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Department of Defense form 2526. Official designation: DD 2526, Case Abstract for Malpractice Claims, February 2000. Purpose: Case Abstract for Malpractice Claims. Current edition not stated, status not stated.
Issued under not stated, with not stated as proponent. A DD number marks a Department-wide instrument: the same blank form serves every military department and the defense agencies, rather than one service alone.
The form reaches military personnel across the services, civilian employees of the Department, and the personnel and records specialists who receive it.
When the form is filed is a matter of not stated and local instruction. The description here covers the document itself and how to obtain a copy.
The download set covers PDF. Document length is 4 pages with about 182 entry fields.
The pdf is the primary distribution format. A fillable pdf accepts typed entries in defined field boxes and stores them in the file; a printable pdf is a flat image of the blank, meant for pen entry after printing. The distinction matters for legibility and for records that pass between offices.
What the form asks for
- Press this Reset button to clear the data from all fields.
- 2. Claimant last name.
- 3. Type of report. Press space bar to mark X in first box if initial, second box if correction or addition, third box if revision to action, or fourth box if void previous report.
- b. Ending date.
- 4. Date(s) of act(s) or omission(s) (4 digit year, 2 digit month, 2 digit day). a. Beginning date.
- 1. Date of report (4 digit year, 2 digit month, 2 digit day, no dividers).1. Date of report (4 digit year, 2 digit month, 2 digit day, no dividers).
- 5. Date claim filed (4 digit year, 2 digit month, 2 digit day, no dividers).1. Date of report (4 digit year, 2 digit month, 2 digit day.
- 6. Date of judgment or settlement (4 digit year, 2 digit month, 2 digit day.
- 7. Medical treatment facility. a. Name.
- b. DMIS code.
- 8. Practitioner information. a. Name (last, first, middle).
- b. Social security number. Do not include dashes.
- c. Date of birth (4 digit year, 2 digit month, 2 digit day).
- d. Name of professional school attended.
- e. Date graduated (4 digit year, 2 digit month, 2 digit day).
- f. Specialty code.
- g. Status. X first box if Army, second box if Navy, third box if Air Force, fourth box if PHS, fifth box if civilian GS, sixth box if partnership internal, seventh box if partnership external, eighth box if personnel services contract, or ninth box if non-personnel services contract.
- h. Source of accession. (1) Military. X if volunteer.
- X if Armed Forces Health Professional scholarship program.
- X if Uniformed Services University of Health Sciences.
- X if National Guard.
- X if Reserve.
- X if other.
- (2) Civilian. X if Civil Service.
The document is filled from the top down. Identification precedes substance, substance precedes certification. Fields lower on the page are commonly keyed to entries made above them.
Edition in use: not stated. Because DD forms are revised at Department level and distributed to all services at once, an obsolete printing may not match the fields an office expects. The date is printed on the form face.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
Once executed, routing follows not stated and the submitting organization's own instruction. Keeping a copy is standard.
Cross-referenced forms are found through the numbering system. The DD sequence is Department-level and unified, which means a number cited on the page identifies one document across the whole Department.
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.
The material here is descriptive. Nothing on the page constitutes legal or procedural advice, and no statement here determines whether a submitted form will be accepted. Such questions go to not stated, a servicing administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 2526?
- DD 2526, Case Abstract for Malpractice Claims, February 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?