Get the free dd form 504

SIGNATURE OF APPROVING OFFICER 11. RECEIPT a. I acknowledge receipt of the issued health b. DATE YYYYMMDD and comfort articles costing Dollars DD FORM 504 0 5 c. SIGNATURE Cents. REQUEST AND RECEIPT FOR HEALTH AND COMFORT SUPPLIES 1. TO 2. FACILITY/BRIG 3. DATE YYYYMMDD 4. REQUESTED BY Last Name - First Name - Middle Initial* Printed or Typed 5. DoD ID/SSN Last 4 6. UNIT/AGENCY 7. BRANCH OF SERVICE 8. I authorize the Correctional Facility/Brig Commanding Officer to withdraw sufficient funds...

How to fill out dd form 504

How to fill out DD Form 504:

1. Start by obtaining a copy of DD Form 504, also known as the Substance Abuse Clinical Counseling Referral Form. This form is used by military personnel who have been identified as having substance abuse issues and need clinical counseling.
2. Begin by filling out the personal information section at the top of the form. This includes your name, rank, social security number, and contact information.
3. Next, provide the details of the counseling center or clinic where you will be receiving treatment. This includes the name of the facility, address, phone number, and the anticipated start and end dates of the counseling.
4. In the section labeled "Reason for Referral," clearly state the reason why you are being referred for substance abuse clinical counseling. This could be due to a failed drug test, self-referral, or any other specific circumstances.
5. On the form, there will be a section called "Recommendation." This is where the referring official or command will provide their recommendation for the counseling, such as the number of sessions needed or any specific requirements.
6. If there are any additional remarks or comments that need to be included, there is a designated section for that. Make sure to provide any necessary information or documentation that may support your referral.
7. Finally, review the completed form and ensure that all the information is accurate and complete. Sign and date the form before submitting it to the appropriate channels.

Who needs DD Form 504:

1. Military personnel who have been identified as having substance abuse issues may need to fill out DD Form 504.
2. This form is required for individuals who have failed a drug test or have been otherwise identified as needing clinical counseling for substance abuse.
3. In some cases, military personnel may also choose to self-refer for substance abuse clinical counseling and will need to complete this form.

Please note that the specific guidelines and procedures for filling out DD Form 504 may vary depending on the branch of the military and any applicable regulations or instructions. It is essential to consult with the appropriate resources or personnel to ensure accurate and complete completion of the form.

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What is dd form 504?

DD Form 504 is a form used by the Department of Defense to report the results of investigation of known or suspected drug abuse incidents.

Who is required to file dd form 504?

Military personnel and civilian employees who are involved in drug abuse incidents are required to file DD Form 504.

How to fill out dd form 504?

DD Form 504 can be filled out by providing details of the drug abuse incident, including the individuals involved, circumstances, and outcomes of any investigations or actions taken.

What is the purpose of dd form 504?

The purpose of DD Form 504 is to document and report drug abuse incidents within the Department of Defense to ensure appropriate action is taken.

What information must be reported on dd form 504?

Information such as the individuals involved, details of the incident, investigation results, and any actions taken as a result of the incident must be reported on DD Form 504.