Get Dd Form 2828 Physician Certificate For Child Annuitant November 2006 - Dtic

Filling out the DD Form 2828 is an important step for ensuring that a child annuitant receives the benefits they are entitled to. This guide provides clear, step-by-step instructions on how to accurately complete this form online, helping users navigate each section with ease.

Follow the steps to complete the DD Form 2828 effectively.

1. Click ‘Get Form’ button to access the form and have it open in an online editor.
2. In the first section, enter the deceased member's full name, ensuring you include the last name followed by the first and middle initial. This information is crucial for identification purposes.
3. Provide the annuitant's social security number (SSN) in the next field. This identification number is essential for processing the form.
4. Specify the date of birth of the annuitant using the format YYYYMMDD. Accuracy in this entry is important for verifying eligibility.
5. Re-enter the annuitant's social security number in the designated field to ensure consistency.
6. In the section labeled ‘Brief description of medical/psychiatric diagnosis,’ provide a succinct overview of the condition affecting the annuitant, focusing on relevant details.
7. Indicate the date the condition began in the format YYYYMMDD. This detail helps establish the duration and impact of the incapacity.
8. Proceed to fill out the physician's statement. Complete the duration of treatment by specifying the years and months the physician has attended to the annuitant.
9. Indicate the date of the last examination of the patient, ensuring this is up-to-date.
10. Choose the option(s) indicating whether the patient is incapable of self-support and/or handling their own financial affairs for the specified period.
11. Specify whether the incapacity is permanent or temporary by selecting the appropriate option. If temporary, provide an expected recovery date in YYYYMMDD format.
12. Identify the physician's role by checking the appropriate designation as either a licensed physician or psychiatrist, including the state of practice.
13. Complete the certification statement, ensuring the physician's name, address, signature, and date are clearly provided to authenticate the form.
14. Once every section is filled out accurately, you can save the changes, download the completed form, print it for submission, or share it as necessary.

Complete your documents online and ensure that all necessary forms are accurately filed.