How to use or fill out ds 3057 with our platform
- Click ‘Get Form’ to open the ds 3057 in the editor.
- Begin by filling out the demographic information on page 1. Enter your name, date of birth, and sex in the designated fields.
- Indicate your status (Employee, Spouse, or Dependent Child) and provide your health insurance plan details.
- Complete the contact information section, including telephone number and email address where you can be reached for the next 90 days.
- On page 2, answer all medical history questions thoroughly. Attach additional pages if necessary for detailed responses.
- Review your entries for accuracy and completeness before signing at the bottom of the form.
- Once completed, scan the signed form and submit it via email in PDF format to MEDMR@state.gov.
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