Da 2173-2026

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  1. Click ‘Get Form’ to open the DA 2173 in the editor.
  2. Begin by filling in the 'NAME OF INDIVIDUAL EXAMINED' section with the individual's last name, first name, and middle initial.
  3. Enter the 'SSN' and 'GRADE' of the individual in their respective fields.
  4. Complete the 'ACCIDENT INFORMATION' section by providing details such as the date and place of the accident.
  5. In SECTION I, ensure that an attending physician or hospital patient administrator fills out all relevant medical information regarding admission and injuries.
  6. 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.
  7. Finally, review all entries for accuracy before signing and saving your completed form.

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The Soldier provides the unit representative or commander with the DA Form 2173 and medical documentation. The unit representative initiates the LOD in the electronic LOD module (eMMPS) in MEDCHART and the commander or SARC then completes blocks 25 thru 41, signs in block 39.
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.
The current hypothetical limit would be if you enlisted at the age of 17 (as young as you can enlist, assuming you have parental permission) and have to retire when you turn 60 which is the mandatory retirement age (with only a few exceptions, like becoming a General Officer or if you have between 18 and 20 years of
New enlistments sign up for a Military Service Obligation (MSO). Contracts may vary from two to six years of service in active duty, Army Reserve, or Army National Guard.
ARC service members are encouraged to request an LOD within 24 hours when in a qualified duty status and within 72 hours when not in a qualified duty status. ARC service members are permitted to request an LOD up to 180 days after completing the qualified duty status when they experienced the condition.

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Line of Duty Determination (Best Case) Reserve/Guard troops are not eligible for benefits if the injury occurred off duty. This LOD designation is a key first step to establishing eligibility. Active duty troops are on duty at all times. Typically, active troops do not need to prove LOD.

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