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DA Form 4187 Personnel Action Examples - ArmyWriter-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Employee ID and the absence dates in the designated fields. Ensure that the 'FROM DATE' and 'TO DATE' are accurately filled out to reflect your leave period.
- In the 'Name' section, input your last name followed by your first name. This identification is crucial for processing your request.
- Document the date of the accident in the specified format (MM-DD-YY) to maintain consistency and clarity.
- Provide a detailed description of the accident or illness in the corresponding field. This information is essential for proper documentation.
- Complete the physician's certification section, ensuring that all required medical findings and examination dates are included.
- Finally, sign and date where indicated, including signatures from your timekeeper and physician as necessary to validate your claim.
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9397. ROUTINE USES: To initiate the processing of a personnel action being requested by the soldier. 5. GRADE OR RANK/PMOS/AOC. 6. SOCIAL SECURITY NUMBER.
PERSONNEL ACTION - U.S. Army Recruiting Command SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995 . DA FORM 4187, MAY 2014. HAS BEEN