Dd form 11722, application for identification carddeers. Contact the department of defense forms manager for further details if this access is required. Dd74 dependency statement child born out of wedlock under age 21 dd448 military interdepartmental. Active dutyreserve forces dental examination the government requires all active duty and reserve members receive an annual dental examination. It should be downloaded and given to the dental provider to complete. Dd form 28 download fillable pdf or fill online department of. Dd form 28, active dutyreserve forces dental examination. Dd form 28 active duty reserve forces dental examination. Active duty dental program appointment of appeal representative. Mystery ranch rats medical aid backpack various nsns mystery ranch asap assault pack.
The form is used by military physicians to determine if an applicant is fit for extended service away from dental help. Download fillable dd form 28 in pdf the latest version applicable for 2020. Standards of ethical conduct positions and individuals. Dd form 25002999 executive services directorate washington. You are here home legal forms department of defense dd forms dd28 department of defense active dutyreserve forces dental examination. Dd forms 25002999 updated 02192020 form availability. This form should be completed by the dtf or civilian provider and will be used to assist the services in documenting member dental health. This form is for active duty service members in remote locations who do not need. The dd form 28, dod active dutyreserve forces dental examination, will be used to assist the tdpenrolled national guardreserve forces in documenting. The dd 28 or the military dental form is completed by the dental treatment facility dtf or civilian provider and the gathered information is stored within personnel medical files. Mystery ranch 3day assault pack w bvs, various nsns. The related standard form 603, health record dental can be used for the same purposes.
If the form number does not have a hyperlink, the form is not available electronically. This form has not been set up to work with a texttospeech reader. Department of defense active dutyreserve forces dental examination. Active dutyreserve forces dental examination the government requires.
However, failure to provide all the requested information may result in you not meeting dental readiness requirements and may affect timely payment of dental provider claims. Department of defense active duty reserve guard civilian forces dental examination. Sign, fax and printable from pc, ipad, tablet or mobile. To obtain hard copies of current forms not available in electronic format, please contact your own military service or dod component forms management officer. The active duty dental program privacy act statement. Facilitation of a presidential transition public law 1146 dtd mar 18, 2016 dodi on transition presidential transition guide to federal hr mgmt.
Dtf manual, this manual is an addp reference guide for dtf staff. Dd form 28, active dutyreserve forces dental examination the government. A dd form 28 is a department of defense form is used for gathering dental information for military members who will spend an extended period of time away from dental services. A dd form 28 is a department of defense form is used for gathering dental information for military members who will spend an extended period. Dd2558, authorization to start, stop, or change an allotment, 1212017, no, dfas. Dd28, department of defense active dutyreserveguardcivilian forces dental examination, 312017. Dd form 28 this form is used to used to assist active duty and national guard and reserve members in documenting dental health for worldwide duty.
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