Dd Form 2910 – Fill Out and Use This PDF

The DD Form 2910, known as the Victim Reporting Preference Statement, is a critical document within the Department of Defense's Sexual Assault Prevention and Response (SAPR) Program. It offers victims of sexual assault within the military the choice between Unrestricted Reporting, which initiates an investigation into the assault, and Restricted Reporting, which allows the victim to receive necessary support and medical care without triggering an investigation. This form serves as a pivotal tool in ensuring victims' preferences are respected and their needs are addressed in a manner that they choose. To understand more about the process and to fill out the form, click the button below.

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Dd Form 2910 PDF Details

The Victim Reporting Preference Statement (VRPS) is the official DoD form used within the Sexual Assault Prevention and Response (SAPR) Program. It gives military service members who are victims of sexual assault the ability to select how their case will be handled.

Reporting Options Explained

Two main reporting paths are available. Unrestricted Reporting initiates a formal military investigation and notifies command and law enforcement. Restricted Reporting allows victims to receive confidential medical care and support services from SARCs and VAs without triggering an official investigation or command notification.

Key Benefits of This Form

The VRPS form outlines all the relevant content on reporting options, explaining the legal implications of each choice. A SARC or SAPR victim advocate can provide guidance on which path fits your situation. Service members retain full control over their case at every stage.

Related Military Forms

Other military forms available on FormsPal include the DD Form 2870 for authorizing the disclosure of medical records and the DD Form 93 for recording emergency contact data. See also our Military Dependent Form collection.

Question	Answer
Form Name	Dd Form 2910
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	MCIO, osd, YYYYMMDD, UCMJ

How to Edit Dd Form 2910 Online for Free

To complete this form online, use FormsPal's free PDF editor. No software installation or registration is required. Follow the steps below to enter your information and save the document.

Step 1: Open the Form in the Editor

Click the "Get Form" button at the top of this page to open the form in the online editor. The form will load directly in your browser. You can share the link with a trusted person if you need help filling it out.

Step 2: Enter Your Personal Information

The form asks for personal details such as your name, rank, branch of service, and unit information. Enter each field carefully and accurately. If you are unsure about any section, a SARC or SAPR victim advocate can assist you.

Step 3: Select Your Reporting Option

Choose between Restricted Reporting and Unrestricted Reporting. Both options are explained in the form itself. Restricted Reporting lets you receive confidential care from SARCs and VAs without triggering an investigation. Unrestricted Reporting initiates a formal investigation through the military chain of command.

Step 4: Sign and Save Your Form

After completing all fields, use the digital signature tool to sign the document. You can then download the finished form as a PDF to share with your victim advocate or keep for your personal records. For additional related military forms, see the Military Power of Attorney and Military Dependent Form available on FormsPal.

Frequently Asked Questions

What is DD Form 2910 used for?
This document is used by military service members who have experienced sexual assault to formally select their reporting preference under the DoD SAPR Program.

Do I need a SARC to complete this form?
Yes. The form is typically completed in the presence of a Sexual Assault Response Coordinator (SARC). Contact your installation's SARC office for guidance on the proper procedure.

Can I change my reporting choice later?
Yes. A victim may convert from Restricted Reporting to Unrestricted Reporting at any time. Changing from Unrestricted to Restricted Reporting is not permitted under DoD policy.

Where do I submit the signed form?
Submit the signed form to your SARC or victim advocate. Do not send it directly to law enforcement or command unless you have chosen Unrestricted Reporting.