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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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How to fill out the Da Form 7652 online

Filling out the Da Form 7652 online is a crucial step for military personnel to document the impact of a medical impairment on their duties. This guide provides a clear and supportive walkthrough of the form's components to assist users in providing accurate information.

Follow the steps to complete the Da Form 7652 online

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the date in the YYYYMMDD format in the first field. This indicates when the form is filled out.
  3. Fill in the soldier's last name, followed by the first name and middle initial in the designated fields.
  4. Provide the Social Security Number (SSN) in the SSN field, ensuring it is accurate for identification purposes.
  5. Indicate the Primary Military Occupational Specialty (PMOS) and Basic Active Service Date (BASD) accurately.
  6. Select the appropriate component from the dropdown menu to specify the user's military classification.
  7. Input the age of the soldier in the next field. This assists in demographic validation.
  8. Fill in the unit of assignment, clearly stating the current military unit to which the person is attached.
  9. Move to the functional statement section. For each question, select 'Yes' or 'No' and provide necessary comments as required.
  10. Continue to fill out the industrial capacity statement section in the same manner, selecting appropriate responses for each item.
  11. Complete the comments section in Section V if required, detailing any necessary observations or additions.
  12. In Section VI, enter the printed name, rank, title, unit address, phone number, email address, DSN, and fax number of the commander validating the form.
  13. Finally, the commander should sign the form, providing their signature to affirm the accuracy and authenticity of the information presented.
  14. Once all sections are completed, users can save changes, download, print, or share the completed form as needed.

Complete your Da Form 7652 online today for a streamlined documentation process.

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Equipment Receipt (DA Form 3749, Weapons Card) for 24 hours or less. Over 24 hours requires entry on the Weapons Control Log.

A fillable DA 3955 Form is used as a change of address form for Army soldiers. Also known as a Change of Address and Directory Card, the completed form helps soldiers ensure that their mail is delivered. The person completing the form can also request whether their new address should be kept private.

What is DA 31 form? The purpose of the DA 31 form is to authorize military leave; document the start and stop of such leave; record address and telephone number where a soldier may be contacted in case of an emergency during leave; and certify leave days chargeable to a soldier's leave account.

What form is the army weapon qualification card? A fillable DA 3595-R Form is used by the US Army as documentation of a soldier's ability to fire a weapon. this form is also known as a Record Fire Scorecard.

DA Form 7652, Disability Evaluation System (DES) Commander's Performance and Functional Statement, is a form used for recording information on the impact of medical impairment on the ability of a Soldier to perform their duties in the U.S. Army.

A fillable DA 3749 Form is a document used by the US Army. It is also known as an Equipment Receipt. It is completed when equipment is issued to an Army unit. The stock number and serial number for the equipment is listed on this form.

What is the new Army weapons qualification card? The new qualification, the rifle and carbine qualification, was developed with the same principle as the Army Combat Fitness Test. It more holistically assesses a soldier's ability to employ situational awareness, safe weapon handling, and core marksmanship competencies.

DA Form 2142, Pay Inquiry, is a document submitted by the service members when they have questions or concerns regarding their payments.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232