PDF
Word
DA Form 7692 Active Duty for Medical Care Application
What Is DA Form 7692?
This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2019. The form, often mistakenly referred to as the DD Form 7692, 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 7692?A: DA Form 7692 is an Active Duty for Medical Care Application.
Q: What is the purpose of DA Form 7692?A: The purpose of DA Form 7692 is to apply for active duty for medical care.
Q: Who can use DA Form 7692?A: Any individual who is in need of active duty for medical care can use DA Form 7692.
Q: Is there a fee to submit DA Form 7692?A: No, there is no fee to submit DA Form 7692.
Q: What information is required on DA Form 7692?A: DA Form 7692 requires information such as personal details, medical condition, and reason for requesting active duty for medical care.
Q: How long does it take to process DA Form 7692?A: The processing time for DA Form 7692 can vary, but it is typically within a few weeks.
Q: Can a family member submit DA Form 7692 on behalf of someone?A: Yes, a family member can submit DA Form 7692 on behalf of an individual.
Q: Can DA Form 7692 be submitted electronically?A: Yes, DA Form 7692 can be submitted electronically.
Q: Can DA Form 7692 be used for non-medical purposes?A: No, DA Form 7692 is specifically for medical care purposes.
Form Details:
- A 2-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 7692 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 7692 Active Duty for Medical Care Application
1
2
