The DD 93 form, officially known as the "Record of Emergency Data," is a crucial document for members of the military. It ensures that in the event of an emergency, the military has all the necessary information to contact family members and manage the servicemember's personal affairs effectively. For a step-by-step guide on how to fill out this essential document, click the button below.
When members of the United States military service consider the realities of their roles, the importance of preparedness cannot be overstated—not just in terms of operational readiness but also regarding personal affairs. Among the essential documents that ensure this preparedness is the DD Form 93, or Record of Emergency Data. This document serves a crucial function, acting as the primary means for servicemembers to designate beneficiaries for certain entitlements in the event of their passing or a severe injury. The form plays a pivotal role in communicating with designated contacts about the servicemember’s status, providing a streamlined process to inform loved ones quickly and efficiently. It is regularly updated to reflect changes in personal relationships, beneficiaries, and contacts, making it a living document that evolves with the servicemember’s life. Understanding the DD Form 93's significance is vital for both servicemembers and their families, ensuring that in times of crisis, the focus can remain on support and healing, with the assurance that the servicemember’s wishes are understood and honored.
RECORD OF EMERGENCY DATA
PRIVACY ACT STATEMENT
AUTHORITY: 5 USC 552, 10 USC 655, 1475 to 1480 and 2771, 38 USC 1970, 44 USC 3101, and EO 9397 (SSN).
PRINCIPAL PURPOSES: This form is used by military personnel and Department of Defense civilian and contractor personnel, collectively referred to as civilians, when applicable. For military personnel, it is used to designate beneficiaries for certain benefits in the event of the Service member's death. It is also a guide for disposition of that member's pay and allowances if captured, missing or interned. It also shows names and addresses of the person(s) the Service member desires to be notified in case of emergency or death. For civilian personnel, it is used to expedite the notification process in the event of an emergency and/or the death of the member. The purpose of soliciting the SSN is to provide positive identification. All items may not be applicable.
ROUTINE USES: None.
DISCLOSURE: Voluntary; however, failure to provide accurate personal identifier information and other solicited information will delay notification and the processing of benefits to designated beneficiaries if applicable.
INSTRUCTIONS TO SERVICE MEMBER
This extremely important form is to be used by you to show the names and addresses of your spouse, children, parents, and any other person(s) you would like notified if you become a casualty (other family members or fiance), and, to designate beneficiaries for certain benefits if you die. IT IS YOUR RESPONSIBILITY to keep your Record of Emergency Data up to date to show your desires as to beneficiaries to receive certain death payments, and to show changes in your family or other personnel listed, for example, as a result of marriage, civil court action, death, or address change.
INSTRUCTIONS TO CIVILIANS
This extremely important form is to be used by you to show the names and addresses of your spouse, children, parents, and any other person(s) you would like notified if you become a casualty.
Not every item on this form is applicable to you. This form is used by the Department of Defense (DoD) to expedite notification in the case of emergencies or death. It does not have a legal impact on other forms you may have completed with the DoD or your employer.
IMPORTANT: This form is divided into two sections: Section 1 - Emergency Contact Information and Section 2 - Benefits Related Information. READ THE INSTRUCTIONS ON PAGES 3 AND 4 BEFORE COMPLETING THIS FORM.
SECTION 1 - EMERGENCY CONTACT INFORMATION
1. NAME (Last, First, Middle Initial)
2. SSN
3a. SERVICE/CIVILIAN CATEGORY
ARMY
NAVY
MARINE CORPS
AIR FORCE
DoD
CIVILIAN
CONTRACTOR
b. REPORTING UNIT CODE/DUTY STATION
4a. SPOUSE NAME (If applicable) (Last, First, Middle Initial)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
SINGLE
DIVORCED
WIDOWED
5. CHILDREN
b. RELATIONSHIP
c. DATE OF BIRTH
d. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
a. NAME (Last, First, Middle Initial)
(YYYYMMDD)
6a. FATHER NAME (Last, First, Middle Initial)
7a. MOTHER NAME (Last, First, Middle Initial)
8a. DO NOT NOTIFY DUE TO ILL HEALTH
b. NOTIFY INSTEAD
9a. DESIGNATED PERSON(S) (Military only)
10. CONTRACTING AGENCY AND TELEPHONE NUMBER (Contractors only)
DD FORM 93, JAN 2008
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional X
SECTION 2 - BENEFITS RELATED INFORMATION
11a. BENEFICIARY(IES) FOR DEATH GRATUITY
c. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
d. PERCENTAGE
(Military only)
12a. BENEFICIARY(IES) FOR UNPAID PAY/ALLOWANCES
c. PERCENTAGE
(Military only) NAME AND RELATIONSHIP
13a. PERSON AUTHORIZED TO DIRECT DISPOSITION (PADD)
14. CONTINUATION/REMARKS
15.SIGNATURE OF SERVICE MEMBER/CIVILIAN (Include rank, rate, or grade if applicable)
16.SIGNATURE OF WITNESS (Include rank, rate, or grade as appropriate)
17.DATE SIGNED
DD FORM 93 (BACK), JAN 2008
INSTRUCTIONS FOR PREPARING DD FORM 93
(See appropriate Service Directives for supplemental instructions for completion of this form at other than MEPS)
All entries explained below are for electronic or typewriter completion, except those specifically noted. If a computer or typewriter is not available, print in black or blue-black ink insuring a legible image on all copies. Include "Jr.," "Sr.," "III" or similar designation for each name, if applicable. When an address is entered, include the appropriate ZIP Code. If the member cannot provide a current address, indicate "unknown" in the appropriate item. Addresses shown as P.O. Box Numbers or RFD numbers should indicate in Item 14, "Continuations/Remarks", a street address or general guidance to reach the place of residence. In addition, the notation "See Item 14" should be included in the item pertaining to the particular next of kin or when the space for a particular item is insufficient. If the address for the person in the item has been shown in a preceding item, it is unnecessary to repeat the address; however, the name must be entered. Those items that are considered not applicable to civilians will be left blank.
