Army Publishing Directorate
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PRINCIPAL PURPOSE: To provide information regarding a Soldier’s status when injury, illness, disease or death occurs. It tracks and ensure Soldiers are receiving proper benefits and …
DA FORM 2173, OCT 72 22. INDIVIDUAL WAS ON 21. ABSENCE WITHOUT AUTHORITY MATERIALLY INTERFERRED WITH THE PERFORMANCE OF MILITARY DUTY (Explain in …
Line of Duty - TRICARE
Brooke Army Medical Center LOD clerk will initiate a DA Form 2173 for the following soldiers: All cases of death (active duty, national guards and reserve service member), injury or death …
DA Form 2173 Statement of Medical Examination and Duty Status
2021年6月1日 · DA Form 2173, Statement of Medical Examination and Duty Status, is a form used during Line of Duty Investigations (LDI) in cases when a Soldier contracts an injury, …
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DA Form 2173 - Statement Of Medical Examination And Duty Status
2022年9月9日 · A DA Form 2173 – Statement of Medical Examination is a legal document that is used by the Department of the Army when a soldier sustains an injury or illness while on active …
A: DA Form 2173 Q: What are the possible findings for an LOD determination? A: Currently, the below are the three most common findings: • In Line of Duty: presumed unless disease, death, …
Fillable Form DA 2173 (2021) | Edit, Sign & Download in PDF
Form DA 2173 is used to document a service member's injury, illness, or disease, and to determine whether it was incurred in the line of duty (LOD). This form is essential for …
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DA FORM 2173 Fillable - Army Pubs 2173 PDF | DA Forms 2024
DA FORM 2173 is a vital document for managing the health and duty assignments of military personnel. It ensures that service members are assigned duties that align with their medical …
DA Form 2173 - Statement Of Medical Examination And Duty …
DA Form 2173, Statement of Medical Examination and Duty Status is used in cases of either a formal or an informal Line of Duty (LOD) determination process. The latest fillable version of …
da form 2173, oct 1972. replaces da form 2173, 1 jun 66, which is obsolete. apd lc v2.01es. thru: (include zip code) to: (include zip code) from: (include zip code) 1. name of individual …
DA Form 2173, Statement of Medical Examination and Duty Status. Purpose and Scope. The purpose of this guide is to assist officers who have been appointed to serve...
DA Form 2173 2024-2025 - Fill Official Forms Online
Form DA 2173 is an important document for military personnel. It serves several key purposes: Line of Duty (LOD) Determination: Records injuries or illnesses from military duty to confirm if …
DA Form 2173, Statement of Medical Examination and Duty Status ...
DA Form 2173, Statement of Medical Examination and Duty Status (Completed). - Patient Affairs Branch. 3-9. Procedures to complete DA Form 2173. Coding Information. a. b. administrator. …
DA Form 2173. Statement of Medical Examination and Duty Status
DA Form 2173, also known as Statement of Medical Examination and Duty Status, is a document used by the Department of Defense (DoD) to record the medical status and duty limitations of …
Provides guidance on a memorandum in lieu of a DA Form 2173 (Statement of Medical Examination and Duty Status) in order to enter the Disability Evaluation System (para 5–4c). …
Fillable Form DA 2173 | Edit, Sign & Download in PDF - PDFRun
Form DA 2173 is used by the U.S. Army to document the medical status of soldiers who are injured or ill and to determine their fitness for duty. This form is often part of the process for …
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DA FORM 2173, OCT 1972 22. INDIVIDUAL WAS ON type of duty missed, hours of duty, and how it did or did not interfere with performance) 19. DUTY STATION b. TO 20. HOUR AND …
Da Form 2173 - Statement Of Medical Examination And Duty
View, download and print Da 2173 - Statement Of Medical Examination And Duty Status, Oct 1972 pdf template or form online. 1 Da Form 2173 Templates are collected for any of your needs.
Figure 3-2. DA Form 2173, Statement of Medical Examination and …
DA Form 2173, Statement of Medical Examination and Duty Status - Patient Affairs Branch Figure 3-3. DD Form 261, Report of Investigation--Line of Duty and Misconduct Status (Completed).