Get Dd Form 137-5, Dependency Statement - Incapacitated Child Over Age 21, 20140604 Draft - Reginfo

Filling out the DD Form 137-5 is an important step for individuals seeking dependency benefits for an incapacitated child over the age of 21. This guide provides clear and supportive instructions to help users navigate each section of the form effectively.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to retrieve the form electronically and open it in your document management system.
2. Begin by filling out the entitlements requested section. Mark the applicable benefits you are applying for, including Basic Allowance for Housing (BAH), USIP card, and travel allowance. Indicate whether this is your first application and provide the date of your last application if applicable.
3. Complete the member information section with your name, Social Security number, rank, and status. Specify your complete residence and military addresses, as well as your contact numbers and email address. Also, select your marital status.
4. Provide information about the member's child, including their name, Social Security number, date of birth, and relationship to the member. Fill in the child's complete address and note if they have ever been married.
5. Detail the child’s other parent information. Include their names, relationship to the child, addresses, and whether they are in any branch of service.
6. Specify the child's residence type and the owner of the residence. Indicate whether the residence is subsidized housing, and provide the date the child started living at the current address.
7. If the child is in a hospital or institution, fill out the necessary details about their stay, including dates of admission and expected discharge, as well as financial information about the child's hospital expenses.
8. List all persons living in the child's household if the child is not currently in a hospital or institution. Document their relationship, age, marital status, and employment details.
9. Outline the household expenses for all individuals living in the household, detailing monthly costs for rent, food, utilities, and any other relevant expenses.
10. Provide a breakdown of the child's personal expenses over the past 12 months, including clothing, medical expenses, and transportation payments.
11. Document the child's income, including gross income from various sources, and provide verification documents as required.
12. Record the child's employment history over the past 12 months, indicating their employer, employment dates, type of work performed, and reasons for job termination.
13. State the total contributions made by the member to the child's support over the past year, indicating whether this was done via personal check, money order, or other means.
14. Use the remarks section as needed to provide additional information or clarifications.
15. Sign and date the form, ensuring it is notarized. Clearly indicate your capacity regarding the custody of the child.
16. After completing all necessary sections, save your changes, then download, print, or share the completed form as required by your local personnel office.

Complete the DD Form 137-5 online today to ensure your application for dependency benefits is processed without delay.