#Blank fillable dd form 214 full
#Blank fillable dd form 214 code

The correction will be shown in block 5 of the DD Form 215.Дў. The information you enter in blocks 1-4 of the DD Form 215 should be exactly as shown on the DD Form 214 that you are correcting, even if any of the information is wrong. INSTRUCTIONS FOR COMPLETING DD FORM 215, AS REVISED 2/2000Д«e sure to use the revised form. You may also add information such as medals, if the record indicates the individual was entitled to the medal. If the error(s)(example, date of birth) appears on more than one separation document, you must issue a DD Form 215 for each separation document that contains the error. A DD Form 215 can correct an error(s) on a single DD Form 214.

#Blank fillable dd form 214 full

This Center can also make corrections when directed by a separation activity.Д®xamples of such corrections include: misspelled name, wrong initial(s), reversed first and middle name, reversed first and last name, nickname cited rather than full legal name, incorrect date of birth, transposed digits of Social Security number or service number, etc. NPRC can correct administrative errors (typographical or transposition) on DD Forms 214 however, amending military records (changing substantive information) is under the jurisdiction of the service department which created the record. I DESIRE TO APPEAR BEFORE THE BOARD IN WASHINGTON YES* THE BOARD WILL NO.Certificate of Release or Discharge from Active Duty If Veterans Affairs records are pertinent give regional office location and claim number. IN SUPPORT OF THIS APPLICATION I SUBMIT AS EVIDENCE THE FOLLOWING ATTACHED DOCUMENTS If military documents or medical records are pertinent to your case please send copies. IF MORE THAN THREE YEARS SINCE THE ALLEGED ERROR OR INJUSTICE WAS DISCOVERED STATE WHY THE BOARD SHOULD FIND IT IN THE INTEREST OF JUSTICE TO CONSIDER THE APPLICATION* 9. DISCOVERY OF ALLEGED ERROR OR INJUSTICE a* DATE OF DISCOVERY YYYYMMDD b. ORGANIZATION AND APPROXIMATE DATE YYYYMMDD AT THE TIME THE ALLEGED ERROR OR INJUSTICE IN THE RECORD OCCURRED Entry required 8. IF YES WHAT WAS THE DOCKET NUMBER c* DATE OF THE DECISION NO 7. I BELIEVE THE RECORD TO BE IN ERROR OR UNJUST FOR THE FOLLOWING REASONS Entry required a* IS THIS A REQUEST FOR RECONSIDERATION OF A PRIOR APPEAL YES b. I REQUEST THE FOLLOWING ERROR OR INJUSTICE IN THE RECORD BE CORRECTED AS FOLLOWS Entry required 6. DATE OF DISCHARGE OR RELEASE FROM ACTIVE DUTY YYYYMMDD 5. National Guard Retired Discharged Deceased COAST GUARD e. SERVICE NUMBER If applicable the type of court. TYPE OF DISCHARGE If by court-martial state a* BRANCH OF SERVICE X one ARMY AIR FORCE MARINE CORPS d. PRESENT STATUS WITH RESPECT TO THE ARMED SERVICES Active Duty Reserve 3. NAME Print - Last First Middle Initial NAVY c* PRESENT OR LAST PAY GRADE 2. APPLICANT DATA The person whose record you are requesting to be corrected* b. RETURN COMPLETED FORM TO THE APPROPRIATE ADDRESS ON THE BACK OF THIS PAGE* 1. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

#Blank fillable dd form 214 code

APPLICATION FOR CORRECTION OF MILITARY RECORD UNDER THE PROVISIONS OF TITLE 10 U*S* CODE SECTION 1552 OMB No* 0704-0003 OMB approval expires Please read Privacy Act Statement and instructions on back BEFORE completing this application* The public reporting burden for this collection of information is estimated to average 30 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information* Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing the burden to the Department of Defense Washington Headquarters Services Executive Services Directorate Directives Division 4800 Mark Center Drive Alexandria VA 22350-3100 0704-0003. REMARKS DD FORM 149 BACK DEC 2014 Records SAF/MRBR 550-C Street West Suite 40 Randolph AFB TX 78150-4742 Department of Homeland Security Office of the General Counsel 245 Murray Lane Stop 0485 Washington DC 20528-0485. DATE SIGNED DD FORM 1 PREVIOUS EDITION IS OBSOLETE.