Dd Form 2536 – Fill Out and Use This PDF

The DD Form 2536 is a type of United States military form. It's used to provide information about personnel who are being discharged from the military or released from active duty.

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Dd Form 2536 PDF Details

Dd form 2536 is a document used in the United States military to provide information on an individual's medical history. It can be used to indicate any past or present medical issues, as well as allergies and current medications. The form is also used to list any surgeries or hospitalizations that have occurred. This information can be helpful for healthcare providers who are providing care to service members or their families. The form is typically filled out by the individual's primary care physician and then submitted to the military unit commander.

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Question	Answer
Form Name	Dd Form 2536
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	form request participation, 2536 form, form 2536, form armed mil

Form Preview Example

REQUEST FOR ARMED FORCES PARTICIPATION IN PUBLIC EVENTS

(NON-AVIATION)

OMB No. 0704-0290 OMB approval expires 20221130

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, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-informationcollections@mail.mil. 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 APPROPRIATE ADDRESS ON THE BACK OF THIS FORM.

ALL DATA WILL BE HANDLED ON A "FOR OFFICIAL USE ONLY" BASIS.

PURPOSE: This form is used to request all Armed Forces MUSICAL UNIT, TROOP, COLOR/HONOR GUARD, GUEST SPEAKER, and/or EXHIBIT/EQUIPMENT participation in public events. The information is required to evaluate the event for appropriateness and compliance with DoD policies and for coordination with the units involved. Please complete all sections.

SECTION I - EVENT DATA

1. SPECIFIC REQUIREMENT (i.e., Musical Unit, Color Guard, Military Equipment, Troop Formation Number)	2. DATE OF EVENT	3. TIME OF EVENT
	(YYYYMMDD)	a. FROM:
		a. FROM:
		b. TO:

4. TITLE OF EVENT (and website, if applicable) (List other potential engagements for requested military support in item 21)		5.a. EXPECTED

ATTENDANCE

5.b. MEDIA COVERAGE (X all that apply)

LOCAL	TELEVISION	SOCIAL MEDIA
REGIONAL	RADIO	NONE
NATIONAL	PRINT

5.c. YOUR MEDIA/PR POC (Name/telephone/email):

NAME

TELEPHONE

5.d. VIP ATTENDANCE (X if applicable)

6.SITE OF EVENT (e.g., park, auditorium, airport) (NOTE: This site must be accessible to and usable by persons with disabilities.)

7.ADDRESS OF EVENT (Street, City, State, ZIP Code)

8.PROGRAM (Describe program theme and objective, audience and civic makeup, and the purpose of Armed Forces participation.)

9.a. HAVE OTHER ARMED FORCES UNITS BEEN REQUESTED TO SUPPORT		b. HAS DoD SUPPORTED THIS EVENT IN THE PAST? (If so, specify previous
THIS EVENT? (If so, specify.)		military support.)

10. IS THERE ANY CHARGE? (e.g., admission, parking. If so, specify.)		11. IS THIS EVENT BEING USED TO RAISE FUNDS FOR ANY PURPOSE?
		(If so, specify how funds will be distributed.)

12. WILL ADMISSION, SEATING, AND ALL OTHER ACCOMMODATIONS AND FACILITIES CONNECTED WITH THIS EVENT BE AVAILABLE TO				YES	NO
ALL PERSONS WITHOUT REGARD TO RACE, COLOR, NATIONAL ORIGIN, RELIGION, AGE, DISABILITY, SEX, GENDER IDENTITY, OR

SEXUAL ORIENTATION? (X appropriate box)
SEXUAL ORIENTATION? (X appropriate box)
	SECTION II - REQUESTING ORGANIZATION DATA
13.a. NAME AND WEBSITE OF REQUESTING ORGANIZATION

b. SOCIAL MEDIA HANDLES:
FACEBOOK	INSTAGRAM	TWITTER	OTHER

	(X appropriate box for each item.)			YES	NO

14.IS THE REQUESTING ORGANIZATION A CIVIC ORGANIZATION? (e.g., a non-governmental organization primarily focused on improving broad based communities at large.)

