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Defense Department form, series DD, number 2789. Full title: DD Form 2789, Waiver/Remission of Indebtedness Application, 20140917 draft. Function: Waiver/Remission of Indebtedness Application. Edition in force: not stated. Publisher 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.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
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.
Formats offered: PDF. Length: 6 pages. Fillable field count: roughly 82.
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.
Xfdl is present in the set. The format belongs to IBM Lotus Forms — long the Defense standard for electronic forms — and needs the matching viewer; pdf applications will report the file as unreadable.
Free download applies to every format listed. Any current pdf reader opens the pdf files, though field behaviour is most reliable in a full desktop reader rather than a browser preview.
What the form asks for
- 1. Type of claim (REQUIRED). Press space bar to mark X in first box if waiver, second box if remission.
- 3. Rank/Grade (REQUIRED).
- 4. Social Security Number (REQUIRED).
- 5. Agency/Service (REQUIRED). X only one box: first if Army, second if Navy, third if Air Force, fourth if Marine Corps, fifth if Other.
- Specify other agency or service.
- 6. Status (REQUIRED). X first box if active, second box if guard/reserve, third box if retired, fourth box if separated, fifth box if DoD civilian, or fifth box if annuitant.
- 6. If active, enter end of enlistment period date: 4 digit year, 2 digit month, 2 digit day, no separators.
- 6. If guard or reserve, enter end of enlistment period date.
- If retired, enter date of retirement.
- If separated, enter separation date.
- If civilian, enter Service Computation Date.
- 7. Current complete mailing address (REQUIRED). Street, City, State, Zip Code.
- 8. Place of assignment or employment.
- 9.b. Home telephone. Include area code.
- 9.c. E-mail address (REQUIRED).
- 10. Type of debt or pay and allowance erroneously paid.
- 11. Gross debt amount (REQUIRED).
- 12. State the date and how you first became aware of debt or erroneous payment (REQUIRED). Attach notification, if available.
- 13. If you were aware of debt or erroneous payment, explain the actions you took to correct the situation (REQUIRED).
- 14. Reason for requesting waiver or remission and why you feel it should be approved (REQUIRED). Financial hardship applies only to remission and if claimed, a financial statement must be attached.
- 15. For annuitants, provide name, SSN and date deceased of military member/sponsor (REQUIRED).
- 16. Attach copies of all pertinent documents (REQUIRED), such as Request for B A H, Statement of Service, Separation Worksheet, DD Form 214, Travel Voucher, Notification of Personnel Action. If not available, explain.
- 17. (REQUIRED). a. If military or civilian, did you receive leave and earnings statement(s)? Mark one box: first if yes, second if no.
- b. If military or civilian, did you request them on EMSS/MYPAY? Mark one box: first if yes, second if no.
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.
Signature is manual ink on printed copies and digital where the receiving system accepts it. A typed name in a signature field is a name, not a signature. Common Access Card credentials support digital signature in pdf where the form and the reader permit.
Privacy Act notice: DD forms that collect personal data carry a Privacy Act Statement stating the authority for collection, the principal purpose, routine uses and whether disclosure is voluntary or mandatory. The statement is part of the form and should be read before entry, not after.
Frequent defects: obsolete edition, unfilled required boxes, handwriting that fails on reproduction, non-conforming date format, and certification without a corresponding date.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
The completed document moves to the office named in not stated or in local guidance. A retained copy is conventional practice.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 2789 is normally found by its number alone, without regard to service.
Where a DA form is cited alongside a DD form, the two belong to different systems: DA numbering is Army-specific and administered by an Army proponent, while DD numbering is Defense-wide under not stated or an equivalent Department office. Numbers do not translate between the systems.
Forms are reissued for several reasons: directive revision, changed data requirements, updated notice language. Confirming not stated at the moment of download covers the risk.
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 2789?
- DD Form 2789, Waiver/Remission of Indebtedness Application, 20140917 draft
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?