DD Form 93 Record of Emergency Data

DD Form 93, Record of Emergency Data is one of the most crucial pieces of paperwork used within the United States Army. The DD 93 is a living will of sorts and is used to keep a record of any wishes a soldier may have in cases when they cannot communicate their needs because of a lethal injury, temporary disability or death.

The form is issued by the Department of Defense (DoD) and serves as the advocating voice for the Soldier in cases when they cannot speak for themselves. The form - sometimes mistakenly referred to as the DA Form 93 - was last revised in January 2008. An up-to-date fillable DD Form 93 is available for digital filing or download below.

What Is DD Form 93?

The DD Form 93 is used to provide information about the soldier's emergency contacts, marital status, living beneficiaries and basic data on benefits paid to eligible survivors. Those filing are required to voice all of their concerns and wishes in an open and accurate manner in order for those demands to be heard and be satisfied.

A record of emergency data is to be updated and reviewed annually or otherwise in case of any important life-changing events like a marriage or divorce. This procedure is not obligatory and is the soldier's own responsibility.

A new DD Form 93 was issued within the framework of the National Defense Authorization Act for FY12, which states that military members can designate any person for death gratuity, remains and other benefits entitlement disregarding any kind of relationship between the soldier and the person. However, relatives must still be notified of this decision.

In case of any dispute between the person receiving benefits and the state law, the preferences are always on the side of the law.

