MEDICAL EVALUATION BOARD PROCEEDINGS. DA FORM 3947, JUN 2017-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Military Treatment Facility Location and Date at the top of the form.
  3. In Block 1, input the Service Member's full name (Last, First, MI).
  4. Fill in Block 2 with the Service Member's Pay Grade and Block 3 with their complete Social Security Number.
  5. Continue by entering the DOD ID Number in Block 4 and Date of Birth in Block 5.
  6. Mark the appropriate gender in Block 6 and provide details for Primary Military Occupational Specialty or Area of Concentration in Block 7.
  7. Select the appropriate military service in Block 8 and component in Block 9. Fill out the organization/unit information in Block 10.
  8. For diagnosis entries, use Blocks 11a-e to list all medical conditions, ensuring to check retention standards as applicable.
  9. Complete subsequent sections regarding recommendations and signatures as outlined on the form.

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The Medical Evaluation Board is a process designed to determine whether a service members long-term medical condition enables him/her to continue to meet medical retention standards, in accordance with military service regulations.
As mentioned on the previous slide, DA Form 2166-9-1A, the NCOER Support Form, will align with Army leadership doctrine. In addition, the rated NCOs current Military Education Level (MEL) and Structured Self Development (SSD) codes will be included on the form.
The Disability Evaluation System process identifies all medical conditions that impact military occupational function for the purposes of determining fitness for duty and entitlement to military and/or Department of Veterans Affairs disability compensation.
Disbursement Authorization Form - a document that can be sent to the escrow company, title company, attorney, or whoever is handling the closing. It gives instructions on how the commission should be disbursed and is essentially a payment request to the closing company.

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