DD Form 3043-1 TRICARE Select Enrollment, Disenrollment, and Change Form (East)

DD Form 3043-1 TRICARE Select Enrollment, Disenrollment, and Change Form (East)

What Is DD Form 3043-1?

This is a form that was released by the U.S. Department of Defense (DoD) on January 1, 2023. The form, often mistakenly referred to as the DA Form 3043-1 , is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.

Form Details:

  • A 4-page document available for download in PDF;
  • The latest version available from the Executive Services Directorate;
  • Editable, printable, and free to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DD Form 3043-1 down below{class="scroll_to"} in PDF format or browse hundreds of other DoD Forms compiled in our online library.

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Download DD Form 3043-1 TRICARE Select Enrollment, Disenrollment, and Change Form (East)

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  • DD Form 3043-1 TRICARE Select Enrollment, Disenrollment, and Change Form (East)

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  • DD Form 3043-1 TRICARE Select Enrollment, Disenrollment, and Change Form (East), Page 1
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