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DA FORM 7651-R, NOV 2009. DA FORM 7636-R and DA FORM 7651-R REPLACE DA FORM 5788-R, WHICH IS OBSOLETE. APD PE v1.00. SNIPER ...
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How to fill out da form 5788 r:
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Ensure you have all necessary information and documents, such as identification cards and relevant medical records.
02
Start by providing your personal information, including your name, rank, social security number, and contact information.
03
Fill out the section regarding the type of medical treatment or service required, along with the date and time of the appointment or desired service.
04
If applicable, supply any supporting documentation or referral information from a healthcare provider.
05
Indicate your preferred healthcare facility or provider, if applicable.
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If you require transportation, specify your preferred mode of transportation and any special accommodations needed.
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Review the form for accuracy and completeness before signing and dating it.
08
Submit the completed da form 5788 r to the appropriate authority or medical facility.
Who needs da form 5788 r:
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Active-duty military personnel who require medical treatment or services.
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Military veterans who are eligible for medical care through the Department of Veterans Affairs.
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Dependents of military personnel who are entitled to medical benefits.
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Retired military personnel who are eligible for medical care through the TRICARE system.
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Civilian employees of the Department of Defense who need medical services.
Note: The specific requirements for using da form 5788 r may vary depending on individual circumstances and local protocols. It is essential to refer to the relevant military regulations or consult a healthcare provider for specific guidance.
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What is da form 5788 r?
DA Form 5788-R is a United States Army form used for documenting the investigation of an aviation accident or incident. It is called the "Accident Investigation Report" or "AI Report." This form is used to record details of the accident or incident, including the circumstances, analysis, and recommendations for preventing similar accidents in the future. It is filled out by personnel involved in the investigation, such as accident investigators or unit safety officers.
Who is required to file da form 5788 r?
DA Form 5788-R is a form used by military personnel to report volunteer service. The individuals who are typically required to file this form include active duty Army personnel, Army Reserve personnel, and National Guard personnel.
How to fill out da form 5788 r?
To fill out DA Form 5788-R, also known as the Request for Assignment/Reassignment form, follow the steps below:
1. Header Information: Enter the Soldier's identifying information at the top of the form, including their name, rank, and social security number.
2. Part I - Personal Information: Provide the Soldier's personal details, such as date of birth, gender, home phone number, and contact address.
3. Part II - Background Information: Answer the questions regarding the Soldier's current assignment and duration, including whether they are currently serving on a remote tour or are part of a unit scheduled for inactivation.
4. Part III - Requested Action: Describe the desired assignment or reassignment requested by the Soldier, ensuring to include the assignment or unit specifically sought, requested tour length, and requested report date.
5. Part IV - Assignment Preference: Indicate any specific assignment preferences, such as geographical location, duty type, or special assignment considerations.
6. Part V - Justification: Provide a detailed explanation or justification for the requested assignment or reassignment, including any relevant personal or professional reasons.
7. Part VI - Certifications: The Soldier must certify and sign this section, indicating that the information provided is true and accurate.
8. Part VII - Supervisor Recommendation: If required by the unit, the immediate supervisor must review and make a recommendation regarding the Soldier's request.
9. Part VIII - Intermediate Level Supervisor Review (if applicable): If required, the intermediate level supervisor should complete this section with their recommendations.
10. Part IX - Request Approval/Disapproval: The responsible authority for the Soldier's assignment approves or disapproves the request, provides the date, and signs this section.
11. Part X - Remarks: Any additional remarks or comments can be included in this section.
12. Part XI - Personnel Officer: The Personnel Officer reviews and acts upon the request, including approving or disapproving and providing the date and signature.
13. Part XII - AG Promotions: If applicable to the requested assignment, the Adjutant General promotions section should review and act on the request.
Remember to review the completed form for accuracy and completeness before submitting it through the appropriate channels within your unit or organization.
What is the purpose of da form 5788 r?
DA Form 5788-R, Product Quality Deficiency Report, is used by military personnel to report deficiencies in products or materials that have been issued to them. The purpose of this form is to document and track the information related to a product deficiency, including the identification of the product, the nature of the deficiency, and any actions taken to mitigate or resolve the issue. This form helps to ensure that deficiencies are properly addressed and corrective actions are taken to maintain the quality and safety of military equipment and supplies.
What information must be reported on da form 5788 r?
DA Form 5788-R is a form used by the Department of the Army to report ammunition and explosives discrepancy, incident, or theft. The following information must be reported on the form:
1. Unit information: Name of the unit, UIC (Unit Identification Code), and address.
2. Report number: A unique identifier assigned by the reporting unit.
3. Date and time of the incident: The exact date and time when the discrepancy, incident, or theft occurred.
4. Location of the incident: The specific location where the incident took place, including building number, room number, or any other relevant details.
5. Type of incident: Specify the type of incident being reported, such as discrepancy, loss of accountability, theft, damage, etc.
6. Type of ammunition or explosives involved: Provide a detailed description of the ammunition or explosives involved, including quantity, National Stock Number (NSN), and lot number if available.
7. Serial number or lot number of the ammunition/explosives: If applicable, provide the serial number or lot number of the ammunition or explosives.
8. Circumstances surrounding the incident: Include a detailed description of how the incident occurred, any witnesses present, and any other relevant circumstances or factors.
9. Actions taken: Describe the immediate actions taken by the reporting unit, such as notifying the chain of command, contacting law enforcement agencies, securing the area, etc.
10. Unit representative and contact information: Name, rank, position, and phone number of the individual preparing the report.
11. Chain of command: Provide the names, ranks, and contact information of the individuals in the reporting unit's chain of command who have been notified about the incident.
12. Law enforcement notified: Specify whether local law enforcement agencies have been notified about the incident.
13. Other agencies notified: If applicable, indicate whether any other agencies (such as the ATF, CID, or regulatory bodies) have been or need to be notified about the incident.
14. Summary of actions taken to prevent recurrence: Briefly describe any steps taken or proposed to prevent a similar incident from occurring in the future.
It is important to note that specific reporting requirements may vary depending on the unit's standard operating procedures and local regulations.
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