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FAQ - CG-4423 Form

What is the purpose of CG-4423 Form?
This form is used by the U.S. Department of Defense (DoD) to report non-medical reasons for military discharge from the military. The DoD has set guidelines for such forms, which are discussed below. There are few important points to clarify. 1. It only reports non-medical issues which are not covered under DoD policy or state law, including problems: a. For which no medical treatment or cure is available; b. For which the employee is seeking, in good faith, a cure or treatment which can result in full, useful, and productive military service; c. For which the employee has not made sufficient progress toward the cure or treatment from which he is seeking full and useful military service; d. For which the employee requires, in good faith, treatment for a medical condition that results in loss or diminution of military effectiveness or performance; e. A condition which is a basis for administrative separation for the purposes of 5 U.S.C. § 485a; 2. The form does not address psychological conditions, such as drug addiction (for which mental health is treated under separate medical regulations) or post-traumatic stress disorder (PTSD), but it's very important that employees do not use it to report any problem relating to substance abuse, mental health, or post-traumatic stress disorder, and that in no case would it be used by an employee to seek treatment for other conditions of health affecting the work situation, such as high blood pressure, obesity, heart or blood pressure, sleep problems, a medical condition of the eyes that affects vision, and so on. It is important to note that while the form does not address the issue of mental health, it is not at all a substitute for an employee's mental health professional's opinion of an employer's need. 3. It is NOT legal aid or a legal aid referral service. 4. Because DoD policy does not permit reporting of problems of non-service-connected mental health, DoD policy does not permit it. 5. The Form is available in both hard-copy and electronic form. 6. The Form can be downloaded from this site. How Do I use this form? The information contained in this form is required for the processing of any non-service-connected mental health claim for which you are receiving benefits.
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