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Get the free Online DD Form 2642, CHAMPUS Claim - Patient's ...

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CUT×SPIN (when filled in) TRI CARE DoD×CAMPUS MEDICAL CLAIM PATIENT\'S REQUEST FOR MEDICAL PAYMENT OMB No. XXXXXXXX OMB approval expires XXXXXXXXThe public reporting burden for this collection of
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Online dd form 2642 is needed by military personnel who have dependents and want to request a temporary exemption from housing restrictions or secure housing for their dependents at their current duty location.
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DD Form 2642 is a form used to document medical treatment provided to members of the military.
Military personnel who receive medical treatment are required to file DD Form 2642.
To fill out DD Form 2642, you need to provide details about the medical treatment received and any related information.
The purpose of DD Form 2642 is to document medical treatment provided to military personnel.
Information such as the type of medical treatment received, the date of treatment, and the provider's information must be reported on DD Form 2642.
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