| Number |
Title |
Edition Date |
DD2501 |
Courier Authorization |
MAR 1988 |
DD2502 |
Uniform Billing
for Inpatient Hospital Costs |
AUG 1987 |
DD2503 |
DoD Medical
Examination Review Board (DoDMERB) Applicant Overseas Appointment (Stocked
and Used by DoDMERB/SAS) |
CANCELLED |
DD2504 |
Abandoned Vehicle
Notice |
MAY 2000 |
DD2505 |
Abandoned Vehicle
Removal Authorization |
MAY 2000 |
DD2506 |
Vehicle Impoundment
Report |
MAY 2000 |
DD2507 |
Notice of Vehicle
Impoundment |
MAY 2000 |
DD2508 |
Report on Government
Information Dissemination Products and Services |
CANCELLED |
DD2509 |
Military Equal
Opportunity Assessment |
JAN 2003 |
DD2510 |
Prisoner of
War (POW) Medal Application/Information |
CANCELLED |
DD2510-1 |
Prisoner of
War (POW) Medal Application/Information (Philippine Commonwealth Army and
Recognized Guerilla Veterans) |
CANCELLED |
DD2511 |
Imagery Research
Request, NACF |
FEB 1988 |
DD2512 |
Bulk Fuel Stock
Rotation Plan |
MAR 1988 |
DD2513 |
Retrieval and
Protect RIMIT Log (Leased ASC) |
CANCELLED |
DD2514 |
Magnetic Disc
Inventory |
CANCELLED |
DD2515 |
Retrieval and
Reprotect Log (GOV'T-Owned ASC's) |
CANCELLED |
DD2516 |
Moving Head
Disc History Log (Government-Owned ASC's) |
FEB 1996 |
DD2517 |
Moving Head
Disc History Log (Leased ASC's) |
CANCELLED |
DD2518 |
Fulfillment
of DoD Mandatory Training Requirement |
SEP 1988 |
DD2519 |
Historically
Black Colleges and Universities (HBCU) Program Activities, DoD |
JUN 1988 |
DD2520 |
CHAMPUS/CHAMPVA
Claim Form |
DEC 1990 |
DD2521 |
Hazardous Chemical
Warning Label (8-1/2 X 11) |
OCT 2000 |
DD2522 |
Hazardous Chemical
Warning Label (4 X 6) |
OCT 2000 |
DD2523 |
DSSW Self Service
Supply Center Admittance Card |
AUG 1988 |
DD2524 |
DSSW Self Service
Supply Center Sign-In Log |
AUG 1988 |
DD2525 |
Certification of Hours Worked in Service Year for Expert or Consultant |
SEP 2011 |
DD2526 |
Case Abstract
for Malpractice Claims |
FEB 2000 |
DD2527 |
Statement of
Personal Injury - Possible Third Party Liability, TRICARE Management Activity |
JAN 2008 |
DD2529 |
Commissary
Privilege Card, U.S. Armed Forces |
CANCELLED |
DD2530 |
Ozone Depleting
Chemicals Annual Report (LRA) |
CANCELLED |
DD2531 |
Food Storage
Facility Sanitation Compliance Checklist |
CANCELLED |
DD2532 |
Request for
CHAMPUS Benefits Under the Program for the Handicapped |
DEC 1989 |
DD2533 |
Request for
CHAMPUS Benefits Under the Basic Program |
DEC 1989 |
DD2534 |
Home Health
Care Demonstration Inpatient Costs VS. Home Health Care Costs (Stocked and
Issued by OCHAMPUS/DA) |
CANCELLED |
DD2535 |
Request for
Military Aerial Support |
OCT 2010 |
DD2536 |
Request for
Armed Forces Participation in Public Events (Non- Aviation) |
OCT 2010 |
DD2537 |
Visual Information
Caption Sheet |
FEB 1994 |
DD2538 |
Voluntary Leave
Transfer Program Leave Donor Application |
MAY 1989 |
DD2539 |
Voluntary Leave
Transfer Program Leave Recipient Application |
MAY 1989 |
DD2540 |
Voluntary Leave
Transfer Program Notice of Termination of Medical Emergency |
MAY 1989 |
DD2541 |
Diagnostic
Evaluation, Program for the Handicapped |
NOV 1989 |
DD2542 |
Certificate
of Appreciation for Service in the Armed Forces of the United States |
MAY 2001 |
DD2543 |
Government
Furnished Material (GFM) Status Report |
SEP 1999 |
DD2544 |
Diving Log |
NOV 1989 |
DD2545 |
Frozen Desserts
Plant Sanitary Compliance Checklist |
CANCELLED |
DD2546 |
Meat Processing
Plant Sanitary Compliance Checklist |
CANCELLED |
DD2547 |
Ice Plant Sanitary
Compliance Checklist |
CANCELLED |
DD2548 |
Health Insurance
Coverage for Military Dependents and Retirees, Survey of |
CANCELLED |
DD2549 |
General and
Flag Officer Position Data |
SEP 1999 |
DD2550 |
General and
Flag Officer Incumbent Data |
SEP 1999 |
DD2551 |
Workload Management
System for Nursing - General Worksheet |
FEB 1992 |
DD2552 |
Workload Management
System for Nursing - Psychiatric Worksheet |
FEB 1992 |
DD2553 |
Request for
Defense Intelligence Special Career Automated System (DISCAS) Referral List |
CANCELLED |
DD2554-1 |
Product Drawings
and Associated Lists |
DEC 1989 |
DD2554-2 |
Conceptual
Design Drawings and Associated Lists |
DEC 1989 |
DD2554-3 |
Developmental
Design Drawings and Associated Lists |
DEC 1989 |
DD2554-4 |
Commercial
Drawings and Associated Lists |
DEC 1989 |
DD2554-5 |
Special Inspection
Equipment Drawings and Associated Lists |
DEC 1989 |
DD2554-6 |
Special Tooling
Drawings and Associated Lists |
DEC 1989 |
DD2554-7 |
Military Specifications |
DEC 1989 |
DD2554-8 |
Program Peculiar
Specifications |
DEC 1989 |
DD2555 |
Blood Bank
Operational Report, Armed Services Blood Program |
APR 1993 |
DD2556 |
Move-In Housing
Allowance Claim Form |
MAY 1999 |
DD2557 |
Plant Replacement
Value (PRV) - FY 19__ |
FEB 1990 |
DD2558 |
Authorization
to Start, Stop, or Change an Allotment |
SEP 2002 |
DD2559 |
Savings Bond
