Da form 1058: Fill out & sign online

Here's how it works

01. Edit your da form 1058 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 da1058 via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Da 1058 example in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling paperwork with our feature-rich and user-friendly PDF editor is simple. Make the steps below to fill out Da 1058 example online easily and quickly:

Log in to your account. Log in with your email and password or create a free account to try the service before upgrading the subscription.
Upload a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Da 1058 example. Easily add and highlight text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your paperwork.
Get the Da 1058 example completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others via a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to rapidly manage your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

What is the DA Form 2173 statement of medical examination and duty status?

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.

What is a DA form 1058?

DA FORM 1058-R, JUL 93 DATA REQUIRED BY THE PRIVACY ACT OF 1974. 10 USC 672(d) and USC 275. To determine eligibility and schedule individuals for active duty for special work or active duty for training on requested dates.

What is the Army Lod form?

A: Line of Duty (LOD) determination is an administrative tool for determining a Soldiers duty status at the time of injury, illness, disability, or death.

da form 1058 example

DA Form 1058 instructions DA 1058 Army pubs DA form 1058 oct 2020 ngb form 1058-1r DA FORM 1058 oct 2020 fillable da form 1058-r pdf fillable DA Form 5960 AF Form 1058

Da 1058 example-2025

Here's how it works