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How to fill out the At Imt 1971 Fillable Form online
The At Imt 1971 Fillable Form is essential for processing incapacitation pay requests in the Air Force. This guide will help you navigate the form efficiently and accurately, ensuring all necessary information is correctly submitted.
Follow the steps to successfully complete the At Imt 1971 Fillable Form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In section I, fill in your personal details including your name (last name, first name, initial), grade, organization with ZIP code, duty telephone number, social security number (SSN), and home address with ZIP code. Specify the starting and ending pay dates, and affirm your request for initial or extension of incapacitation pay.
- Sign the form in the designated area to confirm the accuracy of the information provided. Be sure to include the date of signing.
- In section II, your treating physician will need to input the initial incapacitation date and certification dates. Provide the diagnosis if it has changed since the last certification, and include the physician's details such as name, address, and telephone number.
- The physician must confirm whether the member is fit for military duty based on the medical information provided. They will sign and date the form.
- In section III, if you are an AFRES unit, the immediate commander must review and either recommend approval or disapproval of the request for incapacitation pay. This section also requires their signature and date.
- Section IV requires the Staff Judge Advocate's review, who will indicate concurrence or nonconcurrence with a signature and date.
- Finally, section V is for the HQ ARPC/CC or AFRES unit, wing commander review. They will also need to recommend approval or disapproval and include their signature and date.
- After filling in all sections, you can save changes, download, print, or share the form as needed.
Complete your At Imt 1971 Fillable Form online today to ensure your request for incapacitation pay is processed promptly.
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