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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 September 1, 2021. 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 for overseas beneficiaries.
Q: What is TRICARE Select?A: TRICARE Select is a health insurance program for eligible military dependents, retirees, and their families.
Q: What is the purpose of DD Form 3043-3?A: DD Form 3043-3 is used to enroll in, disenroll from, or make changes to TRICARE Select coverage for overseas beneficiaries.
Q: Who can use DD Form 3043-3?A: Overseas beneficiaries who are eligible for TRICARE Select coverage can use DD Form 3043-3.
Q: What information is required on DD Form 3043-3?A: DD Form 3043-3 requires personal information, contact information, and details about the requested enrollment, disenrollment, or change.
Q: Is there a deadline for submitting DD Form 3043-3?A: There is no specific deadline for submitting DD Form 3043-3, but it is recommended to submit it as soon as possible.
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 3043-3 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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