DD Form 3043-3 TRICARE Select Enrollment, Disenrollment, and Change Form (Overseas)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DD Form 3043-3 for the current year.

DD Form 3043-3 TRICARE Select Enrollment, Disenrollment, and Change Form (Overseas)

What Is DD Form 3043-3?

This is a form that was released by the U.S. Department of Defense (DoD) on December 1, 2017. The form, often mistakenly referred to as the DA Form 3043-3 , 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.

FAQ

Q: What is DD Form 3043-3?
A: DD Form 3043-3 is the TRICARE Select Enrollment, Disenrollment, and Change Form (Overseas).

Q: What is TRICARE Select?
A: TRICARE Select is a health plan option available to eligible beneficiaries.

Q: What can I use DD Form 3043-3 for?
A: You can use DD Form 3043-3 to enroll in or disenroll from TRICARE Select (Overseas), or to make changes to your plan.

Q: Who can use DD Form 3043-3?
A: Active duty service members, retirees, and their family members who are eligible for TRICARE Select (Overseas) can use this form.

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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;

Download an up-to-date fillable DD Form 3043-3 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.

Download DD Form 3043-3 TRICARE Select Enrollment, Disenrollment, and Change Form (Overseas)

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  • DD Form 3043-3 TRICARE Select Enrollment, Disenrollment, and Change Form (Overseas)

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