Army Forms Archive

DD Form 2868 — DD Form 2868, Request for Withholding State Tax, 20110106 draft

Request for Withholding State Tax

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Defense Department form, series DD, number 2868. Full title: DD Form 2868, Request for Withholding State Tax, 20110106 draft. Function: Request for Withholding State Tax. 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.

Formats offered: PDF. Length: 2 pages. Fillable field count: roughly 13.

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

  • undefined
  • 1. NAME (Last, First, Middle Initial)
  • 2. SOCIAL SECURITY NUMBER
  • 3. CURRENT RESIDENCE ADDRESS (Number and Street, City, State and ZIP Code)
  • 5. DESIGNATED STATE
  • 6. RETIREE'S SIGNATURE
  • 7. DATE
  • _Row_1
  • [1]
  • [2]
  • [3]
  • FOLD HERE

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.

Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.

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.

A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.

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 2868?
DD Form 2868, Request for Withholding State Tax, 20110106 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?
PDF

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