APPROVED 
DISAPPROVED
YES
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Note the information in d RELATIONSHIP TO MEMBER X one, LEGITIMATE CHILD, CHILD BORN OUT OF WEDLOCK, ADOPTED CHILD, STEPCHILD, e COMPLETE ADDRESS Street, f HAS CHILD EVER BEEN MARRIED If, divorce decree or death, DD FORM MAR PREVIOUS EDITION IS, YES, CUI when filled in, Controlled by DFAS Category PRVCY, and Page of.
Note down the significant particulars when you're within the NAME Last First Middle Initial, NAME Last First Middle Initial, RELATIONSHIP TO CHILD, RELATIONSHIP TO CHILD, COMPLETE ADDRESS Street Apartment, COMPLETE ADDRESS Street Apartment, c ISARE OTHER PARENTS IN ANY, If Yes show rank name SSN and, YES, d DOES OTHER PARENT CLAIM CHILD, If Yes explain, YES, CHILDS RESIDENCE, a TYPE OF RESIDENCE X and complete, and HOME OR APARTMENT OF OTHER PARENT section.
Indicate the rights and obligations of the parties within the paragraph b OWNER OF RESIDENCE, NAME Last First Middle Initial, ADDRESS Street Apartment Number, c IS RESIDENCE SUBSIDIZED HOUSING, YES, IF CHILD IS IN HOSPITAL OR, d DATE CHILD STARTED LIVING AT, If child is in a hospital or, a DATE CHILD ENTERED, b ANTICIPATED DATE OF DISCHARGE If, c WILL CHILD RETURN TO MEMBERS, YES, d CHILDS EXPENSES IN HOSPITAL OR, ITEM, and PRESENT MONTHLY EXPENSE.
Look at the sections REHABILITATION CLASSES, OR SERVICES, SPECIALIZED EQUIPMENT, MEDICAL CARE, CLOTHING, LAUNDRYDRY CLEANING, DD FORM MAR PREVIOUS EDITION IS, Specify, OTHER Specify, CUI when filled in, and Page of and next fill them out.
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