Tricare Guiding the Claims Process 2012-2024 free printable template
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Hello and welcome to this tutorial on how to complete the Department of Defense form 137 — five dependency statement incapacitated child over 21 the purpose of completing a DD form 137 — five is to establish the relationship and dependency status of the claimed dependent incapacitated child over the age of 21 the DD Form 137 — five contains 15 sections in which all questions must be answered if any question does not apply to your situation please write not applicable or n/an in that block incomplete answers or unfilled boxes will delay final action on the application before you begin filling out the form please be sure to read and understand all the instructions and notes provided in the instructions box please note the service member must complete the form in its entirety sign and date the form and have it notarized there are special instructions if the child does not live with the member or if the member is deceased that must be followed verification of income is required in this request additionally in this II tutorial the term member and sponsor will be used interchangeably in block 1a please place an X on each entitlement that is being requested are you requesting basic allowance for housing BA or uniformed service identification and privilege guard USP card commonly known as an ID card the secondary dependency office of your respective branch of service will verify that you meet the eligibility criteria set forth by Congress for the requested entitlements next answer block 1b is this your first application if yes mark is this is not your first application please mark now and provide the date of your last application in block 1c indicate whether the claim was approved or disapproved the information requested in section 2 member camp; 4 Mahan relates to the sponsor and includes the member name social security number rank and status section 2 e asks for the members current residence address and the complete military unit address if the sponsor is on active duty if the sponsor is now retired you should write not applicable in block 2f the information requested in blocks to G H and I must be clear and up-to-date the secondary dependency office uses the information in these boxes to communicate with the member if more evidence or clarification is required to complete the claim please provide a good working telephone number email address if applicable and the sponsors marital status section 3 members child includes information for the claimed incapacitated child this section is only for the child that is being claimed the information requested in section 4 child's other parent asks you to list the other parents' information if the other parent is in any branch of service including the Reserve or National Guard please complete blocks for C and D section 5 child's residence seeks information regarding the incapacitated child's residence in section 5 a select the type and owner status of the residence where the child is living in section 5 B be sure...
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