ADVERTISEMENT
RECORD OF EMERGENCY DATA
PRIVACY ACT STATEMENT
AUTHORITY: 5 USC 552, 10 USC 655, 1475 to 1480 and 2771, 38 USC 1970, 44 USC 3101, and EO 9397 (SSN).
PRINCIPAL PURPOSES: This form is used by military personnel and Department of Defense civilian and contractor personnel, collectively referred to
as civilians, when applicable. For military personnel, it is used to designate beneficiaries for certain benefits in the event of the Service member's
death. It is also a guide for disposition of that member's pay and allowances if captured, missing or interned. It also shows names and addresses of
the person(s) the Service member desires to be notified in case of emergency or death. For civilian personnel, it is used to expedite the notification
process in the event of an emergency and/or the death of the member. The purpose of soliciting the SSN is to provide positive identification. All items
may not be applicable.
ROUTINE USES: None.
DISCLOSURE: Voluntary; however, failure to provide accurate personal identifier information and other solicited information will delay notification and
the processing of benefits to designated beneficiaries if applicable.
INSTRUCTIONS TO SERVICE MEMBER
INSTRUCTIONS TO CIVILIANS
This extremely important form is to be used by you to show the names and
This extremely important form is to be used by you to show the
addresses of your spouse, children, parents, and any other person(s) you
names and addresses of your spouse, children, parents, and any
would like notified if you become a casualty (other family members or fiance),
other person(s) you would like notified if you become a casualty.
and, to designate beneficiaries for certain benefits if you die. IT IS YOUR
Not every item on this form is applicable to you. This form is used
RESPONSIBILITY to keep your Record of Emergency Data up to date to show
by the Department of Defense (DoD) to expedite notification in
your desires as to beneficiaries to receive certain death payments, and to
the case of emergencies or death. It does not have a legal impact
show changes in your family or other personnel listed, for example, as a result
on other forms you may have completed with the DoD or your
of marriage, civil court action, death, or address change.
employer.
IMPORTANT: This form is divided into two sections: Section 1 - Emergency Contact Information and Section 2 - Benefits Related
Information. READ THE INSTRUCTIONS ON PAGES 3 AND 4 BEFORE COMPLETING THIS FORM.
SECTION 1 - EMERGENCY CONTACT INFORMATION
1. NAME
2. SSN
(Last, First, Middle Initial)
3a. SERVICE/CIVILIAN CATEGORY
b. REPORTING UNIT CODE/DUTY STATION
MARINE CORPS
AIR FORCE
ARMY
NAVY
DoD
CIVILIAN
CONTRACTOR
4a. SPOUSE NAME
(If applicable) (Last, First, Middle Initial)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
SINGLE
DIVORCED
WIDOWED
5. CHILDREN
c. DATE OF BIRTH
b. RELATIONSHIP
d. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
a. NAME (Last, First, Middle Initial)
(YYYYMMDD)
6a. FATHER NAME
(Last, First, Middle Initial)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
7a. MOTHER NAME
(Last, First, Middle Initial)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
8a. DO NOT NOTIFY DUE TO ILL HEALTH
b. NOTIFY INSTEAD
9a. DESIGNATED PERSON(S)
(Military only)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
10. CONTRACTING AGENCY AND TELEPHONE NUMBER
(Contractors only)
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional X
DD FORM 93, JAN 2008
RECORD OF EMERGENCY DATA
PRIVACY ACT STATEMENT
AUTHORITY: 5 USC 552, 10 USC 655, 1475 to 1480 and 2771, 38 USC 1970, 44 USC 3101, and EO 9397 (SSN).
PRINCIPAL PURPOSES: This form is used by military personnel and Department of Defense civilian and contractor personnel, collectively referred to
as civilians, when applicable. For military personnel, it is used to designate beneficiaries for certain benefits in the event of the Service member's
death. It is also a guide for disposition of that member's pay and allowances if captured, missing or interned. It also shows names and addresses of
the person(s) the Service member desires to be notified in case of emergency or death. For civilian personnel, it is used to expedite the notification
process in the event of an emergency and/or the death of the member. The purpose of soliciting the SSN is to provide positive identification. All items
may not be applicable.
ROUTINE USES: None.
DISCLOSURE: Voluntary; however, failure to provide accurate personal identifier information and other solicited information will delay notification and
the processing of benefits to designated beneficiaries if applicable.
INSTRUCTIONS TO SERVICE MEMBER
INSTRUCTIONS TO CIVILIANS
This extremely important form is to be used by you to show the names and
This extremely important form is to be used by you to show the
addresses of your spouse, children, parents, and any other person(s) you
names and addresses of your spouse, children, parents, and any
would like notified if you become a casualty (other family members or fiance),
other person(s) you would like notified if you become a casualty.
and, to designate beneficiaries for certain benefits if you die. IT IS YOUR
Not every item on this form is applicable to you. This form is used
RESPONSIBILITY to keep your Record of Emergency Data up to date to show
by the Department of Defense (DoD) to expedite notification in
your desires as to beneficiaries to receive certain death payments, and to
the case of emergencies or death. It does not have a legal impact
show changes in your family or other personnel listed, for example, as a result
on other forms you may have completed with the DoD or your
of marriage, civil court action, death, or address change.
employer.
IMPORTANT: This form is divided into two sections: Section 1 - Emergency Contact Information and Section 2 - Benefits Related
Information. READ THE INSTRUCTIONS ON PAGES 3 AND 4 BEFORE COMPLETING THIS FORM.
SECTION 1 - EMERGENCY CONTACT INFORMATION
1. NAME
2. SSN
(Last, First, Middle Initial)
3a. SERVICE/CIVILIAN CATEGORY
b. REPORTING UNIT CODE/DUTY STATION
MARINE CORPS
AIR FORCE
ARMY
NAVY
DoD
CIVILIAN
CONTRACTOR
4a. SPOUSE NAME
(If applicable) (Last, First, Middle Initial)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
SINGLE
DIVORCED
WIDOWED
5. CHILDREN
c. DATE OF BIRTH
b. RELATIONSHIP
d. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
a. NAME (Last, First, Middle Initial)
(YYYYMMDD)
6a. FATHER NAME
(Last, First, Middle Initial)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
7a. MOTHER NAME
(Last, First, Middle Initial)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
8a. DO NOT NOTIFY DUE TO ILL HEALTH
b. NOTIFY INSTEAD
9a. DESIGNATED PERSON(S)
(Military only)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
10. CONTRACTING AGENCY AND TELEPHONE NUMBER
(Contractors only)
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional X
DD FORM 93, JAN 2008
SECTION 2 - BENEFITS RELATED INFORMATION
11a. BENEFICIARY(IES) FOR DEATH GRATUITY
b. RELATIONSHIP
c. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
d. PERCENTAGE
(Military only)
12a. BENEFICIARY(IES) FOR UNPAID PAY/ALLOWANCES
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
c. PERCENTAGE
NAME AND RELATIONSHIP
(Military only)
13a. PERSON AUTHORIZED TO DIRECT DISPOSITION (PADD)
b. ADDRESS (Include ZIP Code) AND TELEPHONE NUMBER
NAME AND RELATIONSHIP
(Military only)
14. CONTINUATION/REMARKS
15. SIGNATURE OF SERVICE MEMBER/CIVILIAN
16. SIGNATURE OF WITNESS
17. DATE SIGNED
(Include rank, rate,
(Include rank, rate, or grade
or grade if applicable)
as appropriate)
(YYYYMMDD)
DD FORM 93 (BACK), JAN 2008
INSTRUCTIONS FOR PREPARING DD FORM 93
(See appropriate Service Directives for supplemental instructions for completion of this form at other than MEPS)
All entries explained below are for electronic or typewriter
ITEM 7a. Mother Name. Last name, first name and middle
completion, except those specifically noted. If a computer
initial.
or typewriter is not available, print in black or blue-black ink
insuring a legible image on all copies. Include "Jr.," "Sr.,"
ITEM 7b. Address and Telephone Number of Mother. If
"III" or similar designation for each name, if applicable.
unknown or deceased, so state. Include civilian title or
When an address is entered, include the appropriate ZIP
military rank and service if applicable. If other than natural
Code. If the member cannot provide a current address,
mother is listed, indicate relationship.
indicate "unknown" in the appropriate item. Addresses
shown as P.O. Box Numbers or RFD numbers should
ITEM 8. Persons Not to be Notified Due to Ill Health.
