Notes.
1
If investigation extends beyond time limits, see paragraph 3-4
2
Commander having physical or administrative responsibility for MTF in which individual is treated or
pronounced dead.
3
An extra copy of DA Form 2173 will be prepared for National Guard personnel attending service school
under the jurisdiction of the Army or on ADT under REP-63. This copy will be filed in the individual's field
MPRJ which is returned to the State adjutant general at the end of service school or ADT.
4
For Reserve personnel who are injured during IDT and are treated by a civilian doctor, the doctor and the
unit commander should complete DA Form 2173.
5
If incident occurred in an area other than that to which the member is assigned, or while he was in transit
between units of assignment, one copy of the completed Section I, DA Form 2173 should be sent to the
installation commander having special court-martial jurisdiction for units in the area of the MTF.
6
Followed by command line of BY AUTHORITY OF THE SECRETARY OF THE ARMY (AR 600-33). See
figure 3-4 for example.
7
For officer: HQDA(DAPC-PSR-R), Alexandria, VA 22332.
For enlisted: Commander, U.S. Army Enlisted Records and Evaluation Center, Fort Benjamin Harrison, IN
46249. USAR Personnel: Commander, U.S. Army Reserve Components Personnel and Administration
Center, 9700 Page Boulevard, St. Louis, MO 63132
ROTC cadets: In accordance with AR 145-1.
8
Accomplish notification actions required by paragraph 3-7.
9
An approved copy of LD investigation should be returned to the initiating MTF on all injuries on National
Guard and Reserve members of AD for 30 days or less, or IADT, when they are patients.
Table 3-1. Processing an informal investigation (concluded).
within1
Line
This person
will perform these actions
MTF commander2
1
Complete five copies of Section I, DA Form 2173. Send
5 calendar days after
the original and four copies to the member's unit
incident or initial
commander.3,4,5
treatment.
2
individual's unit
Request DA Form 2173 from MTF if not previously
14 calendar days
commander
received. Complete Section II, attach supporting
after incident
documents; and send original and three copies to the
LD appointing authority.
3
appointing authority Appoint a disinterested commissioned officer, by letter
17 calendar days
or DF, to conduct the investigation. 6
(SPCM authority)
after incident
4
investigating officer
Conduct a formal investigation as outlined in this
40 calendar days
regulation, make a report on DD Form 261, and send
after incident
original and three copies to the appointing authority.
5
appointing
Review the investigation, complete the block titled
47 calendar days
authority
"Action by the Appointing Authority" on DD Form 261.
after incident
Retain one copy of the report and send the original and
two copies to reviewing authority.7,8
6
reviewing authority
Review the investigation, complete the block titled
54 calendar days
"Action by the Reviewing Authority"8,9 on DD Form 261,
after incident
and send the original and two copies to final approving
authority.
Table 3-2. Processing a formal investigation (continued).
MD0755
3-12
Previous Page
