Form 422 PDF Details

Form 422 is a key document in the estate planning process. It lists all of the assets and liabilities of the deceased, as well as their executor and beneficiaries. This form is important for ensuring that the estate is administered properly and that creditors are paid. Anyone involved in estate planning should be familiar with this form.

This basic guide will allow you to figure out how long it will require you to fill out form 422, the number of pages it has, and a handful of other unique details about the PDF.

QuestionAnswer
Form NameForm 422
Form Length2 pages
Fillable?Yes
Fillable fields62
Avg. time to fill out12 min 58 sec
Other namesform 422, af form 422a, where to find af form 422, how to form 422

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PHYSICAL PROFILE SERIAL REPORT

 

 

 

PATIENT ID

(Use plastic card or type/print name)

 

 

 

GRADE

 

DATE

 

 

 

 

 

 

 

 

AFSC

 

SSN

 

 

 

 

 

 

 

 

UNIT

 

 

 

 

 

 

 

 

 

 

BASE

 

 

 

 

PROFILE

P

U

L

H

E

S

SUFFIX

 

BLOOD GROUP DATA

 

PREVIOUS

 

 

 

 

 

 

 

TYPE AND RH

 

REVISED

 

 

 

 

 

 

 

 

DEFICIENCY

 

 

 

 

 

 

 

 

 

G6PD

 

TEMPORARY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

YES

 

 

 

 

 

 

 

 

 

REVISED

 

 

 

 

 

 

 

 

SICKLE CELL TRAIT

 

 

 

 

 

 

 

HEMOGLOBIN-S

 

PERMANENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

YES

 

 

 

 

 

 

 

 

 

RELEASE DATE OF TEMPORARY PROFILE OR DUTY RESTRICTION

 

WORLD-WIDE

 

YES

NO

 

 

 

 

 

 

 

 

 

 

INDIVIDUAL DEFECTS/RESTRICTIONS

 

 

 

PASSES COLOR

 

YES

NO

 

 

 

 

 

 

 

 

 

 

MEDICAL DEFECT/CONDITION REQUIRES MEB OR PEB PROCESSING. ASSIGNMENT AVAILABILITY CODE(AAC) 37 APPLIES.

As shown by examination or review of Health Record or current course of treatment, individual is cleared for

 

OVERSEAS ASSIGNMENT

 

RETIREMENT/SEPARATION WITHIN ONE (1) YEAR

 

 

 

 

 

REMOTE/ISOLATED TOUR

 

OTHER (Specify)

 

 

 

 

REMARKS

TYPED OR PRINTED NAME AND GRADE OF HEALTH CARE PROVIDER

SIGNATURE

 

 

 

 

 

 

 

TYPED OR PRINTED NAME AND GRADE OF PES MANAGER

 

SIGNATURE

 

 

 

 

 

 

 

TYPED OR PRINTED NAME AND GRADE OF PROFILE OFFICER

 

SIGNATURE

 

 

 

 

 

 

 

DPMUO

DPMUM

DPMU(R)

DPMPC

DPMAR

 

 

 

 

 

 

 

 

 

AF IMT 422, 19890401, V2

PREVIOUS EDITION WILL BE USED.

COPY 1 - HEALTH

How to Edit Form 422 Online for Free

It's very easy to complete the af 422 pdf. Our PDF editor was made to be easy-to-use and let you complete any document quickly. These are the actions to go through:

Step 1: Locate the button "Get Form Here" and press it.

Step 2: Once you have entered your af 422 pdf edit page, you'll discover all actions you may use with regards to your template in the top menu.

Complete the following parts to fill out the document:

filling in air force form 422 stage 1

Type in the necessary details in the OVERSEASASSIGNMENT, RETIREMENTSEPARATIONWITHINONEYEAR, REMOTEISOLATEDTOUR, SpecifyOTHER, REMARKS, SIGNATURE, SIGNATURE, and SIGNATURE part.

Filling out air force form 422 part 2

The program will ask you to include specific vital data to conveniently fill in the section SIGNATURE, DPMUO, DPMUM, DPMUR, DPMPC, DPMAR, AFIMTV, PREVIOUSEDITIONWILLBEUSED, and COPYHEALTH.

Completing air force form 422 stage 3

Step 3: Select the "Done" button. Now, it is possible to transfer your PDF file - save it to your electronic device or send it via electronic mail.

Step 4: Generate copies of the document - it may help you prevent possible future worries. And fear not - we cannot disclose or look at your information.

Watch Form 422 Video Instruction

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