DA Form 2675-R. Certification of Work Incurred Injury or Disability (LRA)

The DA Form 2675-R, known as the Certification of Work Incurred Injury or Disability (LRA), is a document used by the Department of the Army to certify work-related injuries or disabilities sustained by military personnel. This form is typically used to initiate the process of providing medical care, compensation, and support to injured or disabled service members.

The form consists of various sections that capture important details about the nature of the injury or disability, including the circumstances surrounding its occurrence and the impact on the individual's ability to perform their duties. It requires input from medical professionals who have assessed and diagnosed the injury or disability.

When completing the DA Form 2675-R, it is crucial to provide accurate and detailed information about the work-related injury or disability, including any supporting medical documentation. The form helps initiate the necessary procedures for providing appropriate medical care, compensation, and support to the affected service member.

This form plays a vital role in ensuring that injured or disabled military personnel receive the necessary assistance and resources to aid in their recovery and. It helps facilitate the coordination between medical providers, personnel, and support services to ensure the well-being and welfare of the affected individuals.