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OMB No. 07300008 OMB approval expiresAPPLICATION FOR FORMER SPOUSE PAYMENTS FROM RETIRED PAY (Please read instructions on back and the Privacy Act Statement before completing this form.) The public
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How to fill out DD 2293:

01
Start by obtaining a copy of the DD 2293 form. This form can be found on the Department of Defense's official website or can be obtained from your local military installation's personnel office.
02
Once you have the form, carefully read through the instructions provided. Make sure you understand the purpose of the form and the information that needs to be filled out.
03
Begin filling out the form by providing your personal information, including your full name, rank, social security number, and contact information. Ensure that all information is accurate and up-to-date.
04
The next section of the form requires you to provide details about the deceased military member. This includes their name, rank, branch of service, and date of death. Fill in this information accurately to the best of your knowledge.
05
If the deceased service member had any dependents, you will need to provide their information as well. This includes their full names, social security numbers, and relationship to the deceased.
06
The form also requires you to provide information about any previous death benefits or insurance policies that the deceased military member had. Fill in this information accurately and provide any necessary supporting documentation, such as copies of insurance policies.
07
Once you have completed all sections of the form, review it carefully to ensure that all information is accurate and complete. Make any necessary corrections before submitting.
08
Finally, sign and date the form in the designated areas to certify that all the information provided is true and accurate to the best of your knowledge.
09
Keep a copy of the completed form for your records and follow the instructions provided to submit it to the appropriate military office or agency.

Who needs DD 2293:

01
Surviving family members or beneficiaries of deceased military members may need to fill out DD 2293. This form is specifically designed to collect information for the purpose of processing death benefits and insurance claims for eligible dependents.
02
It is important to note that the specific eligibility criteria and requirements for using DD 2293 may vary depending on the individual circumstances and the policies of the military branch involved.
03
It is recommended to consult with the appropriate military personnel office or the Department of Veterans Affairs to determine if you are required to fill out DD 2293 and to receive assistance in completing the form accurately.
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DD Form 2293 is the TRICARE Dual Enrollment Request Form.
Beneficiaries who are eligible for both TRICARE and Medicare are required to file DD Form 2293.
DD Form 2293 must be completed with the beneficiary's personal information, Medicare information, TRICARE information, and signatures.
The purpose of DD Form 2293 is to request enrollment in both TRICARE and Medicare.
DD Form 2293 requires information such as personal details, Medicare enrollment details, TRICARE enrollment details, and signatures.
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