DAFORMFILLABLE.COM | DA FORM 7574 Fillable – Army Pubs 7574 PDF – DA FORM 7574, titled Request and Certification for Incapacitation Pay, is a vital document used within the United States Army. This form, identified by Pub/Form Number DA FORM 7574 and Pub/Form Date 01/01/2021, is designed to streamline the process of requesting and certifying incapacitation pay for eligible personnel.
DA FORM 7574 – Request and Certification For Incapacitation Pay
| Form Number | DA FORM 7574 |
| Form Title | Request And Certification For Incapacitation Pay |
| Form Date | 1/1/2021 |
| Form Proponent | G-1 |
Overview of DA FORM 7574
The form is managed by the G-1 office, ensuring its content and application align with military regulations and standards. DA FORM 7574 is currently active, indicating its ongoing relevance and necessity in military administrative processes.
Key Details of DA FORM 7574
- Pub/Form Title: Request and Certification for Incapacitation Pay
- Pub/Form Proponent: G-1
- Pub/Form Status: Active
- Prescribed Forms/Prescribing Directive: PAM 135-381
- Security Classification: Unclassified
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
- Pub/Form IDN: 990001
- Pub/Form PIN: 082744
Purpose and Use of DA FORM 7574
The primary purpose of DA FORM 7574 is to facilitate the request and certification process for incapacitation pay. This type of pay is crucial for military personnel who are unable to perform their duties due to illness or injury. By submitting this form, service members can ensure they receive the financial support they need during periods of incapacitation.
Eligibility for Incapacitation Pay
To be eligible for incapacitation pay, military personnel must meet specific criteria outlined in military regulations. DA FORM 7574 helps verify that these criteria are met, ensuring that only those who qualify receive the benefit.
Completing DA FORM 7574
Filling out DA FORM 7574 requires careful attention to detail. The form must be completed accurately to avoid delays in processing and ensure timely disbursement of incapacitation pay. Key sections of the form include personal information, details of the incapacitation, and certification by an authorized medical professional.
Required Information
- Personal Information: Full name, rank, and contact details of the service member.
- Details of Incapacitation: Description of the illness or injury, date of occurrence, and impact on duties.
- Medical Certification: Verification by a healthcare provider, including diagnosis and estimated recovery time.
Privacy and Distribution
DA FORM 7574 includes footnotes emphasizing the need for a Privacy Act Statement as per AR 340-21. This ensures that all personal information provided on the form is handled in compliance with privacy regulations. The form is produced exclusively in electronic media, making it accessible and easy to distribute.
Historical Context
The current version of DA FORM 7574 supersedes the previous edition dated 03/01/2008. The updates ensure that the form remains relevant and effective in meeting the needs of today’s military personnel.
Conclusion
In summary, DA FORM 7574 – Request and Certification for Incapacitation Pay is an essential document for military personnel seeking financial assistance due to incapacitation. Its structured process ensures that all necessary information is provided and verified, facilitating the smooth processing of incapacitation pay requests. By adhering to the guidelines and completing the form accurately, service members can secure the support they need during challenging times.
For more detailed guidance on completing DA FORM 7574, service members should refer to PAM 135-381 and consult with their commanding officers or medical professionals.
DA FORM 7574 Fillable – Army Pubs 7574 PDF DOWNLOAD
