Get the free DD Form 2792 Reimbursement Process - MCCS Lejeune-New River

DD Form 2792 Reimbursement Process Marine submits DD Form 2792 and receipt from TRI CARE authorized provider to installation EMP office Installation verifies DD 2792 is complete and reviews receipt

How to fill out dd form 2792 reimbursement

How to fill out DD Form 2792 reimbursement:

1. Start by downloading the DD Form 2792 reimbursement from the official military website or obtain a copy from your military unit or medical office.
2. Fill out Part I of the form, which requires your personal information. Provide your name, rank, social security number, contact information, and military unit details, if applicable.
3. In Part II, enter the name and address of the primary healthcare provider who is treating the medical condition for which you are seeking reimbursement.
4. Provide the dates of treatment in Part III. Include the start and end dates for each specific treatment or medical service received.
5. In Part IV, indicate the diagnosis or reason for seeking reimbursement. Include details about the medical condition, the treatment provided, and any specific medication or services involved.
6. Complete Part V if you are receiving treatment from additional healthcare providers related to the same medical condition. Provide their names and addresses, as well as the dates of treatment.
7. If any medical testing or examinations were done, fill out Part VI, providing details about the laboratory or diagnostic procedures performed.
8. If there are any additional remarks or comments that you believe are necessary, utilize Part VII to explain and provide any supporting documentation.
9. For verification purposes, sign and date the form in Part VIII. Ensure that all the information provided is accurate and truthful.
10. Make copies of the completed form and any supporting documentation for your records.
11. Submit the filled-out DD Form 2792 to the appropriate military office or medical facility that handles reimbursement requests.

Who needs DD Form 2792 reimbursement?

1. Active duty military personnel who have received medical treatment from civilian healthcare providers due to their service-related medical condition.
2. Military dependents who have received medical treatment from civilian healthcare providers due to their service member's medical condition.
3. Retired military members who are eligible for medical coverage and have received treatment from civilian healthcare providers for their service-related medical condition.

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What is dd form 2792 reimbursement?

DD Form 2792 reimbursement is a form used to request reimbursement for expenses incurred during official government travel.

Who is required to file dd form 2792 reimbursement?

Military personnel and DOD civilian employees are required to file DD Form 2792 reimbursement for official travel expenses.

How to fill out dd form 2792 reimbursement?

To fill out DD Form 2792 reimbursement, you must provide details of expenses incurred during official travel, including receipts and authorization from the appropriate authority.

What is the purpose of dd form 2792 reimbursement?

The purpose of DD Form 2792 reimbursement is to request reimbursement for expenses incurred during official government travel.

What information must be reported on dd form 2792 reimbursement?

The information reported on DD Form 2792 reimbursement includes details of expenses, receipts, authorization, and other supporting documentation.