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DD Form 2919 — a Department of Defense document. Title of record: DD Form 2919, Reserve Income Replacement Program (RIRP) Eligibility Verification, July 2006. Stated purpose: Reserve Income Replacement Program (RIRP) Eligibility Verification. Edition date 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.
Users include uniformed members of any branch, DoD civilian employees, contractor personnel where authorized, and the administrative staff who process the completed record.
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: PDF. Length: 3 pages. Fillable field count: roughly 81.
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
- Part 1: Designated use. Press space bar to mark X in first box if initial application, second box if resubmission for changes to RIRP eligibility.
- 1. Member's name (last, first, middle).
- 2. Social Security number or employee ID number (Coast Guard). Do not include dashes.
- 3. Grade.
- 4. Contact telephone number. Include area code or DSN.
- 5. Organization (Permanent drilling unit UIC/Unit of assignment).
- 6. Service.
- 7. Email address.
- 8. Dates of involuntary active duty orders qualifying members for RIRP. (1) Current orders. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date (4 digit year, 2 digit month, 2 digit day).
- d. Involuntary order authority.
- e. Named contingency.
- 8. (2) Prior orders, line 1. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date.
- d. Involuntary order authority.
- e. Named contingency.
- 8. (3) Prior orders, line 2. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date.
- d. Involuntary order authority.
- e. Named contingency.
- 8. (4) Prior orders, line 3. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date.
- d. Involuntary order authority.
- e. Named contingency.
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.
The signature block takes an actual signature. On paper this means ink; electronically it means a credentialed digital signature, commonly CAC-based. Typed text in a signature field satisfies neither.
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.
Errors seen most often involve edition mismatch, empty mandatory fields, illegibility after scanning, date formats inconsistent with the printed instruction, and unsigned or undated certification.
Instructions printed on the form or in not stated govern individual field entries. Where the two differ, the governing publication controls.
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 2919 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.
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 2919?
- DD Form 2919, Reserve Income Replacement Program (RIRP) Eligibility Verification, July 2006
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?