This version of the form is not currently in use and is provided for reference only.
Download this version of DD Form 2168 for the current year.
DD Form 2168, Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty with the Armed Forces of the United States, is used to assist the Secretaries of the Armed Forces in determining if the applicant has ever performed active military service and in issuing a certificate of service after an affirmative finding.
The form was last released by the Department of Defense (DoD) on April 1, 2010. The most recent DD Form 2168 fillable version can be downloaded through the link below.
Information on the DD 2168 can be released to the applicant's civilian employer, contractual group, or the Department of Homeland Security to obtain support for a claim. The provided information may be disclosed to the Department of Veterans Affairs (VA) for purposes of determining eligibility for benefits.
Use the information below to determine where to send the DD Form 2168 if using it as proof of service when claiming benefits:
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