Dd form 257a

Issuing and reissuing DD Form 214. • 2–7, page 9 Requirements by agency maintaining records • 2–8, page 10 Section II Preparing Other Separation Documents, page 10 DD Form 220 (Active Duty Report) • 2–9, page 10 DD Form 256A (Honorable Discharge Certificate) and DD Form 257A (General Discharge Certificate) • 2–10, page 10

Dd form 257a. A Discharge Certificate (DD Form 256A, DD Form 257A, DD Form 258A, DD Form 259A, DD Form 260A, depending on the character of discharge) is not normally given until the completion of the six year obligatory enrollment in the Reserves under the Selective Service and Training Act of 1952. The Army can, for one of several reasons (e. g. medical ...

DD Forms 2500-2999 (updated 4/25/2024) Form Availability. If the form number does not have a hyperlink, the form is not available electronically. To obtain hard copies of current forms not available in electronic format, please contact your own Military Service or DoD Component Forms Management Officer. Cancelled forms are not …

IN THE CASE OF: BOARD DATE: 17 January 2020 DOCKET NUMBER: AR20190011087 APPLICANT REQUESTS: His under honorable conditions (general) discharge be upgraded to an honorable dischardemand draft drawn on any specified bank or banker (including the Reserve Bank of ... ARTICLE 257. A ... (ii) that the acceptance of new form or forms of security ...are no non-trade worker employee(s) on the site, do not submit Form 257a. Form 257b Cumulative Employment Utilization Report The last month the employee(s) worked at the project site, please fill out a Form 257b (as well as the FINAL Form 257 mentioned above) & write at the bottom of the form in BIG BOLD letters "FINAL". Form 257b is a ...DD-079, shall not be produced or retained at the worksite. (5) It shall be noted in the narrative section of the incident report that the sexually motivated crime report has been submitted. (6) A report should not ordinarily be submitted for crimes committed within correctional facilities.DD FORM 2526, FEB 2000 Page 3 of 4. CUI (when filled in) CUI (when filled in) 15. PROFESSIONAL REVIEW ASSESSMENT BY MEDICAL TREATMENT FACILITY a. ATTRIBUTION OF CAUSE (X all that apply) (1) Facility or Equipment (2) Physician (4) Management (5) System (3) Personnel other than Physician. b. EVALUATION OF CARE (X one)

*** The DD Form 214 has been issued by all military services since January 1, 1950. Before January 1, 1950, several similar forms were used by the military services. ... DD 257A * General Discharge Certificate: DD 257AF * General Discharge Certificate: DD 257CG * General Discharge Certificate: DD 257MC * General Discharge Certificate:The statements hereon are complete and correct. All damaged property has been disposed of in accordance with current directives and the charges have been computed in accordance with the provisions of AR 735-5, Appendix B. a. Entered on the appropriate pay record or payroll, or DD Form 139 has been prepared and forwarded for collection.APPLICANT'S SUPPORTING DOCUMENTS CONSIDERED BY THE BOARD: * DD Form 293 (Application for the Review of Discharge from the Armed Forces of the United States), dated 8 May 2019 * DD Form 257A (General Discharge Certificate), dated 30 April 1969 FACTS: 1. The applicant did not file within the three year time frame provided in Title 10, U.S. Code ...TPL form and TPL requested medical record submissions: TRICARE East Region. Attn: Third Party Liability (TPL) PO Box 8968. Madison, WI 53707-8968. Fax: (608) 221-7539. Attorneys or insurance agencies: Subrogation/Lien cases involving TPL for TRICARE East beneficiaries should be submitted through the contact methods below: Humana Military.DD FORM 2957, JUL 2022. INSTRUCTIONS FOR COMPLETION OF DD FORM 2957, THE UNITED STATES OF AMERICA VIETNAM WAR COMMEMORATION AFTER-ACTION REPORT. The DD Form 2957 is a summary of what took place at your event, and is used to assist in planning future events. Use the instructions below to complete the DD Form 2957. 1.The address must match exactly your entity's address as recorded in CAGE/NCAGE database (See links above). A P.O. Box cannot be used as a physical address. If used for mailing purposes, enter the mailing address separately, in Block 2b. Submit only one DD Form 2345 per CAGE CODE physical address. Block 2c.DD Form 1000-1499; DD Form 1500-1999; DD Form 2000-2499; DD Form 2500-2999; DD Form 3000-3499; Other Forms; Secretary of Defense (SD) Forms; ODA&M Forms; Washington Headquarters Services (WHS) Forms; Standard Forms (SF) ... Form Availability. If the form number does not have a hyperlink, the form is not available …12. Consistent with the chain of command's recommendations, the separation authority approved the applicant's discharge on 22 June 1988, under the provisions of Army Regulation 635-200, paragraph 14-12b, by reason of patterns of misconduct, and directed that he be issued a DD Form 257A (General Discharge Certificate). 13.

