DA FORM 7652 Fillable – Army Pubs 7652 PDF

DAFORMFILLABLE.COMDA FORM 7652 Fillable – Army Pubs 7652 PDF – DA FORM 7652, titled Disability Evaluation System (DES) Commander’s Performance and Functional Statement, is a critical document used in the evaluation of service members’ performance and functional capabilities within the context of the Disability Evaluation System (DES). This form is an essential part of the Army’s efforts to assess and determine the medical fitness of its personnel.

DA FORM 7652 – Disability Evaluation System (DES) Commander’s Performance and Functional Statement

Form Number DA FORM 7652
Form Title Disability Evaluation System (DES) Commander’s Performance and Functional Statement
Form Date 4/1/2019
Form Proponent G-1

Overview of DA FORM 7652

Publication Details

  • Pub/Form Number: DA FORM 7652
  • Pub/Form Date: 04/01/2019
  • Pub/Form Title: Disability Evaluation System (DES) Commander’s Performance and Functional Statement
  • Pub/Form Proponent: G-1
  • Pub/Form Status: Active
  • Prescribed Forms/Prescribing Directive: AR 635-40
  • Superseded/Replaced Other Pub/Form: Revised DA FORM 7652, 01/01/2017
  • Security Classification: Unclassified
  • Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
  • EFILE: 001 03/08/2021 3 Page(s)

Purpose of DA FORM 7652

DA FORM 7652 is designed to provide a comprehensive assessment of a service member’s performance and functional abilities from the perspective of their commander. This form is crucial in the Disability Evaluation System (DES), which evaluates whether a service member can continue to perform their duties due to a medical condition.

Key Sections of DA FORM 7652

Commander’s Evaluation

One of the primary components of DA FORM 7652 is the commander’s evaluation. This section requires the commander to detail the service member’s ability to perform their duties, considering any medical limitations. This evaluation includes:

  • Performance in current duties: An assessment of how the service member performs in their current role, including any adjustments made due to medical conditions.
  • Functional capabilities: A description of the service member’s physical and mental capabilities in the context of their duties.
  • Impact of medical conditions: Insight into how the service member’s medical condition affects their performance and overall unit readiness.

Functional Limitations

This section focuses on the specific functional limitations imposed by the service member’s medical condition. It includes:

  • Physical limitations: Restrictions on physical activities such as lifting, carrying, or prolonged standing.
  • Mental and cognitive limitations: Any impact on the service member’s cognitive functions and mental health, affecting their ability to perform their duties.

Importance of DA FORM 7652 in the DES Process

DA FORM 7652 plays a pivotal role in the DES process by providing a commander’s perspective on the service member’s capabilities and limitations. This information is essential for the DES to make informed decisions regarding:

  • Retention: Whether the service member can continue to serve in their current capacity.
  • Medical retirement or separation: If the service member’s medical condition warrants retirement or separation from service.
  • Reassignment: Potential reassignment to a role more suited to the service member’s current capabilities.

Compliance and Submission

To ensure compliance, commanders must complete DA FORM 7652 accurately and submit it as part of the DES documentation. The form should be filled out comprehensively, providing detailed and honest evaluations to support the DES in making fair and accurate determinations.

Conclusion

DA FORM 7652 is a vital document in the Disability Evaluation System, offering a detailed evaluation of a service member’s performance and functional abilities from their commander’s perspective. By providing a thorough assessment, this form helps ensure that the DES can make well-informed decisions regarding the service member’s future in the military. Understanding and correctly utilizing DA FORM 7652 is essential for commanders and service members navigating the DES process.

By adhering to the guidelines and providing detailed information, commanders can significantly contribute to the fair evaluation of their service members, ultimately supporting the Army’s mission to maintain a capable and ready force.

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DA FORM 7652 - Disability Evaluation System (DES) Commander's Performance and Functional Statement