
Get Da Form 199
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How to fill out the DA Form 199 online
DA Form 199 is a crucial document used in the Army Physical Disability Evaluation System. It records the findings and recommendations of physical evaluation boards regarding a Soldier's fitness for duty. This guide provides clear, step-by-step instructions to help users navigate the process of filling out the form online.
Follow the steps to successfully complete the DA Form 199 online.
- Press the 'Get Form' button to access the form and open it for editing.
- Begin by entering personal information in section I of the form, which includes the Soldier's name, social security number, unit, and contact information.
- In section II, provide details about the Soldier's medical evaluation, including dates and findings from the Medical Evaluation Board.
- Complete section III, where the Physical Evaluation Board's findings regarding fitness for duty and the recommended action will be noted.
- In section IV, indicate the percentage rating of the disability as determined by the board.
- Finalize the form by reviewing all entries for accuracy and completing the Soldier's election to accept or contest the findings.
- After completing the form, users can save the changes, download it, print a copy for records, or share the form as needed.
Start filling out the DA Form 199 online today to ensure you complete the required evaluations and processes.
Temporary Hand Receipt. A document (DA Form 3161) used to record TEMPORARY acceptance of and responsibility for, durable and nonexpendable items issued to an individual.
Fill Da Form 199
No information is available for this page. For use of this form, see AR 635-40; the proponent agency is DCSPER. USES: Data contained on this form is used to complete administrative action incident to retirement. Part I. Complete Part I unless not required to file this form. See General Information B and C. Receipts and. Revenues. Expenses. Payments. Title. Date. Request and Authority for Leave.
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