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Appendix 4 COMMANDER S PERFORMANCE FUNCTIONAL STATEMENT AUTHORITY PURPOSE To provide information on the impact a medical impairment has on the ability of military personnel to perform their military duties and to document administrative actions. Section I SOLDIER DEMOGRAPHIC INFORMATION 1. DATE YYYYMMDD 2. LAST NAME FIRST NAME MIDDLE 3. SSN 4. PMOS / BASD INITIAL 4. COMPONENT 5. AGE 6. UNIT OF ASSIGNMENT Section II FUNCTIONAL STATEMENT Descriptio.

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  • chargeable
  • TDA
  • UCMJ
  • PMOS
  • 8-hr
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