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  • Dd Form 771

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(THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974 Use DD Form 2005.) EYEWEAR PRESCRIPTION ACCOUNT NUMBER DATE TO: (Lab) ORDER NUMBER FROM: NOSTRA NAME (Last, First) SSN Last 4 only GRADE ADDRESS/UNIT.

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How to fill out the Dd Form 771 online

Filling out the Dd Form 771 online is a straightforward process designed to assist users in documenting eyewear prescriptions. This guide provides step-by-step instructions to ensure accurate completion of the form.

Follow the steps to successfully complete the Dd Form 771 online.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred online platform.
  2. Begin filling out the account number in the designated field at the top of the form. This number is essential for tracking your order.
  3. Enter the date of the order accurately to ensure proper processing and record-keeping.
  4. Indicate the lab receiving the order by filling in the 'TO:' section with the lab's name.
  5. Complete the 'FROM:' section by entering your last name and first name, followed by the last four digits of your social security number. Do not include the entire number for privacy reasons.
  6. Specify your grade in the appropriate field, contributing to your identification within the system.
  7. Provide your full address and unit details, ensuring all sections are filled out. This information is crucial for shipping your eyewear.
  8. Fill in your phone number to facilitate communication if any additional information is required.
  9. If necessary, continue to the address section by providing further details about your location, such as city, state, and zip code.
  10. Indicate where to ship your eyewear by completing the 'SHIP TO:' section accurately, including the clinic or patient address as required.
  11. In the frame and lens specifications section, detail the required attributes such as type of frame, lens tint, and any additional specifics like materials and prism settings.
  12. Utilize the comments section to specify any additional justifications for your eyewear needs, particularly for fields marked as 'Other.'
  13. After ensuring all mandatory fields, indicated by highlighted sections, are completed, review the entire document for accuracy.
  14. Once you are satisfied with the completion of the form, proceed to save your changes, and you can choose to download, print, or share the form as needed.

Complete your Dd Form 771 online today to ensure your eyewear prescription is processed quickly and accurately.

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