
OMB No. 07200049 OMB approval expires 6HSWHPEHUTRICARE YOUNG ADULT APPLICATIONThe public reporting burden for this collection of information, 07200049, is estimated to average 15 minutes per response,.
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How to fill out the DD 2947 online
Filling out the DD 2947 form online is a straightforward process that allows users to apply for TRICARE Young Adult coverage. This guide will provide clear instructions on each section of the form to ensure a smooth completion.
Follow the steps to complete your DD 2947 form online.
- Click the 'Get Form' button to obtain the DD 2947 form and open it in your browser.
- Begin by filling out Section I, Sponsor Information. Provide your full name, social security number or DoD benefits number, contact information, and residence address.
- In Section II, enrolling TRICARE Young Adult family member information or PCM change, enter the family member's name, date of birth, desired action (enroll, transfer enrollment, or disenroll), and address details.
- Complete Section III by identifying if you are currently covered by other health insurance. Provide the policyholder's information and details about your coverage.
- In Section IV, review the access waiver, attestations, and signature requirements. Confirm understanding and eligibility by providing your signature and the date signed.
- Finally, complete Section V regarding payment of TRICARE Young Adult premiums. Fill out your initial premium payment method and recurring automated monthly premiums options.
- After filling out all sections, review the form for accuracy. Save your changes and proceed to download or print your completed DD 2947 form for submission.
Complete your DD 2947 form online to secure your TRICARE Young Adult coverage today.
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