ITEM 1. Enter full last name, first name, and middle initial.
ITEM 2. Enter social security number (SSN).
ITEM 3a. Service. Military: Mark X in appropriate block.
Civilian: Mark two blocks as appropriate. Examples: an Army civilian would mark Army and either Civilian or Contractor; a DoD civilian, without affiliation to one of the Military Services, would mark DoD and then either Civilian or Contractor as appropriate.
ITEM 3b. Reporting Unit Code/Duty Station. See Service Directives.
ITEM 4a. Spouse Name. Enter last name (if different from Item 1), first name and middle initial on the line provided. If single, divorced, or widowed, mark appropriate block.
ITEM 4b. Address and Telephone Number. Enter the "actual" address and telephone number, not the mailing address. Include civilian title or military rank and service if applicable. If one of the blocks in 4a is marked, leave blank.
ITEM 5a-d. Children. Enter last name (only if different from Item 1) first name and middle initial, relationship, and date of birth of all children. If none, so state. Include illegitimate children if acknowledged by member or paternity/maternity has been judicially decreed. Relationship examples: son, daughter, stepson or daughter, adopted son or daughter or ward. Date of birth example: 19950704. For children not living with the member's current spouse, include address and name and relationship of person with whom residing in item 5d.
ITEM 6a. Father Name. Last name, first name and middle initial.
ITEM 6b. Address and Telephone Number of Father. If unknown or deceased, so state. Include civilian title or military rank and service if applicable. If other than natural father is listed, indicate relationship.
ITEM 7a. Mother Name. Last name, first name and middle initial.
ITEM 7b. Address and Telephone Number of Mother. If unknown or deceased, so state. Include civilian title or military rank and service if applicable. If other than natural mother is listed, indicate relationship.
ITEM 8. Persons Not to be Notified Due to Ill Health.
a.List relationship, e.g., "Mother," of person(s) listed in Items 4, 5, 6, or 7 who are not to be notified of a casualty due to ill health. If more than one child, specify, e.g., "daughter Susan." Otherwise, enter "None".
b.List relationship, e.g., "Father" or name and address of person(s) to be notified in lieu of person(s) listed in item 8a. If "None" is entered in Item 8a, leave blank.
ITEM 9a. This item will be used to record the name of the person or persons, if any, other than the member's primary next of kin or immediate family, to whom information on the whereabouts and status of the member shall be provided if the member is placed in a missing status. Reference 10 USC, Section 655. NOT APPLICABLE to civilians.
ITEM 9b. Address and telephone number of Designated Person(s). NOT APPLICABLE to civilians.
ITEM 10. Contracting Agency and Telephone Number
(Contractors only). NOT APPLICABLE to military personnel. Civilian contractors will provide the name of their contracting agency and its telephone number. Example: XYZ Electric, (703) 555-5689. The telephone number should be to the company or corporation's personnel or human resources office.
ITEM 11a. Beneficiary(ies) for Death Gratuity (Military only). Enter first name(s), middle initial, and last name(s) of the person(s) to receive death gratuity pay. A member may designate one or more persons to receive all or a portion of the death gratuity pay. The designation of a person to receive a portion of the amount shall indicate the percentage of the amount, to be specified only in 10 percent increments, that the person may receive. If the member does not wish to designate a beneficiary for the payment of death gratuity, enter "None," or if the full amount is not designated, the payment or balance will be paid as follows:
(1)To the surviving spouse of the person, if any;
(2)To any surviving children of the person and the descendants of any deceased children by representation;
(3)To the surviving parents or the survivor of them;
(4)To the duly appointed executor or administrator of the estate of the person;
(5)If there are none of the above, to other next of kin of the person entitled under the laws of domicile of the person at the time of the person's death.
