DD Form 369 "Police Record Check"

What Is DD Form 369?

DD Form 369, Police Record Check, is a document used by the Department of Defense (DoD) for checking if the potential candidate wishing to enlist in the Armed Forces might have been previously involved with the police or other law enforcement agencies.

The DoD-issued form - often incorrectly referred to as DA Form 369 - was last revised on April 1, 2019, with all previous editions being obsolete. An up-to-date fillable version of the DD 369 is available for digital filing or download below.

This form facilitates background record reviews that are used to determine if the candidate is eligible to be accepted into the United States Army. All information provided on the DD Form 369 is checked by recruiting officials and official military personnel SORNs. The DD 369 may also be used by recruiting agencies for the purpose of conducting local police file reviews.

What Is On DD Form 369?

DD Form 369 is used to obtain all criminal record information from law enforcement agencies about a prospective enlistee in the Armed Forces of the United States. This information is considered confidential and will only be disclosed for recruiting purposes.

The form includes general information including the name and sex of the individual whose police record is being checked along with the name, rank, and title of the person making the request. DD 369 Forms are for use with police only and are not to be used for court record checks.

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How to Fill Out Form DD 369?

DD Form 369 must include the name that the applicant provides during enlistment along with the name on their birth certificate and maiden name, and any other name the applicant is also known as. All known names must be listed on the form prior to it being completed by the servicing agencies. The other lines on the DD 369 are self-explanatory and include the date and place of birth, social security number, ethnicity, a privacy act statement, and a consent for release of information.

The record check must be signed by the applicant.

All copies of the DD Form 369 from civilian agencies must have fully completed Items 12 through 16 in Section III. Police checks are also possible through telephone calls. The person obtaining telephonic police records check will sign a written report on the DD Form 369 in Items 14 through 16 and identify the person they called in Item 13.

Forwarding the completed form to the FBI or any foreign agencies is prohibited.

Police records check from law enforcement agencies that charge a fee to disclose information that is not required. If a city or county does not have their own police force or is covered by another agency, Item 12 of the DD Form 369 must provide information explaining which agency has jurisdiction over that area.

How Long Is a DD Form 369 Good For?

Unless no new law violations occur, the DD Form 369 is valid indefinitely. The form is valid for six months when processing waiver applications. For waivers, DD Form 369 will be reprocessed if older than 180 days. New records checks must be obtained if an applicant alleges to new arrests or convictions.

