2168-2026

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4.9 out of 5

43 votes

The document is an application form for the discharge of a member or survivor of a member of a group certified to have performed active duty with the U.S. Armed Forces. It includes sections for personal data, service group information, and application details, along with instructions for completion and submission. The form also outlines the privacy act statement and the burden of proof required from the applicant.

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Click ‘Get Form’ to open the 2168 application in the editor.
Begin by filling out Section I, which requires your personal data. Enter your full name, Social Security Number (SSN), and any aliases you may have. Make sure to include your date of birth in the specified format (YYYYMMDD).
Next, provide your current address details including street address, city, county, state, and ZIP code.
Move on to Section II to detail your service group data. Fill in the name of the group you served with, identification number, highest grade/rank/rating held, and other relevant military service information.
In Section III, sign the application where indicated. If applicable, include legal proof of death or incompetency if signing on behalf of someone else.
Finally, review all sections for accuracy before submitting. Attach any necessary supporting documents as outlined in the instructions.

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Versions	Form popularity	Fillable & printable
2010	4.9 Satisfied (43 Votes)
2008	4 Satisfied (25 Votes)

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