Issuing and reissuing DD Form 214. • 2–7, page 9 Requirements by agency maintaining records • 2–8, page 10 Section II Preparing Other Separation Documents, page 10 DD Form 220 (Active Duty Report) • 2–9, page 10 DD Form 256A (Honorable Discharge Certificate) and DD Form 257A (General Discharge Certificate) • 2–10, page 10DD FORM 2957, JUL 2022. INSTRUCTIONS FOR COMPLETION OF DD FORM 2957, THE UNITED STATES OF AMERICA VIETNAM WAR COMMEMORATION AFTER-ACTION REPORT. The DD Form 2957 is a summary of what took place at your event, and is used to assist in planning future events. Use the instructions below to complete the DD Form 2957. 1.SUMMARY of CHANGE AR 635-5 Separation Documents This regulation has been streamlined to avoid duplication of data, and updated to reflect mandatory required data on the DD Form 214 throughout. Specifically, this revision-- o Mandates that the DD Form 214 (Certificate of Release or Discharge from Active Duty) be issued for all void service (para 2-1a).The potential for success of the marrow transplant attempt depends on the illness causing the disease and varies widely. The overall long term success rate is felt to be one in four or 25%. The patient has not yet begun the marrow transplant process, so a decision not to donate will not place the patient in any immediate danger. I understand ...A Form DD 256 is a certificate of honorable discharge utilized by the U.S. Department of Defense and the different branches of military service. An honorable discharge occurs when ...The separation authority approved the recommended discharge and a waiver of rehabilitative transfer on 4 June 1984, and directed the issuance of a DD Form 257A (General Discharge Certificate). 13. The applicant was discharged on 25 June 1984.

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IN THE CASE OF: BOARD DATE: 17 January 2020 DOCKET NUMBER: AR20190011087 APPLICANT REQUESTS: His under honorable conditions (general) discharge be upgraded to an honorable discharLouis (AHRC–OPZ–O). g. A resignation approved by HQDA will be Under Honorable Conditions. A DD Form 256A or DD Form 257A ... (Available through normal forms ...please do not return your completed form to the above organization. send this form in accordance with the instructions contained in the dfars, appendix f-401. 1. procurement instrument identification (contract) no. order no. 2. shipment no.3. date shipped (yyyymmdd) 4. b/l. tcn 5. discount terms 6. invoice no. date (yyyymmdd) 7. page. of 8 ...• Soldier receives DD Form 257A, General Discharge Certificate. • Impact on benefits. - No civil service retirement credit for time spent on active duty. - No education benefits. Money paid in to Montgomery GI Bill is forfeited (sub-ject to vesting of the benefit due to previous honorable discharge).

