Active duty dental program appointment of appeal representative active duty service members in remote locations may appeal click to close the action you take if you dont agree with a decision made about your benefit. The dd form 28, dod active dutyreserve forces dental examination, will be used to assist the tdpenrolled national guardreserve forces in documenting member dental health. 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. Dd form 25002999 executive services directorate washington. Cancelled forms are not available in electronic formats.
The related standard form 603, health record dental can be used for the same purposes. 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. Dutyreserve guardcivilian forces dental examination form dd form 28. Links to important forms for the active duty dental program. Dtf manual, this manual is an addp reference guide for dtf staff. Dd form 28 active duty reserve forces dental examination. Dd form 28, active dutyreserve forces dental examination. The active duty dental program privacy act statement. You are here home legal forms department of defense dd forms dd28 department of defense active dutyreserve forces dental examination form categories citizenship and immigration services uscis. Dd2558, authorization to start, stop, or change an allotment, 1212017, no, dfas. The dd form 28, dod active dutyreserve forces dental examination, will be used to assist the tdpenrolled national guardreserve forces in documenting. Dd28, department of defense active dutyreserveguardcivilian forces dental examination, 31 2017. Dd form 28, active dutyreserve forces dental examination the government. 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. This statement serves to inform you of the purpose for collecting personal information required by the addp claim form and how it will be used. The dd form 28, dod active dutyreserve forces dental examination, will be used to assist the. This form should be completed by the dtf or civilian provider and will be used to assist the services in documenting member dental health. Active dutyreserve forces dental examination the government requires all. Dd form 28 download fillable pdf or fill online department of. Active duty reserve forces dental examination the government requires all active duty and reserve members receive an annual dental examination. Learn how to fill the dd 1750 form packing list duration. The form is used by military physicians to determine if an applicant is fit for extended service away from dental help. This form is meant to determine fitness for prolonged duty without ready access to dental care and is not intended to address the members comprehensive dental needs. If the form number does not have a hyperlink, the form is not available electronically.
1412 269 436 677 1023 1200 139 1081 387 909 795 627 96 385 1544 1370 921 246 15 443 5 309 176 1126 862 39 318 89 710 266 32 783 474 228 36 537 1241 228