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This version of the form is not currently in use and is provided for reference only. Download this version of
DA Form 5893
for the current year.
DA Form 5893 Soldier's Medical Evaluation Board / Physical Evaluation Board Counseling Checklist
What Is DA Form 5893?
This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2016. The form, often mistakenly referred to as the DD Form 5893, 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 DA Form 5893?
A: DA Form 5893 is a Soldier's Medical Evaluation Board/Physical Evaluation Board Counseling Checklist.
Q: What is the purpose of DA Form 5893?
A: The purpose of DA Form 5893 is to provide a checklist for counseling soldiers who are undergoing a Medical Evaluation Board (MEB) or Physical Evaluation Board (PEB) process.
Q: Who uses DA Form 5893?
A: DA Form 5893 is used by counselors and medical personnel who are guiding soldiers through the MEB/PEB process.
Q: What information is included on DA Form 5893?
A: DA Form 5893 includes sections for identifying information, MEB/PEB counseling topics, and spaces for signatures and dates.
Form Details:
- A 6-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 5893 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 5893 Soldier's Medical Evaluation Board / Physical Evaluation Board Counseling Checklist
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