dd form 2537, feb 94. classification of this page classification of this page. visual information caption sheet. 1. project/exercise/event title 2. virin 3. date recorded (yymmdd) 4. camera operator (rank/name/home unit) 5. media/film type 6. tape/roll/disc number 7. classification of media 8. classification of caption 9. classification ...The separation authority approved the recommended discharge on 3 July 1997 and directed the issuance of a DD Form 257A (General Discharge Certificate). 9. The applicant was discharged on 29 July 1997. His DD Form 214 (Certificate of Release or Discharge from Active Duty) confirms he was discharged under the provisions of Army Regulation 635-200 ...DD FORM 2535, JAN 2023. PREVIOUS EDITION IS OBSOLETE. Page 4 of 4. INSTRUCTIONS. 1. The attached form is used to request U.S. Armed Forces aircraft participation at public events in support of community relations programs, flyovers, static displays and requests for an aerial demonstration team (U.S. Army Golden Knights, U.S. Navy Leap Frogs,Chapter 1 Introduction Section I Overview 1–1. Purpose This regulation prescribes the separation documents that must be prepared for soldiers on retirement, discharge, release from active duty service, or control of the Active Army. It establishes standardized policy for preparing and distribut- ing the DD Form 214 (Certificate of …ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS IN THE CASE OF: BOARD DATE: 10 October 2019 DOCKET NUMBER: AR20190009648 APPLICANT REQUESTS: .Upgrade of his Ge are no non-trade worker employee(s) on the site, do not submit Form 257a. Form 257b Cumulative Employment Utilization Report The last month the employee(s) worked at the project site, please fill out a Form 257b (as well as the FINAL Form 257 mentioned above) & write at the bottom of the form in BIG BOLD letters “FINAL”. Form 257b is a ... Consolidates DD Form 283 and DD Form 844, which may be used until supply is exhausted. DD FORM 844, FEB 89. Prescribed by: DoDI 7730.3. REQUISITION FOR LOCAL DUPLICATING SERVICE. 1. DATE OF REQUEST. 2. DATE REQUIRED 3. JOB NUMBER. PART A - REQUEST. 4. REQUESTING OFFICE. a. ORGANIZATION b. …BOARD DATE: 17 October 2019 DOCKET NUMBER: AR20190011281 APPLICANT REQUESTS: His under honorable conditions (general) discharge be upgraded to an honorable discharge. APPLICANT'SWe would like to show you a description here but the site won't allow us.

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DD Forms 1000-1499 (updated 5/1/2024) Form Availability. If the form number does not have a hyperlink, the form is not available electronically. To obtain hard copies of current forms not available in electronic format, please contact your own Military Service or DoD Component Forms Management Officer. Cancelled forms are not … P. Simmons, Expert. Your not going to find the references now I suspect.Like I mention, 257AF is an discharge certificate (typically from the reserves)You were Air Force, it seemsAFR 45-43 would have been the regulation that applied, but after 30 years that is long gone... Read less. 0 Likes. (a) The contracting officer must prepare DD Form 254, Contract Security Classification Specification (illustrated in FAR 53.303-DD-254), for contracts involving contractor access to classified information. This form identifies for contractors the areas of classified information involved. The contracting officer may use written notice of classification for research or service contracts.IN THE CASE OF: BOARD DATE: 17 January 2020 DOCKET NUMBER: AR20190005515 APPLICANT REQUESTS: Correction of his DD Form 214 (Certificate of Release or Discharge from Active Duty) bTypes of DD Form 254s: Original. Original: Created at contract award or effort (e.g. CRADA) and placed on contract at award! If there was no solicitation phase, an "award" DD Form 254 is completed as the "original.". All original (e.g. award) DD Form 254s must go through the complete DD Form 254 process:What is a type of Army certification issued dd form 257A? general under honorable conditions means you screwed up but not bad enough for dishonorable.DD Form 2875, System Authorization Access Request, August 2009. SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR) PRIVACY ACT STATEMENT. AUTHORITY: Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act. PRINCIPAL PURPOSE: To record names, signatures, and other identifiers for the purpose of validating the trustworthiness ...

