DA Form 3947: Medical Evaluation Board Proceedings

DA Form 3947 PDF Details

By direction of the appointing authority, the board convened to evaluate the service member identified above.

Election: I understand that I have 5 calendar days to make an election on my MEB.

Rebuttal: I understand that I have 7 calendar days to submit a written rebuttal.

Impartial Medical Review: I have been informed of my right to an Impartial Medical Review (IMR) and opportunity to submit a written rebuttal to the MEB.

Fitness for duty and compensation: the Physical Evaluation Board will consider and review only those diagnosed conditions listed on the DA Form 3947.

Disclosure: voluntary; however, failure to provide all or part of the requested information may result in denial of medical disability benefits.