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Get Da Form 7574 1
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How to fill out the Da Form 7574 1 online
Filling out the Da Form 7574 1, also known as the military physician's statement of soldier's incapacitation or fitness for duty, is crucial for ensuring eligibility for military duties. This guide will walk you through the steps to complete the form online effectively.
Follow the steps to accurately complete your Da Form 7574 1 online.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out the soldier identification section. Provide your last name, first name, middle initial, social security number, rank, duty military occupational specialty (MOS)/area of concentration (AOC), and civilian job title. Ensure that you include a copy of your job description.
- In the incapacitation/fitness for duty verification section, a U.S. government or military physician must complete the relevant information. They should indicate whether the soldier is fit or not fit for military duties and provide the applicable dates.
- The physician should then verify the incapacitation for civilian job performance, signifying whether the soldier is fit or not fit to perform civilian duties, including the necessary dates.
- Complete the government physician's verification section. The attending physician must provide a diagnosis and prognosis, the date of the soldier's next medical appointment, and the name and contact information of the government or military treatment facility.
- Have the physician provide their name, rank, daytime phone number, fax number, and email address (military or government). Finally, the physician must sign and date the form.
- After completing the form, review all entries for accuracy. You can then save changes, download, print, or share the form as needed.
Start filling out your Da Form 7574 1 online today to ensure your military duties are properly documented.
An insurance declaration page also known as a “dec page” summarizes the insurance coverage provided by the policy. The declaration page is usually the first page of your policy, and you should receive a new declaration page for each renewal period.
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