Completing DD Form 294 accurately gives your application the best chance of a favorable outcome before the PDBR. The following steps explain each section of the form so you can fill it out with confidence.
Section 1: Applicant Identification
Enter your full legal name, Social Security Number, branch of service, and current mailing address. Include a daytime phone number and email address so the PDBR can contact you quickly if they have questions. If you were separated before Social Security Numbers replaced service numbers, also record your service number in the space provided.
Section 2: Military Service Information
Record your component (Active, Reserve, or National Guard), pay grade at separation, and the dates of your relevant service period. Include the exact date the Physical Evaluation Board found you unfit for duty. If you served in more than one component or branch, list each period separately.
Section 3: Conditions Being Reviewed
List each medical condition you believe was rated too low or overlooked by the original PEB. Use the diagnostic terminology from your separation medical records where possible. The PDBR only reviews conditions that appear in your original PEB determination, so verify that every condition you list was formally evaluated at the time of your separation.
Section 4: Statement Supporting Your Claim
Write a clear, factual statement explaining why you believe your disability rating was too low. Focus on the medical evidence that existed at the time of your separation rather than conditions that worsened afterward. Reference specific clinical notes, diagnostic findings, or VA examination results to support each condition you have listed. This section carries the most weight in the board's review.
Section 5: Authorization and Signature
Sign and date the form to authorize the PDBR to access your military and medical records. Without this authorization the board cannot complete its review. If a representative or attorney is submitting on your behalf, complete the power of attorney information in this section as well.
How to Submit Your Completed DD Form 294
Mail your signed DD Form 294 along with copies of your supporting documents to the PDBR address printed in the form instructions. Keep a complete copy of everything you submit. Processing typically takes 12 to 18 months, and the board will send you written notice of its decision. You may also submit a supplemental statement or additional evidence at any time before the board issues its final determination.
Related Military Forms
Veterans completing the DD Form 294 process may also need the DD Form 149 to request a formal correction to their military record after a PDBR decision, the DD Form 214 to verify separation details, or the DD Form 2656 to update beneficiary designations for military retired pay.