What is a DA 199 form used for in the Disability Evaluation System?

Definition & Meaning of DA Form 199

The DA Form 199, also known as the DA 199, is an essential document within the U.S. Army's Disability Evaluation System. This form is used to record the findings and recommendations of a Physical Evaluation Board (PEB) regarding a soldier's fitness for duty. It serves as a formal notification to the soldier about their medical conditions and their implications on military service. The DA Form 199 outlines proposed disability ratings based on medical evaluations and provides soldiers with options regarding their disability claims.

Key Elements of DA Form 199

Understanding the key elements of the DA Form 199 is crucial for soldiers navigating the disability evaluation process. The form typically includes:

• Soldier Information: Personal details such as name, rank, and service number.
• Medical Findings: A summary of the soldier's medical conditions assessed by the PEB.
• Proposed Disability Ratings: Initial ratings assigned to each unfitting condition, which influence compensation.
• Options for the Soldier: Choices available to the soldier, including acceptance of findings or requests for hearings.

How to Use the DA Form 199

Using the DA Form 199 involves several steps that ensure soldiers understand their rights and options. After receiving the form, soldiers should:

• Review Findings: Carefully read the medical findings and proposed ratings to understand their implications.
• Consider Options: Evaluate the choices available, such as accepting the findings or opting for a formal hearing.
• Seek Guidance: Consult with legal advisors or military representatives for assistance in navigating the process.

Examples of Using DA Form 199

Real-world scenarios illustrate how the DA Form 199 is utilized:

• Acceptance Scenario: A soldier may accept the proposed disability rating if they agree with the findings, leading to the initiation of benefits.
• Disagreement Scenario: If a soldier disagrees with the findings, they can non-concur and request a formal hearing, which may involve presenting additional evidence.

Who Typically Uses the DA Form 199

The DA Form 199 is primarily used by:

• Active Duty Soldiers: Those undergoing medical evaluations for fitness for duty.
• Reservists and National Guard Members: Service members who may be evaluated for service-connected disabilities.
• Military Medical Personnel: Professionals involved in the evaluation and assessment of soldiers' medical conditions.

Legal Use of DA Form 199

The legal implications of the DA Form 199 are significant. It serves as an official document that can affect a soldier's benefits and future service. Soldiers must understand:

• Rights and Responsibilities: The form outlines the soldier's rights to appeal and the responsibilities they have in responding to the findings.
• Impact on Benefits: The proposed disability ratings directly influence the compensation and benefits a soldier may receive.

Steps to Complete the DA Form 199

Completing the DA Form 199 involves a structured process:

• Step One: Receive the form from the Physical Evaluation Board.
• Step Two: Review the medical findings and proposed ratings thoroughly.
• Step Three: Decide whether to accept the findings or request a hearing.
• Step Four: Submit the completed form according to the instructions provided.

Important Terms Related to DA Form 199

Familiarity with specific terminology related to the DA Form 199 can aid in understanding the evaluation process:

• Physical Evaluation Board (PEB): A board that assesses the fitness of soldiers based on medical evaluations.
• Disability Rating: A percentage assigned to the severity of a soldier's medical condition, impacting compensation.
• Non-Concur: A term used when a soldier disagrees with the findings and opts for further review.