What is the DD Form 2569, and why do I need to complete it? The DD Form 2569 is the way you tell DOD about your OHI. The information provided on the DD Form 2569 is used to properly route a health care claim to your OHI provider. Who has to complete this form? All DOD beneficiaries, except active duty, are required to complete the DD Form 2569.

DD Form 2569 collects individual's information to assist the Department of Defense (“DoD”) in its recovery from third parties for medical care provided to an individual in a Military Treatment Facility.

PURPOSE: DD Form 2569 collects individual's information to assist the Department of Defense (“DoD”) in its recovery from third parties for medical care provided to an individual in a Military Treatment Facility.

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DD FORM 2569, MAR 2007 PREVIOUS EDITION IS OBSOLETE. The public reporting burden for this collection of information is estimated to average 3 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.

2019年7月18日 · 【国家标准】 gb t 2569-1995 树脂浇铸体压缩性能试验方法 标准 星级： 3 页 gbt 2569-1995 树脂浇注体压缩性能实验方法 星级： 3 页 (正版） gb 68-2000 星级： 8 页 (正版） gb 67-2000 星级 ...

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