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DA 4162 2003-2026 free printable template

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A form used to record essential background information on volunteers for task assignments, including demographics, qualifications, volunteer hours, training, and awards.
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How to fill out DA 4162

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How to fill out DA 4162

01
Obtain a copy of DA Form 4162 from your unit's administrative office or download it from the appropriate military website.
02
Fill in the date at the top of the form.
03
Enter the name and social security number of the individual completing the form.
04
Specify the purpose of the form in the designated section.
05
Complete all relevant sections with accurate information, including the units involved and any additional remarks.
06
Review the form for accuracy and completeness.
07
Sign and date the form at the bottom.

Who needs DA 4162?

01
The DA Form 4162 is required for military personnel and members of the armed forces who need to document specific actions or requests related to personnel management.
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PRINCIPAL PURPOSE(S): To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from the Armed Forces.
The DD Forms 2807-1, “Report of Medical History” and the DD Form 2807-2, “Medical Prescreen of Medical History Report” are designed to appropriately collect this information. Data are needed from applicants to elicit a more accurate picture of their well being and medical history.
PURPOSE: To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from the Armed Forces.
The information collected on this form is used to assist DoD physicians in making determinations as to acceptability of applicants for military service and verifies disqualifying medical condition(s) noted on the prescreening from (DD 2807-2)/.
 Service treatment record certification (DD Form 2963)
(This information is for official and medically confidential use only and will not be released to unauthorized persons.)

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DA 4162 is a Department of the Army form used for reporting and documenting the movement of military property on and off a military installation.
Any personnel responsible for the management or transfer of military property, including logistics and supply personnel, are required to file DA 4162 when there is a change in the status or location of property.
To fill out DA 4162, personnel should provide detailed information regarding the property, including item descriptions, serial numbers, quantities, locations, and the names of individuals or units involved in the transfer.
The purpose of DA 4162 is to maintain accurate records of military property movements, ensuring accountability and traceability of assets within the military logistics system.
DA 4162 must report information such as item description, stock number, serial number, quantity, condition, location, and the names of personnel involved in the transaction.
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