The member should make specific designations, as it expedites payment.
DD FORM 93 (INSTRUCTIONS), JAN 2008
(Continued)
ITEM 11a. (Continued) Seek legal advice if naming a minor child as a beneficiary. If a member has a spouse but designates a person other than the spouse to receive all or a portion of the death gratuity pay, the Service concerned is required to provide notice of the designation to the spouse.
NOT APPLICABLE to civilians.
Item 11b. Relationship. NOT APPLICABLE to civilians.
ITEM 11c. Enter beneficiary(ies) full mailing address and telephone number to include the ZIP Code. NOT
APPLICABLE to civilians.
ITEM 11d. Show the percentage to be paid to each person. Enter 10%, 20%, 30%, up to 100% as appropriate. The sum shares must equal 100 percent. If no percent is indicated and more than one person is named, the money is paid in equal shares to the persons named. NOT APPLICABLE to
civilians.
ITEM 12a. Beneficiary(ies) for Unpaid Pay/Allowance (Military only). Enter first name(s), middle initial, last name(s) and relationship of person to receive unpaid pay and allowances at the time of death. The member may indicate anyone to receive this payment. If the member designated two or more beneficiaries, state the percentage to be paid each in item 10c. If the member does not wish to designate a beneficiary, enter "By Law." The member is urged to designate a beneficiary for unpaid pay and allowances as payment will be made to the person in order of precedence by law (10 USC 2771) in the absence of a designation. Seek legal advice if naming a minor child as beneficiary. NOT APPLICABLE to civilians.
ITEM 12b. Enter beneficiary(ies) full mailing address and telephone number to include the ZIP Code. NOT
ITEM 12c. If the member designated two or more beneficiaries, state the percentage to be paid each in this section. The sum shares must equal 100 percent. NOT
ITEM 13a. Enter the name and relationship of the Person Authorized to Direct Disposition (PADD) of your remains should you become a casualty. Only the following persons may be named as a PADD: surviving spouse, blood relative of legal age, or adoptive relatives of the decedent. If neither of these three can be found, a person standing in loco parentis may be named. NOT APPLICABLE to civilians.
ITEM 13b. Address and telephone number of PADD. NOT
ITEM 14. Continuations/Remarks. Use this item for remarks or continuation of other items, if necessary. Prefix entry with the number of the item being continued; for example, 5/John J./son/ 19851220/321 Pecan Drive, Schertz TX 78151. Also use this item to list name, address, and relationship of other persons the member desires to be notified. Other dependents may also be listed. This block offers the greatest amount of flexibility for the member to record other important information not otherwise requested but considered extremely useful in the casualty notification and assistance process. Besides continuing information from other blocks on this form, the member may desire to include additional information such as: NOK language barriers, location or existence of a Will, additional private insurance information, other family member contact numbers, etc. If additional space is required, attach a supplemental sheet of standard bond paper with the information.
ITEM 15. Signature of Service Member/Civilian. Check and verify all entries and sign all copies in ink as follows: First name, middle initial, last name. Include rank, rate, or grade if applicable. May be electronically signed (see DoD Instruction 1300.18 for guidelines).
ITEM 16. Signature of Witness. Have a witness (disinterested person) sign all copies in ink as follows: First name, middle initial, last name. Include rank, rate, or grade as appropriate. A witness signature is not required for electronic versions of the DD Form 93 (see DoD Instruction 1300.18).
ITEM 17. Date the member or civilian signs the form. This item is an ink entry and must be completed on all copies.
DD FORM 93 (INSTRUCTIONS) (BACK), JAN 2008
Once a service member has decided to fill out the DD 93 form, understanding the steps to complete it accurately is crucial. This form allows service members to record essential information that military officials will use in the event of a casualty. The details provided ensure that the individual's wishes are known and can be followed regarding notification and care for their dependents. Carefully following the procedures to fill out the form will make sure this important information is communicated effectively.
Filling out the DD 93 form is a responsibility that should be approached with diligence and seriousness. The decisions made here can significantly impact how your affairs are handled in your absence, ensuring your wishes are respected and your loved ones are cared for. Take your time to consider your choices carefully and consult with a legal advisor or military counselor if you have any doubts or questions.
The DD 93 form, officially known as the "Record of Emergency Data," is a document used by the United States Department of Defense. It is completed by military personnel to designate beneficiaries for certain entitlements and provide necessary contact information in case of an emergency. This form ensures that the military can promptly notify designated individuals and distribute entitlements according to the service member's wishes.
All members of the U.S. Armed Forces are required to complete the DD 93 form. It is crucial for ensuring that the military has current and accurate information to contact designated next of kin or other contacts in an emergency situation or upon a service member's death.
