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Da 2173-2026
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- Click ‘Get Form’ to open the DA 2173 in the editor.
- Begin by filling in the 'NAME OF INDIVIDUAL EXAMINED' section with the individual's last name, first name, and middle initial.
- Enter the 'SSN' and 'GRADE' of the individual in their respective fields.
- Complete the 'ACCIDENT INFORMATION' section by providing details such as the date and place of the accident.
- In SECTION I, ensure that an attending physician or hospital patient administrator fills out all relevant medical information regarding admission and injuries.
- Proceed to SECTION II, where a unit commander or adviser must indicate duty status and any absences. Be sure to explain any interference with military duty.
- Finally, review all entries for accuracy before signing and saving your completed form.
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| 1972 | 4.9 Satisfied (44 Votes) |
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da 2173 fillable
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