This application should be completed within 30 days from the date entered in Section 6.k. on this form by all responsible parties.
Recertification: it must occur every 180 days or 6 months, or if the Service member becomes an inpatient for 16 or more cumulative days within a 30-day period.
Section 15: the DoD or VA Licensed Physician who completes Section 6 can complete Sections 7-14 but should not then complete Section 15.
Scoring: each score in Section 10 (ADLs) and Section 11 (Supervision or Protection) must be linked to a task actually performed by a caregiver for a Service member.
SSN: please provide only the last four digits.
| Question | Answer |
|---|---|
| Form Name | DD Form 2948 |
| Form Length | 8 pages |
| Fillable? | Yes |
| Fillable fields | 194 |
| Avg. time to fill out | 33 min |
| Edition | MAY 2019 |
| Prescribed by | DoDI 1341.12 and DoDM 1341.12 |
| Who signs | The Service member or a designated representative |
| Other names | DD Form 2948, DD 2948, Form 2948, 2948, SCAADL application, Application for Special Compensation for Assistance with Activities of Daily Living |
| Official source | DD Form 2948 (Rev MAY 2019), Department of Defense |
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