The DD 93 form requires various pieces of information, including but not limited to:
The DD 93 form should be reviewed and updated regularly, especially after life-changing events such as marriage, divorce, the birth of a child, or the death of a previously designated beneficiary. This ensures that all information remains current and reflects the service member's latest intentions. Service members are encouraged to review their DD 93 form at least annually.
To submit or update a DD 93 form, a service member should obtain the latest version of the form from their unit's personnel office or download it from the Department of Defense's official website. After completing or updating the form, it must be returned to the personnel office for processing. The updated information is then entered into the service member's official military personnel file.
If a service member does not have a DD 93 form on file, it may complicate the process of notifying next of kin in an emergency situation. Additionally, it may delay or affect the distribution of certain entitlements that rely on the information provided in the DD 93 form. It is in the best interest of service members to ensure that a completed DD 93 form is on file and regularly updated to reflect their current wishes.
Filling out the DD Form 93, or Record of Emergency Data, is a critical step for service members in ensuring that their loved ones are promptly notified in case of an emergency. However, errors in completing this form can lead to delays or failures in communication during crucial times. Here are ten common mistakes to avoid:
By avoiding these common mistakes, service members can ensure their DD Form 93 is accurately completed, facilitating prompt and efficient communication with their designated contacts in times of emergency.
In the realm of military administration, the DD Form 93, or "Record of Emergency Data," serves as a critical document for service members to detail their next of kin and other important contacts in case of emergency. This form not only ensures that military personnel can provide up-to-date contact information for those they wish to be notified in an emergency but also works in tandem with various other forms and documents that support a wide array of personal and professional needs. The following list highlights some of these essential forms and documents that are commonly used alongside the DD Form 93, offering a brief explanation of each to elucidate their purpose and significance.
Understanding and appropriately managing these forms plays a significant role in the lives of military personnel and their families, helping to navigate the complexities of military benefits, responsibilities, and personal preparations. Each form, while serving its unique function, contributes to the comprehensive framework of support and preparedness within the armed forces, underscoring the importance of thorough record-keeping and proactive planning.
Completing the DD 93 form, also known as the "Record of Emergency Data," is a crucial step for service members to ensure their loved ones are promptly and accurately notified in case of an emergency. Here are some essential dos and don'ts to help guide you through the process:
When it comes to understanding the DD Form 93, or the "Record of Emergency Data," there are several misconceptions that can create confusion among service members and their families. Addressing these misconceptions is key to ensuring the form is accurately completed and serves its intended purpose effectively.
Only deployed service members need to fill it out: A common misconception is that the DD Form 93 only needs to be filled out by those who are deployed. In reality, all service members must complete the form upon joining the military and update it regularly to reflect any changes in their personal information or emergency contacts.
It's the same as a will: Another misunderstanding is equating the DD Form 93 with a will. Although the form does indicate who should be notified in an emergency or in the event of a service member's death, it does not distribute assets or specify an estate executor like a will does.
It's only for listing next of kin: While listing next of kin is a vital part of the DD Form 93, it's not its sole purpose. The form also collects other crucial information, such as insurance policy details and specific instructions for the disposition of remains, which are not limited to next of kin.
Updating the form is difficult: Some service members believe that updating their DD Form 93 is a complicated process. However, it can be relatively straightforward. Members can request to update their form through their personnel office or unit human resources officer, ensuring their records are current.
The form is only used in cases of death: While the DD Form 93 plays a critical role in the event of a service member's death, its information is also used for urgent notifications during severe injuries or illnesses, not exclusively for fatal incidents.
Privacy concerns mean family details should be minimal: Concerns about privacy might lead some service members to limit the personal details they include about their emergency contacts. However, providing comprehensive contact information is crucial to ensuring that the military can quickly reach the appropriate individuals in an emergency.
Electronic signatures aren't allowed: The mistaken belief that electronic signatures aren't permitted on the DD Form 93 could prevent some from updating their form in a timely manner. The acceptance of electronic signatures can vary, so it’s important to check the current policies with the relevant military department, as electronic submissions can expedite the updating process.
The DD 93 form, officially known as the "Record of Emergency Data," plays a critical role for members of the military. This document ensures that in the event of an emergency, the military can quickly contact the right people and make informed decisions about your wishes. Here are four key takeaways to keep in mind when you're filling out and using the DD 93 form:
Every service member should approach filling out the DD 93 form with the seriousness it deserves. It's not just a piece of paperwork; it's a safeguard for your family and loved ones, ensuring they are taken care of and your wishes are honored in the most challenging times.
Minnesota Accident Report - The presence of police or other law enforcement officials at the scene adds an official narrative to the reported data.
Lausd Health Benefits Enrollment Form - Provides LAUSD Benefits Administration contact information for submitting the completed form.
Certificate of Marriage Sample - The document was revised in January 2007, reflecting updates to ensure its relevance and compliance with current legal standards.