The DA 7652 form, also known as the Disability Evaluation System (DES) Commander's Performance and Functional Statement, is a crucial document within the United States Army's administrative framework. It meticulously gathers information to assess the impact of a Soldier's medical impairments on their ability to perform duties, which is instrumental in the Physical Evaluation Board's (PEB) decision-making process regarding a Soldier's fitness for continued service, retirement, or separation due to physical disability. This form requests detailed data, ranging from demographic and administrative information of the Soldier to a nuanced evaluation of their performance and functional capabilities or limitations owing to their medical condition. It facilitates a comprehensive review by combing through aspects such as the Soldier's ability to carry out physical tasks, decision-making capabilities, work relationships, and overall performance. Commanders are required to provide insight into how a Soldier's condition affects their role within the unit, thus influencing mission readiness. The form further explores whether the Soldier is subject to any administrative actions, their retirement eligibility, and their promotional status, among other factors. With sections devoted to commander's performance information and the capability to deploy, the DA 7652 form serves as a vital tool in ensuring informed decisions are made that reflect the best interest of both the Soldier and the Army, underscoring the importance of accuracy and thoroughness in its completion.
| Question | Answer |
|---|---|
| Form Name | Da 7652 Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | fillable 2019 da, da 2019 form pdf, army da form 7652 examples, da 7652 |