Dd Form 2065 – Fill Out and Use This PDF

The DD Form, specifically labeled as DD Form 2065, serves as an official document for outlining instructions regarding the disposition of remains on a reimbursable basis. It is a critical form for recording a sponsor’s preference for how their loved one's remains should be handled, the cost associated with necessary services and supplies, and contact information for further correspondence. To ensure the deceased's final wishes are met respectfully and efficiently, it’s imperative to fill out and return this form promptly to the indicated address.

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Dd Form 2065 PDF Details

The DD Form, specifically referred to as the "Disposition of Remains Reimbursable Basis" form, plays a crucial role in outlining the procedures and responsibilities associated with the handling, preparation, and final disposition of remains under specific circumstances. Adhering to the guidelines set by the United States Department of Defense, this form serves the purpose of recording the sponsor's explicit instructions for the handling of the deceased's remains, ensuring that the directives respect the sponsor's wishes while also detailing cost implications for necessary services and supplies. It encompasses various elements, including the identification of the deceased and the sponsor, detailed disposition instructions among pre-defined options, and contact information for a designated individual within the continental United States who could be engaged if further discussion on the remains is required. Additionally, the form adheres to privacy regulations and highlights the voluntary nature of disclosure, though emphasizing the potential delays in processing and shipment of the remains to their final resting place if the requested information is not provided. The significance of this document is underscored by its role in facilitating a respectful and orderly process during a time that is often challenging for the sponsor and relatives of the deceased, making it a sensitive yet essential aspect of military and defense administration.

Question	Answer
Form Name	Dd Form 2065
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	SSN, REIMBURSABLE, irs form 2065, OCT

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DISPOSITION OF REMAINS - REIMBURSABLE BASIS

OMB No. 0704-0030 OMB approval expires May 31, 2006

The public reporting burden for this collection of information is estimated to average 20 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0030). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 1.

PRIVACY ACT STATEMENT

AUTHORITY: 10 USC Sections 1481 through 1488; EO 9397.

PRINCIPAL PURPOSE: To record the sponsor's disposition instructions for the remains. To record cost for necessary services and supplies. To record the name, address and telephone number of a person in CONUS who may be contacted concerning the remains, if necessary. ROUTINE USES: None.

DISCLOSURE: Voluntary; however, failure to furnish the requested information may delay processing and shipment of remains to final destination.

1.	TO: (Recipients and address authorized distribution)	2.	NAME OF DECEASED (Last, First, Middle Initial)

		3.	RELATIONSHIP TO SPONSOR

4.	NAME OF SPONSOR (Individual, Agency or Firm)	5.	ADDRESS OF SPONSOR (Street, City, State and ZIP Code)

6. GRADE OF SPONSOR

7. SSN OF SPONSOR

I, THE UNDERSIGNED, DESIRE THAT DISPOSITION OF REMAINS BE EFFECTED AS INDICATED BELOW: (X applicable option)

8.OPTION 1

a. Preparation of remains at the Government mortuary and return of remains to a continental United States port of entry in a transfer case.

The port mortuary will furnish the requested services and supplies at a cost of $		. I have reimbursed the Government

in this amount. It is requested that the remains be shipped to the following funeral home:

b. NAME OF FUNERAL HOME

c.ADDRESS OF FUNERAL HOME (Street, City, State and ZIP Code)

9.OPTION 2

a. Preparation of remains at the Government mortuary and return of remains to a continental United States port of entry in a transfer case. The port mortuary officer is requested to release the remains to the following funeral home:

b. NAME OF FUNERAL HOME

c.ADDRESS OF FUNERAL HOME (Street, City, State and ZIP Code)

10.OPTION 3 - ARRANGEMENTS DESIRED (Other than those described in Options 1 or 2)

11. RELATIVE OF DECEASED (or other person) IN CONUS WHO MAY BE CONTACTED, IF NECESSARY

a. NAME (Last, First, Middle Initial)

b. ADDRESS (Street, City, State and ZIP Code)

c. RELATIONSHIP

d.TELEPHONE (Include Area Code)

e. DATE SIGNED

f. SIGNATURE OF SPONSOR

DD FORM 2065, OCT 2003

PREVIOUS EDITION IS OBSOLETE.

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Dd Form 2065 – Fill Out and Use This PDF

Dd Form 2065 PDF Details

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