Allotment Authorization/Active Duty or Retired Pay |
MAR 1990 |
DD2560 |
Advance Pay
Certification/Authorization |
MAR 1990 |
DD2561 |
Selected Data
Concerning Medical Care Provided At Mixed Military Medical Facilities |
CANCELLED |
DD2562 |
Direct Hire
Employment, Department of Defense |
CANCELLED |
DD2563 |
Right to Financial
Privacy Act of 1978 Annual Report for CY___, Department of Defense |
CANCELLED |
DD2564 |
Annual Freedom
of Information Act Report |
OCT 2010 |
DD2565 |
Semi-Annual
Disciplinary Report |
CANCELLED |
DD2566 |
Assistance
Award Action Report, DoD |
SEP 1998 |
DD2567 |
Pearl Harbor
Commemorative Medal Application/Information |
CANCELLED |
DD2568 |
Defense Instructional
Technology Information System (DITIS) Report |
CANCELLED |
DD2569 |
Third Party
Collection Program/Medical Services Account/Other
Health Insurance |
FEB 2011 |
DD2570 |
Third Party
Collection Program - Report on Program Results |
JUN 2001 |
DD2571 |
Third Party
Collection Program - Aging Schedule |
FEB 1991 |
DD2572 |
Permanent Change
of Station (PCS) Package Transfer Actions |
CANCELLED |
DD2573 |
Senior Executive
Service (SES) Recertification |
CANCELLED |
DD2574 |
Armed Forces
Exchange Services Identification and Privilege Card |
MAR 2000 |
DD2575 |
Industrial
Base Program Production Capacity Survey, Department of Defense |
CANCELLED |
DD2575-1 |
Industrial
Base Program Crisis Production Survey, Department of Defense |
CANCELLED |
DD2575-2 |
Industrial
Base Program Industrial Facility Survey, Department of Defense |
CANCELLED |
DD2576 |
Bone Marrow
Donor Program Donor Information and Health Screening, DoD |
MAY 1991 |
DD2577 |
Bone Marrow
Donor Program Consent to Donate Bone Marrow - MLC Stage, DoD |
MAY 1991 |
DD2578 |
Bone Marrow
Donor Program Intent to Donate Bone Marrow, DoD |
MAY 1991 |
DD2579 |
Small Business
Coordination Record |
DEC 2000 |
DD2580 |
Operation Transition
Department of Defense Outplacement Referral System/Public and Community
Service Individual Application |
CANCELLED |
DD2580-94ED |
Operation Transition
-Department of Defense Outplacement and Referral System/Public and Community
Service Individual Application |
CANCELLED |
DD2580C |
Operational
Transition Department of Defense Outplacement Referral System/Public and
Community Service Individual Application (Continuation) |
CANCELLED |
DD2581 |
Operation Transition
Employer Registration |
NOV 2007 |
DD2581-1 |
Public and
Community Service Organization Validation |
NOV 2007 |
DD2582 |
Job Opportunity
Bank Service Job Referral Worksheet, DoD |
CANCELLED |
DD2584 |
Claim for Persian Gulf Conflict Death Gratuity Benefits |
CANCELLED |
DD2585 |
Repatriation
Processing Center Processing Sheet |
DEC 2007 |
DD2586 |
Verification
of Military Experience and Training |
JAN 2010 |
DD2587 |
Acquisition
Corps - Certificate of Admission, Department of Defense |
JUL 1998 |
DD2588 |
Acquisition
Corps - Waiver Request, Department of Defense |
CANCELLED |
DD2589 |
Acquisition Position Restricted to Member of the Armed Forces |
JUL 1998 |
DD2590 |
Distribution
Request for OSD and Joint DoD Components (Stocked & Issued by OSD/WHS/C&D) |
CANCELLED |
DD2591 |
Contracting
Officer - Waiver Request, Department of Defense |
CANCELLED |
DD2592 |
Waiver of Assignment
Period in Critical Acquisition Positions, Department of Defense |
CANCELLED |
DD2593 |
Waiver of Assignment
Period for Program Managers/Deputy Program Managers, Department of Defense |
CANCELLED |
DD2594 |
Separation
Pay Worksheet |
CANCELLED |
DD2595 |
Program Manager/Deputy
Program Manager - Waiver Request, Department of Defense |
CANCELLED |
DD2597 |
Program Executive
Officer - Waiver Request, Department of Defense |
CANCELLED |
DD2599 |
DoD General/Flag
Officer/Civilian Equivalent - Critical Acquisition Position Assignment Waiver
Request |
CANCELLED |
DD2600 |
Report of DoD
Passports and Passport Agent Services |
CANCELLED |
DD2601 |
Senior Contracting
Official - Waiver Request, Department of Defense |
CANCELLED |
DD2602 |
Critical Acquisition Position - Rotation Review Summary, Department of Defense |
JUL 1998 |
DD2603 |
Officer Promotion
Rate Comparisons |
JUL 1998 |
DD2604 |
Notification
of Substantial Impact |
CANCELLED |
DD2605 |
Annual Summary
of Operations, Department of Defense Child Development Program |
DEC 2002 |
DD2606 |
Request for
Care Record, Department of Defense Child Development Program |
JUL 1998 |
DD2607 |
Third Party
Collection Program - Collection Source Analysis |
SEP 1992 |
DD2608 |
Third Party
Collection Program - Insurance Type Report |
CANCELLED |
DD2609 |
Reserve Officers
Training Corps Resources Summary Report |
JUN 2000 |
DD2610 |
Reserve Officers
Training Corps Manpower Resources |
JUN 2000 |
DD2611 |
Reserve Officers
Training Corps Enrollment Data |
JUN 2000 |
DD2612 |
Reserve Officers
Training Corps Scholarship Data |
CANCELLED |
