Da 7652-2026

See details

4.8 out of 5

262 votes

The document outlines the Disability Evaluation System (DES) Commander’s Performance and Functional Statement, which is used to assess a Soldier's medical impairments and their impact on duty performance. It provides guidelines for collecting demographic and administrative information, as well as detailed evaluations of the Soldier's physical tasks, decision-making abilities, and work relationships. The purpose is to inform the Physical Evaluation Board (PEB) about the Soldier's fitness for duty and potential disability benefits.

Here's how it works

01. Edit your da form 7652 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send da form 7783 via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out da 7652 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the da 7652 in the editor.
Begin by filling out Section I: Soldier Demographic Information. Enter the date, soldier's name, date of birth, and other personal details accurately.
Proceed to Section II: Administrative Information. Confirm each data item with appropriate personnel and mark 'YES' or 'NO' as applicable.
In Section III: Commander's Performance Information, provide detailed insights into how the soldier's medical condition affects their performance and decision-making abilities.
Complete Sections IV and V with the Battalion Commander's contact information and validation signature. Ensure all fields are filled correctly before submission.

Start using our platform today for free to streamline your form completion process!