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Title: U.S. Department of Defense Form DD1289 Author: U.S. Department of Defense. The first page by www.usa-federal-forms.com. Subject: PRESCRIPTION FORM

How to fill out dd1289 form

How to fill out dd1289:

1. Obtain the dd1289 form: You can access the dd1289 form through the official website of the Department of Defense or request a physical copy from your healthcare provider or military facility.
2. Fill out personal information: Start by entering your personal information in the designated sections. This typically includes your full name, date of birth, Social Security number, and contact details.
3. Provide healthcare information: Next, you need to provide details about your healthcare provider and the services received. This includes the facility name, address, and the date of service.
4. Indicate the purpose of the form: Select the appropriate purpose for completing the dd1289 form. This may vary, but common options include claiming medical reimbursement or authorizing payment for medical services.
5. Include supporting documentation: If necessary, attach any supporting documentation such as itemized bills or receipts. Make sure you double-check the specific requirements for attachments mentioned in the instructions.
6. Sign and date the form: Once you have completed all the necessary sections, sign and date the dd1289 form. This signifies that the information provided is accurate and true to the best of your knowledge.
7. Submit the form: Depending on the specific instructions provided, submit the dd1289 form to the relevant authority. This may involve mailing it, submitting it in person, or using an online system if available.

Who needs dd1289:

1. Active duty military personnel: Those serving in the military may need to fill out the dd1289 form if they require reimbursement for eligible medical expenses or if they want to authorize payment for medical services received outside military facilities.
2. Dependents of military personnel: Spouses and children of active duty military members may also need to complete the dd1289 form if they require reimbursement for eligible medical expenses or if they want to authorize payment for medical services provided outside military facilities.
3. Retirees and their dependents: Retired military personnel and their dependents may need to fill out the dd1289 form for similar reasons, such as claiming reimbursement for eligible medical expenses or authorizing payment for services.

Note: It is important to consult with the specific organization or office responsible for processing the dd1289 form to ensure compliance with their guidelines and requirements.

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What is dd1289?

DD Form 1289 is a form used by Department of Defense (DoD) employees to claim travel expenses.

Who is required to file dd1289?

DoD employees who have incurred travel expenses and need to be reimbursed are required to file DD Form 1289.

How to fill out dd1289?

DD Form 1289 should be filled out with the traveler's personal information, travel details, expenses incurred, and authorized signatures.

What is the purpose of dd1289?

The purpose of DD Form 1289 is to request reimbursement for travel expenses incurred by DoD employees.

What information must be reported on dd1289?

Information such as traveler's name, date of travel, purpose of travel, mode of transportation, expenses incurred, and signatures of approving officials must be reported on DD Form 1289.