Get the free dd form 2813 - reginfo

DD FORM 2813, 20130508 DRAFT ... AUTHORITY: 10 U.S.C. 136; 10 U.S.C. 1074f; DoD Directives 1404.10, 5101.1, 5136.01, and 6490.02E; DoD Instruction ...

How to fill out dd form 2813

How to fill out DD Form 2813:

1. Start by opening the DD Form 2813. Ensure that you have the most recent version of the form, as older versions may not be accepted.
2. Begin by filling out the "SECTION I - PERSONAL IDENTIFICATION" portion of the form. Provide your full name, rank, social security number, date of birth, and contact information as required.
3. Move on to "SECTION II - PRE-ENROLLMENT INFORMATION." Fill in your sponsor's name, relationship to the sponsor (if applicable), and their social security number.
4. In "SECTION III - EMERGENCY CONTACT INFORMATION," provide the name, phone number, and relationship of at least two emergency contacts who can be reached in case of an emergency.
5. Proceed to "SECTION IV - ENROLLMENT - SPOUSE/OTHER ELIGIBLE INTERN/COOPERATIVE EDUCATIONAL ASSOCIATE." If you are enrolling a spouse or other eligible individual, provide their full name, social security number, and relationship to you.
6. If there are additional dependents to enroll, proceed to "SECTION V - ENROLLMENT - CHILDREN/OTHER ELIGIBLE FAMILY MEMBERS." Fill in the required information for each dependent, including their full name, social security number, and relationship to you.
7. In "SECTION VI - SIGNATURES," sign and date the form. If you are filling out the form electronically, a digital signature may be required.
8. Finally, review the completed form for accuracy and completeness. Make sure that all sections are properly filled out before submitting.

Who needs DD Form 2813?

1. Active Duty Service Members: All active duty service members are required to fill out DD Form 2813 for enrollment of their eligible family members.
2. Reserve and National Guard Service Members: Reserve and National Guard members should also fill out DD Form 2813 to enroll eligible family members for TRICARE benefits.
3. Retirees: Retired service members who are eligible for TRICARE benefits for themselves and their eligible family members need to complete the DD Form 2813.
4. Survivors: Surviving spouses and children of deceased service members or retirees may need to fill out DD Form 2813 to be eligible for TRICARE benefits.
5. Other Eligible Individuals: In certain circumstances, other eligible individuals, such as interns or cooperative educational associates, may need to complete the DD Form 2813 to enroll for TRICARE benefits.

People Also Ask about

Is Class 3 dental deployable?

Dental class 3 will reflect red on your IMR. You have pending dental treatment that can cause a dental emergency or severe problems in the next 12 months. This class makes you non-deployable and you will take priority over someone that is in dental class 2.

What is Class 3 Dental Army?

Class 3: Patient with an oral condition that, if not treated, is expected to result in dental emergencies within the next 12 months.

What is a DD 2813?

Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination Form (DD Form 2813) This form is used to used to assist active duty and National Guard and Reserve members in documenting dental health for worldwide duty. It should be downloaded and given to the dental provider to complete.

Is dental class 2 deployable?

Class 2: Patients with a current dental examination who require non-urgent dental treatment or re-evaluation for oral conditions that aren't likely to result in dental emergencies within 12 months. Class 2 patients are worldwide deployable.

What is the Army dental form?

Download Form 2813 – Dental Examination. DD Form 2813 is fillable. The Soldier completes Sections 1-5. Print out the form and take it to your non-Army Dental provider.

What is a Type 3 dental exam?

Type 3, Other Examination - emergency oral examination. Type 4, Screening Evaluation - dental processing of requits without necessarily being examined by a dentist.

What is the standard form 2813?

PURPOSE: To collect patient information necessary to determine the patient's readiness to participate in a military deployment. ROUTINE USES: Information in your records may be disclosed to other components within the Department of Defense to determine your readiness to participate in a military deployment.

Can you PCS with Class 3 dental?

In Summary: Class 1 and Class 2 Service Members can deploy, PCS, and reenlist. Anyone listed as Class 3 and Class 4 are non-deployable and not medically/dentally ready.

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What is dd form 2813?

DD Form 2813 is a Department of Defense Form used to document pre-existing conditions of military members prior to their deployment or reassignment.

Who is required to file dd form 2813?

All military members who are deploying or being reassigned are required to file DD Form 2813.

How to fill out dd form 2813?

To fill out DD Form 2813, military members must list any pre-existing medical conditions, current medications, and any other relevant medical information.

What is the purpose of dd form 2813?

The purpose of DD Form 2813 is to ensure that military members receive the appropriate medical care and treatment for any pre-existing conditions during their deployment or reassignment.

What information must be reported on dd form 2813?

Information such as pre-existing medical conditions, current medications, and other relevant medical information must be reported on DD Form 2813.