DD2613 |
Reserve Officers
Training Corps Nonscholarship Data |
CANCELLED |
DD2614 |
Reserve Officers
Training Corps Commissions |
CANCELLED |
DD2615 |
Supplemental
Training in Support of Reserve Officers Training Corps |
CANCELLED |
DD2616 |
Advance Change/Study
Notice (ACSN) |
CANCELLED |
DD2617 |
Engineering
Release Record (ERR) |
CANCELLED |
DD2617C |
Engineering
Release Record (ERR) (Continuation Sheet) |
CANCELLED |
DD2618 |
Survivor Benefit
Plan (SBP) Open Enrollment Election |
CANCELLED |
DD2619 |
Military Working
Dog Master Problem List |
JUN 1992 |
DD2620 |
Request for
and Report of Laboratory Examination for Rabies |
JUN 1992 |
DD2621 |
Veterinary
Vaccination and Trilingual Health Certificate |
JUN 1992 |
DD2622 |
Animal Release |
JUN 1992 |
DD2623 |
Animal Home
Quarantine |
JUN 1992 |
DD2624 |
Specimen Custody
Document - Drug Testing |
FEB 1998 |
DD2625 |
Controlled
Cryptographic Item (CCI) Briefing |
OCT 1996 |
DD2626 |
Performance
Evaluation (Construction)(DoD Exception to SF 1420) |
JUN 1994 |
DD2627 |
Request for
Government Approval for Aircrew Qualifications and Training |
APR 2006 |
DD2628 |
Request for
Approval of Contractor Flight Crewmember |
APR 2006 |
DD2630 |
Software Description
Annotated Outline |
AUG 1992 |
DD2631 |
Performance
Evaluation (Architect-Engineer) (DoD Exception to SF 1421) |
APR 1999 |
DD2632 |
Medical Examination
Review Board (DoDMERB) Body Fat Determination |
CANCELLED |
DD2635 |
Korean Conflict
Prisoner of War (POW) Claim (Stocked & Issued by OASD(FM&P)) |
CANCELLED |
DD2636 |
Child Development
Program, Department of Defense Certificate to Operate the (Stocked & Issued
by OUSD(P&R)) |
JUN 2003 |
DD2637 |
Physical Security
Evaluation Guide (Stocked & Issued by OASD (FM&P)(SO/LIC/CT) |
JAN 1993 |
DD2638 |
Waterside Security
Evaluation Guide (Stocked & Issued by OASD(FM&P) (SO/LIC/CT) |
JAN 1993 |
DD2641 |
Trafficability
Test Data |
AUG 1993 |
DD2642 |
CHAMPUS Claim
Patient's Request for Medical Payment |
APR 2007 |
DD2643 |
High Cost Foreign
Lease |
SEP 1993 |
DD2644 |
Voter Registration
Application |
CANCELLED |
DD2645 |
Voter Registration
Information |
NOV 2008 |
DD2646 |
School Age
Care Program Annual Summary of Operations, Department of Defense |
DEC 2002 |
DD2647 |
Reimbursable
Project Worksheet |
JAN 1993 |
DD2648 TEST |
Preseparation
Counseling Checklist for Active Component (AC) Service Members |
JAN 2011 |
DD2648-1 TEST |
Transition Assistance Program (TAP) Checklist for Deactivationg / Demobilizing National Guard and Reserve Service Members |
JAN 2011 |
DD2652 |
Application
for Department of Defense Child Care Fees |
JUN 2009 |
DD2653 |
Involuntary
Allotment Application |
NOV 2007 |
DD2654 |
Involuntary
Allotment Notice and Processing |
DEC 1999 |
DD2655 |
Complaint of
Discrimination in the Federal Government |
JUN 2012 |
DD2656 |
Data for Payment
of Retired Personnel |
APR 2009 |
DD2656-1 |
Survivor Benefit
Plan (SBP) Election Statement for Former Spouse Coverage |
APR 2009 |
DD2656-2 |
Survivor Benefit
Plan (SBP) Termination Request |
APR 2009 |
DD2656-3 |
Survivor Benefit
Plan (SBP) and Reserve Component Survivor Benefit Plan (RCSBP) Open Enrollment
Election |
CANCELLED |
DD2656-4 |
Verification
for Annuity |
CANCELLED |
DD2656-4(PHS) |
Verification
for Annuity (U.S. Public Health Service) |
CANCELLED |
DD2656-5 |
Reserve Component
Survivor Benefit Plan (RCSBP) Election Certificate |
AUG 2011 |
DD2656-6 |
Survivor Benefit
Plan Election Change Certificate |
APR 2009 |
DD2656-7 |
Verification
for Survivor Annuity |
APR 2009 |
DD2656-8 |
Survivor Benefit
Plan (SBP) Automatic Coverage Fact Sheet |
OCT 2003 |
DD2656-9 |
Survivor Benefit
Plan (SBP) and Reserve Component Survivor Benefit Plan (RCSBP) Open Enrollment
Election |
CANCELLED |
DD2656-10 |
Survivor Benefit
Plan (SBP) / Reserve Component (RC) SBP Request for Deemed Election |
APR 2009 |
DD2656-11 |
Statement Certifying
Number of Months of Survivor Benefit Plan (SBP) Premiums Paid |
CANCELLED |
DD2657 |
Daily Statement
of Accountability |
AUG 1993 |
DD2658 |
Returned and
Undeliverable Check/Bond Record |
AUG 1993 |
DD2659 |
Voucher Control
Log |
AUG 1993 |
DD2660 |
Statement of
Claimant Requesting Recertified Check |
JUN 2012 |
DD2661 |
Spoiled/Control
Check Record |
CANCELLED |
DD2662 |
Recertified
Check Register |
FEB 2001 |
DD2663 |
Foreign Currency
Control Record |
AUG 1993 |
DD2664 |
Currency Exchange
Record |
FEB 2002 |
DD2665 |
Daily Agent
Accountability Summary |
AUG 1993 |
DD2666 |
Transmittal
of Statements and Vouchers |
AUG 1993 |
DD2667 |
Subsidiary
Accountability Record |
AUG 1993 |
DD2668 |
Request for
Bid (Purchase/Sale) |
AUG 1993 |
DD2669 |
Destruction
Schedule for Currency |
AUG 1993 |
DD2670 |
Automated Teller
Machine (ATM) Safekeeping Ledger |
AUG 2000 |
DD2671 |
Disbursing
Office ATM Cash Transaction Ledger |
CANCELLED |
DD2672 |
