Get Dd Form 877 Instructions

Filling out the Dd Form 877 is essential for requesting medical and dental records from the National Personnel Records Center. This guide provides step-by-step instructions to help users complete the form online with clarity and ease.

Follow the steps to fill out the form accurately

1. Press the ‘Get Form’ button to access the form and open it in an online editor.
2. Enter the request date in the specified format (YYYYMMDD) in Item 1.
3. Input the patient's name as it appeared at the time of treatment in Item 2.
4. Indicate the year of treatment by filling out Item 3.
5. List the name of the facility where the patient was treated in Item 4.
6. Check the status at the time of treatment in Item 6 by marking the appropriate box.
7. Provide the disease or injury related to the treatment in Item 5.
8. Complete the identifiers section in Item 7, providing appropriate details based on the selected status.
9. Indicate the type of treatment requested in Item 8 by marking the relevant box.
10. Fill out any additional records locator information in Item 9 if applicable.
11. Add any remarks or additional information in Item 10 to assist with processing.
12. Sign the form in Item 11, confirming your identity as the requester.
13. Complete Items 12 and 13 to address the addressee and any remarks also required.
14. Final steps include returning to the original fields to ensure all information is accurate before saving changes, downloading, printing, or sharing the completed form.

Complete your document requests online efficiently today.