Use computer or print information when completing this form. Complete all items.
Burden of proof: The burden of proof is on the applicant to show they were part of the group that provided the recognized services.
Attachments: Attach all documentation available to support information you enter on the form.
Legal proof: If the record in question is that of a person who is deceased or incompetent, legal proof of death or incompetency must accompany this application.
Signing: If the application is signed by the spouse, widow, widower, next of kin, or legal representative, give relationship or status.
Counsel: The appropriate service will not provide counsel representation for applicant, nor will it defray cost of such counsel under any circumstances.
| Question | Answer |
|---|---|
| Form Name | DD Form 2168 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 53 |
| Avg. time to fill out | 9 min |
| Edition | MAR 2021 |
| Prescribed by | DoDD 1000.20 |
| Where to send | The appropriate service address |
| Other names | DD 2168, DD Form 2168, DD2168, Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty |
| Official source | DD Form 2168 (MAR 2021), Department of War |
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