Army Publishing Directorate
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DA FORM 2173, JUN 2021 APD AEM v1.00ESPage 2 of 2
DA FORM 2173, OCT 72 REPLACES DA FORM 2173, 1 JUN 66, WHICH IS OBSOLETE. APD V2.01
Line of Duty - TRICARE
Statement of Medical Examination and Duty Status (DA Form 2173) (LOD) are initiated for all soldiers who die, sustain certain injuries, diseases or illnesses while on active duty.
DA FORM 2173 Fillable – Army Pubs 2173 PDF - DA Forms 2025
DA FORM 2173 is a standardized form used by the United States Army. The form is designed to record the outcomes of medical examinations and detail the duty status of a service member.
DA Form 2173 2024-2025 - Fill Official Forms Online
What is DA Form 2173? Form DA 2173, known as the Statement of Medical Examination and Duty Status, is an important document for military personnel. It assesses a Soldier's duty …
Fillable Form DA 2173 (2021) | Edit, Sign & Download in PDF
Form DA 2173 is used to document a service member's injury, illness, or disease, and to determine whether it was incurred in the line of duty (LOD). This form is essential for …
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DA Form 2173 Statement of Medical Examination and Duty Status
Jun 1, 2021 · The latest version of the form was released by the U.S. Department of the Army (DA) on June 1, 2021 . An up-to-date fillable DA Form 2173 is available for download and …
- Reviews: 220
DA Form 2173, Statement of Medical Examination and Duty Status ...
Figure 3-2. DA Form 2173, Statement of Medical Examination and Duty Status (Completed). - Patient Affairs Branch
DA Form 2173 - Statement Of Medical Examination And Duty Status
Sep 9, 2022 · 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 …