Automated Teller
Machine (ATM) Cash Balance Sheet |
CANCELLED |
DD2673 |
Record of ATM
System Manual Withdrawals |
CANCELLED |
DD2674 |
Record and
Receipt of Deposits and Withdrawals of Safekeeping Funds |
SEP 2007 |
DD2675 |
Reimbursement
Request for Adoption Expenses |
SEP 2006 |
DD2676 |
Validation
of Public or Community Service Employment |
CANCELLED |
DD2677 |
Blood Lead
Level Reporting, Department of Defense |
JUN 1993 |
DD2678 |
Well Driller's
Log |
OCT 1993 |
DD2679 |
Piping and
Casing Log |
OCT 1993 |
DD2680 |
Military Water
Well Completion Summary Report |
OCT 1993 |
DD2682 |
Disability
Job Fair Questionnaire, Department of Defense (Stocked & Used by WHS(P&S)) |
SEP 1993 |
DD2683 |
Design Criteria
Summary Worksheet |
FEB 1994 |
DD2684 |
Asset Value/Aggressor
Likelihood Worksheet |
FEB 1994 |
DD2685 |
Tactic and
Threat Severity Level Worksheet |
FEB 1994 |
DD2686 |
Forced Entry
Design Worksheet |
FEB 1994 |
DD2687 |
Sitework Elements
Cost Worksheet |
FEB 1994 |
DD2688 |
Building Elements
Cost Worksheet |
FEB 1994 |
DD2690 |
Claim for Special
Death Gratuity Benefits (Stocked & Issued by OUSD(P&R)(MPP)) |
CANCELLED |
DD2691 |
Contractor
Bulk Liquid Facilities Report (Stocked & Issued by OUSD(AT&L(DFSC-OP)) |
SEP 1994 |
DD2692 |
Direct Supply
Natural Gas Data Requirements |
SEP 1994 |
DD2693 |
Certificate
to Operate the School Age Care Program, Department of Defense (Stocked &
Issued by OUSD(P&R)(PFS&E)) |
JUN 2003 |
DD2695 |
Environmental
Protection Agency Certification Program Certificate for Processing CFC/HCFC
Refrigerants, Department of Defense |
SEP 1994 |
DD2696 |
Environmental
Protection Agency Certification Program CFC/HCFC Refrigerant Processing
Certificate Verification, Department of Defense |
SEP 1994 |
DD2697 |
Medical Assessment,
Report of |
FEB 1995 |
DD2698 |
Transitional
Compensation, Application for |
JAN 1995 |
DD2701 |
Initial Information
for Victims and Witnesses of Crime |
MAY 2004 |
DD2702 |
Court-Martial
Information for Victims and Witnesses of Crime |
MAY 2004 |
DD2703 |
Post-Trial
Information for Victims and Witnesses of Crime |
MAY 2004 |
DD2704 |
Victim/Witness
Certification and Election Concerning Inmate Status |
MAR 1999 |
DD2705 |
Victim/Witness
Notification of Inmate Status |
DEC 1994 |
DD2706 |
Victim and
Witness Assistance, Annual Report on |
DEC 1994 |
DD2707 |
Confinement
Order |
SEP 2005 |
DD2708 |
Receipt for
Inmate or Detained Person |
NOV 1999 |
DD2709 |
Privacy Act
Statement |
NOV 1999 |
DD2710 |
Inmate Background
Summary |
NOV 2002 |
DD2710-1 |
Prisoner Sentence
Computation |
JUN 2004 |
DD2711 |
Initial Custody
Classification |
NOV 1999 |
DD2711-1 |
Custody Reclassification |
NOV 1999 |
DD2711-2 |
Custody Initial/Reclassification
Summary Addendum |
CANCELLED |
DD2712 |
Inmate Work
and Training Evaluation |
NOV 1999 |
DD2713 |
Inmate Observation
Report |
NOV 1999 |
DD2714 |
Inmate Disciplinary
Report |
NOV 1999 |
DD2715 |
Clemency/Parole
Submission |
NOV 1999 |
DD2715-1 |
Disposition
Board Recommendation |
NOV 1999 |
DD2715-2 |
Inmate Summary
Data |
NOV 1999 |
DD2715-3 |
Inmate Restoration/Return
to Duty, Clemency and Parole Statement |
NOV 1999 |
DD2716 |
Parole Acknowledgement
Letter |
NOV 1999 |
DD2716-1 |
Department of Defense Certificate of Parole |
NOV 1999 |
DD2717 |
Department of Defense Voluntary/Involuntary Appellate Leave Action |
NOV 1999 |
DD2718 |
Inmate's Release
Order |
NOV 1999 |
DD2719 |
Continuation
Sheet |
NOV 1999 |
DD2720 |
Annual Confinement
Report |
NOV 2002 |
DD2720-1 |
Annual Clemency/Parole
Report |
CANCELLED |
DD2721 |
Service Academy
Resources Summary Report |
JUN 2005 |
DD2722 |
Academy Capitalized
Investments Report |
JUN 2000 |
DD2723 |
Academy Manpower
Resources Report |
JUN 2000 |
DD2724 |
Academy Class
Demographics Data |
CANCELLED |
DD2725 |
Academy Commissioning
Data |
CANCELLED |
DD2726 |
Academy Administration/Faculty
Demographic Data |
CANCELLED |
DD2727 |
Academy Preparatory
School Enrollment Data |
CANCELLED |
DD2728 |
Academy Preparatory
School Administration/Faculty Demographic Data |
CANCELLED |
DD2729 |
National Security
Education Program (NSEP) Proposal Budget Estimate Worksheet (Stocked & Used
by NDU) |
CANCELLED |
DD2730 |
National Security
Education Program (NSEP) Proposal Cover Sheet (Stocked & Used by NDU) |
CANCELLED |
DD2731 |
ORGAN and Tissue
Donor Card |
MAR 1995 |
DD2732 |
Central Referral
System (CRS) Registration (Stocked & Issued by OUSD(AT&L)) |
APR 1995 |
DD2733 |
Chemical Weapons
Exposure Data Collection (Stocked & Issued by OUSD(P&R)) |
CANCELLED |
DD2734/1 |
Contract Performance
Report, Format 1 Work Breakdown Structure |
APR 2005 |
DD2734/2 |
Contract Performance
Report, Format 2 Organizational Categories |
APR 2005 |
DD2734/3 |
Contract Performance
Report, Format 3 Baseline |
APR 2005 |
DD2734/4 |
Contract Performance
Report, Format 4 Staffing |
