DD Form 2792-1 2014 free printable template

SPECIAL EDUCATION/EARLY INTERVENTION SUMMARY PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. 136; 20 U.S.C. 927; Jodi 1315.19: Jodi 1342.12; and E.O. 9397 (as amended). PRINCIPAL PURPOSE(S): Information

How to fill out DD Form 2792-1

How to fill out DD Form 2792-1

1. Obtain a copy of DD Form 2792-1 from the appropriate military or government website.
2. Fill in the personal information section with the full name, social security number, and date of birth of the family member who has special needs.
3. Indicate the specific diagnosis or condition of the family member.
4. Provide information regarding the type of care or services required for the family member's special needs.
5. Ensure to include any relevant medical documentation or supporting documents as required.
6. Review the completed form for accuracy and completeness.
7. Sign and date the form at the designated section.

Who needs DD Form 2792-1?

1. DD Form 2792-1 is required for family members of active duty service members who have special needs, including medical, educational, or psychological conditions.

Instructions and Help about DD Form 2792-1

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People Also Ask about

What is a DD 2792 form for?

The DD Form 2792 is completed to identify a family member with special medical needs. There is a Certification Section on page 3 that should be signed AFTER the entire form is completed by medical provider(s) and the form has been reviewed for completeness and accuracy.

What is the DD Form 2792 for?

The DD Form 2792 and attached addenda are completed to identify a family member with special medical needs.

Who fills out DD Form 2792?

The DD Form 2792 is completed to identify a family member with special medical needs. There is a Certification Section on page 3 that should be signed AFTER the entire form is completed by medical provider(s) and the form has been reviewed for completeness and accuracy.

What is the DD form for autism?

The DD Form 2792-1 is completed to identify a family member with early intervention / special education needs. DEMOGRAPHICS. Items 1 - 7. To be completed by sponsor, spouse, legal guardian, or student who has reached the age of majority.

What is a dd2792 1 for?

The DD Form 2792-1 is completed to identify a family member with special educational/early intervention needs.

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What is DD Form 2792-1?

DD Form 2792-1 is a Department of Defense form used to document the medical and educational needs of a family member of a service member who has a disability.

Who is required to file DD Form 2792-1?

The form must be filed by service members who have dependents with special needs, to access the necessary support and services for those individuals.

How to fill out DD Form 2792-1?

To fill out DD Form 2792-1, the service member must provide personal information about the family member, details regarding the disability, and any relevant medical or educational information.

What is the purpose of DD Form 2792-1?

The purpose of DD Form 2792-1 is to ensure that eligible family members of service members with disabilities receive appropriate medical and educational resources and support.

What information must be reported on DD Form 2792-1?

The form requires reporting information such as the family member's name, type of disability, diagnosis, and any specialized care or educational services needed.