DA Form 7574-1, Military Physician's Statement of Soldier's Incapacitation/Fitness For Duty is a form used for documenting a military physician's conclusions regarding either the ability or inability of a service member to perform their duties.
A new version of the document - sometimes incorrectly referred to as the DD Form 7574-1 - was released by the Department of the Army (DA) in March 2008. An up-to-date DA Form 7574-1 fillable version is available for download below or can be found through the Army Publishing Directorate online library.
The DA 7574-1 must be completed once every three months along with statements from employers regarding non-military employment status. Service members are discouraged from performing any military work until a determination of fitness for duty is made by a military physician.