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Department of Defense form 771. Official designation: DD Form 771, Eyewear Prescription, July 1996. Purpose: Eyewear Prescription. Current edition not stated, 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.
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.
Available formats: PDF. The form runs 1 pages and contains approximately 67 fillable fields.
Pdf serves as the base format. In the fillable variant, each box is an interactive field that holds typed text inside the document. In the flat printable variant, no fields exist — the page prints as a blank to be completed by hand. Typed entries survive transmission; handwriting does not always survive scanning.
What the form asks for
- Date.
- Account number.
- Order number.
- To (lab).
- From.
- Name (last, first).
- Social security number.
- Grade.
- Address/unit.
- Address (continued).
- City, state, zip code.
- Telephone number.
- Ship to: Press space bar to mark X if clinic.
- Mark X if patient.
- Mark X if Active Duty.
- Mark X if Reserve.
- Mark X if National Guard.
- Mark X if Retired.
- Mark X if Other.
- Mark X if Army.
- Mark X if Navy.
- Mark X if Air Force.
- Mark X if Marine Corps.
- Mark X if Coast Guard.
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.
Field-level instructions appear on the form itself and in not stated. The directive is the controlling text.
The completed document moves to the office named in not stated or in local guidance. A retained copy is conventional practice.
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.
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.
The material here is descriptive. Nothing on the page constitutes legal or procedural advice, and no statement here determines whether a submitted form will be accepted. Such questions go to not stated, a servicing administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 771?
- DD Form 771, Eyewear Prescription, July 1996
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?