Get the free DD Form 771, Eyewear Prescription, July 1996 - med navy
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EYEWEAR. PRESCRIPTION. DATE ... SPECIAL COMMENTS/JUSTIFICATION (*Use this space to specify blocks marked “Other.”) PRESCRIBING OFFICER/ AUTHORITY. SIGNATURE. DD FORM 771, JUL 96 (EG) ... ACCOUNT
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How to fill out dd form 771 eyewear
How to fill out DD Form 771 Eyewear:
01
Start by entering the required personal information in the designated fields on the form.
02
Provide details about your eyewear prescription, including the date of the prescription, the eye care provider's name and information, and the expiration date of the prescription.
03
Indicate whether you currently wear contact lenses, and if so, provide the necessary details about the contact lenses, such as the brand and prescription strength.
04
If you have received any vision evaluation or treatment, provide relevant information, including the date of the evaluation/treatment, the provider's name, and the nature of the evaluation/treatment.
05
Sign and date the form to certify the accuracy of the provided information.
Who needs DD Form 771 Eyewear:
01
Military service members who require eyewear for their assigned duties may need to fill out DD Form 771 Eyewear.
02
Individuals who are enrolled in the Tricare Health Plan and have vision coverage may need this form to obtain eyewear services.
03
Dependents of military service members who are eligible for Tricare vision benefits may also be required to fill out this form.
Note: It is important to consult the relevant guidelines and instructions provided with the form or by the appropriate authority to ensure accurate and complete filling out of DD Form 771 Eyewear.
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What is dd form 771 eyewear?
DD Form 771 Eyewear is a form used by military personnel to request eyewear allowances.
Who is required to file dd form 771 eyewear?
Military personnel who require eyewear allowances are required to file DD Form 771.
How to fill out dd form 771 eyewear?
To fill out DD Form 771, military personnel must provide their personal information, details about their eyewear needs, and certification by an authorized individual.
What is the purpose of dd form 771 eyewear?
The purpose of DD Form 771 is to request eyewear allowances for military personnel who require them for their duties.
What information must be reported on dd form 771 eyewear?
Information such as personal details, eyewear needs, and certification must be reported on DD Form 771.
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