Fillable Military Forms

DA Form 2670-R — MIXED MEDICAL COMMISSION CERTIFICATE FOR EPW (LRA)

mixed medical commission certificate for epw (lra)

Begin by matching the form to your task. DA Form 2670-R is titled MIXED MEDICAL COMMISSION CERTIFICATE FOR EPW (LRA), and you reach for it when you need to mixed medical commission certificate for epw (lra). Once that matches, check the date. The edition here is 05/01/1982, published with the status ACTIVE. After that, glance at the length: you will be working through 1 page(s) and somewhere near 121 fields.

Now decide who does the writing. Normally you enter your own particulars, then hand the sheet to the unit administrative office for review. If you work in that office, you enter what the individual brings you. From there the path is the same for everyone: PMG is responsible for the form, and AR 190-8 tells you what triggers it and where it ends up. Look at the directive first whenever your case departs from the ordinary.

Start at the top of the page and work down. The heading blocks come first: write your name as it appears on your official records, then your identification number, then your unit or organisation, then the date you are preparing the form. Do not skip ahead to the interesting parts and come back — these heading entries are how your form is found in the file afterwards, and a form filed under a misspelled name is a form nobody can locate.

Now for the body. Use tab to advance through the fields; the order was set when the form was built and following it keeps you from leaving gaps. Check boxes and option buttons take a click. Where the options are mutually exclusive, choosing one will clear another, which is how the group is meant to behave. As you type longer entries, watch the field edge. One-line fields do not wrap, and anything past the edge prints missing even when you can still read it on screen — when that happens, put the text in remarks or on a continuation sheet. Leave nothing blank because it does not apply; enter the mark that means it does not apply, so the reviewer knows you read the question.

Leave the signature until everything else is done. Sign by hand or by an approved electronic means, and remember that a form without a signature is a draft, however complete the entries. Where a second and third signature are required — reviewing official, approving authority, witness — go in the order the blocks appear, and each signer dates the form on the day of signing. Then go back to the top and read what you wrote. Look first for a mandatory field you passed over, then for transposed digits in your identification number, then for a date with the day and month inverted. If you started from a file you had used before, look also for entries left from that earlier use; nothing removes them but you.

Read the Privacy Act statement when it appears on the page, before you fill in the personal details it covers. It sets out the authority for collecting the information, the purpose behind it, the routine uses it may be put to, and whether your disclosure is required or voluntary. Then keep in mind what you have created — a completed copy carries personal data, and you handle and store it under the rules that apply to such records.

Download the form

Next comes the download itself. The formats available are PDF, XFDL, and you decide between them by asking how you will enter the information. If you plan to type, take the fillable pdf: the boxes accept keyboard input and you can save the result. If you plan to write by hand, take the printable pdf and run it through your printer while it is still blank. Both show the same published page, so the decision affects your method and nothing else.

Then take care with how you open what you downloaded. Your browser will happily display a pdf, and for reading that is enough — but for typing it is not, because some in-browser viewers accept keystrokes and then throw them away when the tab closes. Put the file somewhere on disk, open it in a proper reader, type into one field and save, and confirm the text is still there when you reopen. If you picked up the xfdl copy, get the IBM Lotus Forms Viewer before you go any further, because nothing else will open the file.

Then simply download. There is no charge, no sign-up and no email to hand over, and the file that arrives is exactly what the publisher released.

What the form asks for

  • AMBUL
  • CHAIRMN
  • ContentArea1
  • DATE
  • DATE_A
  • DIAGNS
  • ELGBLE_A
  • ELGBLE_B
  • ELGBLE_C
  • ELGBLE_D
  • EXAM_A
  • EXAM_B
  • FROM
  • GRADE
  • INUMBER
  • ISOLATE
  • LITTER
  • MEDICAL
  • MEMBR
  • NAME
  • NUERO
  • OPEN
  • PLACE
  • Page1

Once you have signed, route the form. The prescribing directive names the destination: an office, your unit administrative channel, or your personal file, according to the case. Make yourself a copy first, because you will not get the original back. After that, retention is out of your hands — the applicable records schedule fixes how long the document is kept, whatever the practice in a particular office.

Should the package need more than one document, search by series and number. Within the DA series, forms under the same proponent or the same prescribing directive tend to be required as a set, and a form referenced on the page you are filling usually accompanies it. Collect the continuations, covers and transmittals up front so the submission goes complete the first time.

Check the edition date again the next time you reach for this form. Editions change when the proponent revises the content, and a copy you saved months ago may no longer be current — compare the date printed on your file against the edition in force before you type anything into it. What you do not need to do is redo work already finished: a form you completed and submitted under an earlier edition stays as it is.

Finally, know where you are. These are copies of published Department of the Army forms, made available for you to download. The site is independent, unconnected to the Department of the Army, and in no position to issue forms or to promise that any office will accept yours. None of this is legal advice. If a specific entry puzzles you, if you are unsure a requirement applies, or if eligibility is in question, put the question to PMG or to the administrative office serving your unit.

Questions and answers

What is DA Form 2670-R?
MIXED MEDICAL COMMISSION CERTIFICATE FOR EPW (LRA)
Which edition is current?
05/01/1982
Who is responsible for this form?
PMG
In which formats can it be downloaded?
PDF, XFDL, PDF

Publisher notes

  1. 41-ITEM ALSO PRODUCED IN ELECTRONIC MEDIA

Other forms in the series