Printable blank DD Form 93

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What is the blank DD Form 93?

The blank DD Form 93 is called “Record of Emergency Data” and is used by the personnel of the United States Department of Defense to provide the emergency contacts, designate the beneficiaries for the events of death and more.

What I need the blank DD Form 93 for?

  • As military personnel of the Department of Defense to designate the beneficiaries for events of death and provide the DoD with the emergency contact information;
  • As civilian personnel of the DoD to provide the DoD with the emergency contact information.

How to fill out the blank DD Form 93?

The printable blank DD Form 93 consists of 4 pages and 2 main sections. Pages 3 and 4 are completely devoted to the detailed instructions on filling out the form. It is necessary to read these instructions carefully as they indicate, which parts of the form are applicable to civilian personnel and which are filled out only by military personnel.

The first section of the fillable blank DD Form 93 is devoted to the emergency contact information. It has 10 fields to be filled out with all the necessary details. Fields 1 to 3 are used for identification and require you to enter your name, social security number and select the service or civilian category.
Fields 4 to 7 are devoted to the contact information and require you to enter the contacts of your wife, children, father and mother. The information includes names, relationships, dates of birth, addresses and telephone numbers.
Field 8 requires you to select, which person you wish not to identify due to ill health and which person you wish to identify instead. Field 9 requires you to enter the designated person(s) and enter their addresses. Field 10 is used to state the contracting agency and its telephone number.

Section 2 is called “benefits related information” and is filled out by choosing beneficiaries for death gratuity, for unpaid pay/allowances, person to direct disposition and their contact information as well as the percentages of the corresponding benefits.
There is also a field for remarks and several fields for your signature and the signature of the witness to be filled out.

Organizations that work with the blank DD Form 93

The United States Department of Defense.

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