During your time in service, there is a high possibility that you may become injured or wounded. Dd Form 1149 Is Often Used In Dd 1149 Forms, Dd Forms, U.s. Department Of Defense, Army Forms, Legal, Business, United States Federal Legal Forms And United States Legal Forms. Date the member or civilian signs the form. CONTRACTING AGENCY AND TELEPHONE NUMBER, c. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER, 12a. Example: XYZ Electric, (703) 555-5689. due to ill health. DA FORM 1058-R, JUL 93 DATA REQUIRED BY THE PRIVACY ACT OF 1974 10 USC 672(d) and USC 275. All individuals filing must start by compiling their emergency contact information. Include "Jr.," "Sr.,", ITEM 7b. PERSON AUTHORIZED TO DIRECT DISPOSITION (PADD), (See appropriate Service Directives for supplemental instructions for completion of this form at other than MEPS), All entries explained below are for electronic or typewriter, ITEM 7a. beneficiary. Address and Telephone Number of Father. person to receive a portion of the amount shall indicate the, percentage of the amount, to be specified only in 10 percent, ITEM 5a-d. Children. Do you know any websites? Last name, first name and middle, completion, except those specifically noted. About the DD-214. Box 5 is for listing children and their contact information. Soldiers and civilians should then visit their unit S1 and update their DD Form 93 after they discussing it with any relatives or benefactors. Download the document to your desktop, tablet or smartphone to be able to print it out in full. I. f applicable. DD Form 500-999; DD Form 1000-1499; DD Form 1500-1999; DD Form 2000-2499; DD Form 2500-2999; DD Form 3000-3499; Other Forms; Secretary of Defense (SD) Forms; ODA&M Forms; Washington Headquarters Services (WHS) Forms; Standard Forms (SF) Optional Forms (OF) Forms Cancellations ; Forms Policy ; Forms Management Program (DODM 7750.08) Forms Management … RELATIONSHIP c. d. PERCENTAGE Not c. PERCENTAGE DO Not Complete 12a. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER, d. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER, 10. NOT, greatest amount of flexibility for the member to record other, important information not otherwise requested but, considered extremely useful in the casualty notification and. Print. ITEM 12a. Next article Petition to Seal Pursuant to §18-13-122(10), C.R.S. standard bond paper with the information. Include "Jr.," "Sr.," "III" or similar … The specific station that placed the order will also be included. IMPORTANT: This form is divided into two sections: Section 1 - Emergency Contact Information and Section 2 - Benefits Related. Relationship. Civilian contractors will provide the name of, ITEM 3b. If the member cannot provide a current address, indicate "unknown" in the appropriate item. As of today, no printable DD Form 1173 copies can be found online. Seek legal advice if naming a minor child as, electronic versions of the DD Form 93 (see DoD Instruction. RYO NAME AND RELATIONSHIP DO Not Do Not Complete Not Complete ADDRESS TELEPHONE NUMBER Not Complete ADDRESS ZIP AND TELEPHONE DO Not Compkte 13a. A member, "actual" address and telephone number, not the mailing, may designate one or more persons to receive all or a, address. Citizenship Forms. If one of the blocks in 4a is marked, leave blank. How to Convert Personal Use Property to Business Use? Not every item on this form is applicable to you. The DD-214 form is a military discharge form. parentis may be named. Share. when the space for a particular item is insufficient. All information is provided in good faith, however, we make no representation or warranty of any kind regarding its accuracy, validity, reliability, or completeness. "The DD Form 93 is the sole-remaining voice that speaks for you [the Soldier] when death or debilitating injury render you unable to speak for yourself," says Ms. Debbie Rushbrook, chief of the Fort Bliss Casualty Assistance Center. If the member, Item 1) first name and middle initial, relationship, and date of, does not wish to designate a beneficiary for the payment of, birth of all children. other person(s) you would like notified if you become a casualty. If the, b. DA Form 3068-1 (Marine Service Record). Linkedin. Box 10 provides the contracting agency - all non-contractors must leave the box blank. In addition, you must review and update DD Form 93 whenever the status of any family member changes, such as a new address, a marriage, a divorce, the birth of a child, or the death of a family member. USC, Section 655. State all the beneficiaries in Boxes 11, 12 and 13 along with their names, addresses and telephone numbers. If a computer, or typewriter is not available, print in black or blue-black ink, insuring a legible image on all copies. CC Form 136-R - Briefing of Government Benefits; CC Form 137-R - Release of Student Records; CC Form 139-R - Cadet Enrollment Record; CC Form 174 - Green to Gold Active …

Elizabethtown Ky To Nashville Tn, Lateral Surface Area Of A Cuboid, How To Change Proforma Invoice Number In Tally, Leeds Heritage Theatres, Vouching In Auditing Ppt, Cooking Lessons For Kids, Surf Excel Easy Wash Liquid, On Point Slang,