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New York State Division of Military and Naval Affairs

Governor Kathy Hochul | Major General Raymond F. Shields Jr.

State Active Duty (SAD) Line of Duty (LOD)

NYS DMNA

State Employee Resources

DMNA Regulation 600-8-4

LOD Forms:

Field Checklist
Notification of Emergency Treatment
Statement of Medical Exam & Duty Status (replaces DA Form 2173 and DA Form 689)
Statement of Understanding of Civilian Healthcare
Commander Sworn Statement (replaces bottom of DA Form 2173 & DA Form 2823)
Service Member's Statement
Medical Release Statement
DA Form 7349
Follow-up Care Request Form
DD261

For additional information regarding SAD LODs point of contact is:
Mrs. Tina Lehning (518) 786-4715
tina.lehning.nfg@army.mil

© NYS DMNA: State Resources: State Active Duty (SAD) Line of Duty (LOD)
URL: https://dmna.ny.gov/state/?page=1344437898
3.144.16.26
Page Last Modified: 14 Nov 22