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U.S. Department of Defense Form DD689. DD689. SICK SLIP, INDIVIDUAL ... U.S. Department of Defense. PDF. (1) DoD.gov, (2) USA-Federal-Forms.com, ...
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How to fill out dd689 form
How to fill out dd689:
01
Start by obtaining a blank copy of dd689, also known as the Individual Sick Slip.
02
In the first section, provide your personal information such as name, rank, and service number.
03
Next, specify the date and time the illness or injury occurred, as well as the location.
04
Describe the nature of your illness or injury in detail, including symptoms and any contributing factors.
05
Indicate whether you sought medical attention and include the name of the healthcare provider or facility if applicable.
06
If you were hospitalized, provide the name of the hospital and the dates of admission and discharge.
07
In the remarks section, include any additional information or details relevant to your illness or injury.
08
Sign and date the form to certify that the information provided is accurate.
Who needs dd689:
01
Active duty military personnel who experience illness or injury and seek medical treatment.
02
Reservists and National Guard members who are on active duty and require medical attention.
03
Veterans who are seeking compensation or benefits related to a service-connected illness or injury.
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