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All activity for amounts claimed and collected shall be reported in the fiscal year that the services were rendered (i.e. care provided in FY 1989 will be reported as an FY 1989 claim and collection, regardless of the year payment is received). This requires cut-off billing for all inpatients at fiscal year end. DD Form 257A, "Privately Owned Vehicle (POV)/Government Owned Automobile (GOA) Shipping Document - Deck Loaded," is a document used for reporting the shipment of privately owned vehicles or government-owned automobiles that are deck loaded onto a vessel. The information that must be reported on DD Form 257A includes: 1. DD Form 2875, System Authorization Access Request, August 2009. SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR) PRIVACY ACT STATEMENT. AUTHORITY: Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act. PRINCIPAL PURPOSE: To record names, signatures, and other identifiers for the purpose of validating the trustworthiness ...ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS IN THE CASE OF: BOARD DATE: 27 June 2019 DOCKET NUMBER: AR20190003910 APPLICANT REQUESTS: His under honorable cDD Form 257A General Discharge Certificate (Under Honorable Conditions). READINGS RECOMMENDED . These readings contain relevant supplemental information. AR 15-130 Army Clemency Board.8. The applicant's immediate commander formally recommended the applicant's separation from service, under the provisions of Army Regulation 635-200, Chapter 14, by reason of misconduct. 9. The separation authority approved the recommended discharge on 20 May 2010 and directed the issuance of a DD Form 257A (General Discharge Certificate). 10.GOEV stock is in the spotlight following a 4.43 million sale by DD Global. DD now owns less than a 10% stake in the EV company. DD Global and Canoo have a controversial past Canoo ...This form determines fitness for prolonged duty without ready access to dental care and is not intended to document comprehensive dental needs. (1) Patient has good oral health and is not expected to require dental treatment or reevaluation for 12 months. (2) Patient has some oral conditions, but you do not expect these conditions to result in ...We would like to show you a description here but the site won’t allow us.DA Form 2028 Recommended Changes to Publications and Blank Forms. DA Form 2627 Record of Proceedings Under Article 15, UCMJ. DA Form 2627-1 Summarized Record of Proceedings Under Article 15, UCMJ. DD Form 256A Honorable Discharge Certificate. DD Form 257A General Discharge Certificate (Under Honorable Conditions). READINGS RECOMMENDED DD 256CG Honorable Discharge Certificate DD 256MC Honorable Discharge Certificate DD 256N Honorable Discharge Certificate DD 257A General Discharge Certificate DD 257AF General Discharge Certificate DD 257CG General Discharge Certificate DD 257MC General Discharge Certificate DD 257N General Discharge Certificate Updated: May 16, 2018 ….

