The Department of Defense developed the DD Form 5965 to document a Soldier's medical history and treatment. This form is important for both the Soldier and the military because it helps keep track of all medical treatments and medications. The DD Form 5965 is also used to assess a Soldier's current medical condition and to develop future health care plans. If you are a Soldier, make sure you know how to complete this form and understand its importance. If you are a civilian, learn more about what this form is for so that you can better support our Soldiers.
| Question | Answer |
|---|---|
| Form Name | Da Form 5965 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | A5965 form 5965 |
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BASIS OF ISSUE FOR CLOTHING AND INDIVIDUAL EQUIPMENT (CIE) |
1. PAGE |
OF |
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For use of this form, see AR |
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2. DATE |
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3a. INITIAL REQUEST |
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3b. CHANGE REQUEST |
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4a. ORD TITLE |
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4b. DATE APPROVED |
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5. REQUIREMENT/CHANGES |
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ALLOWANCES |
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CTA SECTION NO. |
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LIN |
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LIN |
ITEM, BOI, AND REMARKS |
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(c) |
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REPLACED/AFFECTED |
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(a) |
(b) |
ARNG |
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ROTC |
USAR |
DAC |
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(d) |
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6. MOS AND EQUIPMENT IMPACT
DA FORM 5965, FEB 2011 |
PREVIOUS EDITIONS ARE OBSOLETE. |
APD PE v1.00 |
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