Use FormsPal's free online PDF editor to complete your adoption expense reimbursement application without downloading any software. Follow these instructions to fill out your form accurately and submit it to your military personnel office:
Step 1: Click the "Get Form" button at the top of this page to open the PDF in the editor. The form will load with interactive fields ready for input.
Step 2: Fill in Section 1 with the service member's personal information. This includes full legal name, Social Security Number, military branch, pay grade and rank, and current duty station address. Include the unit designation and a contact phone number. Double-check all personal details carefully, as errors in this section can delay processing of your reimbursement request.
Step 3: In Section 2, enter information about the child being adopted. This includes the child's full name, date of birth, and country or state of adoption. Indicate whether the adoption is through a public agency, private agency, or an independent adoption. For international adoptions, note the country and type of visa or immigration status involved. Attach a copy of the adoption placement agreement or court decree where required by your branch's submission instructions.
Step 4: In Section 3, list all qualified adoption expenses you are requesting reimbursement for. For each expense, provide the date of payment, a description of the service received, the name of the payee, and the total amount paid. Allowable expenses include legal fees, court filing fees, home study costs, agency placement fees, and adoption processing costs. Keep original receipts for every entry - your finance department may request these documents during the review process.
Step 5: In Section 4, disclose any adoption-related payments you have already received for this adoption. This includes insurance reimbursements, federal tax credits claimed on your tax return, state adoption assistance payments, or any prior DoD reimbursements. Failing to disclose prior payments is a documentation error that can result in reimbursement denial or require repayment. Be thorough and accurate when completing this section.
Step 6: Review the entire form for completeness and accuracy. Sign and date the certification statement to confirm that the information provided is true and correct. Where required by your branch, have your commanding officer or an authorized official countersign the form. Submit the completed form and all supporting documents to your unit's military personnel office or finance department. Contact your personnel resources office for current processing timelines and any branch-specific submission requirements.
After submitting, keep copies of all documents for your personal records. FormsPal is committed to keeping all personal information secure during your editing session. For other military-related forms, see our Military Pay Stub form or explore the DD Form 2293 for DoD payment requests.