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Defense Department form, series DD, number 2217. Full title: DD Form 2217, Biological Audiometer Calibration Check, January 2000. Function: Biological Audiometer Calibration Check. Edition in force: not stated. Publisher status: not stated.
Prescribing authority: not stated. Proponent: not stated. Unlike service-specific publications, DD forms carry Department-level authority and apply across the Army, Navy, Air Force, Marine Corps, Space Force and Coast Guard when operating under Defense jurisdiction.
Users include uniformed members of any branch, DoD civilian employees, contractor personnel where authorized, and the administrative staff who process the completed record.
Submission follows the schedule set by not stated and by local implementing procedures. This page provides the blank form for download and general orientation only.
Available formats: PDF. The form runs 2 pages and contains approximately 200 fillable fields.
Distribution centres on pdf. Two states exist: fillable, where field boxes accept keyboard input and retain it, and printable, a static blank produced for manual completion. Typed data reproduces cleanly across copies; handwritten data depends on the writer.
All formats download free of charge. Pdf files open in any modern reader; interactive fields behave most predictably in a desktop application, less so in browser viewers.
What the form asks for
- 1. Audiometer. a. Manufacturer.
- b. Model.
- c. Serial number.
- d. Last electroacoustic calibration date (4 digit year, 2 digit month, 2 digit day, no dividers).
- 2. Listener. a. Name (last, first, middle initial).
- b. Facility.
- c. Location.
- 4. Hearing threshold levels of test frequencies. a. Baseline. (1) Left earphone. 500 Hz.(2) Right earphone. 500 Hz.
- 1000 Hz.
- 2000 Hz.
- 3000 Hz.
- 4000 Hz.
- 6000 Hz.
- 3. Dates and data review. Baseline. a. Date (4 digit year, 2 digit month, 2 digit day).
- b. Name of examiner (last, first, middle initial).
- c. Calibration check. Press space bar to mark X in first box if pass (plus or minus 5 dB of baseline) or second box if fail (greater than plus or minus 5 dB of baseline).
- 4. Hearing threshold levels of test frequencies. a. Baseline. Enter hearing threshold levels in increments of 5 decibels. (1) Left earphone. 500 Hz.
- 1000 Hz.
- 2000 Hz.
- 3000 Hz.
- 4000 Hz.
- 6000 Hz.
- Periodic biological calibration checks. a. Date, line 1.
- b. Name of examiner.
Order of completion: identification block first, substantive entries second, certification and signature last. The blank is laid out in that sequence and the sequence is not arbitrary — later entries often depend on data established in the header.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
Field-level instructions appear on the form itself and in not stated. The directive is the controlling text.
After completion, the copy goes to the office designated by not stated or by local procedure. Retention of a personal copy is ordinary practice and costs nothing.
Associated forms are traced by number within the series. Because the DD sequence is common to all military departments, no service qualifier is needed to identify a referenced form.
Some procedures pair a DD form with a service form. The two numbering systems are separate — service forms answer to a service proponent, DD forms to not stated or another Department office — and a matching number in each system means nothing.
Revision occurs when the prescribing directive is reissued, when the data collected changes, or when statutory notice language is amended. Verification of the edition date at download addresses all three.
Scope of this page: distribution of a published form and description of its contents. It offers no legal guidance and no assurance regarding any particular submission. Direct procedural questions to not stated, to the servicing personnel office, or to the office designated in not stated.
Questions and answers
- What is DD Form 2217?
- DD Form 2217, Biological Audiometer Calibration Check, January 2000
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?