The Department of Defense Form 2446 is a Request for Physical Examination form used to request an examination by a medical professional. The form is used to request an examination for potential military service, and must be completed by the applicant and their physician. The form can be used to request examinations for both initial eligibility and periodic re-examination. The Department of Defense has released a new version of the form, which will be effective May 1, 2017. The new version of the form includes updated information about required vaccinations and health screenings. Applicants are encouraged to use the new version of the form when submitting a request for physical examination.
| Question | Answer |
|---|---|
| Form Name | Da Form 2446 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | army form request orders, how to request pcs orders usmc, orders request form air force, request orders usmc |
REQUEST FOR ORDERS
For use of this form, see AR
DATE OF REQUEST
TO:
FROM:
TITLE OF FORMAT
STANDARD NAME LINE
LEAD LINE
VARIABLE INFORMATION
REQUESTER'S NAME AND TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION (Type or Print)
SIGNATURE
DA FORM 2446, JAN 76
REPLACES DA FORM 2446, 1 DEC 73, WHICH MAY BE USED. |
USAPPC V3.00 |
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