DA Form 3437 Certificate of Medical Examination

How to Fill Out DA Form 3437?

The medical certificate, in general, is a written statement from a medical work that describes the results of a medical examination. It can be used as a sick note or as evidence of a certain health condition. Procedural guidelines and additional information can be found in the Army Regulation 215-3, Nonappropriated Funds Instrumentalities Personnel Policy. Specific DA Form 3437 instructions are as follows:

1. Personnel working in childcare-related positions must undergo annual medical assessments that include a TB skin test, a chest X-Ray, be vaccinated for measles, mumps, rubella, diphtheria, tetanus, and polio with all results recorded on their DA 3437.

2. Along with the original certificate, the civil employee's personnel folder must contain the following forms:

   • Job Description;
   • Resume;
   • DA Form 3433, Application for Nonappropriated Fund Employment
   • DA Form 3433-1, Supplemental Employment Application Form;
   • DA Form 3434, Notification of Personnel Action - Nonappropriated Funds Employee;
   • DA Form 3440, Department of the Army Transportation Agreement Nonappropriated Fund Employee;
   • DA Form 3473, U.S. Army NAF Employee Benefit Election Form ;
   • DA Form 3666, Statement of Physical Ability for Light Duty Work;
   • DA Form 5521, Record of Emergency Data and Designation of Beneficiary for Unpaid Compensation of Deceased NAF Employee;
   • DA Form 7427, Nonappropriated Fund Inprocessing and Outprocessing Checklist;
   • DA Form 7428, Nonappropriated Fund Supervisor's Orientation Checklist.

DA Form 3437 is authorized for filing in the Civilian Employee Medical Records (CEMR) folder. The CEMR may be maintained either in the terminal digit filing system DA Form 3444 Series or Form SF-66D, Employee Medical Folder , during the entire course of working with the U.S. Army.