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Federal Communications Commission
445 12th Street, S.W.
Washington, D.C. 20554News Media Information 202 / 4180500
FaxOnDemand 202 / 4182830
TTY 202 / 4182555
Internet: http://www.fcc.gov
ftp.FCC.
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03
Fill in your name, rank, and social security number.
04
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05
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DA 03-3062 is needed by military personnel who were involved in a motor vehicle accident while on duty or in a government-owned vehicle. It is also required by civilians who had an accident with a military-owned or operated vehicle.
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What is da 03-3062?
da 03-3062 is a form used by the military for reporting and tracking medical treatment that is provided to service members.
Who is required to file da 03-3062?
Military medical personnel and healthcare facilities are required to file da 03-3062 when treating service members.
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Da 03-3062 should be filled out with details of the treatment provided, including dates, procedures, and diagnoses.
What is the purpose of da 03-3062?
The purpose of da 03-3062 is to document medical treatment provided to service members for tracking and reporting purposes.
What information must be reported on da 03-3062?
Information such as the patient's name, rank, unit, date of treatment, procedures performed, and diagnoses must be reported on da 03-3062.
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