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DD FORM 877 SEP 67 REPLACES EDITION OF 1 JAN. 60. WHICH MAY BE USED. Reset USAPPC V1. 00 Adobe Professional 7. REQUEST FOR MEDICAL/DENTAL RECORDS OR INFORMATION REQUESTING ACTIVITY -Complete Items 1 through 10 Except 8b also ADDRESSEE DATE complete Item 19. - Complete Items 8b 11 to 14 or 15 to 18 as appropriate final referrer shall return to requester. 1. PATIENT Last Name - First Name - Middle Name 3. STATUS MILITARY VA BENEFICIARY FEDERAL EMPLOYEE DEPENDENT 2. ORGANIZATION AND PLACE OF...
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How to fill out dd form 877
How to Fill Out DD Form 877:
01
Begin by familiarizing yourself with the purpose of DD Form 877, which is used for documenting emergency data and family information of military personnel.
02
Provide personal information in Section I, including full name, social security number, date of birth, branch of service, and rank.
03
In Section II, enter the names, relationships, addresses, and phone numbers of primary and secondary next of kin.
04
Section III requires you to provide information about your spouse, if applicable. Include their full name, social security number, date of birth, and address.
05
If you have any children, complete Section IV by listing their names, social security numbers, dates of birth, and addresses.
06
Section V pertains to other family members and should be filled out if you have dependents or relatives living with you. Include their names, relationships, addresses, and phone numbers.
07
If you have any specific instructions or wishes related to medical care or funeral arrangements, indicate them in Section VI.
08
Finally, sign and date the form in Section VII to validate the information provided.
Who Needs DD Form 877:
01
Active duty military personnel are required to fill out DD Form 877. It helps ensure that the military has up-to-date emergency and family information in case of deployment or other operational requirements.
02
Reservists and National Guard members should also complete the form to provide their current emergency contact information to their respective units.
03
Additionally, military spouses and family members may need to fill out DD Form 877 if they are designated as the primary or secondary next of kin for active duty personnel. This ensures that they can be reached in case of emergencies or official notifications.
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What is dd form 877?
DD Form 877 is a certification of dependents for medical and educational purposes.
Who is required to file dd form 877?
Service members are required to file DD Form 877 to certify their dependents for medical and educational benefits.
How to fill out dd form 877?
DD Form 877 should be completed by providing the required information about each dependent, including their personal details and relationship to the service member.
What is the purpose of dd form 877?
The purpose of DD Form 877 is to certify the dependents of service members for medical and educational benefits provided by the military.
What information must be reported on dd form 877?
Dependents' personal information, relationship to the service member, and any additional details required for medical and educational benefits.
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