This form operates under the Privacy Act of 1974 and Title 10 of the U.S. Code. It governs personal data collection, including Social Security Numbers, across military medical facilities to support health care administration.
Data collected supports health care delivery, communicable disease control, statistical analysis, and assessments of military service suitability. Disclosure is mandatory for active military personnel and voluntary for civilian beneficiaries.
Other forms used alongside this include DD Form 2808 (Report of Medical Examination), DD Form 2807-1 (Report of Medical History), and the Privacy Act Statement. These documents support complete health care records for service members.
| Question | Answer |
|---|---|
| Form Name | Dd Form 2005 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 2 min |
| Other names | Privacy Act Statement, DD-2005 |