Dd form 11 documents military time conversion chart 3 documents military pay chart 2 documents military phonetic alphabet 5 documents army counseling form 2 documents dd. Or physical profile for use of this form, see ar 40501. Army physical fitness test combat familiarization fire additional mosrelated certifications. All soldiers are assigned a profile serial code on dd form 2808 with their initial physical examination on entry into the army. The following information is provided in accordance with 5 u.
The advanced tools of the editor will guide you through the editable pdf template. Soldiers may be required to walk 12 miles in combat boots. Da form 8003 army substance abuse program asap enrollment. The form includes a list of physical activities that a soldier will be likely. Pregnancy postpartum physical training p3t army public. The most secure digital platform to get legally binding, electronically signed. Da form 3349 fillable download military form for free. As of 1 april 20, structured self development 1 ssd1 is a prerequisite to attend the basic leader course blc, in accordance with. The initial physical profile serial will be entered on dd form 2808 and also recorded on dd forms 1966 record of military processingarmed forces of the united states, in the appropriate spaces. Us army corps of engineers position hazard analysis pha for usace employees for use of this form, see em 38511. Must have a signed copy of completed da form 3349 must include army doctorapproved alternate aerobic event for apft.
Army profile form civilian doctor fill online, printable. P3t is aligned with exercise recommendations from the. It is known as a physical profile form and it will be used as a way to keep a record of a soldiers physical profile. Completely fill out poc information top of the ar medical profile request form.
A temporary physical profile is required in case of the event injury or illness causing certain physical limitations. Physical profile this document is located on another website. Guide for physical profiling, mosmedical retention boards. If da form 3349 fillable document is finished in all details, you will make a good impression on anyone reading it.
Provide results of medical retention board if applicable. Summary of change ar 6009 the army body composition program this major revision, dated 28 june 20o changes the name of the regulation from the army weight control program to the. This temporary profile is an extension of a temporary profile first issued on injury. Name last, first, mi previous editions are obsolete. Da form 705 apft scorecard army prt physical readiness. Da form 3349 fillable da form 3349 physical profile for use of this form, see ar 40501. Da form 3349, physical profile is an official document issued by the department of the army da to describe the medical condition of a service member. The profile must not prevent them from meeting all blc physical tasks and the actual physical graduation. Body composition event time lbs % go nogo test two test three test four army physical fitness test scorecard for. Uic rosado mejias, israel spc 1515778698 active army 1 wap4t0 7. Physical profile record for use of this form, see ar 40xx. Army physical fitness test results will be recorded on da form 705 sample and army knowledge online ako form reference located at chapter end.
This statement serves to inform you of the purpose for collecting personally identifiable information through the dd form 3024, periodic health assessment pha and how it may be used. The main purpose of the form is to protect a service member from aggravating their physical condition caused by an injury or illness when performing the required duties outlined in their military occupational specialty mos like heavy. This form is a referral and to be completed by medical doctors, nurses or military medical staff. The purpose of the information on this form is to assist your unit servicing the. Proof of this medical profile allows the soldier to special order a nontreated uniform through the army military clothing sales stores, at own cost, prior to or after the wear of. The way to complete the online da form 3349 on the internet. We appreciate your patience and use of this risk tool to further facilitate involvement between leaders and subordinates concerning travel plans in order to protect the department of defenses most valuable asset. Da form 3349 fill out and sign printable pdf template signnow. A da form 3349 will be used by the united states department of the army. Authority for collection of the information is 44 u. Significant or disqualifying defects dd form 2808, oct 2005 page 3 of 3 pages 75. To access this document click on the following link. Does soldier have a minimum physical profile pulhes 111221.
We appreciate your patience and use of this risk tool to further facilitate involvement between leaders. Physical profile serial system the physical profile serial system is based primarily upon the function of body systems and their relation to military duties. Any service member who requests a physical examination may have one. Use this stepbystep guide to complete the da form 3349 20102019 quickly and with perfect precision. Soldiers will train within the limits of their temporary profiles. Jan 09, 2018 this web site provides information on the exceptional family member program enrollment and screening requirements, which are supported by the u. The intent of army pregnancy postpartum physical training p3t is to implement mandatory standardized armywide p3t. Is soldier a high school graduate or have a ged equivalency. Examineeapplicant check one is qualified for service is not qualified for service 76. Physical profile deputy chief of staff army g1 home page da form 3349, feb 2004 da form 3349, may 86, is obsolete. Permanent profile attendees must have a signed copy of completed da form 3349. Has soldier qualified with the m16a2 in the last 6 months. This includes their physical fitness level and their physical capabilities.
Army physical fitness school usapfs prepared this pocket physical training guide. As a temporary profile, da form 3349 is filed along with a da form 689 individual sick slip. Fillable memorandum army pdf fill out and sign printable. Bracketed numbers 1, 2, 3 may be reflected in your physical profile. Compared to my last medical assessment physical examination, my overall health is x one. Promotion point worksheet united states army reserve for use of this form, see ar 600819. Overview the physical profile serial system classifies soldiers according to their functional abilities in six body systems, which are referred to as pulhes. Download and create your own document with da form 3349 fillable 15kb 2 pages for free. Download da form 8003, also known as army substance abuse program asap enrollment.
Fill out, securely sign, print or email your army blank memorandum form instantly with signnow. Army physical fitness test scorecard for use of this form, see fm 722. Qual day 1 qual day 2 basic rifle marksmanship event raw score event raw score pushups. Apr 22, 2020 soldiers must meet with their health care provider to obtain a temporary eprofile da form 3349, physical profile authorizing the wear of an acu without permethrin. This document is the sole property of united states army training and doctrine command tradoc and is intended for use by u. If a soldier on a temporary profile cannot complete all the events of the apft or meet all the physical requirements, they will not be allowed to enroll in blc. Fill online, printable, fillable, blank army profile form. It is intended for interested members of the public, news media and army medical department beneficiaries. Unit preexecution checklist soldier support institute.
All required waivers if applicable other requirements if applicable othere requirements of da pamplet 61121 not previously listed. Get, create, make and sign military temp profile form. If you are not sure about anything, try to find a similar example of da form 3349 fillable. The offline pdf version can be completed, saved, printed, andor emailed to your supervisor for approval. Da form 3349 fill out and sign printable pdf template. This statement serves to inform you of the purpose for. This web site provides information on the exceptional family member program enrollment and screening requirements, which are supported by the u. A da 3349 form can be used as both a permanent and temporary physical profile.
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