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DD 137-3 2004 free printable template

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CONTROL NUMBER DEPENDENCY STATEMENT PARENT OMB No. 0730-0014 OMB approval expires Sep 30, 2007 The public reporting burden for this collection of information is estimated to average 1.25 hours per
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Who needs how to fill out?

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Individuals who are required to complete this specific form or document.
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Those seeking to apply for a particular service, benefit, or opportunity that necessitates the completion of this form.
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Any person who is responsible for maintaining accurate records or documentation and needs to fill out this form as part of their duties or responsibilities.

Who needs a DD Form 137-3?

A DD 137-3 is a form developed by the US Department of Defense, which is officially known as a Dependency Statement — Parent. Logically, it should be used by military members who want to make their parent a dependent.

What is Form DD 137-3 for?

The DD 137-3 Form, or adult function report, should be filled out to claim the parent’s dependency, and provide all the information required by the Department of Defense to determine the relationship between the claimant (sponsor) and the parent and verify the member's eligibility for authorized benefits.

Is DD 137-3 Form accompanied by other forms?

The completed form is not enough evidence for the DD office to make a positive decision as for dependency claim. To ensure proper consideration of the application, it is necessary to attach the following supporting documents:

  • a copy of parent’s birth certificate
  • parent’s or claimant’s marriage certificate to reflect the parent’s name
  • in case the parent has any health problems, it is necessary to attach a medical statement
  • and finally, if the claimant is retired, statement confirmation this fact should be provided too.

When is DD 137-3 Dependency Statement Form due?

The fillable DD 137-3 Form does not have a strict due date; it needs to be submitted when deemed necessary by the sponsor and/or dependent.

How do I fill out the 137-3 Form?

Following the instructions, part 1 and 2 must be filled out by the sponsor, they are also required to sign and date the form. The other parts of the fillable 137-3 DD Form must be completed, signed and dated by the parent. Finally, the form must be notarized.

Where do I send filled out Form DD 137-3?

The properly completed form should be directed to the local serving payroll or personnel department office.

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