Get Dd Form 2853

Filling out the DD Form 2853 is an important step for eligible beneficiaries wishing to enroll in the TRICARE Plus program. This guide is designed to provide you with clear and concise instructions to complete the form online with ease.

Follow the steps to fill out the DD Form 2853 accurately

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling out Section I, which includes Sponsor Information. Provide the Sponsor's Social Security Number, Full Name (Last, First, Middle Initial), and Date of Birth in the required format (YYYYMMDD).
3. Proceed to Section II, Individual Enrollments. Here, fill in your mailing address, residence address (if different), and contact number. Be sure to indicate if you have a preferred Military Treatment Facility (MTF) and Primary Care Provider by listing your first and second choices.
4. List any enrolling family members under item 5. For each family member, include their Name, Date of Birth, Mailing Address, Residence Address (if different), Telephone Numbers, and preferred MTF and Provider if known.
5. In Section III, you will need to sign and date the form. By signing, you confirm that you understand the TRICARE Plus program details, including limitations on coverage and the implications of enrollment.
6. After completing all sections, review the form for accuracy and completeness. Make any necessary corrections.
7. Once reviewed, save your changes. You may choose to download, print, or share the form as needed, ensuring a copy is retained for your records.

Complete your DD Form 2853 online today to secure your TRICARE Plus enrollment!