Download the form
Defense Department form, series DD, number 2896-1. Full title: Reserve Component Health Coverage Request (Stocked and Issued by ODHA/TMA). Function: Reserve Component Health Coverage Request (Stocked and Issued by ODHA/TMA). 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.
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.
Formats offered: none published here. Length: unknown pages. Fillable field count: roughly unknown.
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.
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 Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field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.
Once executed, routing follows not stated and the submitting organization's own instruction. Keeping a copy is standard.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 2896-1 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.
Editions change because the underlying directive changes, because collection requirements are revised, or because Privacy Act language is updated. Checking the edition date at the point of download is the practical response.
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 2896-1?
- Reserve Component Health Coverage Request (Stocked and Issued by ODHA/TMA)
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?
- No file published here