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The Form 2173 Fillable PDF Document The form 2173, statement of medical army the form 2173, Oct 1972. Replaces the form 2173, 1 j U.s. army form da2173 usafederalforms title: u.s. army form da2173

How to fill out da 2173 - qcmu

How to fill out da 2173

1. Step 1: Obtain a copy of the DA 2173 form.
2. Step 2: Read the instructions carefully to understand how to fill out the form.
3. Step 3: Fill in your personal information, such as your name, contact details, and social security number.
4. Step 4: Provide information about your military service, including your branch, rank, and dates of service.
5. Step 5: Specify the reason for completing the form and the type of leave or absence you are requesting.
6. Step 6: If applicable, provide information about dependents or family members who will be affected by your absence.
7. Step 7: Sign and date the form.
8. Step 8: Submit the completed DA 2173 form to the appropriate authority or department.

Who needs da 2173?

1. Any military personnel who needs to request a leave of absence or temporary duty assignment must fill out the DA 2173 form.
2. This form is typically required by members of the United States Army, Army Reserve, and Army National Guard.
3. It is used to document and authorize official leaves, passes, temporary duty assignments, and other types of absences.
4. The form ensures proper tracking and approval of military personnel's time away from duty.

People Also Ask about

What is a DA Form 2 1 personnel qualification record?

What is a Da form 2 1? This form will be used by the United States Department of the Army. The DA Form 2-1 is also known as a Personnel Qualification Record. It will be used to keep track of a U.S. Army soldier's information and records, such as overseas service, awards and honors, or job details.

What is an informal line of duty determination?

Informal LODs are appropriate to use for illnesses, injuries, or diseases sustained in the line of duty requiring continuing medical care or treatment beyond the period of duty, when the member requires hospitalizing, if the member dies or incurs an injury traveling to or from the place where duty is performed or while

What is a line of duty determination?

Line of Duty Determination (LOD Determination) An inquiry used to determine whether a service member incurred an injury or disease while in a duty status; whether it was aggravated by military duty; and whether incurrence or aggravation was due to the service member's intentional misconduct or willful negligence.

What is the line of duty determination in the Army?

Line of Duty Determination (LOD Determination) An inquiry used to determine whether a service member incurred an injury or disease while in a duty status; whether it was aggravated by military duty; and whether incurrence or aggravation was due to the service member's intentional misconduct or willful negligence.

What is the DA form for awards?

A DA 638 is a US Army form used to recommend a soldier for an award. This form is appropriate in most cases except for recommendations for awards for heroism, valor, or wartime, which require a separate process for recommendation.

What is a DA Form 2173?

Statement of Medical Examination and Duty Status (DA Form 2173) (LOD) are initiated for all soldiers who die, sustain certain injuries, diseases or illnesses while on active duty.

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