DA 2653-R 1974-2025 free printable template
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COSEC ACCOUNT DAILY SHIFT INVENTORY For use of this form, see TB 380-41; the proponent agency is AMC WHEN FILLED IN, THIS FORM WILL BE CLASSIFIED IN ACCORDANCE WITH TB 380-41 S H I F T 1 2 3 1 2 3
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How to fill out 2653r form
How to fill out DA 2653-R
01
Download the DA 2653-R form from the official U.S. Army website.
02
Review the instructions on the first page of the form to understand the required information.
03
Fill out the personal identification section with your name, social security number, and other identifying information.
04
Provide details for the specific purpose of the form in the designated sections as outlined in the instructions.
05
Review all filled sections for accuracy and completeness.
06
Sign and date the form as required at the end.
07
Submit the form according to the guidelines provided, either electronically or through mail.
Who needs DA 2653-R?
01
Military personnel who need to document or report specific information related to military service.
02
Administrative staff handling personnel actions or records.
03
Anyone required to file an official military report or request using this form.
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What is DA 2653-R?
DA 2653-R is a form used by the United States Army to report injuries or illnesses that occur during the performance of official duties.
Who is required to file DA 2653-R?
All military personnel and civilian employees of the Army who experience a job-related injury or illness are required to file DA 2653-R.
How to fill out DA 2653-R?
To fill out DA 2653-R, individuals should complete the sections detailing personal information, incident description, medical treatment received, and any witnesses to the incident.
What is the purpose of DA 2653-R?
The purpose of DA 2653-R is to document and track incidents of injuries and illnesses to ensure proper reporting, compensation, and future prevention.
What information must be reported on DA 2653-R?
DA 2653-R requires reporting of personal details such as name and service number, the date and location of the incident, a detailed description of the injury or illness, medical treatment provided, and information about witnesses.
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