Get Requestment 2020-2025

This guide provides a clear, step-by-step approach to completing the Requestment form online. By following these instructions, you will ensure that all necessary information is accurately submitted for processing.

Follow the steps to successfully complete the Requestment online.

1. Locate and press the ‘Get Form’ button to access the Requestment form. This action will open the document in the appropriate editing tool for you to begin filling it out.
2. Fill in the 'Destination' field with 'DDS ODO'. This indicates the office to which you are submitting the form.
3. Provide the DDS code by selecting either 'DPB' or 'DQB' as applicable to your case.
4. Enter the filing date in the designated field to indicate when the form is being submitted.
5. If applicable, include the 'BIC' information for Child Disabled Benefits (CDB) or Disabled Widow Benefits (DWB) claims.
6. Input the Social Security Number (SSN) of the claimant in the specified field.
7. Complete the 'Name and Address of Claimant' section, ensuring that you include the full name and ZIP code.
8. If the claim is for a Child Disabled Benefits or Disabled Widow Benefits, include the name of the spouse in the designated field.
9. Select the appropriate type of claim from the options provided under Title II, including choices like DIB, FZ, or others based on your situation.
10. For claims under Title XVI, choose the type of claim from the options available.
11. Fill in the claimant's date of birth accurately in the specified format.
12. Indicate any prior actions in the 'Prior Action' section using the relevant codes provided.
13. Ensure to complete the 'District-Branch Office Address' with the correct ZIP code.
14. Provide the name of the representative if applicable.
15. Document any remarks or additional notes in the 'Remarks' section.
16. For 'Primary Diagnosis', select the relevant body system and diagnosis code.
17. If applicable, provide the details for secondary diagnoses in the designated section.
18. Complete the 'Diary Type' to indicate monitoring, if needed.
19. Fill in the vocational background details, including years of occupation and education.
20. Record the vocational rehabilitation (VR) action if relevant.
21. Complete the section regarding blindness status if applicable.
22. Fill in the determinations related to whether the claimant is considered disabled.
23. Ensure that all signatures, including that of the physician or medical specialist, are included.
24. Once all sections are filled out, review for accuracy, and save changes.
25. Finally, choose to download, print, or share your completed form as necessary.

Begin filling out your Requestment form online today!