Dd form 2569-2025

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The DD Form 2569 is the way you tell DOD about your OHI. The information provided on the DD Form 2569 is used to properly route a health care claim to your OHI provider.
A completed DD Form 1172-2 which has been signed: ✓ Electronically by the Sponsor (with CAC or DS Logon) and submitted using ID Card Office Online; OR ✓ In person by your sponsor at a RAPIDS Site; OR ✓ By your sponsor and docHubd. A wet or digital signature is acceptable; OR ✓ Using a Power of Attorney.
DD Form 1173-1. United States Uniformed Services Identification and Privilege Card. (Guard and Reserve family member) -Dependents of: Reserve members not on Active Duty or in receipt of retired pay; former members not in receipt of retired pay; Reserve Service members who die after receipt of Notice of Eligibility.
DD Form 256 (Discharge Certificate, Honorable) Veterans of the National Guard or Reserve. *Only one of the documents listed is required to be submitted. NGB Form 22 (National Guard) listing an Honorable or General Discharge.
To do this, you will need to complete a DD Form 1172-2. If you are a dependent, an active duty or retired Service member must take action to register you in DEERS with the required eligibility documents.
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Red (DD FORM 2) - Retired members of the Reserves and National Guard under the age of 60 (Gray Area). Also issued to family members of the Reserves and National Guard not on Active Duty order for more than 30 days.
For dependents, the DD Form 1172-2 serves as the supporting documentation for a lost or stolen Uniformed Services ID Card.

dd 2569