DA Form 5028-R Medcase Support and Transmittal Form (LRA)

DA Form 5028-R Medcase Support and Transmittal Form (LRA)

What Is DA Form 5028-R?

This is a military form that was released by the U.S. Department of the Army (DA) on July 1, 1997. The form, often mistakenly referred to as the DD Form 5028-R, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is the DA Form 5028-R?
A: The DA Form 5028-R is the Medcase Support and Transmittal Form (LRA).

Q: What is the purpose of the DA Form 5028-R?
A: The purpose of the DA Form 5028-R is to support and transmit a medcase.

Q: What does LRA stand for in DA Form 5028-R?
A: LRA stands for Legal Resident Alien.

Q: Who uses the DA Form 5028-R?
A: The DA Form 5028-R is used by military personnel.

Q: What information is included in the DA Form 5028-R?
A: The DA Form 5028-R includes information about the medcase and the legal resident alien.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 5028-R down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5028-R Medcase Support and Transmittal Form (LRA)

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  • DA Form 5028-R Medcase Support and Transmittal Form (LRA), Page 1
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