PRINCIPAL PURPOSE: To provide information regarding a Soldier’s status when injury, illness, disease or death occurs. It tracks and ensure Soldiers are receiving proper benefits and …
DA FORM 2173, OCT 72 22. INDIVIDUAL WAS ON 21. ABSENCE WITHOUT AUTHORITY MATERIALLY INTERFERRED WITH THE PERFORMANCE OF MILITARY DUTY (Explain in …
AR-MMC FAQ's - U.S. Army Reserve
The ill or injured Soldier must alert their commander an injury or illness has occurred, the commander should complete blocks 1 thru 5 of DA 2173 and send this document with the …
Fillable Form DA 2173 (2021) | Edit, Sign & Download in PDF
Get a DA 2173 (2021) here. Edit Online Instantly! - DA Form 2173 (2021) is a Statement of Medical Examination and Duty Status used primarily for Line of Duty (LOD) investigations in …
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Line of Duty - TRICARE
Brooke Army Medical Center LOD clerk will initiate a DA Form 2173 for the following soldiers: All cases of death (active duty, national guards and reserve service member), injury or death …
DA Form 2173, Statement of Medical Examination and Duty Status ...
DA Form 2173, Statement of Medical Examination and Duty Status (Completed). - Patient Affairs Branch. 3-9. Procedures to complete DA Form 2173. Coding Information. a. b. administrator. …
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DA Form 2173 - Statement Of Medical Examination And Duty Status
Sep 9, 2022 · 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 …
Fillable Form DA 2173 | Edit, Sign & Download in PDF - PDFRun
Form DA 2173 is used by the U.S. Army to document the medical status of soldiers who are injured or ill and to determine their fitness for duty. This form is often part of the process for …
- Reviews: 31
A DA Form 2173 is a “Statement of Medical Examination and Duty Status.” A Line of Duty Determination is a memorandum (By the Authority of the Secretary of the Army)