MARITAL STATUS X one 2 HOME SINGLE SEPARATED MARRIED DIVORCED WIDOWED b. 1 NAME Last First Middle Initial 3 DATE OF BIRTH YYYYMMDD 4 RELATIONSHIP DD FORM 137-3 MAR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 5 Pages Adobe Professional 7. OMB No* 0730-0014 OMB approval expires February 28 2021 DEPENDENCY STATEMENT - PARENT The public reporting burden for this collection of information 0730-0014 is estimated to average 30-60 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information* Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense Washington Headquarters Services at whs. mc-alex. esd. mbx. dd-dod-information-collections mail*mil* Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE RETURN COMPLETED FORM TO YOUR LOCAL SERVING PERSONNEL/PAYROLL OFFICE* PRIVACY ACT STATEMENT AUTHORITY 5 U*S*C. 301 Departmental Regulations 37 U*S*C. Pay and Allowances of the Uniformed Services DoD Directive 5154. 29 DoD Pay and Allowances Policy and Procedures DoD 7000. 14-R DoD Financial Management Manual Volume 7A Military Pay Policy and Procedures Active Duty and Reserve Pay and Joint Travel Regulations JTR current edition* PURPOSE S The information will be used to determine the relationship and dependency of the claimed dependents and determine the member s entitlement of authorized benefits. ROUTINE USE S To the Treasury Department to provide information on check issues and electronic funds transfers. To Federal state and local governmental agencies in response to an official request for information with respect to law enforcement investigatory procedures criminal prosecution civil court action and regulatory order. Additional routine uses can be found within the applicable system of records notices T7344 Defense Joint Military Pay System-Reserve Component T7340 Defense Joint Military Pay System-Active Component and M01040-3 Marine Corps Manpower Management Information System Records located at http //dpcld. defense. gov/Privacy/SORNsIndex/DOD-Component-Notices/ DISCLOSURE Voluntary however failure to provide this information will result in a suspension of the dependent entitlements until the member can provide the required certificat INSTRUCTIONS The member must complete Items 1 and 2 and sign and date the form* Parent or parent s representative if parent is unable to complete the form due to health or physical disability must complete Items 3 through 12 sign and date the form and have the form notarized* If a representative completes the form for the parent s include in the Remarks section the name of the individual the relationship and the reason the form was not completed by parent s.
Award-winning PDF software
How to prepare DD Form 137-3
Online solutions make it easier to organize your document management and strengthen the productivity of your workflow. Look through the quick guideline as a way to complete DD Form 137-3, stay away from errors and furnish it in a timely manner:
How to fill out a dd137 3?
On the website containing the blank, press Start Now and pass for the editor.
Use the clues to complete the relevant fields.
Include your personal details and contact data.
Make certain you enter accurate information and numbers in proper fields.
Carefully review the content of your document as well as grammar and spelling.
Refer to Help section should you have any questions or contact our Support staff.
Put an electronic signature on the DD Form 137-3 printable while using the help of Sign Tool.
Once blank is completed, click Done.
Distribute the ready document by way of email or fax, print it out or download on your gadget.
PDF editor allows you to make changes to your DD Form 137-3 Fill Online from any internet connected device, personalize it in accordance with your requirements, sign it electronically and distribute in different means.
What people say about us
The increasing need for digital forms
Video instructions and help with filling out and completing army parent dependency form
Hello and welcome to the C tutorial on how to complete the Department of Defense form 137 — three or dependency statement - parent from the purpose of completing a DD form 137 - 3 is to establish the relationship and dependency status of the claim dependents parents or parents in law the DD form 137 – 3 contains 12 sections in which all sections must be answered if any question does not apply to your situation please write not applicable or n/an in that block incomplete answers or unfilled boxes will delay final action on the application before you begin filling out the form please be sure to read and understand all the instructions and notes provided in the instructions box please note the service member must complete items 1 camp; 2 and sign and date the form on section 12 C additionally in this e tutorial the term member and sponsor will be used interchangeably in block 1a please place an X on each entitlement that is being requested are you requesting basic allowance for housing or BA or uniformed service identification and privilege card or USP card commonly known as an ID card the secondary dependency office of your branch of service will verify that you meet the eligibility criteria set forth by Congress for the requested entitlements next answer block 1b is this your first application if yes mark if this is not your first application please mark now and prthe date of your last application in block 1c indicate whether the claim was approved or disapproved the information requested in section 2 member information relates to the sponsor please include the members name social security number rank and status section 2 e asks for the members current residential address and the complete military unit address if the sponsor is on active duty if the sponsor is now retired you should write not applicable in block 2f the information requested in blocks to G H and I must be clear and up-to-date the secondary dependency office uses the information in these boxes to communicate with the member if more evidence or clarification is required to complete the claim please prey good working telephone number email address if applicable and the sponsors marital status the information requested in section 3 parents information is only about the claimed parents including parents in law and in loco parentis in loco parentis is a person who stood in place of the natural parents to the military service member for a continuous period of at least five years before his or her emancipation this section is only for the parents that are being claimed this section continues on page two and must be completed in full please make sure to fill in all information for each parent claimed parents information regarding occupation name of employer and marital status are important elements which must be included finally in section 3 you must fill in the names and.
People also search for DD Form 137-3
army dd form 137 3 - FAQ