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Get Da 2173 1972-2025

DATE 32. INJURY IS CONSIDERED TO HAVE BEEN INCURRED IN LINE OF DUTY Not applicable on deaths 34. TYPED NAME AND GRADE OF UNIT COMMANDER OR UNIT ADVISER DA FORM 2173 OCT 1972 REPLACES DA FORM 2173 1 JUN 66 WHICH IS OBSOLETE. APD PE v2. STATEMENT OF MEDICAL EXAMINATION AND DUTY STATUS For use of this form see AR 600-8-4 the proponent agency is DCS G-1. THRU Include ZIP Code TO Include ZIP Code FROM Include ZIP Code 1. NAME OF INDIVIDUAL EXAMINED Last First and Middle Initial 2. SSN 4. ORGANIZATION AND STATION 3. GRADE ACCIDENT INFORMATION b. PLACE City and State a* DATE SECTION I - TO BE COMPLETED BY ATTENDING PHYSICIAN OR HOSPITAL PATIENT ADMINISTRATOR OUT PATIENT DEAD ON ARRIVAL 6. INDIVIDUAL WAS ADMITTED 7. NAME OF HOSPITAL OR TREATMENT FACILITY 8. HOUR AND DATE ADMITTED INJURY a* b. INDIVIDUAL c* IS d. W AS RESULTING IN DEATH Explain DISEASE DRUGS Specify Attach Psychiatric evaluation if appropriate. IS NOT LIKELY TO RESULT IN A CLAIM AGAINST THE GOVERNMENT FOR FUTURE MEDICAL CARE* ....

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How to fill out the DA 2173 online

The DA 2173, also known as the statement of medical examination and duty status, is crucial for documenting medical examinations and duty information. This guide provides detailed instructions to effectively complete the form online, ensuring accuracy and compliance.

Follow the steps to efficiently complete the DA 2173 online.

  1. Click 'Get Form' button to obtain the form and open it in the digital editing tool.
  2. Begin by entering the individual's name in the designated fields (Last, First, and Middle Initial), ensuring proper spelling and format.
  3. Provide the individual's social security number (SSN) in the next field. Verify that the number is accurate to avoid processing issues.
  4. Fill in the organization and station information. This includes the unit's name and location, making sure to include the full ZIP code.
  5. Record the individual's grade in the appropriate field, using the official designations.
  6. In the accident information section, document the date and place of the accident, including the city and state.
  7. Indicate the admission status by selecting either 'Out Patient' or 'Dead on Arrival' depending on the situation.
  8. Enter the name of the hospital or treatment facility where the individual was admitted. Ensure the name is complete and accurate.
  9. Note the hour and date the individual was admitted and examined. This is critical for maintaining accurate medical records.
  10. Complete sections regarding the nature and extent of injuries or diseases, including any relevant details about the accident or treatment.
  11. Fill in the medical opinion provided by the attending physician or unit adviser, specifying any disabilities that may result.
  12. In the unit commander's section, indicate the individual's duty status, time of absence, and any comments about the impact on duty performance.
  13. After reviewing all entered information for accuracy, users may save changes, download and print the form, or share it as needed.

Complete your DA 2173 online now to ensure efficient processing of your medical examination and duty status.

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Questions & Answers

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The line of duty determination for VA disability establishes whether a service-connected disability arose from events occurring during active duty. If a soldier can successfully demonstrate that their condition meets these criteria, they may qualify for VA benefits. Completing forms like the DA 2173 accurately is crucial for this determination, as it helps validate the claim.

DA form 2173 is specifically designed to report injuries or illnesses incurred during active duty. This form helps establish the line of duty status of a service member, impacting eligibility for benefits. Understanding the process and properly completing this form is vital for soldiers seeking assistance for medical issues.

To receive a medical discharge from the Army Reserves, you must begin by gathering sufficient medical documentation supporting your condition. You will usually need to undergo an evaluation by a medical board that reviews your case. A properly completed DA form 2173 can support your claim by providing documented evidence of your injury or illness.

Dying in line of duty means that a service member has lost their life while performing duties related to their military service. This classification carries significant implications for benefits and support for families left behind. It often connects with the completion of the DA 2173 form to document the service member's status at the time of death. Understanding this term is crucial for navigating the benefits process.

In the military, a line of duty death refers to a death that occurs while a service member is on official duty. This includes deaths from combat, training exercises, or related incidents. The classification is crucial for claims related to benefits, survivor assistance, and other military support. Completing the DA 2173 form correctly is essential for ensuring that such cases are officially recognized.

A line of duty death is determined based on specific criteria set by military regulations. Generally, a death must occur while a service member is performing official duties. Factors such as injury sustained in combat or during training can qualify for this classification. The DA 2173 form serves as the official documentation to establish the line of duty status.

Yes, an LOD is often necessary for filing a VA claim, especially if your injury occurred while on duty. The DA 2173 serves as essential proof of your service-related injury, which is vital for the VA's determination of your benefits. Ensure that your documentation is complete and accurately reflects your situation. Having this documentation can make navigating the VA claim process much easier.

The processing time for an LOD can vary, but typically it takes several weeks to a few months. The timeline depends on the complexity of the case and the review process conducted by your unit. Consistently following up with your personnel office can help ensure that your LOD is processed in a timely manner. Keep your DA 2173 documentation at hand for a smoother experience.

To initiate an LOD Army, you must report the incident to your commanding officer immediately. They will guide you through the completion of necessary forms, such as the DA 2173, and ensure that your case is documented properly. Timeliness is essential in this process, as prompt reporting can significantly affect the outcome of your claim. Following the proper protocol helps protect your rights and benefits.

To obtain a copy of your LOD Army documentation, you should contact your unit's administrative office or the personnel office. They can assist you in retrieving the required forms and processing your request. It’s important to have your personal information and any necessary identification ready. This process can also involve referring to the DA 2173 form for procedural guidance.

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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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
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
altaFlow
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