APR 2005 |
DD2734/5 |
Contract Performance
Report, Format 5 Explanations and Problem Analyses |
APR 2005 |
DD2735 |
Cost/Schedule
Status Report |
CANCELLED |
DD2736 |
Chemical Weapons
Research Commendation (Stocked & Issued by OUSD(P&R)) |
CANCELLED |
DD2737 |
Industrial
Capabilities Questionnaire |
SEP 2007 |
DD2737/1 |
Industrial
Capabilities Questionnaire Section 1 - Facility Description |
CANCELLED |
DD2737/2 |
Industrial
Capabilities Questionnaire Section 2 - Business Profile |
CANCELLED |
DD2737/3 |
Industrial
Capabilities Questionnaire Section 3 - Labor |
CANCELLED |
DD2737/4 |
Industrial
Capabilities Questionnaire Section 4 - Material Issues |
CANCELLED |
DD2737/5 |
Industrial
Capabilities Questionnaire Section 5 - Production Capabilities of Facility |
CANCELLED |
DD2737/6 |
Industrial
Capabilities Questionnaire Section 6 - Technology |
CANCELLED |
DD2737/7 |
Industrial
Capabilities Questionnaire Section 7 - Customer Base |
CANCELLED |
DD2737/8 |
Industrial
Capabilities Questionnaire Section 8 - Manufactured Item |
CANCELLED |
DD2738 |
Substance Classification
Test Results |
CANCELLED |
DD2739 |
Ammunition
Classification Test Results |
CANCELLED |
DD2740 |
Based Reuse
Status (Stocked and Issued by OUSD(AT&L)) |
MAY 2005 |
DD2741 |
Ecclesiastical
Endorsing Organization Verification/Reverification Information, Department of Defense |
CANCELLED |
DD2742 |
Optical Archive
History Log |
FEB 1996 |
DD2743 |
Optical/Tape
Inventory |
FEB 1996 |
DD2744 |
Emergency/Auxiliary
Generator Operating Log |
MAY 1996 |
DD2745 |
Enemy Prisoner
of War (EPW) Capture Tag |
MAY 1996 |
DD2746 |
Ready Reserve
Mobilization Income Insurance Certificate |
CANCELLED |
DD2747 |
Department of Defense Export Loan Guarantee Application (Stocked & Issued by OUSD(AT&L)) |
CANCELLED |
DD2748 |
Depot Capacity
and/or Utilization Summary Sheet (Stocked & Issued by OUSD(AT&L)) |
DEC 1996 |
DD2749 |
Technical Assistance
for Public Participation (TAPP) Application |
OCT 2003 |
DD2750 |
Department of Defense Civilian Identification Card |
CANCELLED |
DD2750S |
Department of Defense Civilian Identification Card (Purple) |
CANCELLED |
DD2751 |
463L System
Pallet and Net Control Report (Stocked and issued by OUSD(AT&L)) |
OCT 1997 |
DD2752 |
National Security
Education Program (NSEP) Service Agreement for Scholarship and Fellowship
Awards |
OCT 2011 |
DD2753 |
National Security
Education Program (NSEP) Service Agreement Report (SAR) for Scholarship and
Fellowship Awards |
OCT 2011 |
DD2754 |
Junior Reserve
Officer Training Corps (JROTC) Instructor Pay Certification Worksheet for
Entitlement Computation |
SEP 2007 |
DD2755 |
Weight-Based
Assessment of Military Postal Service - Incoming |
MAY 1997 |
DD2756 |
Weight-Based
Assessment of Military Postal Service - Outgoing |
MAY 1997 |
DD2757 |
Welding Examination
Record |
JUN 1997 |
DD2758 |
Welding Certification
Card |
JUN 1997 |
DD2759TEST |
Report of Other
Transactions for Prototype Projects |
DEC 2000 |
DD2760 |
Qualification
to Possess Firearms or Ammunition |
DEC 2002 |
DD2761 |
Personal Check
Cashing Agreement |
APR 2007 |
DD2762 |
Direct Deposit
Authorization |
CANCELLED |
DD2764 |
United States
DoD/Uniformed Services Civilian Geneva Conventions Identification Card |
APR 1998 |
DD2764S |
United States
DoD/Uniformed Services Civilian Geneva Conventions Identification Card (TAN) |
CANCELLED |
DD2765 |
Department of Defense/Uniformed Services Identification and Privilege Card |
APR 1998 |
DD2765S |
Department of Defense/Uniformed Services Identification and Privilege Card (TAN) |
CANCELLED |
DD2766 |
Adult Preventive
and Chronic Care Flowsheet |
MAR 1998 |
DD2766C |
Adult Preventive
and Chronic Care Flowsheet (Continuation Sheet) |
MAR 1998 |
DD2767 |
Junior Reserve
Officer Training Corps (JROTC) Instructor Annual Certification of Pay and
Data |
SEP 2007 |
DD2768 |
Military Air
Passenger/Cargo Request |
MAR 1998 |
DD2769 |
Application
for Annuity - Certain Military Surviving Spouses |
OCT 2012 |
DD2770 |
Abbreviated
Medical Record |
APR 1998 |
DD2772 |
Contract Discrepancy
Report |
SEP 1998 |
DD2773 |
Report of Contractor
Services |
SEP 1998 |
DD2774 |
Cold War Certificate
of Recognition |
JUL 2001 |
DD2775 |
Pallet Identifier |
SEP 1998 |
DD2776 |
Dangerous Cargo
Load List |
SEP 1998 |
DD2777 |
Mobilization
Movement Control (MOBCON) Request for Convoy Clearance or Special Hauling
Permit |
SEP 1998 |
DD2778 |
Travelope |
SEP 1998 |
DD2780 |
Port Call Request
- Fax Sheet (Passenger Reservation Center) |
SEP 1998 |
DD2781 |
Container Packing
Certificate or Vehicle Packing Declaration |
JUN 2005 |
DD2782 |
Request for
Shipment of Privately Owned Vehicle (POV) Through CONUS Alternate Port |
CANCELLED |
DD2783 |
Request for
Privately Owned Vehicle (POV) Shipment - Change in Home Port |
CANCELLED |
DD2784 |
Letter of Intent
