Dd Form 1799 PDF Details

dd form 1799 is a document used in the United States military to provide information on a service-member's disability. It can be used to request disability compensation from the military, as well as other benefits related to disability. The form is also used to track the progress of a service-member's disability and how it affects their military career. Complete and accurate completion of dd form 1799 is critical in order to ensure that service-members receive the full range of benefits they are entitled to.

QuestionAnswer
Form NameDd Form 1799
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdeficiencies, 1799 form, applicable, ITO

Form Preview Example

MEMBER'S REPORT ON CARRIER PERFORMANCE - MOBILE HOME

SECTION I - TO BE COMPLETED BY DESTINATION ITO

1. DATE (YYYYMMDD) 2. REQUIRED DELIVERY DATE 3. GOVERNMENT BILL OF LADING NUMBER (YYYYMMDD)

4a. NAME OF MEMBER (Last, First, Middle Initial)

b. GRADE

5. NAME OF CARRIER

6. ORIGIN INSTALLATION

7.PICKUP ADDRESS (Street, Apartment No., City, State, ZIP Code)

8. DESTINATION INSTALLATION

(X if:)

TRAILER COURT

STORAGE FACILITY

SECTION II - TO BE COMPLETED BY MEMBER

Complete every item applicable by placing an "X" in the column under "YES" or "NO". All items marked "NO" will be considered as carrier

deficiencies and the performance of the carrier will be evaluated for this shipment based on items listed below. A "NO" answer must be

 

explained or your response CANNOT BE USED TO RATE THE CARRIER.

YES

NO

9.Did the carrier pick up the mobile home on the agreed date?

10.Did the carrier provide all the required services?

11.Was the mobile home offered for delivery on or before the required delivery date?

12.Was the mobile home and its contents delivered without loss or damage?

If "NO", what is the estimated value of the loss and/or damage?

$

13.Was the carrier cooperative in checking the condition of your mobile home upon delivery?

14.Did the carrier provide you a completed mobile home inspection record at origin?

15. Did you consider the carrier personnel:

a.Courteous

b.Cooperative

c.Neat in appearance

16. Were you satisfied with the carrier's services on this movement of your mobile home at:

a.Origin

b.Destination

17.Were the Transportation Office personnel courteous and helpful to you?

18.COMMENTS (Briefly explain all "NO" answers.)

19. SIGNATURE OF MEMBER

20.DATE (YYYYMMDD)

 

 

SECTION III - TO BE COMPLETED BY DESTINATION ITO

21.

(X if applicable)

 

22. NAME OF DESTINATION ITO (Last, First, Middle Initial)

 

NO RESPONSE RECEIVED FROM MEMBER

(Type or print)

 

 

 

 

 

 

 

23.

SIGNATURE

 

24. DATE (YYYYMMDD)

DD FORM 1799, SEP 1998

PREVIOUS EDITION IS OBSOLETE.

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