DA Form 7652 Disability Evaluation System (DES) Commander's Performance and Functional Statement

DA Form 7652 Disability Evaluation System (DES) Commander's Performance and Functional Statement

What Is DA Form 7652?

This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2019. The form, often mistakenly referred to as the DD Form 7652, 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 the DA Form 7652 Disability Evaluation System (DES)?
A: The DA Form 7652 is a form used for the Disability Evaluation System (DES) in the military.

Q: What is the purpose of the DA Form 7652?
A: The purpose of the DA Form 7652 is to provide a commander's performance and functional statement for a service member undergoing the disability evaluation process.

Q: Who is responsible for completing the DA Form 7652?
A: The commander of the service member is responsible for completing the DA Form 7652.

Q: What information does the DA Form 7652 include?
A: The DA Form 7652 includes information about the service member's performance and functional limitations.

Q: Why is the DA Form 7652 important?
A: The DA Form 7652 is important because it helps the Disability Evaluation System (DES) make informed decisions about a service member's fitness for duty and eligibility for disability benefits.

Q: Are there any guidelines for completing the DA Form 7652?
A: Yes, there are guidelines provided with the form that help commanders in completing the DA Form 7652 accurately and comprehensively.

Q: Can the service member provide input for the DA Form 7652?
A: Yes, the service member can provide input and additional information to the commander, which can be included in the DA Form 7652.

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Form Details:

  • A 3-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 7652 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 7652 Disability Evaluation System (DES) Commander's Performance and Functional Statement

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  • DA Form 7652 Disability Evaluation System (DES) Commander's Performance and Functional Statement

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  • DA Form 7652 Disability Evaluation System (DES) Commanders Performance and Functional Statement, Page 1
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