DD 2215 2000-2024 free printable template

DD Form 2215, also known as the Reference for Civilian Employment Information, is required to be filed by members of the United States Armed Forces who are separating or retiring from military service. This form provides information about the service member's civilian employment history and qualifications, which can aid in their transition to civilian life and future job opportunities.

To properly fill out DD Form 2215, the following steps can be followed: 1. Download DD Form 2215: As a request for documents, this form can be downloaded from the official website of the Department of Defense or the U.S. Army Publishing Directorate. 2. Personal Information: Begin by filling out the personal information section at the top of the form. This includes your full name, Social Security Number, rank, date of rank, and unit. 3. Dates: Enter the date you are filling out the form and specify if it is for an initial, annual, or supplemental statement. 4. Document Requested: Indicate the documents you require by marking the appropriate boxes (such as medical records, dental records, etc.). 5. Purpose of Request: Specify the purpose for which you are requesting the document, such as retirement, discharge, reenlistment, or VA benefits. 6. Authorization: In this section, you will need to authorize the release of the requested documents. Read the provided statement carefully, sign and date where indicated. 7. Certification of Identity: The Certifying Official will fill out this section, which includes verifying your identification and signature. 8. Additional Information and Remarks: If there is any additional information or remarks you would like to include, such as specific details regarding the document request, you can provide it in this section. 9. Submit: Once the form is completely filled out, submit it to the appropriate authority, such as the unit personnel office or the organization responsible for maintaining the requested documents. Remember to carefully review your filled-out form for accuracy and completeness before submitting it to avoid any processing delays or issues.

The DD Form 2215, Reference Audiogram, is used to report the results of an audiometric examination for individuals who are exposed to hazardous noise as a part of their military or civilian occupational duties. The information that must be reported on this form includes: 1. Personal Information: The individual's full name, social security number, date of birth, and branch of service/agency. 2. Audiometer Information: The make, model, and calibration date of the audiometer used for the examination. 3. Audiogram Data: The audiogram data consists of a series of measurements taken at different frequencies (Hz) in both ears. The results include the individual's hearing threshold levels (in decibels) for each frequency. 4. Date of Audiogram: The date when the audiogram was conducted. 5. Examiner Information: The name, address, telephone number, and title of the healthcare professional who conducted the examination. 6. Certification: The examiner certifies the accuracy of the information and indicates whether the individual has been provided with hearing protection devices and training. Note: The specific requirements and format may vary based on the branch of service/agency and any additional instructions or regulations provided.

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