Army Functional Capacity Form 507 – Fill Out and Use This PDF

Army Functional Capacity Form 507 PDF Details

The Army Functional Capacity Certificate Form 507 (FCC507) is a standardized U.S. Army document used to assess whether a soldier is medically capable of performing specific physical duties. Completed by the service member and reviewed by a licensed physician, the form supports decisions about temporary or permanent duty profile adjustments.

What Is Army Form 507?

Army Form 507, officially known as the Functional Capacity Certificate (FCC507), is a two-page self-assessment form that service members complete when a medical condition may affect their ability to perform required duties. The form asks the soldier to indicate for each major physical task whether a medical condition limits or prevents performance of that task. It covers marching, weapons handling, physical training, and a wide range of combat and support activities. Once the soldier completes the form, a licensed physician reviews each answer, adds clinical findings, and determines whether a physical profile adjustment is necessary.

When Is Army Form FCC507 Required?

Soldiers complete the FCC507 when a medical condition may affect their ability to perform required physical tasks. Common situations that require this form include:

• Pre-deployment medical screenings
• Physical fitness assessments with an active medical condition
• Follow-up assessments after an injury or illness
• Medical Evaluation Board (MEB) or Physical Evaluation Board (PEB) referrals
• Requests for a temporary or permanent duty profile adjustment
• Annual physical examinations for soldiers with existing medical profiles

Physical Tasks Covered in the FCC507

The FCC507 asks the service member to indicate whether any medical condition prevents or limits the following tasks:

• Marching and load bearing - Walking required distances in combat boots, wearing a helmet, uniform, and load-bearing equipment
• Heavy lifting and physical labor - Lifting, digging, and carrying sandbags or field equipment
• Weapons handling - Carrying and firing assigned weapons
• Protective gear use - Wearing body armor and protective equipment
• Combat maneuvers - Performing standard combat drills and movements
• Physical training - Participating in aerobic exercise and strength training programs
• Mental health and chronic conditions - Disclosing conditions such as asthma or anxiety that may affect deployability or duty performance

Physician Review and Form Outcome

A licensed physician must review and concur with the service member's self-assessment before the form is finalized. The physician section records clinical findings, recommended duty limitations, and whether a temporary or permanent physical profile is warranted. The physician's signature is required to complete the form.

After the physician reviews the FCC507, three outcomes are possible. First, the physician may determine no profile is needed and the soldier returns to full duty. Second, the physician may issue a temporary physical profile that limits certain duties while the soldier recovers from an injury or illness. Third, the physician may recommend a permanent physical profile if the medical condition is unlikely to resolve, which may trigger a formal Medical Evaluation Board process.

For related military medical documentation, see the DA Form 3349 (Physical Profile), which records the formal duty restrictions resulting from the FCC507 evaluation. Soldiers referred for rehabilitation may also need a Functional Movement Screen to establish a rehabilitation baseline.