Printable blank DD Form 2215

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What is the blank DD Form 2215?

The printable blank DD Form 2215 is used by the employees of the Department of Defense and its components to record initial audiometric test results.

What I need the blank DD Form 2215 for?

  • To record initial audiometric test results

How to fill out the blank DD Form 2215?

The form consists of one page and 25 main sections. Sections 1-14 are filled out with introductory and contact information, including the ZIP code, DoD component, SSN, name, date of birth, address of residency, address of work and other.
Section 15 is used to state the reason for conducting an audiogram and requires you to enter the number of the corresponding reason specified in this section. Sections 16-24 are devoted to the results of audiometric tests. These sections are filled out with audiometric data, date of audiogram, hours since last noise exposure, name of the examiner and others. The last section is filled out with the remarks of the examiner.

Organizations that work with the blank DD Form 2215

Department of Defense

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