15. DOES THE EVENT HAVE THE OFFICIAL BACKING OF THE LOCAL GOVERNMENT?

16.a. DOES THE REQUESTING ORGANIZATION EXCLUDE ANY PERSON FROM ITS MEMBERSHIP OR PRACTICE ANY FORM OF DISCRIMINATION IN ITS FUNCTIONS BASED ON RACE, COLOR, NATIONAL ORIGIN, RELIGION, AGE, DISABILITY, SEX, GENDER IDENTITY, OR SEXUAL ORIENTATION?

b. DO ANY OF THE FOLLOWING APPLY TO YOUR EVENT? (X all that apply.)			POLITICAL EVENT	RELIGIOUS EVENT	IDEOLOGICAL EVENT

17. REQUESTER'S REPRESENTATIVE (Please PRINT all contact information.)

a. NAME (Include Mr./Ms./Military Rank)		b. ADDRESS (Street, City, State, ZIP Code)

c. PRIMARY TELEPHONE	d. ALTERNATE TELEPHONE	e. FAX NUMBER (Incl. area code)		f. E-MAIL ADDRESS
(Include area code)	(Include area code)

	SECTION III - REQUESTING ORGANIZATION SUPPORT DATA
18. See page 2, paragraph 3 before completing this section. Please answer the following questions ONLY for musical support requests.						YES	NO
Is the requester offering to: (X appropriate box for each item.)						YES	NO

a. Fund the standard Military Services allowance for meals, lodging, and incidental expenses for Armed Forces participants?

b. Fund transportation costs, meals, and hotel accommodations for unit representatives to visit the site prior to the event?

c. Fund transportation costs from home station to the event and return for Armed Forces participants?

d. Fund transportation costs for Armed Forces participants between the site of the event and the hotel?

DD FORM 2536, DEC 2016

PREVIOUS EDITION IS OBSOLETE.

SECTION IV - CERTIFICATION

19.I am acting on behalf of the requesting organization and certify that the information provided above is complete and accurate to the best of my knowledge. I understand that representatives from the military services will contact me to discuss arrangements and costs involved prior to final commitments, or to inform me of their inability to support this event. I also understand that operational commitments must take priority and can preclude a scheduled appearance at an approved public activity.

a. SIGNATURE OF REQUESTER'S REPRESENTATIVE

b. DATE SIGNED (YYYYMMDD)

c. PRINT NAME AND TITLE

20.MILITARY PARTICIPATION (Explain the desired effects of U.S. military participation in this event, and how U.S. military participation in this event will be amplified via social media.)

21.REMARKS (Use this area to continue any items if necessary, for additional information on the event, etc. Reference by section and item number.)

INSTRUCTIONS

1.This form is used to request Armed Forces musical unit, personnel, color/honor guard, guest speaker and/or exhibit/equipment participation in public events. U.S. Military participation does not imply endorsement of the event or the organization hosting the event. The requested information is required to evaluate the event. Please complete all sections.

2.Armed Forces musical units are organized for ceremonial and traditional purposes and to support recruiting activities. However, they may be authorized to provide certain specified presentations, such as patriotic ceremonies for public programs. Armed Forces musical organizations are not permitted to provide entertainment, background, dinner, dance or other social music at public or private events in competition with the customary or regular employment of local civilian musicians. Limited resources permit only one band and/or choir to perform at an event, and the Military Services reserve the right to cancel support to requesters who have scheduled more than one such military unit.

3.Department of Defense (DoD) policies require that Armed Forces participation in public events will be provided at no additional cost to the Government, which means unprogrammed costs incurred solely because of participation in or support of an unplanned activity. For example, additional costs to the Government include unplanned travel and transportation, meals and lodging for military personnel away from Government mess, civilian per diem, and overtime pay. Unsolicited contributions of money, personal property, or services (e.g., gifts in kind for lodging, meals, transportation) may be accepted for the benefit of military musical units for events that align with the DoD's mission. All costs are binding after a unit, personnel, or exhibit has arrived at an event site, even though weather conditions or other unforeseen circumstances force the event to be cancelled.

4.This form should be submitted to the appropriate Military Service (listed in right hand column) not less than 30 days in advance of a scheduled program. Final determination will occur no earlier than 90 days in advance. Please realize that all Armed Forces units have specific military missions and training requirements. Participation in public programs will only be authorized when such support is in the best interests of the DoD and the Military Services and does not interfere with mission or training programs. In all cases, operational commitments must take priority and can cause previously scheduled appearances to be cancelled.

5.Additional forms may be obtained on the Internet at https://www.esd.whs.mil/Directives/forms/ dd2500_2999/. For legibility, event requesters are highly encouraged to fill out applicable information on-line prior to printing out the form. Submit forms through the nearest military installation public affairs office, or to any of the military public affairs offices listed to the right. If you have questions regarding information required on this form, please call the Directorate of Community Engagement in the Office of the Assistant to the Secretary of Defense for Public Affairs between 8:00 a.m. and 5:00 p.m. Eastern Time, Monday through Friday (703) 695-3845.

