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Department of Defense form 2792. Official designation: DD Form 2792, Family Member Medical Summary, August 2014. Purpose: Family Member Medical Summary. 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.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
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 13 pages with about 200 entry 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.
What the form asks for
- DBN
- Line1
- Line2
- Line3
- Line4
- Line5
- Line6
- Page1
- T101
- T102
- T103
- T105
- T106
- T109
- T11
- T110
- T112
- T113
- T114
- T115
- T117
- T118
- T119
- T12
Completion runs in the order printed on the page: identifying data at the head, the body of the entry next, certification at the foot. Header data frequently governs what belongs in the fields below it.
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.
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.
Where personal information is collected, a Privacy Act Statement appears on or with the form. It names the collection authority, the purpose, the routine uses of the data and the consequence of withholding it. Reading it precedes filling the form.
Frequent defects: obsolete edition, unfilled required boxes, handwriting that fails on reproduction, non-conforming date format, and certification without a corresponding date.
Instructions printed on the form or in not stated govern individual field entries. Where the two differ, the governing publication controls.
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.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 2792 is normally found by its number alone, without regard to service.
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.
This page distributes a published Department of Defense document and describes it. It is not a source of legal advice and makes no representation about acceptance of any completed form. Questions of applicability, eligibility or procedure belong to not stated, the servicing personnel office, or the office named in not stated.
Questions and answers
- What is DD Form 2792?
- DD Form 2792, Family Member Medical Summary, August 2014
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?