PDF
Word
DA Form 3904 Public Voucher for Medical Examination
What Is DA Form 3904?
This is a military form that was released by the U.S. Department of the Army (DA) on August 1, 1972. The form, often mistakenly referred to as the DD Form 3904, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
FAQ
Q: What is DA Form 3904?A: DA Form 3904 is a Public Voucher for Medical Examination.
Q: What is the purpose of DA Form 3904?A: The purpose of DA Form 3904 is to document and authorize medical examinations conducted for military personnel.
Q: Who uses DA Form 3904?A: DA Form 3904 is used by military personnel who require medical examinations.
Q: What information is included in DA Form 3904?A: DA Form 3904 includes personal information of the military personnel, details of the medical examination, and certification by the medical examiner.
Form Details:
- A 1-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 3904 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
