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DD 137-5 2016 free printable template

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DD FORM 137-5 PREVIOUS EDITION IS OBSOLETE. Page 1 of 5 Pages Adobe Professional X 4. CHILD S OTHER PARENT S b. CONTROL NUMBER DEPENDENCY STATEMENT INCAPACITATED CHILD OVER AGE 21 OMB No* 0730-0014 OMB approval expires Jul 31 2017 The public reporting burden for this collection of information is estimated to average 50 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the...
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How to fill out DD 137-5

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How to fill out DD 137-5

01
Obtain a blank DD Form 137-5 from the official military website or your local military personnel office.
02
Fill in the applicant's personal information at the top, including name, Social Security number, and relationship to the service member.
03
Provide the service member's details, including rank, branch of service, and unit information.
04
Indicate the purpose for completing the form and any relevant dates or timeframes.
05
List any other dependents and provide their information as necessary.
06
Sign and date the form to certify the information is correct.
07
Submit the completed DD 137-5 to the appropriate military office or personnel department.

Who needs DD 137-5?

01
Dependents of military service members who are applying for eligibility for certain benefits.
02
Service members' families who require documentation for medical benefits or education assistance.
03
Individuals seeking to establish their status in relation to a service member for legal or financial purposes.

Who fills out DD FORM 137-5?

DD Form 137-5 is the United States Department of Defense Form that is officially called Dependency Statement — Incapacitated Child Over Age 21. The form is created to be used by a military service member who is a parent or guardian of an incapacitated child who is over the age of 21. The form must be submitted to claim that a military employee supports the dependent child and provides at least 50% of their living expenses.

Such a person who acts as a Sponsor should be issued an ID card allowing certain military and civilian benefits.

What is the purpose of DD Form 137-5?

The information provided on the completed Dependency Statement DD 137-5 will be used to determine the relationship between a claimant and the indicated dependent and consider the military’s eligibility for the benefits' authorization.

Where do I send the completed DD Form 137-5?

The completed DD 137 5 form should be filed with the claimant’s local ID card office.

 

Instructions and Help about DD 137-5

Hello and welcome to this tutorial on how to complete the Department of Defense form 137 — five dependency statement incapacitated child over 21 the purpose of completing a DD form 137 — five is to establish the relationship and dependency status of the claimed dependent incapacitated child over the age of 21 the DD Form 137 — five contains 15 sections in which all questions must be answered if any question does not apply to your situation please write not applicable or n/an in that block incomplete answers or unfilled boxes will delay final action on the application before you begin filling out the form please be sure to read and understand all the instructions and notes provided in the instructions box please note the service member must complete the form in its entirety sign and date the form and have it notarized there are special instructions if the child does not live with the member or if the member is deceased that must be followed verification of income is required in this request additionally in this II tutorial the term member and sponsor will be used interchangeably in block 1a please place an X on each entitlement that is being requested are you requesting basic allowance for housing BA or uniformed service identification and privilege guard USP card commonly known as an ID card the secondary dependency office of your respective branch of service will verify that you meet the eligibility criteria set forth by Congress for the requested entitlements next answer block 1b is this your first application if yes mark is this is not your first application please mark now and provide the date of your last application in block 1c indicate whether the claim was approved or disapproved the information requested in section 2 member camp; 4 Mahan relates to the sponsor and includes the member name social security number rank and status section 2 e asks for the members current residence address and the complete military unit address if the sponsor is on active duty if the sponsor is now retired you should write not applicable in block 2f the information requested in blocks to G H and I must be clear and up-to-date the secondary dependency office uses the information in these boxes to communicate with the member if more evidence or clarification is required to complete the claim please provide a good working telephone number email address if applicable and the sponsors marital status section 3 members child includes information for the claimed incapacitated child this section is only for the child that is being claimed the information requested in section 4 child's other parent asks you to list the other parents' information if the other parent is in any branch of service including the Reserve or National Guard please complete blocks for C and D section 5 child's residence seeks information regarding the incapacitated child's residence in section 5 a select the type and owner status of the residence where the child is living in section 5 B be sure...

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18 Once incapacitated adult child dependency is established, servicemembers must submit an application for redetermination every 4 years (or sooner, if the incapacitation is determined to be temporary). 19 This process is referred to as the quadrennial redetermination process.
PRINCIPAL PURPOSE(S): The information will be used to determine the relationship and dependency of the claimed dependents and determine the member's entitlement to authorized benefits.
A DD Form 137-7 is also known as a Dependency Statement – Ward of the Court. It is used by the Department of Defense. This form will be used to verify the relationship between the person filling out the form and the person they are claiming as a dependent when this dependent is a ward of the court.
DD Form 137-5. A medical sufficiency letter signed by a Uniformed Services medical provider or civilian physician is also required. Use this example of a medical sufficiency letter to get started. Instructions: Instructions for claiming incapacitated children (21 years or over) as secondary dependents.
PURPOSE(S): The information will be used to determine the relationship and dependency of the claimed dependents and determine the member's entitlement of authorized benefits.
A DD Form 137-7 is also known as a Dependency Statement – Ward of the Court. It is used by the Department of Defense. This form will be used to verify the relationship between the person filling out the form and the person they are claiming as a dependent when this dependent is a ward of the court.

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DD 137-5 is a Department of Defense form used to document a minor's dependence on a service member for benefits eligibility.
Service members who have eligible dependent children or minors under their care are required to file DD 137-5.
To fill out DD 137-5, the service member must provide personal information about the minor, details about their relationship, and any required documentation verifying the dependency.
The purpose of DD 137-5 is to establish and verify the dependency status of minors for eligibility in military benefits and services.
Information that must be reported includes the minor's name, date of birth, relationship to the service member, and documentation supporting the dependency claim.
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