1058r 2025

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The document is an application form for soldiers of the Army National Guard and U.S. Army Reserve to request active duty for training, special work, or temporary tours. It outlines the necessary personal information required for eligibility determination, including identification details, contact information, military assignment, and requested dates for duty. The form emphasizes the mandatory nature of completion for eligibility and includes sections for both the applicant and records custodian.

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Versions	Form popularity	Fillable & printable
2010	4.9 Satisfied (212 Votes)
1993	4 Satisfied (55 Votes)

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What is the difference between the Army Reserve and the National Guard?

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.

What is the Army Lod form?

A: Line of Duty (LOD) determination is an administrative tool for determining a Soldiers duty status at the time of injury, illness, disability, or death.

What is the statement of medical examination and duty status?

APPLICATION FOR ACTIVE DUTY FOR TRAINING, ACTIVE DUTY FOR OPERATIONAL SUPPORT, AND ANNUAL TRAINING FOR SOLDIERS OF THE ARMY NATI.