(LOI) Household Goods or Unaccompanied Baggage |
NOV 2008 |
DD2787 |
Certificate
of Warehouseman's Legal Liability Insurance |
SEP 1998 |
DD2788 |
Child Annuitant's
School Certification |
NOV 2005 |
DD2789 |
Waiver/Remission
of Indebtedness Application |
MAY 2008 |
DD2790 |
Custodianship
Certificate to Support Claim on Behalf of Minor Children of Deceased Members
of the Armed Forces |
NOV 2005 |
DD2791 |
Notice of Release/Acknowledgement
of Convicted Sex Offender Registration Requirements |
APR 2003 |
DD2791-1 |
Prisoner's
Acknowledgement of Sex Offender Registration Requirements |
CANCELLED |
DD2792 |
Family Member Medical Summary |
APR 2011 |
DD2792-1 |
Special Education/Early Intervention Summary |
APR 2011 |
DD2793 |
Volunteer Agreement
for Appropriated Fund Activities & Non Appropriated Fund Instrumentalities |
MAY 2009 |
DD2794 |
Cost and Software
Data Reporting (CSDR) Plan |
MAY 2011 |
DD2795 |
Pre-Deployment
Health Assessment (PDHA) |
SEP 2012 |
DD2796 |
Post-Deployment
Health Assessment |
SEP 2012 |
DD2797 |
TRICARE Senior
Prime Enrollment Application (Stocked & Issued by OASD(HA)) |
DEC 2000 |
DD2798 |
Application/Permit
for Use of Space on the Pentagon Reservation |
DEC 1999 |
DD2799 |
Employee Performance
Plan and Results Report |
JUL 2010 |
DD2800 |
Suggestion
Evaluation |
JUL 1999 |
DD2807-1 |
Report of Medical
History |
AUG 2011 |
DD2807-2 |
Medical Prescreen
of Report of Medical History |
AUG 2011 |
DD2808 |
Report of Medical
Examination |
OCT 2005 |
DD2809 |
Agreement to
be Signed by Person Authorized to Direct Disposition (PADD) Prior to Private
DNA Testing |
NOV 1999 |
DD2810 |
Personnel Recovery
Debriefing Statement |
OCT 2006 |
DD2811 |
Report of Proceedings
by Initial/Subsequent Board of Inquiry or Further Review Board |
NOV 1999 |
DD2812 |
Commander's
Preliminary Assessment and Recommendation Regarding Missing Person |
NOV 1999 |
DD2813 |
Department of Defense Active Duty/Reserve Forces Dental Examination |
SEP 2006 |
DD2814 |
Pharmacy Redesign
Pilot Program |
NOV 2000 |
DD2815 |
Alternative
Dispute Resolution (ADR) Program Annual Report |
MAY 2000 |
DD2816 |
Consent for
Search and Seizure |
OCT 2000 |
DD2817 |
Evidence Custody
Document |
OCT 2000 |
DD2818 |
Civilian Rights
Advisement Form |
OCT 2000 |
DD2819 |
Affiliation
Agreement |
OCT 2000 |
DD2820 |
Military Rights
Advisement Form |
OCT 2000 |
DD2821 |
Special Access
Program Security Termination Guide |
CANCELLED |
DD2822 |
Special Access
Program Initial Security Briefing |
CANCELLED |
DD2823 |
Command Authorization
for Search and Seizure |
OCT 2000 |
DD2824 |
Voluntary Sworn
Statement |
OCT 2000 |
DD2825 |
Internal Receipt |
JUN 2000 |
DD2826 |
Trustee Report |
MAR 2007 |
DD2827 |
Application
for Trusteeship |
MAR 2007 |
DD2828 |
Physician Certification
for Child Annuitant |
NOV 2006 |
DD2829 |
Customer Wait
Time Report |
NOV 2000 |
DD2830 |
General Talent
Release |
OCT 2000 |
DD2831 |
General Release
Where Talent Fee or Other Remuneration or Recompense Accrues to the Participant |
OCT 2000 |
DD2832 |
Release Granting
the U.S. Government Permission to Photograph or Otherwise Record the Visual
Image or Sound of Private Property |
OCT 2000 |
DD2833 |
Release Granting
the U.S. Government Permission to Record and Reproduce Program Material
Transmitted by Educational or Commercial Broadcast Stations |
OCT 2000 |
DD2834 |
Veterinary
Consultation Request |
SEP 2002 |
DD2835 |
Program Access
Request |
DEC 2000 |
DD2836 |
Special Access
Program Indoctrination Agreement |
DEC 2000 |
DD2837 |
Continued Health
Care Benefit Program (CHCBP) Application |
MAY 2010 |
DD2839 |
Career Status
Bonus Election |
APR 2009 |
DD2840 |
Request for
Information Regarding Deceased Debtor |
JUN 2008 |
DD2841 |
DoD Public
Key Infrastructure (PKI) Registration Official Certificate Acceptance and
Acknowledgement of Responsibilities |
AUG 2009 |
DD2842 |
DoD Public
Key Infrastructure (PKI) Subscriber Certificate Acceptance and Acknowledgement
of Responsibilities |
AUG 2009 |
DD2843 |
Classified
Material Destruction Record |
SEP 2001 |
DD2844TEST |
Post Deployment
Medical Assessment |
MAR 2002 |
DD2845 |
U. S. Department of Defense (National Capital Region) Mass Transportation Benefit Program
Application |
OCT 2007 |
DD2846 |
Contractor
Performance Assessment Report (CPAR) - Services Information Technology Operations
Support |
SEP 2002 |
DD2847 |
Contractor
Performance Assessment Report (CPAR) - Ship Repair & Overhaul |
SEP 2002 |
DD2848 |
Contractor
Performance Assessment Report (CPAR) - Systems |
SEP 2002 |
DD2851 |
Request to
Correct Thrift Savings Plan Agency Error |
NOV 2001 |
DD2852 |
Patient Movement Event/Near Miss Report |
FEB 2011 |
DD2853 |
TRICARE Plus
Enrollment Application |
NOV 2010 |
DD2854 |
TRICARE Plus
Disenrollemnt Request |
NOV 2010 |
DD2855 |
U.S. Military
Agriculture and Customs Preclearance Program |