GENERAL. The DD Form 2792 and attached addenda are completed to identify a family member with special medical needs. There is a Certification Section on page 3 that should be signed AFTER the entire form is completed by medical provider(s) and the form has been reviewed for completeness and accuracy. The Parent/Guardian or Person of Majority ...What is a DD Form 257a? (2) DD Form 214 (Certificate of Release or Discharge from Active Duty). (6) DD Form 257A (General Discharge Certificate Under Honorable Conditions). (7) DD Form 363A (Certificate of Retirement). (8) DD Form 2542 (Certificate of Appreciation For Service in the Armed Forces of the United States).Insight - NEOGOV is a dashboard that allows you to manage your recruitment workflow and track your hiring progress. Log in to access your data and tools, or sign up for a free trial.What is a dd form 257a? Lawyer's Assistant: Are you overseas or stateside? Im not active. Lawyer's Assistant: ... The DD Form 257 is the form used to award a "general, under honorable conditions" discharge for reserve service. So it seems you were in the reserves, and were separated early (prior to the end of your contract) ...Dd Form 257a. Use a Dd Form 257a template to make your document workflow more streamlined. Get Form. Show details. How it works. Open form follow the instructions. …Item 1. Enter applicant's name, pay grade, Social Security Number or Electronic Data Interchange Personal Identifier, current Service/Component, and current unit/command address. Item 2. Enter recruiter's office address, if applicable. Item 3. For item 3.b., complete the name of the gaining and losing components.IN THE CASE OF: BOARD DATE: 17 December 2013 DOCKET NUMBER: AR20130007008 THE BOARD CONSIDERED THE FOLLOWING EVIDENCE: 1. Application for correction of military records (with suppComplete List Of Discharge Documents Veterans Affairs. Preview. 7 hours ago WebMar 1, 2023 · Form DD 303N : Title : Certificate in Lieu of Lost or Destroyed Discharge : Form DD 1300 : Title : Report of Casualty : DoD documents that must show a period of active-duty service dates Form DD 257AF: Title : General Discharge Certificate : …. See Also: Dd …The applicant requests "upgrade to a general discharge." In effect, the applicant is requesting amendment of his DD Form 214 (Report Of Separation From Active Duty) to show a characterization of service in item 9e (Character of Service) of "Under Honorable Conditions"; to show the entry "DD Form 257A [General Discharge Certificate]" in item 9f ...DD 2873 Military Protective Order. MILITARY PROTECTIVE ORDER. PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. 136, Under Secretary of Defense for Personnel and Readiness; DoDI 6400.06, Domestic Abuse Involving DoD Military and Certain Affiliated Personnel; and E.O. 9397 (SSN), as amended. PRINCIPAL PURPOSE(S): To inform the service member and the ... Dd form 257a, Microsoft PowerPoint - Benefits at Separation chart. BENEFITS AT. Honorable DD Form 256A. SEPARATION. General Under Honorable Conditions DD Form 257A. E Eligible. Other Than Honorable. NE Not Eligible TBD To be determined by Administering Agency DV Eligibility for these benefits depend upon specific disabilities of the veteran. “4”., Dd 217 Discharge Certificate November 2021. Preview. 1 hours ago Acceptable documents include: 1. DD Form 214 (Certificate of Release or Discharge from Active Duty) 2. NGB Form 22 (National Guard Report of Separation from Active Duty) 3. Prior to January 1, 1950 - WD AGO 53, WD AGO 55, WD AGO, 53-55, NAVPERS 553, NAVMC 78PD, NAVCG 553, DD Form 217 4…. See Also: Dd form 217 air force Show ..., The following forms have been superseded by the above DD eForm 2648, and are no longer utilized to document a Service member's separation. DD Form 2648 - Active Duty Pre-Separation Checklist. DD Form 2648-1 - National Guard and Reserve Pre-Separation Checklist. DD Form 2958 - Individual Transition Plan (ITP) Checklist., The regulation stated: a. an individual discharged under the provisions of this chapter will be furnished a DD Form 256A (Honorable Discharge Certificate), DD Form 257A (General Discharge Certificate), or DD Form 258A (Undesirable Discharge Certificate). b. the character of service would be based on in-service records and activities. c., DD 256CG Honorable Discharge Certificate DD 256MC Honorable Discharge Certificate DD 256N Honorable Discharge Certificate DD 257A General Discharge Certificate DD 257AF General Discharge Certificate DD 257CG General Discharge Certificate DD 257MC General Discharge Certificate DD 257N General Discharge Certificate Updated: May 16, 2018, 8. The applicant's commander formally recommended his separation under the provisions of Army Regulation 635-200, paragraph 14-12(c). 9. The separation authority approved the recommended discharge under the provisions of Army Regulation 635-200, paragraph 14-12(c), and directed the issuance of a DD Form 257A (General Discharge Certificate). 10., The regulation stated: a. an individual discharged under the provisions of this chapter will be furnished a DD Form 256A (Honorable Discharge Certificate), DD Form 257A (General Discharge Certificate), or DD Form 258A (Undesirable Discharge Certificate). b. the character of service would be based on in-service records and activities. c., TPL form and TPL requested medical record submissions: TRICARE East Region. Attn: Third Party Liability (TPL) PO Box 8968. Madison, WI 53707-8968. Fax: (608) 221-7539. Attorneys or insurance agencies: Subrogation/Lien cases involving TPL for TRICARE East beneficiaries should be submitted through the contact methods below: Humana Military., DD Form 2579, "Small Business Coordination Record" Author: WHS Created Date: 3/4/2024 12:32:13 PM ... , What is a DD Form 257a? (2) DD Form 214 (Certificate of Release or Discharge from Active Duty). (6) DD Form 257A (General Discharge Certificate Under Honorable Conditions). (7) DD Form 363A (Certificate of Retirement). (8) DD Form 2542 (Certificate of Appreciation For Service in the Armed Forces of the United States)., Rules for completing the DD Form 214 • 5 - 6, page . 