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How to use or fill out dd form 3176 with our platform
- Click ‘Get Form’ to open the dd form 3176 in the editor.
- Begin with Part 1, where you will enter your personal information. Fill in your name, DoD ID number, office symbol, date of request, position/title, supervisor's name, and phone number.
- In blocks 8-10, provide detailed descriptions of your medical condition and explain why it prevents vaccination. Use the narrative space effectively to ensure clarity.
- If additional space is needed for your responses, utilize the continuation block (Block 11) by annotating the section and line number.
- Complete Part 2 by having a licensed health care provider fill out their section. Ensure they provide necessary medical certifications and sign the form.
- Review all entries for accuracy before submitting. Signing this form confirms that all information is true to the best of your knowledge.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2021 | 4.8 Satisfied (81 Votes) |
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