SEP 2006 |
DD2856 |
DoD Semi-Annual
Program Review/Facility Inspection Checklist |
MAY 2012 |
DD2857 |
Family Subsistence
Supplemental Allowance Application |
MAY 2009 |
DD2858 |
Visual Information
Activity Profile |
MAY 2004 |
DD2859 |
Foreign Activities
Questionnaire |
JUL 2005 |
DD2860 |
Claim for Combat-Related
Special Compensation (CRSC) |
JUL 2011 |
DD2861 |
Cross-Reference |
JUN 2003 |
DD2862 |
Age 18 Notice
- SBP Child Coverage Certification |
JUL 2003 |
DD2863 |
National Call
to Service (NCS), Election of Options |
APR 2006 |
DD2864 |
VSI Beneficiary
Designation |
SEP 2003 |
DD2865 |
Service Record
Information Request |
SEP 2003 |
DD2866 |
Retiree Change
of Address Request/State Tax Withholding Authorization |
NOV 2003 |
DD2867 |
Income Tax Adjustment
Certificate |
JUN 2012 |
DD2868 |
Request for
Withholding (Stocked and Issued by DFAS) |
DEC 2003 |
DD2869 |
Defense Finance
and Account Service 1099-MISC Tax Reporting Program System Access Request |
DEC 2007 |
DD2870 |
Authorization
for Disclosure of Medical or Dental Information |
DEC 2003 |
DD2871 |
Request to Restrict
Medical and Dental Information |
DEC 2003 |
DD2872 Test |
Depleted Uranium
(DU) Questionnaire |
FEB 2004 |
DD2872-1 Test |
Health Survey |
FEB 2004 |
DD2873 |
Military Protective
Order (MPO) |
JUL 2004 |
DD2874 |
Certificate
to Operate Youth Program (Stocked and Issued by OUSD(P&R)) |
JUL 2004 |
DD2875 |
System Authorization
Access Request (SAAR) |
AUG 2009 |
DD2876 |
TRICARE Prime
Enrollment Application and Primary Care Manager (PCM) Change Form |
SEP 2011 |
DD2877 |
TRICARE Prime
Disenrollemnt Application |
FEB 2011 |
DD2878 |
Department of Defense Youth Program Inspection Checklist |
JUL 2004 |
DD2879 |
A Reminder About
Your Claim Form |
APR 2004 |
DD2880 |
Social Security
Offset Fact Sheet |
APR 2004 |
DD2881 |
NATO Secret
(Label) |
MAY 2004 |
DD2882 |
Pediatric and
Adolescent Preventive and Chronic Care Flowsheet |
JUN 2004 |
DD2883 |
Credit Worthiness
Evaluation |
JUL 2004 |
DD2884 |
DoD Youth Program
Annual Summary of Operations |
JUL 2004 |
DD2885 |
Personal Commercial
Solicitation Evaluation |
APR 2006 |
DD2886 |
Social Security
Administration Statement (Annual Recertification) |
AUG 2004 |
DD2887 |
Application
for the Department of Defense (DoD) Stored Value Card (SVC) Programs |
FEB 2009 |
DD2888 |
Critical Acquisition Position Service Agreement |
JUL 2005 |
DD2889 |
Critical Acquisition Position Service Agreement Key Leadership Position (KLP) |
JUL 2005 |
DD2890 |
DoD Multimodal Dangerous Goods Declaration |
JUL 2012 |
DD2890C |
DoD Multimodal Dangerous Goods Declaration (Continuation Sheet) |
OCT 2005 |
DD2891 |
Authorization
for Retired Serviceman's Family Protection Plan (RSFPP) and/or Survivor
Benefit Plan (SBP) Costs Deduction |
OCT 2005 |
DD2892 |
Certificate
of Eligibility for Retired Members |
MAR 2005 |
DD2893 |
Victim Advocate
Safety Plan |
MAR 2005 |
DD2894 |
Designation
of Beneficiary Information |
MAR 2005 |
DD2895 |
Agreement to
Serve in the Selected Reserve for TRICARE Reserve Select |
CANCELLED |
DD2896 |
TRICARE Reserve
Select (TRS) Request Form |
JUL 2006 |
DD2896-1 |
Reserve Component
Health Coverage Request (Stocked and Issued by OASD(HA)/TMA) |
JUL 2010 |
DD2897 |
Former Spouse
Distribution Statement |
MAY 2006 |
DD2898 |
Department of Defense Senior Professional Pay and Performance Appraisal |
AUG 2009 |
DD2899 |
Department of Defense Executive Pay and Performance Appraisal |
AUG 2009 |
DD2900 |
Post Deployment
Health Reassessment |
SEP 2012 |
DD2901 |
Child Abuse
or Domestic Violence Related Fatality Notification |
MAY 2012 |
DD2902 |
Claim for Reimbursement
and Payment Voucher for Privately-Purchased Protective, Safety, or Health
Equipment Used in Combat |
CANCELLED |
DD2903-1 |
Voluntary Separation
Incentive Pay Agreement Lump Sum Payment |
OCT 2005 |
DD2903-2 |
Voluntary Separation
Incentive Pay Agreement Bi-Weekly Installment Payment |
OCT 2005 |
DD2903-3 |
Voluntary Separation
Incentive Pay Agreement 6-Month Installment Payment |
OCT 2005 |
DD2904 |
Application
for Voluntary Separation Incentive Pay Under VSIP Phase II |
OCT 2005 |
DD2905 |
Acquisition,
Technology, and Logistics (AT&L) Workforce Position Requirements or Tenure
Waiver |
DEC 2005 |
DD2906 |
Department of Defense National Security Personnel System (NSPS) Performance Appraisal |
SEP 2008 |
DD2906D |
Defense Civilian
Intelligence Personnel System (DCIPS) Performance Appraisal |
OCT 2011 |
DD2907 |
Retired Pay
Distribution Statement |
MAY 2006 |
DD2908 |
Propellants
Delivery/Services Task Schedule (PDST) |
MAY 2006 |
DD2909 |
Victim Advocate
and Supervisor Statements of Understanding |
JUN 2006 |
DD2910 |
Victim Reporting
Preference Statement |
NOV 2008 |
DD2911 |
DoD Sexual Assault Forensic
Examination Report |
SEP 2011 |
DD2912 |
Claim for Temporary
Quarters Subsistence Expense (TQSE) (Sub-voucher) |
