DD 2813 2003 free printable template

Form Approved OMB No. 0720-0022 Expires Feb 28, 2006 DEPARTMENT OF DEFENSE ACTIVE DUTY/RESERVE FORCES DENTAL EXAMINATION The public reporting burden for this collection of information is estimated

How to fill out DD 2813

How to fill out DD 2813

1. Obtain a blank DD Form 2813 from your command or the official website.
2. Enter your personal information in Section 1, including your name, social security number, and date of birth.
3. Fill out the section regarding your military status or affiliation.
4. Provide your current address and contact information in the designated fields.
5. Complete the medical history section by answering all applicable questions.
6. Sign and date the form in the appropriate section to certify the information provided.
7. Submit the completed form to your commanding officer or designated office.

Who needs DD 2813?

1. DD 2813 is needed by active duty, reserve, and retired members of the military, as well as their eligible family members for dental care purposes.

What is form dd 2813 dental?

Department of DefenseDepartment of Defense(11) The term “Defense Agency” means an organizational entity of the Department of Defense— (A) that is established by the Secretary of Defense under section 191 of this title (or under the second sentence of section 125(d) of this title (as in effect before October 1, 1986 )) to perform a supply or service activity ...www.law.cornell.edu › definitions › uscodeDefinition: Defense Agency from 10 USC § 101(a)(11) | LII / Legal ... Active DutyActive DutyThe term “active duty” means full-time duty in the active military service of the United States. ... Such term does not include full-time National Guard duty.www.law.cornell.edu › uscode › text10 U.S. Code § 101 - Definitions | U.S. Code | US Law | LII / Legal .../Reserve/Guard/Civilian Forces Dental Examination Form (DD FormDD FormDD FORM stands for "Department of Defense Form"acronymsandslang.com › definition › DD FORM-meaningWhat does DD FORM mean? - Definition of DD FORM - DD FORM ... 2813) This form is used to used to assist active duty and National GuardNational GuardThe Governor can activate National Guard personnel to "State Active Duty" in response to natural or man-made disasters or Homeland Defense missions. State Active Duty is based on State statute and policy and on State funds. Soldiers and Airmen remain under the command and control of the Governor.en.wikipedia.org › wiki › United_States_National_GuardUnited States National Guard - Wikipedia and Reserve members in documenting dental health for worldwide duty. It should be downloaded and given to the dental provider to complete.

People Also Ask about

What does military dental class mean?

Dental Class 1 indicates the soldier has had a complete dental checkup and cleaning within the past year and requires no dental treatment (dental wellness); Class 2 assignment means the soldier requires some type of dental care, such as a simple filling or dental cleaning, but the treatment needs are unlikely to cause

What is the Air Force dental form?

DD Form 2813, " Active Duty/Reserve/Guard/Civilian Forces Dental Examination"

What is the military dental form?

DD Form 2813, " Active Duty/Reserve/Guard/Civilian Forces Dental Examination"

What is the current DD 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.

What is a dental readiness class?

The Dental readiness classification is a simple descriptor for a patient's overall oral health. It is a cumulative figure representing all the patient's dental diagnoses and procedures. The dental classification is updated through treatment that has been performed or by a Type 2 examination during an open encounter.

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.

What is dental readiness classification?

The Dental readiness classification is a simple descriptor for a patient's overall oral health. It is a cumulative figure representing all the patient's dental diagnoses and procedures. The dental classification is updated through treatment that has been performed or by a Type 2 examination during an open encounter.

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What is DD 2813?

DD 2813 is a Department of Defense (DoD) form used to document the enrollment of eligible military members and their eligible family members in the TRICARE dental program.

Who is required to file DD 2813?

Service members who want to enroll themselves and their eligible family members in the TRICARE dental program are required to file DD 2813.

How to fill out DD 2813?

To fill out DD 2813, individuals must provide personal information including their name, Social Security number, contact information, and details about their family members. Accurate information about eligibility for enrollment must be included, and the form should be signed and dated before submission.

What is the purpose of DD 2813?

The purpose of DD 2813 is to facilitate the enrollment of military personnel and their family members in the TRICARE dental program, ensuring they have access to dental care.

What information must be reported on DD 2813?

The information that must be reported on DD 2813 includes the service member's personal details, eligibility criteria for TRICARE dental coverage, the names and details of family members seeking coverage, and the acknowledgment of benefits and responsibilities.