Da form 4186-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by selecting the appropriate copy designator at the top of the form, indicating whether it's for an individual's health record, aviation unit commander, or aircrew member's file.
  3. Fill in your personal information in Section A, including your name, SSN, grade, organization, and date of birth. Ensure accuracy as this information is crucial.
  4. In Section A, check the box next to the medical clearance reason that applies to you. You can select multiple reasons if necessary.
  5. Indicate whether you are required to wear glasses while flying and provide the effective date and clearance expiration date.
  6. Proceed to Section B if disqualifying actions are recommended. Fill out the relevant details regarding temporary or permanent medical disqualifications.
  7. In Section C, certify that you have been notified of the recommendations by signing and dating where indicated.
  8. Finally, Section D requires action from your commander. Ensure they complete their part by signing and dating the form before submission.

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2007 4.8 Satisfied (64 Votes)
1985 4 Satisfied (52 Votes)
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