JUN 2006 |
DD2913 |
Missile Propellants
Consolidation and Reporting of Sales |
NOV 2006 |
DD2914 |
Record of Receipts
of Missile Propellants |
NOV 2006 |
DD2915 |
Propellant Servicing
Unit Record |
NOV 2006 |
DD2916 |
Forecast of
Sales Requirements - Missile Propellants and Pressurants |
NOV 2006 |
DD2917 |
Physical Inventory
(Fuels/Missile Propellants) |
NOV 2006 |
DD2918 |
National Security
Personnel System (NSPS) Position Description |
JUL 2006 |
DD2919 |
Reserve Income
Replacement Program (RIRP) Eligibility Verification |
JUL 2006 |
DD2920 |
DoD MILSPETS
DFSP Transfer of Account Document |
DEC 2008 |
DD2921 |
Physical Inventory
Petroleum Products |
DEC 2008 |
DD2921C |
Physical Inventory
Petroleum Products (Continuation Sheet) |
JUN 2009 |
DD2922 |
Forensic Laboratory
Examination Request |
JUL 2006 |
DD2923 |
Privacy Act
Data Cover Sheet |
SEP 2010 |
DD2924 |
Monthly Inventory
Transactions Report (Missile Propellants) |
NOV 2006 |
DD2925 |
Missile Fuels/Propellants
Inventory Summary Sheet |
NOV 2006 |
DD2926 |
Annual Foreign
Area Officer (FAO) Metrics Report Data Input |
OCT 2007 |
DD2927 |
Petroleum and
Lubricants Sample Identification Tags |
JUL 2007 |
DD2928 |
Defense Civilian
Pay System (DCPS) Payroll Office Access Form |
NOV 2010 |
DD2929 |
Defense Civilian
Pay System (DCPS) Non-Payroll Office Access Form |
NOV 2010 |
DD2930 |
Privacy Impact
Assessment (PIA) |
NOV 2008 |
DD2930A |
Adapted Privacy Impact Assessment (PIA) |
AUG 2011 |
DD2931 |
Chemical, Biological,
Radiological, and Nuclear (CBRN) Mission Critical Report |
AUG 2009 |
DD2932 |
National Language
Service Corps Pilot Application |
SEP 2009 |
DD2933 |
National Language
Service Corps (NLSC) Pilot Detailed Skills Self-Assessment |
SEP 2009 |
DD2934 |
National Language
Service Corps (NLSC) Pilot GLOBAL Language Self-Assessment |
SEP 2009 |
DD2935 |
National Language
Service Corps (NLSC) Pilot Language Data Sheet |
SEP 2009 |
DD2936 |
Request for Approval of DoD Internal Information Collection |
APR 2012 |
DD2936-1 |
Request for Sponsorship Transfer of DoD Internal Information Collection |
APR 2012 |
DD2937 |
Election of
Retirement Coverage for Reemployed Civil Service Retirement System (CSRS)
and CSRS-Offset Discontinued Service Retirement (DSR) Annuitants |
DEC 2008 |
DD2938 |
Election of
Retirement Coverage for Reemployed Federal Employees Retirement System (FERS)
Discontinued Service Retirement (DSR) Annuitants |
DEC 2008 |
DD2939 |
NF-6 Performance Manegement System Executive Performance Agreement |
AUG 2012 |
DD2940 |
Statement of
Entitlement to Educational Assistance for Reserve Components Supporting
Contingency Operations and Certain National Emergency Response Operations |
JAN 2009 |
DD2941 |
Statement of
Irrevocable Election of Educational Assistance Benefits Based on Qualifying
for Educational Assistance |
JAN 2009 |
DD2942-1 |
Commissioned
Officer Selection and Promotion Statistics - Promotions by Competitive Category |
JUN 2009 |
DD2942-2 |
Commissioned
Officer Selection and Promotion Statistics - Promotions by Race, Gender, and Ethnicity |
JUN 2009 |
DD2942-3 |
Commissioned
Officer Selection and Promotion Statistics - Posthumous Commission Report |
JUN 2009 |
DD2943-1 |
NAF to NAF Retirement
Portability Election to Retain Army Nonappropriated Fund (NAF) Retirement
Coverage (CNIC Instrumentality) |
CANCELLED |
DD2943-2 |
NAF to NAF Retirement
Portability Election to Retain Air Force Nonappropriated Fund (NAF) Retirement
Coverage (CNIC Instrumentality) |
CANCELLED |
DD2943-3 |
NAF to NAF Retirement
Portability Election to Retain Air Force Nonappropriated Fund (NAF) Retirement
Coverage (Army Instrumentality) |
CANCELLED |
DD2943-4 |
NAF to NAF Retirement
Portability Election to Retain Commander, Navy Installations Command (CNIC)
Nonappropriated Fund (NAF) Retirement Coverage (Air Force) |
CANCELLED |
DD2943-5 |
NAF to NAF Retirement
Portability Election to Retain Army Nonappropriated Fund (NAF) Retirement
Coverage (Air Force Instrumentality) |
CANCELLED |
DD2944 |
Claim for Retroactive
Stop Loss Payment |
MAR 2010 |
DD2945 |
Post-Government
Employment Advice Opinion Request |
AUG 2012 |
DD2946 |
Department of Defense Telework Agreement |
DEC 2011 |
DD2947 |
TRICARE Young Adult Application |
SEP 2012 |
DD2948 |
Special Compensation for Assistance w/ Activities of Daily Living (SCAADL) Eligibility |
SEP 2011 |
DD2949 |
Joint Inspector General Action Request |
SEP 2011 |
DD2950 |
Department of Defense Sexual Assault Advocate Certification Program Application Packet |
SEP 2012 |
DD2951 |
Initial Report of Suspected Child Sexual Abuse in a DoD Operated or Sponsored Out-of-Home Care Actvities |
JUN 2012 |
DD2952 |
Closeout Report of Suspected Child Sexual Abuse in DoD Operated or Sponsored Activities |
JUN 2012 |
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