Loading
Get Form 5889
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Form 5889 online
Filling out the Form 5889 is an important step in the process of submitting your medical evaluation board documents to the Physical Evaluation Board. This guide will help you understand each section of the form and provide you with clear, step-by-step instructions for completing it online.
Follow the steps to confidently fill out the Form 5889 online.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Complete Section 1 by designating the appropriate Physical Evaluation Board (PEB) and providing the related address.
- In Section 2, enter the information of the Medical Treatment Facility (MTF) along with the address.
- In Section 3, fill in the date using the format YYYYMMDD.
- Provide your name in Section 4, ensuring you enter your last name, first name, and middle name.
- Enter your rank in Section 5.
- Complete Section 6 by providing the soldier's unit address.
- Fill in Section 7 with your duty phone number, specifying the Defense Switched Network (DSN) if applicable.
- Provide your residential address in Section 8.
- In Section 9, enter your residential phone number.
- Refer to Section 10 and ensure you check the MEB document checklist as required by PEB, ensuring all mentioned documents are included.
- Complete Section 11 with the typed name of the Physical Evaluation Board Liaison Officer (PEBLO).
- In Section 12, provide your signature to certify the accuracy of the information provided.
- Finally, you can save the changes, download, print, or share the completed form as necessary.
Start completing your Form 5889 online today for a smooth submission process.
Related links form
To obtain a copy of your FMCSA authority letter, you can access the FMCSA's online system or contact their support for a request. Ensure you have your details ready, as this will facilitate a quicker process. For a comprehensive approach, consider using US Legal Forms, which can guide you through the necessary steps to retrieve your Form 5889 and related documents.