to provide information about the individual being treated. This includes their name, rank, social security number, and date of birth.
4. In section 2, indicate the reason for the medical treatment or examination. This could be for routine check-ups, illness, injury, or other healthcare needs.
5. Section 3 requires you to indicate the type of treatment or examination being requested. This could involve medical, dental, mental health, or specialty care. Provide specific details to ensure proper processing.
6. If applicable, provide additional documentation or remarks in section 4. This can include any relevant medical history, special instructions, or additional information that may be useful for the healthcare providers.
7. In section 5, sign and date the form to certify the accuracy of the information provided.
8. If required, ensure that any supporting documentation, such as medical records or referrals, are attached to the form.
9. Finally, submit the completed DA Form 5701-64-R to the appropriate authority or healthcare facility for further processing.

Who needs DA Form 5701-64-R?

1. Active duty military personnel require DA Form 5701-64-R when seeking medical treatment or examinations.
2. Reserve and National Guard members may also need this form when receiving medical care.
3. Dependents of military personnel, including spouses and children, may be required to fill out DA Form 5701-64-R when seeking medical treatment within the military healthcare system.

Please note that specific regulations and requirements may vary, so it is always advisable to consult with your commanding officer or the relevant military healthcare facility for any additional guidance or instructions.

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What is da form 5701-64-r?

DA Form 5701-64-R is a form used for recording and reporting vehicle data by units.

Who is required to file da form 5701-64-r?

All units with assigned vehicles are required to file DA Form 5701-64-R.

How to fill out da form 5701-64-r?

DA Form 5701-64-R should be filled out with the vehicle information such as make, model, serial number, and mileage.

What is the purpose of da form 5701-64-r?

The purpose of DA Form 5701-64-R is to maintain accurate records of vehicle data for accountability and maintenance purposes.

What information must be reported on da form 5701-64-r?

Information such as vehicle make, model, serial number, mileage, and any maintenance or repair work done on the vehicle must be reported on DA Form 5701-64-R.