DA 3180 2008-2026 free printable template

SPECIMEN COLLECTED ON Test results were forwarded to certifying official or certified negative B. NAME OF OFFICIAL E. ADDITIONAL SCREENING If required Specimen collected on DA FORM 3180 MAY 2008 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 2 APD LC v1.00ES PART V - CERTIFYING OFFICIAL S EVALUATION/ ASSIGNMENT BRIEFING A. PERSONNEL SCREENING AND EVALUATION RECORD For use of this form see AR 50-1 the proponent agency is DCS G-3/5/7. PRIVACY ACT STATEMENT OF 1974 AUTHORITY Internal Security Act of...

How to fill out DA 3180

How to fill out DA 3180

1. Obtain a copy of the DA Form 3180 from the official military website or your unit.
2. Fill in your personal information at the top of the form, including your name, rank, and unit.
3. Carefully read the instructions provided on the form to understand each section.
4. Complete Section I regarding the request for training or evaluation, stating the purpose clearly.
5. If applicable, fill out Section II, including details about prior evaluations or training.
6. Complete Section III by providing any additional information as required.
7. Review your entries for accuracy and completeness to ensure all required fields are filled out.
8. Sign and date the form at the designated area to certify that all information is correct.
9. Submit the completed DA Form 3180 to your supervisor or the appropriate authority for processing.

Who needs DA 3180?

1. The DA Form 3180 is required for soldiers who are seeking training or evaluation in specific military skills.
2. It is necessary for personnel involved in military reclassifications or those aiming for professional development opportunities.
3. Commanders and unit leaders may also need this form to manage training requests within their units.

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What is DA 3180?

DA 3180 is a form used by the U.S. Army for documenting the surgery or other medical procedures performed on soldiers.

Who is required to file DA 3180?

The form must be filed by medical personnel, such as physicians and surgeons, who perform surgeries or related medical procedures on active duty soldiers.

How to fill out DA 3180?

To fill out DA 3180, medical personnel need to provide details including patient information, the details of the procedure performed, and any follow-up care required, ensuring all fields are accurately completed.

What is the purpose of DA 3180?

The purpose of DA 3180 is to maintain a record of surgical procedures and medical treatments provided to soldiers, which is essential for continuity of care and for medical documentation.

What information must be reported on DA 3180?

The DA 3180 must report the soldier's identification details, the type and date of the procedure, the name of the medical personnel involved, and any pertinent medical history related to the procedure.