This version of the form is not currently in use and is provided for reference only.
Download this version of DD Form 294 for the current year.
DD Form 294, Application for a Review by the PDBR of the Rating Awarded Accompanying a Medical Separation from the Armed Forces of the United States is a form used to apply for a disability rating review if the applicant is separated but not retired for being medically unfit.
An updated DD Form 294 fillable version is available for download below or can be found through the Executive Services Directorate website.
The latest release of the form - sometimes incorrectly referred to as the DA Form 294 - was introduced by the Department of Defense (DoD) on January 1, 2009, with all previous editions being obsolete. The DD 294 is unclassified and officially approved for public release. The disclosure of the data pertaining to filing the application is voluntary. However, failure to provide the requested information or providing incomplete information may hinder the processing of the application.
Pressing the PRINT button will only print the current page. Download the document to your desktop, tablet or smartphone to be able to print it out in full.