indicate in Item 14, "Continuations/Remarks", a street
a. List relationship, e.g., "Mother," of person(s) listed in
address or general guidance to reach the place of
Items 4, 5, 6, or 7 who are not to be notified of a casualty
residence. In addition, the notation "See Item 14" should be
due to ill health. If more than one child, specify, e.g.,
included in the item pertaining to the particular next of kin or
"daughter Susan." Otherwise, enter "None".
when the space for a particular item is insufficient. If the
b. List relationship, e.g., "Father" or name and address of
address for the person in the item has been shown in a
person(s) to be notified in lieu of person(s) listed in item 8a.
preceding item, it is unnecessary to repeat the address;
If "None" is entered in Item 8a, leave blank.
however, the name must be entered. Those items that are
considered not applicable to civilians will be left blank.
ITEM 9a. This item will be used to record the name of the
person or persons, if any, other than the member's primary
ITEM 1. Enter full last name, first name, and middle initial.
next of kin or immediate family, to whom information on the
whereabouts and status of the member shall be provided if
ITEM 2. Enter social security number (SSN).
the member is placed in a missing status. Reference 10
USC, Section 655. NOT APPLICABLE to civilians.
ITEM 3a. Service. Military: Mark X in appropriate block.
Civilian: Mark two blocks as appropriate. Examples: an
ITEM 9b. Address and telephone number of Designated
Army civilian would mark Army and either Civilian or
Person(s). NOT APPLICABLE to civilians.
Contractor; a DoD civilian, without affiliation to one of the
Military Services, would mark DoD and then either Civilian or
ITEM 10. Contracting Agency and Telephone Number
Contractor as appropriate.
(Contractors only). NOT APPLICABLE to military
personnel. Civilian contractors will provide the name of
ITEM 3b. Reporting Unit Code/Duty Station. See Service
their contracting agency and its telephone number.
Directives.
Example: XYZ Electric, (703) 555-5689. The telephone
number should be to the company or corporation's
ITEM 4a. Spouse Name. Enter last name (if different from
personnel or human resources office.
Item 1), first name and middle initial on the line provided. If
single, divorced, or widowed, mark appropriate block.
ITEM 11a. Beneficiary(ies) for Death Gratuity (Military
only). Enter first name(s), middle initial, and last name(s)
ITEM 4b. Address and Telephone Number. Enter the
of the person(s) to receive death gratuity pay. A member
"actual" address and telephone number, not the mailing
may designate one or more persons to receive all or a
address. Include civilian title or military rank and service if
portion of the death gratuity pay. The designation of a
applicable. If one of the blocks in 4a is marked, leave blank.
person to receive a portion of the amount shall indicate the
percentage of the amount, to be specified only in 10 percent
ITEM 5a-d. Children. Enter last name (only if different from
increments, that the person may receive. If the member
Item 1) first name and middle initial, relationship, and date of
does not wish to designate a beneficiary for the payment of
birth of all children. If none, so state. Include illegitimate
death gratuity, enter "None," or if the full amount is not
children if acknowledged by member or paternity/maternity
designated, the payment or balance will be paid as follows:
has been judicially decreed. Relationship examples: son,
daughter, stepson or daughter, adopted son or daughter or
(1) To the surviving spouse of the person, if any;
ward. Date of birth example: 19950704. For children not
(2) To any surviving children of the person and the
living with the member's current spouse, include address
descendants of any deceased children by representation;
and name and relationship of person with whom residing in
(3) To the surviving parents or the survivor of them;
item 5d.
(4) To the duly appointed executor or administrator of the
estate of the person;
ITEM 6a. Father Name. Last name, first name and middle
(5) If there are none of the above, to other next of kin of the
initial.
person entitled under the laws of domicile of the person at
the time of the person's death.
ITEM 6b. Address and Telephone Number of Father. If
unknown or deceased, so state. Include civilian title or
The member should make specific designations, as it
military rank and service if applicable. If other than natural
expedites payment.
father is listed, indicate relationship.
DD FORM 93 (INSTRUCTIONS), JAN 2008
INSTRUCTIONS FOR PREPARING DD FORM 93
(Continued)
ITEM 11a.
Seek legal advice if naming a minor
ITEM 13b. Address and telephone number of PADD.
NOT
(Continued)
child as a beneficiary. If a member has a spouse but
APPLICABLE to civilians.
designates a person other than the spouse to receive all or a
portion of the death gratuity pay, the Service concerned is
ITEM 14. Continuations/Remarks. Use this item for remarks
required to provide notice of the designation to the spouse.
or continuation of other items, if necessary. Prefix entry with
the number of the item being continued; for example, 5/John
NOT APPLICABLE to civilians.
J./son/ 19851220/321 Pecan Drive, Schertz TX 78151. Also
Item 11b. Relationship. NOT APPLICABLE to civilians.
use this item to list name, address, and relationship of other
persons the member desires to be notified. Other
ITEM 11c. Enter beneficiary(ies) full mailing address and
dependents may also be listed. This block offers the
telephone number to include the ZIP Code. NOT
greatest amount of flexibility for the member to record other
important information not otherwise requested but
APPLICABLE to civilians.
considered extremely useful in the casualty notification and
ITEM 11d. Show the percentage to be paid to each person.
assistance process. Besides continuing information from
Enter 10%, 20%, 30%, up to 100% as appropriate. The sum
other blocks on this form, the member may desire to include
shares must equal 100 percent. If no percent is indicated and
additional information such as: NOK language barriers,
more than one person is named, the money is paid in equal
location or existence of a Will, additional private insurance
shares to the persons named. NOT APPLICABLE to
information, other family member contact numbers, etc. If
additional space is required, attach a supplemental sheet of
civilians.
standard bond paper with the information.
ITEM 12a. Beneficiary(ies) for Unpaid Pay/Allowance
(Military only). Enter first name(s), middle initial, last
ITEM 15. Signature of Service Member/Civilian. Check and
name(s) and relationship of person to receive unpaid pay
verify all entries and sign all copies in ink as follows: First
and allowances at the time of death. The member may
name, middle initial, last name. Include rank, rate, or grade
indicate anyone to receive this payment. If the member
if applicable. May be electronically signed (see DoD
designated two or more beneficiaries, state the percentage
Instruction 1300.18 for guidelines).
to be paid each in item 10c. If the member does not wish to
designate a beneficiary, enter "By Law." The member is
ITEM 16. Signature of Witness. Have a witness
urged to designate a beneficiary for unpaid pay and
(disinterested person) sign all copies in ink as follows: First
allowances as payment will be made to the person in order
name, middle initial, last name. Include rank, rate, or grade
of precedence by law (10 USC 2771) in the absence of a
as appropriate. A witness signature is not required for
designation. Seek legal advice if naming a minor child as
electronic versions of the DD Form 93 (see DoD Instruction
beneficiary. NOT APPLICABLE to civilians.
1300.18).
ITEM 12b. Enter beneficiary(ies) full mailing address and
ITEM 17. Date the member or civilian signs the form. This
telephone number to include the ZIP Code. NOT
item is an ink entry and must be completed on all copies.
APPLICABLE to civilians.
ITEM 12c. If the member designated two or more
beneficiaries, state the percentage to be paid each in this
section. The sum shares must equal 100 percent. NOT
APPLICABLE to civilians.
ITEM 13a. Enter the name and relationship of the Person
Authorized to Direct Disposition (PADD) of your remains
should you become a casualty. Only the following persons
may be named as a PADD: surviving spouse, blood relative
of legal age, or adoptive relatives of the decedent. If neither
of these three can be found, a person standing in loco
parentis may be named. NOT APPLICABLE to civilians.
DD FORM 93 (INSTRUCTIONS) (BACK), JAN 2008

