Get Ds 3069

Filling out the Ds 3069 is an essential step in completing your medical examination authorization. This guide aims to simplify the process by providing clear, step-by-step instructions for filling out the form online, ensuring all necessary information is captured accurately.

Follow the steps to complete the Ds 3069 online effectively.

1. Press the ‘Get Form’ button to access the Ds 3069 form and open it in your preferred editor.
2. In the first section, enter the name of the person authorized for the medical examination, including the last name, first name, and middle initial.
3. Next, fill in the date of birth for the authorized individual in the format mm-dd-yyyy.
4. Provide the employee’s name, ensuring to include the last name, first name, and middle initial.
5. Enter the employee’s Social Security Number or Medical ID, as appropriate.
6. Specify the employee's agency to ensure proper identification and processing.
7. Indicate the examining facility to be used for the medical examination, choosing either a U.S. Government Medical Facility or a private physician, if available.
8. Follow the voucher instructions for reimbursement, ensuring to understand the submission process for medical claims both domestically and for overseas claimants.
9. Once all fields are completed, review the entire form for accuracy before submitting.
10. Save your changes, and then download, print, or share the form as required.

Complete your documents online today and ensure a smooth process.