DAFORMS.NET – DA Form 2173 – Statement Of Medical Examination And Duty Status – Are you looking for the DA Form 2173? If so, you’ve come to the right place. If you’re unfamiliar with this document, read on to learn how to find it and how to sign it. This article will help you understand the ins and outs of DA Form 2173. Also, learn where to find other DA forms, including other types of medical records. Here are some other common forms you may need to sign.
Download DA Form 2173 – Statement Of Medical Examination And Duty Status
| Form Number | DA Form 2173 |
| Form Title | Statement Of Medical Examination And Duty Status |
| Published | 06/01/2021 |
| Prescribing Pub | AR 600-8-4 |
| File Size | 47 KB |
What is a DA Form 2173
A DA Form 2173 is a document used by the Department of the Army when a soldier is injured in the line of duty. These documents must be completed within 7 days of the incident and are valid for 60 or 90 days. Upon completion, the document must be submitted for review and approval by superiors. Depending on the type of injury, the form can be filed electronically, on paper, or both.
The DA Form 2173 is a legal document describing a soldier’s medical condition and the reason for their request. The application states that the patient was treated on 18 August 2000 at the Troop Medical Clinic located at Camp Beauregard, LA. The document also states that the applicant was treated for the following medical conditions:
Where Can I Find a DA Form 2173
The DA Form 2173 is a document containing a Soldier’s current duty limiting conditions. The document is used to document the communication link between the profiling officer and the commander. Soldiers with duty-limiting conditions are evaluated by a profiling officer and are referred for a disability evaluation. If the Soldier is deemed disabled, his or her duty status will trigger an RC medical disqualification process.
However, the veteran’s claim remained unclear despite the passage of time and traumatic events. In 1988, the veteran submitted two DA Forms 2173. Both dated a few days after the events they claimed had occurred, the forms alleged two separate incidents. One was a fall in April, while the other alleged an assault in October. The veteran did not claim any injury at all until 1989, but he did submit two DA Forms 2173.
DA Form 2173 – Statement Of Medical Examination And Duty Status
A DA Form 2173 – Statement of Medical Examination is a legal document that is used by the Department of the Army when a soldier sustains an injury or illness while on active duty. This form provides important information that the commander or other authority in the army needs to conduct a line of duty investigation. Soldiers must complete the form, along with supporting documents, within six months of the injury or illness.
The following is an example of a DA Form 2173: the applicant was injured in April 1991 while on duty in Saudi Arabia. He sustained a lower back injury while carrying a footlocker loaded with heavy equipment. He has been receiving treatment for the condition since the incident, and the medical condition has worsened to the point that he can no longer perform his duties satisfactorily.
DA Form 2173 Example
