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U.S. DOD Form dod-dd-2854 TRI CARE PLUS DISENROLLMENT REQUEST (Read Agency Disclosure Notice, Privacy Act Statement, and Instructions before completing form.) Form Approved OMB No. 0720-0028 Expires

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What is dod form dod-dd-2854?

The DOD Form DOD-DD-2854 is a form used by the Department of Defense to collect information about motor vehicle accidents involving government-owned or leased vehicles.

Who is required to file dod form dod-dd-2854?

Anyone who is involved in a motor vehicle accident involving a government-owned or leased vehicle, regardless of fault, must file the DOD Form DOD-DD-2854.

How to fill out dod form dod-dd-2854?

To fill out the DOD Form DOD-DD-2854, you must provide information about the accident, including date, time, location, vehicles involved, damages, injuries, and witness statements. The form should be completed accurately and signed by all parties involved.

What is the purpose of dod form dod-dd-2854?

The purpose of the DOD Form DOD-DD-2854 is to document motor vehicle accidents involving government-owned or leased vehicles. This information is used for accident investigation, insurance claims, and prevention of future accidents.

What information must be reported on dod form dod-dd-2854?

The DOD Form DOD-DD-2854 requires reporting of information such as the date, time, and location of the accident, vehicles involved, driver information, damages, injuries, witness statements, and any hazardous materials involved.

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