Da Form 3349 PDF Details

The Da Form 3349 is a Department of the Army form that is used for many purposes. It can be used for reporting on medical conditions, requesting accommodations, and making other requests related to your military service. In order to make the most of your time in the military, it is important to understand what this form is and how to use it. This blog post will provide an overview of the Da Form 3349 and explain how you can use it to your advantage. Stay tuned for future posts that will go into more detail about specific uses for this form.

This information will allow you to understand better the details of the da form 3349 before you begin filling it out.

QuestionAnswer
Form NameDa Form 3349
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda form 3349 2020, dd 3349, military profile form, army profile form

Form Preview Example

PHYSICAL PROFILE

For use of this form, see AR 40-501; the proponent agency is the Office of the Surgeon General.

1.

MEDICAL CONDITION: (Description in lay terminology)

 

INJURY? Or

 

ILLNESS/DISEASE?

2. CODES (Table

3.

 

P

U

L

H

E

S

 

 

 

 

 

 

7-2 AR 40-501)

 

Temporary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

PROFILE TYPE

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. TEMPORARY PROFILE (Expiration date YYYYMMDD)

 

 

(Limited to 3 months duration)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. PERMANENT PROFILE (Reviewed and validated with every periodic health assessment or after 5 years from the date of issue)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.FUNCTIONAL ACTIVITIES THAT EVERY SOLDIER REGARDLESS OF MOS MUST BE ABLE TO PERFORM. IF SOLDIER CANNOT PERFORM ANY ONE OF THESE TASKS, THEN THE PULHES MUST CONTAIN AT LEAST ONE "3" AND SOLDIER MUST BE REFERRED TO A MEB. CAN THE SOLDIER:

FUNCTIONAL ACTIVITY:

 

 

 

 

YES

NO

 

 

 

 

 

 

 

a. Carry and fire individual assigned weapon?

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Evade direct and indirect fire?

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Ride in a military vehicle for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

d. Wear a helmet for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Wear body armor for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

 

f. Wear load bearing equipment (LBE) for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

g. Wear military boots and uniform for at least 12 hours per day?

 

 

 

 

 

 

 

 

h. Wear protective mask and MOPP 4 for at least 2 continuous hours per day?

 

 

 

 

 

 

 

i. Move 40lbs (for example, duffle bag) while wearing usual protective gear (helmet, weapon, body armor and LBE) at least 100 yards?

 

 

 

 

 

 

 

j. Live in an austere environment without worsening the medical condition?

 

 

 

 

 

 

 

 

 

 

6. APFT

YES

NO

ALTERNATE APFT (Fill out if unable to do APFT run otherwise N/A)

N/A

YES

NO

 

 

 

 

 

 

 

2 MILE RUN

 

 

APFT WALK

 

 

 

 

 

 

 

 

 

 

APFT SIT-UPS

 

 

APFT SWIM

 

 

 

 

 

 

 

 

 

 

APFT PUSH UPS

 

 

APFT BIKE

 

 

 

 

 

 

 

 

 

 

7. DOES THE SOLDIER MEET RETENTION STANDARDS IAW CHAPTER 3 AR 40-501?

YES NEEDS MMRB

NO

NEEDS MEB

8. FUNCTIONAL LIMITATIONS AND CAPABILITIES AND OTHER COMMENTS:

This temporary profile is an extension of a temporary profile first issued on

9. NAME, GRADE & TITLE OF PROFILING OFFICER

10. SIGNATURE

11. DATE (YYYYMMDD)

12. NAME & GRADE OF APPROVING AUTHORITY

13. SIGNATURE

14.DATE (YYYYMMDD)

15.Commanders can access the electronic profiles of Soldiers in their unit(s) by going to http://www.mods.army.mil/ and clicking on eProfile in the list of applications. Commanders will be required to register and be approved in eProfile before they can gain access to profiles.

16. PATIENT'S IDENTIFICATION

17.

HOSPITAL OR MEDICAL FACILITY

a. NAME: (Last, First)

 

 

 

 

 

 

b. GRADE/RANK:

 

 

 

 

 

 

c. SSN:

 

 

 

 

 

 

 

 

18.

PROFILING OFFICER E-MAIL

d. UNIT:

 

 

 

 

 

 

 

 

 

 

DA FORM 3349, SEP 2010

PREVIOUS EDITIONS ARE OBSOLETE

Page 1 of 2

 

 

APD PE v1.00ES

PHYSICAL PROFILE - PAGE 2 (OPTIONAL)

PATIENT'S NAME

DATE (YYYYMMDD)

CONTINUATION (From page 1, Item 8)

DA FORM 3349, SEP 2010

Page 2 of 2

APD PE v1.00ES

How to Edit Da Form 3349 Online for Free

Filling in dd 3349 is not hard. Our experts developed our PDF tool to make it user-friendly and uncomplicated and allow you to complete any form online. Listed here are steps you need to follow:

Step 1: First of all, click on the orange "Get form now" button.

Step 2: When you have accessed the dd 3349 edit page, you'll discover all options you may take regarding your template in the top menu.

To be able to fill out the form, provide the data the platform will ask you to for each of the next sections:

entering details in army profile form stage 1

Enter the appropriate information in the segment h Wear protective mask and MOPP, i Move lbs for example duffle bag, j Live in an austere environment, APFT, MILE RUN, APFT SITUPS, APFT PUSH UPS, YES, ALTERNATE APFT Fill out if unable, YES, APFT WALK, APFT SWIM, APFT BIKE, DOES THE SOLDIER MEET RETENTION, and YES.

Entering details in army profile form part 2

Describe the most significant details of the This temporary profile is an, NAME GRADE TITLE OF PROFILING, SIGNATURE, DATE YYYYMMDD, NAME GRADE OF APPROVING AUTHORITY, SIGNATURE, DATE, YYYYMMDD, Commanders can access the, PATIENTS IDENTIFICATION, HOSPITAL OR MEDICAL FACILITY, a NAME, Last First, b GRADERANK, and c SSN area.

step 3 to entering details in army profile form

The field PATIENTS NAME, DATE YYYYMMDD, and CONTINUATION From page Item is where you can indicate all parties' rights and responsibilities.

Finishing army profile form part 4

Step 3: Choose the Done button to be certain that your finished file could be transferred to each electronic device you end up picking or sent to an email you specify.

Step 4: You can also make copies of the form toremain away from any type of future difficulties. You need not worry, we don't publish or check your details.

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