Line of Duty Initiation

Line of Duty Initiation:

Line of Duty applies to the Active Army, the Army National Guard and the U.S Army Reserve; members of the Reserve Officers’ Training Corps Simultaneous Membership Program, cadets of the U.S Military Academy. Statement of Medical Examination and Duty Status (DA Form 2173) (LOD) are initiated for all Soldiers who die, sustain certain injuries, diseases or illnesses while on active duty. Tripler Army Medical Center LOD clerk will initiate a DA Form 2173 for the following Soldiers: All cases of death (active duty, national guards and reserve service member), injury or death involving the abuse of alcohol or other drugs and self inflicted injuries. In addition to the above mentioned, LOD will be processed for Reserve/National Guard Soldiers that were admitted to a Military Treatment Facility, that are being process for a Medical Board, that were injured while traveling to or from authorized training or duty and soldiers that sustained injury or disease while attached to Medical Hold Unit at Schofield Barracks. Initial medical documentation is required to process a DA Form 2173. Injuries resulting from a motor vehicle accident require a copy of the accident report. Soldiers requiring LODs for Medical Boards, the medical documentation needs to be within thirty days of injury. Line of duty office is located on first floor Oceanside, Room 1A-404. Office hours are Monday thru Friday, 0730-1230, and 1300-1600. (808) 433-5196.

Air Evacuation:

Air Evacuation (AE) office is located in the Joint Liaison Office, Room 1B-101D. Office hours are 0800-1630 Monday thru Friday. (808) 433-6114/3264. After normal duty hours, on weekends or on holidays all questions will be referred to the Admission office (808) 433-6112/3292 to page the Air Evacuation clerk.
Air-Evacuation, outpatient/inpatient paperwork must be completed and authenticated by treating/attending physician. The following documents: AF Form 3899, Aeromedical Evacuation Patient Record; DA Form 3981, Request for Patient Transfer; and a Narrative Summary to include patient’s history and current condition need to be completed and submitted to the Air Evacuation Office so that the patient can be regulated in TRAC2ES. Patients cannot be regulated without the name and telephone number of accepting physician and name of destination facility. Air-Evacuation paperwork received after 1400 hours will normally be processed the next day, unless it is an Urgent case. If a non-medical attendant is necessary, it must be inputted into TRAC2ES in order for the non-medical attendant to appear on the manifest. All forms can be obtained from AE office.
The Medical Air Evacuation System is managed by the United States Air Force from Hickam Air Force Base. The primary mission is to assist in the evacuation of wartime casualties from the combat zone to military and veteran’s hospital in the United States.
When traveling in the Air Evacuation System, you should expect and plan for delays in route as the aircraft will land and take off several times to pick up and deliver patients to other hospitals. It is possible that a routine flight could take several days.

Patient Travel and Authorizations:

Patients referred to medical appointments at locations greater than 100 miles from Tripler Army Medical Center are eligible for enrollment in Tricare Prime. Patients and non-medical attendants will be issued orders that will provide reimbursement for their expenses (reasonable expenses per the Joint Federal Travel Regulation). The Tricare Travel office at Tripler Army Medical Center will assist the patients with obtaining the orders and filling them out for reimbursement. Referring Physicians must complete the Tricare Travel Request Form and forward it to the Tricare Travel office (TAMC). Patients also need to bring an authorization letter from Tricare office. Please maintain all receipts from Medical Appointments (e.g.: food, gas, hotel fees etc.) All receipts are needed to complete your travel vouchers DD Form 1351-2 and SF 1164.
*Active Duty Personnel (Outpatient) will receive a memo from the Tricare Travel Office (TAMC) for Medical Appointment. Patient will take the memo to his/her unit clerk or personnel section to have a DD Form 1610 completed and subsequently file a DD Form 1351-2 with their Finance section for reimbursement.
*Active Duty Personnel (Inpatient) will receive a DD Form 1610 from Tricare Travel office (TAMC) and subsequently file a DD Form 1351-2 with Tricare Travel office (TAMC) for reimbursement.
*All Other Beneficiaries: will receive Invitational Travel Orders and subsequently file a SF 1164 with the Tricare Travel office at Tripler Army Medical Center.
*Non-Medical Attendants: If medically necessary and authorized by the referring physicians to accompany patient the same as above applies (active duty non-medical attendants need a DD Form 1610 and subsequently file a DD Form 1351-2, all others will need Invitational Travel Orders and subsequently file SF 1164 for reimbursement.
*The Tricare Office at Tripler Army Medical Center is located on the first floor Oceanside Room 1C-015 (Walk-in service only). Office hours are Monday thru Friday, 0800-1630. For information call 888-874-9378; www.triwest.com; www.tricare.osd.mil.
*Baggage: Keep personal baggage to a minimum. You are allowed two stowed and one hand carried. Maximum weight is 66 pounds per stowed piece. Please take personal items (toothbrush, shaving kit, pajamas, medication, etc) in small hand carried bag that can fit beneath your seat.
*Lodging: Air evacuation staff is not responsible for making lodging arrangement for family member accompanying either inpatients or outpatients going to another Medical Treatment facility for an appointment. It is the patient and/or their accompanying family member to arrange for lodging before departing Tripler Army Medical Center.