SUBMIT COMPLETED REQUEST FORM TO:

The Public Affairs Office of the Military Installation closest to the event OR to the appropriate Military Service listed below:

ARMY:

Community Relations Division

HQDA, Office of the Chief, Public Affairs

1500 Army Pentagon, Room 1D470

Washington, DC 20310-1500

(703)614-3354 (fax) www.army.mil/comrel

U.S. MILITARY DISTRICT OF WASHINGTON: (For National Capital Region (NCR)

and Federal Agencies only)

Send public event requests inside the NCR to the MDW Communication Office via email: usarmy.mcnair.mdw.mbx.jtf-ncr-pao-web-events-omb@army.mil

Send public event requests from Federal agencies to the Ceremonial Directorate via email: usarmy.mcnair.mdw.mbx.jfhqncr-special-events-request@mail.mil

Website: https://mdwhome.mdw.army.mil/ceremonial-support/requesting-ceremonial-support

MARINE CORPS:

For instructions on how to request Marine Corps assets, visit: https://www.marines.mil/Community-Relations/Asset-Request/Band-Requests/ (703) 614-1034 (voice)

NAVY:

Navy Office of Community Outreach

5722 Integrity Drive, Bldg 456-3

Millington, TN 38054

(901)874-5804 (voice) bandsupport@navy.mil www.outreach.navy.mil

AIR FORCE:

Office of the Secretary of the Air Force

Office of Public Affairs (SAF/PA)

1690 Air Force Pentagon

Washington, DC 20330

www.afoutreach.af.mil

Submit band requests online at

www.outreachrequests.hq.af.mil

NATIONAL GUARD BUREAU:

Submit requests to the State National Guard Public Affairs Office in the state where the event will take place. Contact information for State Public Affairs Offices is available online at http://www.nationalguard.mil/Resources/StateWebsites.aspx

REQUESTER: PLEASE RETAIN A COPY OF THIS FORM FOR FUTURE REFERENCE.

DD FORM 2536 (BACK), DEC 2016

PREVIOUS EDITION IS OBSOLETE.

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Type in the appropriate data in b SOCIAL MEDIA HANDLES, FACEBOOK, INSTAGRAM, TWITTER, OTHER, X appropriate box for each item, YES, IS THE REQUESTING ORGANIZATION A, based communities at large, DOES THE EVENT HAVE THE OFFICIAL, a DOES THE REQUESTING ORGANIZATION, DISCRIMINATION IN ITS FUNCTIONS, b DO ANY OF THE FOLLOWING APPLY TO, POLITICAL EVENT, and RELIGIOUS EVENT segment.

military form forces b SOCIAL MEDIA HANDLES, FACEBOOK, INSTAGRAM, TWITTER, OTHER, X appropriate box for each item, YES, IS THE REQUESTING ORGANIZATION A, based communities at large, DOES THE EVENT HAVE THE OFFICIAL, a DOES THE REQUESTING ORGANIZATION, DISCRIMINATION IN ITS FUNCTIONS, b DO ANY OF THE FOLLOWING APPLY TO, POLITICAL EVENT, and RELIGIOUS EVENT fields to complete

Write down the significant details when you're on the I am acting on behalf of the, a SIGNATURE OF REQUESTERS, b DATE SIGNED YYYYMMDD, c PRINT NAME AND TITLE, MILITARY PARTICIPATION Explain, will be amplified via social media, REMARKS Use this area to continue, INSTRUCTIONS, This form is used to request, Armed Forces musical units are, SUBMIT COMPLETED REQUEST FORM TO, ARMY, and Community Relations Division HQDA area.

As part of field Armed Forces musical units are, Department of Defense DoD, This form should be submitted to, Additional forms may be obtained, Community Relations Division HQDA, US MILITARY DISTRICT OF WASHINGTON, Send public event requests inside, MARINE CORPS, For instructions on how to request, NAVY, Navy Office of Community Outreach, AIR FORCE, Office of the Secretary of the Air, Submit band requests online at, and NATIONAL GUARD BUREAU, define the rights and responsibilities.

Finish by looking at the following sections and filling them in accordingly: Submit requests to the State, DD FORM BACK DEC, PREVIOUS EDITION IS OBSOLETE, and REQUESTER PLEASE RETAIN A COPY OF.

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