Dd form 877 2025

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The document is a request form (DD Form 877-1) for obtaining medical and dental records from the National Personnel Records Center (NPRC) in St. Louis, Missouri. It outlines the necessary information to be filled out by the requester, including patient details, treatment year, facility name, and type of treatment. The instructions emphasize that the form is exclusively for military facilities and must be completed accurately to avoid delays. It also provides guidance on how to submit the request and where to send it based on the patient's status.

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Click ‘Get Form’ to open the dd form 877 in the editor.
Begin by completing Item 1, entering the request date in YYYYMMDD format. This is crucial for tracking your request.
In Item 2, fill in the patient's name as it was at the time of treatment, ensuring accuracy for identification purposes.
Proceed to Item 3 and specify the year of treatment. Remember, only one year can be requested per submission.
For Item 4, indicate the facility where treatment occurred. This helps streamline processing.
In Item 5, describe the disease or injury that necessitated the records request.
Complete Items 6 through 11 by selecting appropriate statuses and identifiers relevant to the patient’s military status and treatment type.
Finally, ensure you fill out Item 14 with a complete return address before submitting your request.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What form do I use to request military medical records?

Requesters can use the online ordering form at vetrecs.archives.gov (or use the SF-180).

What is a DD form in the military?

The report of separation form issued in most recent years is the DD Form 214 (dd214, dd 214, dd-214, dd form 214), Certificate of Release or Discharge from Active Duty.

What is dd form 877?

The DD Form 877 is the only request form that NPRC will accept from Military Treatment Facilities (MTFs) for retired clinical and medical treatment records. This form is authorized for use by military facilities ONLY.

What form do I need to request military health records?

Download form SF-180 to mail or fax your request.

What is a DD2870?

DoD forms satisfy a valid need; essential to accomplish a mission and necessary for the efficient and economical operation of the DoD. This web site provides the Official edition of Department of Defense (DD) and Secretary of Defense (SD) forms.

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