Get the free DD Form 2716-1, DoD Certificate of Supervised Release, March 2013 - dtic

DEPARTMENT OF DEFENSE CERTIFICATE OF SUPERVISED RELEASE (Last, First, Middle) (Social Security Number) (Date YYYYMMDD) being eligible for supervised release under the terms and conditions prescribed

How to fill out dd form 2716-1 dod

How to fill out DD Form 2716-1 DOD:

1. Obtain the form: The DD Form 2716-1 DOD (Department of Defense) is used for reporting medical, dental, and educational conditions of dependents. You can download the form from the official DOD website or obtain a physical copy from your military base or installation.
2. Provide general information: Begin by filling out the general information section of the form, including the sponsor's name, sponsor's SSN (Social Security Number), dependents' names, and their birth dates. Ensure that all information is accurate and up to date.
3. Report medical conditions: In this section, list any medical conditions, illnesses, or disabilities that the dependent(s) have. Include the name of the condition, date diagnosed, and any relevant details or instructions. Be thorough and provide all necessary information to ensure accurate reporting.
4. Report dental conditions: Similar to the medical section, this part requires you to report any dental conditions or treatments the dependent(s) have received. Include the name of the condition, date diagnosed or treated, and any pertinent instructions or details.
5. Report educational conditions: In the educational section, provide information about any educational or special needs the dependent(s) have. This may include any Individualized Education Programs (IEPs) or other educational accommodations or plans that are in place. Provide details about the condition or need and any relevant instructions or documents.
6. Sign and date the form: Once you have completed all the necessary sections, review the form for accuracy and completeness. Then, sign and date the form at the bottom to certify the information provided. Make sure to use the correct date and a legible signature.

Who needs DD Form 2716-1 DOD?

1. Active-duty military personnel: Active-duty service members are required to fill out DD Form 2716-1 DOD for reporting the medical, dental, and educational conditions of their dependents. This ensures that the military has accurate information about the healthcare and educational needs of its members' dependents.
2. Reserve and National Guard members: Reserve and National Guard members who have dependents are also required to fill out DD Form 2716-1 DOD. This helps maintain a comprehensive record of their dependents' medical, dental, and educational conditions.
3. Military families: The form is not limited to only active-duty and reserve members. Military families, regardless of their service status, may need to fill out DD Form 2716-1 DOD if they want to report or request support for their dependents' medical, dental, or educational needs.

By following the step-by-step instructions provided and ensuring accurate reporting, you can properly fill out DD Form 2716-1 DOD and provide the necessary information about your dependents' conditions when required.

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