The DA Form 3425 R is a Medical Fitness Statement required for Senior ROTC Basic Course enrollment. This one-page document confirms that the applicant has no medical conditions or physical limitations that would prevent participation in ROTC activities, which are comparable in intensity to a college physical education class.
Who needs this form: Any student enrolling in the Army Senior ROTC Basic Course must complete DA Form 3425 R. A medical officer or ROTC program coordinator countersigns the form to verify the applicant's eligibility before enrollment is approved.
What the form covers: The form asks you to certify your general medical fitness. If you have a condition that affects physical activity, you must disclose it. The reviewing officer determines whether the condition affects your eligibility for the program.
Related military forms: Students completing ROTC enrollment paperwork may also need to submit the Army Functional Capacity Form 507 or review the Certificate of Medical Fitness. Keep copies of all submitted documents for your personal records.
| Question | Answer |
|---|---|
| Form Name | Da Form 3425 R |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 3425r, da 3425 medical, 3425 r fillable, 3425r form |