Da Form 2823 Army DD Form 2000 2499 DD Form 2500 2999 DD Form 3000 3499 Other Forms Secretary of Defense SD Form ODA M Forms Washington Headquarters Services WHS Forms FORM INFORMATION Form Number DD 1375 Title Request for Payment of Funeral and or Interment Expenses Edition Date 11 22 2019
DD FORM 1375 NOV 2019 PREVIOUS EDITION IS OBSOLETE b TAXPAYER ID NUMBER OR SSN The public reporting burden for this collection of information is estimated to average 15 minutes per response including the time for reviewing instructions searching existing data sources PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2 PRIVACY ACT STATEMENT AUTHORITY 10 USC Sections 1481 through 1488 DD FORM 1375 OCT 2003 PREVIOUS EDITION IS OBSOLETE b TAXPAYER ID NUMBER OR SSN Title DD Form 1375 Request for Payment of Funeral and or Interment Expenses
Da Form 2823 Army
Da Form 2823 Army
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DD Form 2000 2499 DD Form 2500 2999 DD Form 3000 3499 Other Forms Secretary of Defense SD Form ODA M Forms Washington Headquarters Services WHS Forms FORM INFORMATION Form Number DD 1375 Title Request for Payment of Funeral and or Interment Expenses Edition Date 11 22 2019
https://www.cnic.navy.mil/Portals/74/CNIC%20HQ/Ops_and_MGMT/CACO/Request%20for%20Payment.pdf?ver=WvL0-A7F3Uxk5DAhjRR4ew%3d%3d
DD FORM 1375 NOV 2019 PREVIOUS EDITION IS OBSOLETE b TAXPAYER ID NUMBER OR SSN The public reporting burden for this collection of information is estimated to average 15 minutes per response including the time for reviewing instructions searching existing data sources
Figure 3 4 DA Form 2823 Narrative
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DAO Provide DD 1375 to CACO Form should be pre filled as much as possible CACO Provide DD 1375 to PADD with explanation PADD Sign DD 1375 No witness required Provide copies of paid receipts Give to CACO CACO Deliver DD 1375 and receipts to DAO Hand deliver if convenient DD Form 1375 is used to apply for reimbursement of funeral and or internment expenses for a deceased service member or veteran The form is part of the OMB 0704 0030 collection which also includes DD Form 2065 and supporting documents
To the Mortuary Officer of the installations which provided the DD Form 1375 to the next of kin For Army Personnel To the Mortuary Officer of the installation which provided the DD Form 1375 to the next of kin or if the next of kin made their own arrangements to CRD Perscom Attn TAPC PED D Alexandria VA 22331 0482 For Army National Guard Reimbursement the family must complete a DD Form 1375 Request for Payment of Funeral and or Interment Expenses Additionally a surviving spouse or child may receive a special lump sum death payment of 255 from the Social Security Administration if certain Burial in a national cemetery is based upon military service and
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This is a draft of DD Form 1375 a document used to request payment of funeral and interment expenses for a deceased military member or veteran The form contains information about the military activity the claimant the cemetery and the costs involved Download Fillable Dd Form 1375 In Pdf The Latest Version Applicable For 2025 Fill Out The Request For Payment Of Funeral And or Interment Expenses Online And Print It Out For Free Dd Form 1375 Is Often Used In Request For Payment Funeral Expenses Dd Forms U s Department Of Defense United States Federal Legal Forms Legal And United States Legal Forms
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30 Army Sworn Statements DA Form 2823 TemplateArchive
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Figure 1 7 DA Form 2823 Sworn Statement Front
Da Form 2823 Army - DD Form 1375 is used to apply for reimbursement of funeral and or internment expenses for a deceased service member or veteran The form is part of the OMB 0704 0030 collection which also includes DD Form 2065 and supporting documents