The Department of the Army Form 543 is used to request accommodations for soldiers with disabilities. The form must be completed by the soldier and their doctor or other medical professional. Requesting accommodation through the use of this form can help soldiers stay in the Army and continue to serve their country. The Department of the Army Form 543 is a tool used by soldiers who require accommodations for disabilities. This form must be filled out by the soldier and their doctor or other medical professional in order to request said accommodations. If granted, these accomadations can help keep soldiers in the Army and serving our country. Filling out this form is just one way that our military members can get the support they need while continuing to defend our freedoms!
| Question | Answer |
|---|---|
| Form Name | Da Form 543 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | dod da 543 form, da form records, form 543, da 543 form |
REQUEST FOR RECORDS
For use of this form, see AR
PLEASE READ THE FOLLOWING BEFORE COMPLETING THIS FORM
. These records will be used for official purposes only.
. Do not remove, permit to be removed, add to, or reveal the contents to unauthorized persons.
. The requester is responsible for return of these records intact to the office of record.
SECTION I - TO BE COMPLETED BY THE REQUESTER
1.RECORD(s) REQUESTED (Give file classification, subject, date, and other identifying information. If records of personnel are requested, give name (LAST NAME FIRST), grade, type of file requested, and purpose for which records are to be used.)
2. REQUESTER'S ADDRESS
3. ESTIMATED NO. OF DAYS RECORDS ARE NEEDED
4. TELEPHONE NO.5. DATE
6. NAME AND SIGNATURE OF REQUESTER
SECTION II - TO BE COMPLETED BY THE RECORDS CUSTODIAN
7. SEARCHER'S REPORT
a. RECORDS ATTACHED FOR DELIVERY TO ADDRESS IN d. NAME, ADDRESS, TELEPHONE NO., AND DATE LOANED ITEM 2.
b. RECORDS CURRENTLY ON LOAN (Complete block 7d.)
c. UNABLE TO IDENTIFY RECORDS
8. DATE RECORDS MUST RETURNED
9. ADDRESS OF CUSTODIAN
10. TELEPHONE NO.
11. DATE
12. NAME AND SIGNATURE OF CUSTODIAN
SECTION III - TO BE COMPLETED BY THE OFFICE OF RECORD
13. DATE RETURNED
14. SIGNATURE OR INITIALS OF INDIVIDUAL TO WHOM RECORDS WERE RETURNED
DA FORM 543, AUG 2010 |
PREVIOUS EDITIONS ARE OBSOLETE. |
APD PE v1.01 ES |