Dd Form 2168 – Fill Out and Use This PDF

The DD Form 2168 is used as an application for discharge for members or survivors of members of groups certified to have performed active duty with the armed forces of the United States. This form serves an essential role in recognizing the contributions of individuals or groups to military service and assisting in the determination of eligibility for certain benefits or acknowledgments. If you or a loved one served in such a capacity, consider filling out this form by clicking the button below.

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Dd Form 2168 PDF Details

The DD 2168 is an application for discharge for members or survivors of groups certified under Public Law 95-202, Section 401 as having performed active duty service with the United States Armed Forces. Upon approval, the applicant receives an official certificate of service recognizing that contribution. The form is governed by Executive Order 9397 and takes approximately 30 minutes to complete.

Who Can File This Form

Eligible applicants include civilians, contractors, or other non-military personnel whose group has been officially certified by the Secretary of Defense as having served with the armed forces. Survivors of such individuals may also file. The Social Security Number of the applicant or the service member is required for identification and accurate processing of the application.

Required Documentation

To support your application, gather the following before completing the form: separation or discharge certificates, mission orders, employment records covering the qualifying period, and any other documents confirming group membership or service. The department processes original copies only. Photocopies and digital submissions are not accepted unless explicitly authorized. Submitting comprehensive evidence reduces the risk of delays or denial.

Where to Submit

Do not send your completed application to the Department of Defense directly. Each military branch has a designated service address for DD 2168 submissions, listed on the form itself. Submit all original supporting documentation together with the completed application in a single package. If you need additional military benefit forms, the VA Form 21-4138 (Statement in Support of Claim) and DD Form 149 (Application for Correction of Military Records) are commonly used alongside this application. You may also find the Honorable Service Certificate relevant to your case.

Question	Answer
Form Name	Dd Form 2168
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	dd 2168 updated, dd form 2168, va form 2168, form dd 2168

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2. Immediately after the last part is completed, go to type in the applicable details in these - III APPLICATION INFORMATION, a SPOUSE b WIDOW, RELATIONSHIP TO APPLICANT X one I, e LEGAL REPRESENTATIVE f OTHER, c WIDOWER d NEXT OF KIN, c SIGNATURE, b SSN, d DATE SIGNED YYYYMMDD, e MAILING STREET ADDRESS Incl, CITY, STATE, ZIP CODE, f TELEPHONE Include area code, IV DISCLOSURE OF INFORMATION I, and a SIGNATURE.

c SIGNATURE, STATE, and RELATIONSHIP TO APPLICANT X one I inside va form 2168

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Frequently Asked Questions

Who needs to complete DD Form 2168? Civilians, contractors, or group members whose service with the U.S. armed forces has been officially certified under Public Law 95-202 must complete this form to request an official discharge and certificate of service. Survivors of eligible individuals may also submit the application.

What is a PCI and does it apply here? A Personnel Casualty Incident (PCI) record may be part of the supporting evidence for service groups that experienced casualties. If your group's certification involved a PCI record, include it with your documentation package when filing.

How long does it take to process? Processing times vary by service branch and the completeness of documentation submitted. Incomplete applications may be returned, causing additional delays. Submitting original documents and thoroughly completing all sections of the form helps expedite the review.

Related Military Forms

Applicants completing the DD 2168 often also need related military and veteran benefit forms. The DD Form 149 is used to apply for correction of military records, while the DD Form 2656 covers data for payment of retired personnel. The VA Form 21-4138 allows veterans and their survivors to submit statements in support of a benefits claim.