DA FORM

Pub/Form Number	DA FORM 7574
Pub/Form Date	01/01/2021
Pub/Form Title	REQUEST AND CERTIFICATION FOR INCAPACITATION PAY
Unit Of Issue(s)	PDF  (This form may require download to view. For more details visit FAQs.)
Pub/Form Proponent	G-1
Pub/Form Status	ACTIVE
Prescribed Forms/Prescribing Directive	PAM 135-381
Footnotes	14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21) 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
Authority (Superseded By/Rescinded By)
Superseded/Replaced Other Pub/Form	SUPERSEDED DA FORM 7574, 03/01/2008
Security Classification	UNCLASSIFIED
Dist Restriction Code	A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
Pub/Form IDN	990001
Pub/Form PIN	082744
Changes

View Less Details —