Download DD Form 93 Record of Emergency Data

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DD Form 93 Instructions

  1. All individuals filing must start by compiling their emergency contact information. Boxes 1 through 3 are for entering personal contact information: name, SSN, type of service or civilian category.
  2. Box 4 is for stating marital status and entering the name of the soldier's spouse if there are any. There is also an option of including a former spouse in the form. Box 5 is for listing children and their contact information. Boxes 6 and 7 are for providing the names, addresses and phone numbers of the father and mother of the individual filing the form.
  3. Box 8 is for listing the people that should not be notified in case of severe injury or death you and suggesting a substitution. Box 9 is for military only and identifies the designated military member. Box 10 provides the contracting agency - all non-contractors must leave the box blank.
  4. The rest of the boxes are for military members only: civilians finalize the form by signing off the DD 93 in the appropriate box.
  5. State all the beneficiaries in Boxes 11, 12 and 13 along with their names, addresses and telephone numbers. These beneficiaries will be entitled to death gratuity - the percentage of all the benefits each person gets must also be included.

A copy of the DD 93 must be kept and added to a soldier's private paperwork file.

Where Can I Find My Dd Form 93?

You can get a copy of the DD Form 93 on the DoD website or by clicking the download link above.

How Do I Update My Dd Form 93?

Download and file the 2008 version of form DD 93. Soldiers and civilians should then visit their unit S1 and update their DD Form 93 after they discussing it with any relatives or benefactors. An S1 is the staff member in charge of handling personnel actions.

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