The da 4465-2026

1. Click ‘Get Form’ to open the da 4465 in the editor.
2. Begin with Section I - Identification. Fill in your date enrolled/screened, date of birth, and service area code. Ensure all information is accurate for proper identification.
3. Next, check the appropriate boxes for department and eligibility category. This helps categorize your case effectively.
4. In Section II, provide details about military personnel or civilian employee data, including sex, component, and grade. This section is crucial for understanding your status.
5. Proceed to Section III where a physician will enter diagnosis codes and make enrollment decisions. Ensure that the physician's signature is included.
6. Finally, complete Section IV by checking the basis for enrollment/screening and providing reasons if not enrolling. Don’t forget to have the counselor and clinical director sign off.

Start using our platform today to fill out your da 4465 easily and efficiently!