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Click ‘Get Form’ to open the dd form 2853 in the editor.
Begin with Section I, where you will enter the Sponsor Information. Fill in the Sponsor's Social Security Number, Name, and Date of Birth accurately.
Proceed to Section II for Individual Enrollments. Here, provide your Mailing Address, Residence Address (if different), and Telephone Numbers. Ensure that all information is complete.
List any enrolling family members by entering their names and dates of birth. Include their addresses and telephone numbers as needed.
In Section III, sign and date the application to certify that all provided information is true and complete. This step is crucial for processing your enrollment.
Finally, submit the completed form to the Military Treatment Facility (MTF) where you are requesting treatment. Remember to keep a copy for your records.
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DD Form 2853, TRICARE Plus Enrollment Application,
PRINCIPAL PURPOSE(S): To identify those individuals who have elected to use the Military Health. System TRICARE Plus benefit. ROUTINE USE(S): Information fromRead more
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