DA 7246 2009-2025 free printable template
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PRINTED NAME OF MILITARY SPONSOR OR SPOUSE COMPLETING THIS FORM SIGNATURE OF MILITARY SPONSOR OR SPOUSE COMPLETING THIS FORM PRACTITIONER IF UNDER THE SUPERVISION OF A PHYSICIAN SIGNATURE OF PHYSICIAN OR MEDICAL PAGE 2 DA FORM 7246 JUN 2009. FAMILY MEMBER CONDITIONS/SERVICES YES NO REASON 3. Are any members of your family excluding service member currently receiving medical includes mental health or educational services from any providers other than a general practitioner or family practice...
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How to fill out disability information
How to fill out DA 7246
01
Gather the necessary personal information, including your name, rank, and other identifying details.
02
Fill in the date and period of absence in the appropriate sections.
03
Provide specific reasons for using leave, ensuring you follow any guidelines given.
04
Complete all required sections, including signatures where indicated.
05
Review the filled-out form for accuracy before submission.
Who needs DA 7246?
01
Military personnel who require official leave or absence from duty.
02
Administrative personnel processing leave requests within the military.
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People Also Ask about certification applicant
How do I start the EFMP process?
EFMP Enrollment: Soldiers initiate enrollment in EFMP by contacting their nearest Army Medical Treatment Facility EFMP case coordinator. Participants in the EFMP are enrolled permanently in the program unless medical or special education needs warrant case closure or the Soldier is separated from the Army.
What are the EFMP categories?
There are six Navy EFMP enrollment categories: • Category I – for monitoring purposes only. • Category II - pinpoint to specific geographic locations. • Category III - no overseas assignments. • Category IV - major medical areas in CONUS. homestead location. Category V - •
Who fills out EFMP paperwork?
Every Navy Military Treatment Facility (MTF) appoints an EFMP Coordinator to facilitate the enrollment process. Coordinators provide enrollment forms, offer help in the preparation of the forms, review completed forms for accuracy, and forward the enrollment package to the Central Screening Committee (CSC) via NFAAS.
What qualifies you for EFMP?
An Exceptional Family Member is a Family member with any physical, emotional, developmental, or intellectual disorder that requires special treatment, therapy, education, training, or counseling, and meets the eligibility criteria.
How long does it take for EFMP to get approved?
The EFMP process can take up to 14 business days.
What are the qualifying conditions for EFMP?
Have serious or chronic medical problems, physical disabilities, mental health disorders or require intensive follow-up support or early educational/special education services. further follow-up) • Cerebral Palsy or Loss of Mobility (requiring use of wheelchair, walker etc.)
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What is DA 7246?
DA 7246 is a Department of the Army form used for the purpose of requesting leave or pass for military personnel.
Who is required to file DA 7246?
All military personnel who are requesting leave or a pass are required to file DA 7246.
How to fill out DA 7246?
To fill out DA 7246, provide personal information such as name, rank, unit, the type of leave or pass requested, dates, and reason for the leave or pass.
What is the purpose of DA 7246?
The purpose of DA 7246 is to formally document and request permission for military personnel to take leave or a pass.
What information must be reported on DA 7246?
DA 7246 must report the individual's name, rank, unit, dates of leave or pass, type of leave or pass, and the reason for the request.
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