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Page background image
CUI when filled
Prescribed By:
DoDI 1304.02
OMB No. 0704-0007
1. DATE OF REQUEST (YYYYMMDD)
POLICE RECORD CHECK
OMB approval expires
20250531
The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-informationcollections@mail.mil. Respondents
should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid
OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.
SECTION I - (To be completed by Recruiting Service)
4. PLACE OF BIRTH
2. NAME OF APPLICANT (Last, First, Middle
3. SEX
Name(s), Alias)
A. CITY
B. COUNTY
C. STATE
MALE
FEMALE
6. B. RACE (Select one or more)
5. DATE OF BIRTH
7. SOCIAL SECURITY
6. A. ETHNICITY
(YYYYMMDD)
(4) NATIVE HAWAIIAN OR
NUMBER
(1) AMERICAN INDIAN/ALASKA NATIVE
OTHER PACIFIC ISLANDER
(1) HISPANIC OR LATINO
(2) ASIAN
(5) WHITE
(2) NOT HISPANIC OR
(3) BLACK OR AFRICAN AMERICAN
LATINO
8. ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block)
9. DATES RESIDED AT THIS ADDRESS
A. NUMBER AND STREET (include apartment no.)
B. CITY
C. STATE
D. ZIP CODE A. FROM
B. TO
(YYYYMMDD)
(YYYYMMDD)
10. PERSON MAKING THIS REQUEST
A. NAME (Last, First, Middle Name(s))
B. RANK
C. SIGNATURE
D. TITLE
SECTION II - (To be completed by Applicant)
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. Sections 136, 504, 505, 12102; 14 U.S.C. Sections 351 and 632; DoDI 1304.2; DoDI 1304.26; and E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSE(S): The information collected on this form is used to screen and identify applicants to the Armed Forces who may have discreditable involvement with the police or other law
enforcement agencies. Completed forms are used to conduct background records checks used to determine eligibility of applicants for accession into the Armed Forces. Completed forms are
covered by recruiting and official military personnel SORNs maintained by each of the Services.
ROUTINE USE(S): The routine uses are found in the associated system of records notices listed below:
DoDM 1145.02, Military Entrance Processing Station (MEPS); https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/114502m.pdf?ver=2018-07-23-121425-917
A0601-210c TRADOC, Army Recruiting Prospect System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570073/a0601-210c-tradoc/
F036 AETC R, Air Force Recruiting Information Support System (AFRISS) Records; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569780/f036-aetc-r/
M01133-3, Marine Corps Recruiting Information Support System (MCRISS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570628/m01133-3/
N01133-2, Recruiting Enlisted Selection System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570318/n01133-2/
DHS/USCG-027, Recruiting Files System of Records; http://www.gpo.gov/fdsys/pkg/FR-2011-08-10/html/2011-20225.htm
DISCLOSURE: Voluntary. However, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United States. An applicant's SSN is
used to conduct the police records check and keep all records together during the enlistment process.
SIGNATURE
11. I HEREBY CONSENT TO RELEASE YOUR FILES FROM THE
INFORMATION REQUESTED BELOW.
SECTION III - (To be completed by Police or Juvenile Agency)
The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United
States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.
12. DOES THE APPLICANT HAVE A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS?
YES
NO
(if YES, what was the offense or charge, date, disposition and sentence?)
13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND?
YES
NO
(if YES, give details.)
THIS IS TO CERTIFY THAT THE ABOVE DATA, AS CORRECTED, ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE.
THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES.
14. DATE (YYYYMMDD)
15. TITLE
16. VERIFIED BY (Signature)
LAW ENFORCEMENT AGENCY
RECRUITING AGENCY
MAIL TO:
MAIL FROM:
DD FORM 369, APR 2019
Controlled by: OUSD(P&R)
Page 1 of 1
PREVIOUS EDITION IS OBSOLETE.
CUI Category: PRVCY
CUI when filled
LDC: FEDCON
POC: osd.pentagon.ousd-p-r.mbx.forms@mail.mil
CUI when filled
Prescribed By:
DoDI 1304.02
OMB No. 0704-0007
1. DATE OF REQUEST (YYYYMMDD)
POLICE RECORD CHECK
OMB approval expires
20250531
The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-informationcollections@mail.mil. Respondents
should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid
OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.
SECTION I - (To be completed by Recruiting Service)
4. PLACE OF BIRTH
2. NAME OF APPLICANT (Last, First, Middle
3. SEX
Name(s), Alias)
A. CITY
B. COUNTY
C. STATE
MALE
FEMALE
6. B. RACE (Select one or more)
5. DATE OF BIRTH
7. SOCIAL SECURITY
6. A. ETHNICITY
(YYYYMMDD)
(4) NATIVE HAWAIIAN OR
NUMBER
(1) AMERICAN INDIAN/ALASKA NATIVE
OTHER PACIFIC ISLANDER
(1) HISPANIC OR LATINO
(2) ASIAN
(5) WHITE
(2) NOT HISPANIC OR
(3) BLACK OR AFRICAN AMERICAN
LATINO
8. ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block)
9. DATES RESIDED AT THIS ADDRESS
A. NUMBER AND STREET (include apartment no.)
B. CITY
C. STATE
D. ZIP CODE A. FROM
B. TO
(YYYYMMDD)
(YYYYMMDD)
10. PERSON MAKING THIS REQUEST
A. NAME (Last, First, Middle Name(s))
B. RANK
C. SIGNATURE
D. TITLE
SECTION II - (To be completed by Applicant)
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. Sections 136, 504, 505, 12102; 14 U.S.C. Sections 351 and 632; DoDI 1304.2; DoDI 1304.26; and E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSE(S): The information collected on this form is used to screen and identify applicants to the Armed Forces who may have discreditable involvement with the police or other law
enforcement agencies. Completed forms are used to conduct background records checks used to determine eligibility of applicants for accession into the Armed Forces. Completed forms are
covered by recruiting and official military personnel SORNs maintained by each of the Services.
ROUTINE USE(S): The routine uses are found in the associated system of records notices listed below:
DoDM 1145.02, Military Entrance Processing Station (MEPS); https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/114502m.pdf?ver=2018-07-23-121425-917
A0601-210c TRADOC, Army Recruiting Prospect System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570073/a0601-210c-tradoc/
F036 AETC R, Air Force Recruiting Information Support System (AFRISS) Records; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569780/f036-aetc-r/
M01133-3, Marine Corps Recruiting Information Support System (MCRISS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570628/m01133-3/
N01133-2, Recruiting Enlisted Selection System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570318/n01133-2/
DHS/USCG-027, Recruiting Files System of Records; http://www.gpo.gov/fdsys/pkg/FR-2011-08-10/html/2011-20225.htm
DISCLOSURE: Voluntary. However, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United States. An applicant's SSN is
used to conduct the police records check and keep all records together during the enlistment process.
SIGNATURE
11. I HEREBY CONSENT TO RELEASE YOUR FILES FROM THE
INFORMATION REQUESTED BELOW.
SECTION III - (To be completed by Police or Juvenile Agency)
The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United
States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.
12. DOES THE APPLICANT HAVE A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS?
YES
NO
(if YES, what was the offense or charge, date, disposition and sentence?)
13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND?
YES
NO
(if YES, give details.)
THIS IS TO CERTIFY THAT THE ABOVE DATA, AS CORRECTED, ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE.
THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES.
14. DATE (YYYYMMDD)
15. TITLE
16. VERIFIED BY (Signature)
LAW ENFORCEMENT AGENCY
RECRUITING AGENCY
MAIL TO:
MAIL FROM:
DD FORM 369, APR 2019
Controlled by: OUSD(P&R)
Page 1 of 1
PREVIOUS EDITION IS OBSOLETE.
CUI Category: PRVCY
CUI when filled
LDC: FEDCON
POC: osd.pentagon.ousd-p-r.mbx.forms@mail.mil