14. Contents—Continued: AR 635-8 • 17 September 2019: iii : Chapter 6: Integrated Disability Evaluation System Separation Processing, page . 20. Disability separations • 6 - 1, page . 20. Policy • 6 - 2, page . 20. Notification report • 6, DD Form 257A is a General Discharge Certificate issued by the Army. It is one …, He elected not to submit a statement in his own behalf. 10. The separation authority approved the recommended discharge action and directed the issuance of a DD Form 257A (General Discharge Certificate). 11. The applicant was discharged on 12 April 2003, under the provisions of Army Regulation 635-200, paragraph 14-12c, by reason of misconduct., Title: DD Form 2870, Authorization for Disclosure of Medical or Dental Information, December 2003 - ATD West (DD2870)_10_14.pdf Author: ankurkumar.patel.ctr, The DD Form 2860 is a form used by veterans to claim Combat-Related Special Compensation (CRSC). The CRSC program provides financial compensation to military retirees who have been medically retired from the armed forces with service-connected disabilities. This form must be completed in order for a veteran to receive the …, AR 635-212 SPN 28B /DD FORM 257A. P. Simmons, Expert. Thank you This is an Army Regulation governing discharge unfitness and unsuitability. It concerned situations where a soldier was deemed no longer fit or suitable for military service. So the discharge was not for misconduct. But for a soldier who the command deemed "unsuitable", We would like to show you a description here but the site won’t allow us. , DD Form 2875, System Authorization Access Request, August 2009. SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR) PRIVACY ACT STATEMENT. AUTHORITY: Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act. PRINCIPAL PURPOSE: To record names, signatures, and other identifiers for the purpose of validating the trustworthiness ..., Military personnel are required to designate a payment that equals the total of their outstanding government travel card balance to the GTCC contractor. NOTE: A split disbursement is only necessary when a GTCC is used while on official travel for the Government. 2. NAME (Last, First, Middle Initial) (Print or type) 3., We would like to show you a description here but the site won't allow us., dd form 2537, feb 94. classification of this page classification of this page. visual information caption sheet. 1. project/exercise/event title 2. virin 3. date recorded (yymmdd) 4. camera operator (rank/name/home unit) 5. media/film type 6. tape/roll/disc number 7. classification of media 8. classification of caption 9. classification ..., SECTION IV. Completing this section will terminate the original appointment as of the effective date. If partial authority is to be retained, a new DD Form 577 must be completed. Mark X in the box provided to indicate the appointment is being revoked. 18. Enter the date the termination is effective. 19., DRB/. ARMY. Army Discharge Review Board 251 18th Street South, Suite 385 Arlington, VA 22202-3531 ARBA online application link: https://arba.army.pentagon.mil/online-. NAVY AND MARINE CORPS. Secretary of the Navy Council of Review Boards ATTN: Naval Discharge Review Board 720 Kennon Ave. S.E., Suite 309 Washington Navy Yard, DC 20374-5023., The instructions for completing the DD Form 1172-2 should be closely followed to ensure accurate data collection and to preclude over collection of information. Section IV of this form should only be completed if benefits or sponsorship is being requested for/by an eligible sponsor or their dependent. Instructions for the DD Form 1172-2 can be ..., What is a DD Form 257a? Characterization of service as general (under honorable conditions) is warranted when significant negative aspects of the Soldier’s conduct or performance of duty outweigh positive aspects of the Soldier’s military record.” AR 135-178, para 2-9b. … Soldier receives DD Form 257A, General Discharge Certificate. , Army Administered Transitional Benefits & Services "14" Department of Veteran Affairs "10" Administered by Other Federal Agencies Authority and References "7", What is a type of Army certification issued dd form 257A? general under honorable conditions means you screwed up but not bad enough for dishonorable., On 25 May 1972, his intermediate commander recommend him for separation with the issuance of a DD Form 257A, under the provisions of AR 635-212, paragraph 6b (3). h. He was discharged from active duty on 5 July 1972. His DD Form 214 (Armed Forces of the United States Report of Transfer or Discharge) shows he was discharged under the provisions ..., DD Form 257A General Discharge Certificate (Under Honorable Conditions). READINGS RECOMMENDED . These readings contain relevant supplemental information. AR 15-130 Army Clemency Board., The final DD Form 254 is then an authorization for the contractor to retain the information. In addition, the GCA may grant retention beyond the automatic two year retention period in formal written authorization to the contractor. Enter the date the final DD Form 254 is issued and always complete Item 5., DGAP-DD: Baumot Group AG english Notification and public disclosure of transactions by persons discharging managerial responsibilities and perso... Notification and public disclo..., We would like to show you a description here but the site won’t allow us., DD FORM 2876-2, JUL 2016 : Page 3 of 5 Pages : SECTION III REASON FOR DISENROLLMENT OR PCM CHANGE (X if waiving drive time) I understand if I selected a PCM by name, team, or location : Relocation Relocation : SPONSOR'S SSN/DBN: SECTION III - REASON FOR DISENROLLMENT OR PCM CHANGE