Dd Form 884 PDF Details

At the heart of facilitating the movement of military and civilian personnel's families across the United States lies the DD Form 884, known as the Application for Transportation for Dependents. Designed under the governance of The Privacy Act of 1974, this form serves dual vital roles. Firstly, it acts as an authoritative document for issuing transportation requests in the absence of dependent travel orders within the Continental United States (CONUS). Secondly, its structure is tailored to gather essential details regarding the applicant, such as their name, rank, and the dependents for whom transportation is requested, including their relationship to the applicant, date of birth, and current location. The form intricately outlines the specifics of the transportation needed, from the departure point to the destination, including the preferred route and mode of travel. Furthermore, the DD 884 form addresses various situations, such as dependent travel outside the U.S., and provides sections for certifying the dependency status of non-traditional dependents like stepchildren or dependents over the age of 21 with incapacities. The voluntary submission of this form is crucial; lack of information could result in the non-provision of transportation, emphasizing the form's significance in ensuring family members can join or accompany military and civilian personnel during station changes or similar transitions.

QuestionAnswer
Form NameDd Form 884
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesCONUS, usnavy application form, navy form, 1974

Form Preview Example

APPLICATION FOR TRANSPORTATION FOR DEPENDENTS

DOD COMPONENT

THE PRIVACY ACT OF 1974. AUTHORITY: 37 U.S.C. 406 (Military); 5 U.S.C. 5724 (Civilian). THE PRINCIPAL PURPOSE:

Application for transportation-in-kind of dependents with CONUS used as an authority to issue transportation requests in absence of dependent travel orders. ROUTINE USES: Used in lieu of dependent travel orders by transportation offices to issue transportation requests within CONUS. VOLUNTARY: However, if information is not furnished, transportation would not be furnished.

NAME OF APPLICANT (Last, First, MI)

RANK

GRADE

FILE or SERVICE NO./SSN

SHIP OR STATION

NAME OF DEPENDENT FOR WHOM TRANSPOR-

TATION IS REQUESTED (Last, First, MI)

RELATIONSHIP*

(Adopted son, step-dau., etc.)

DATE OF BIRTH

(Children) (YYMMDD)

LOCATION AT TIME OF

RECEIPT OF ORDERS** (City, State)

*If other than a lawful spouse or unmarried legitimate child under 21 years of age of a member, complete applicable certificates below.

PRESENT ADDRESS OF DEPENDENTS (Street Address, City, State and ZIP Code)

OLD PERMANENT STATION

NEW PERMANENT STATION

 

DATE OF ORDERS (YYMMDD)

 

 

 

 

 

 

 

 

TRANSPORTATION REQUESTED (FROM) (City, State)

(TO) (City, State)

 

(VIA) (ROUTE) (City, State)

 

 

 

 

 

 

 

DATE OF DEPARTURE (YYMMDD)

BY (Air, Rail, etc.)

FOR TRAVEL OUTSIDE THE U.S., IS GOVERNMENT

AIR TRANSPORTATION

 

 

ACCEPTABLE FOR YOUR DEPENDENTS?

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

**If travel is from other than vicinity of old station or to other than vicinity of new station, state reasons; if orders were received during temporary absence of dependents from old duty station, explain necessity for their return thereto prior to proceeding to new station.

I CERTIFY THAT TRANSPORTATION FOR PERSONS LISTED ABOVE, WHO WERE MY DEPENDENTS ON THE EFFECTIVE DATE OF APPLICABLE ORDERS, IS BEING REQUESTED WITH THE INTENT OF ESTABLISHING A BONA-FIDE RESIDENCE. I FURTHER CERTIFY THAT I HAVE NOT MADE APPLICATION OR SUBMITTED CLAIM FOR TRANSPORTATION OF MY DEPENDENTS ON THIS CHANGE OF STATION EXCEPT AS FOLLOWS:

 

(Required for dependent parents, adopted children, stepchildren and for mentally

 

 

I

or physically incapacitated children over 21 years of age.)

 

 

I CERTIFY THAT MY DEPENDENT(S) (Relationship)

 

, NAMED ABOVE,

 

CERTIFICATE

IS/ARE IN FACT DEPENDENT UPON ME AND THAT A CERTIFICATE OF DEPENDENCY WAS APPROVED BY THE

OF PROOF OF

APPROPRIATE AGENCY, I FURTHER CERTIFY THAT THERE HAS BEEN NO CHANGE IN THE CONDITIONS OF

DEPENDENCY

DEPENDENCY SINCE THE CERTIFICATE WAS APPROVED.

 

 

 

 

 

 

(NOTE: In the case of a dependent parent, the certificate of dependency must be approved annually.)

 

 

 

 

 

 

II

(Required for a dependent parent in addition to I.)

 

 

CERTIFICATE

I CERTIFY THAT MY DEPENDENT(S) (Relationship)

 

 

,

OF RESIDENCE

IS/ARE RESIDING AS A MEMBER OF MY HOUSEHOLD AND WILL RESIDE AS A MEMBER OF MY HOUSEHOLD

OF PARENT

ESTABLISHED INCIDENT TO THIS CHANGE OF STATION.

 

 

 

 

 

 

 

 

(Required for a step child in addition to I.)

 

 

III

 

 

 

 

 

 

CERTIFICATE

I CERTIFY THAT (Name of child’s other parent)

 

 

,

FOR STEPCHILD

THE MOTHER/FATHER OF THE STEPCHILD/STEPCHILDREN NAMED ABOVE, WAS MY LEGAL SPOUSE ON THE

 

EFFECTIVE DATE OF APPLICABLE ORDERS.

 

 

 

 

 

 

DATE (YYMMDD)

SIGNATURE OF APPLICANT

 

 

 

 

 

 

 

 

 

DD FORM 884, NOV 80

SUPERSEDES ALL PREVIOUS EDITIONS.

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