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This version of the form is not currently in use and is provided for reference only. Download this version of
DD Form 503
for the current year.
DD Form 503 Health Assessment Certificate for Segregation
What Is DD Form 503?
This is a form that was released by the U.S. Department of Defense (DoD) on March 1, 2013. The form, often mistakenly referred to as the DA Form 503 , 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 DoD.
FAQ
Q: What is the DD Form 503?A: The DD Form 503 is a Health Assessment Certificate for Segregation.
Q: What is the purpose of the DD Form 503?A: The purpose of the DD Form 503 is to certify that an individual has completed a health assessment and is eligible for segregation.
Q: Who needs to complete the DD Form 503?A: Anyone who requires segregation due to health reasons needs to complete the DD Form 503.
Q: How can I obtain a DD Form 503?A: You can obtain a DD Form 503 from your medical provider or a military installation medical facility.
Q: Is the DD Form 503 only for military personnel?A: No, the DD Form 503 can also be used by civilian personnel who require segregation due to health reasons.
Q: Can the DD Form 503 be used as a medical clearance?A: No, the DD Form 503 is only for certifying eligibility for segregation and does not serve as a medical clearance for other purposes.
Form Details:
- A 1-page document available for download in PDF;
- The latest version available from the Executive Services Directorate;
- Editable, printable, and free to use;
- Fill out the form in our online filing application.
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