Get Da Form 3947 2020-2026

The Da Form 3947 is integral for documenting medical evaluation board proceedings within the military. This guide will provide clear and supportive instructions on how to accurately complete this form online, ensuring a straightforward process for all users.

Follow the steps to fill out the Da Form 3947 online

1. Click the ‘Get Form’ button to access the form. This action will allow you to open the document in your preferred online format.
2. In section 1, enter the name of the individual undergoing evaluation, listed as Last, First, and Middle Initial.
3. Complete section 2 by providing the grade of the individual.
4. In section 3, fill in the Social Security Number (SSN) of the individual.
5. Section 4 requires you to specify the component (e.g., active duty, reserve, etc.).
6. In section 5, indicate the department to which the individual belongs.
7. Fill in section 6 with the sex of the individual (Male/Female).
8. Provide the date of birth of the individual in section 7.
9. In section 8, enter the organization that the individual is associated with.
10. In section 9, specify the total years of military service, detailing both active and inactive years.
11. Section 10 requires the date the individual entered their current tour of active duty.
12. In section 11, input the individual's military occupational specialty, including the code.
13. In section 12, indicate whether the patient presented views on their behalf by checking the appropriate box.
14. Section 13 is for writing the diagnosis, which must include all medical conditions/defects identified by the board.
15. In section 14, select the board's recommendation for the patient's status with options such as 'Returned to duty' or 'Referred to a Physical Evaluation Board (PEB).' Be sure to check the applicable boxes for additional details.
16. Complete section 15 which states whether the patient desires to continue on active duty.
17. In section 16, confirm if continuance on active duty is medically contraindicated.
18. Fields 17, 18, and 19 necessitate the typed name, grade, and signature of the physician.
19. Section 20 indicates the authority's approval of the board's findings and recommendations; fill this in appropriately.
20. Complete section 24 with the acknowledgement of being informed of the findings, providing initials as requested.
21. Lastly, save your changes, download the completed form, and print or share it as needed.

Begin completing your Da Form 3947 online today.