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Form Number:  DD 294

Title:  Application for a Review by the Physical Disability Board of Review (PDBR) of the Rating Awarded Accompanying a Medical Separation from the Armed Forces of the United States

Edition Date:  08/20/2021  

Authority:  DoDI 6060.2

For use of this form please contact:  The Under Secretary of Defense for Personnel and Readiness (P&R)