2963-2026

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The document is a Service Treatment Record (STR) Certification form used by the Veterans Benefits Administration to certify the completeness of a service member's medical and dental records. It includes instructions for filling out the form, emphasizes the confidentiality of the information under privacy laws, and outlines the process for certifying whether records are complete or if additional documentation exists. The form requires details such as the service member's identification, certification date, and contact information for the responsible office.

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Click ‘Get Form’ to open the DD Form 2963 in the editor.
In Block 1, enter the date of certification in the format YYYYMMDD.
For Block 2, provide the sending organization’s complete mailing address.
In Block 3, fill out the service member's legal name in section 3.a and the last four digits of their SSN or DoD ID number in section 3.b.
For Block 4, select the appropriate certification type: 'Complete STR (Medical and Dental)', 'Medical Record', or 'Dental Record'. Add any necessary comments as instructed.
In Block 5, enter details for the Office of Primary Responsibility including name, address, point of contact name, email address, and telephone number.

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