DD Form 2789 Waiver/Remission of Indebtedness Application

What Is DD Form 2789?

DD Form 2789, Waiver/Remission of Indebtedness Application is a form used by current, former, or retired civilian employees and active, separated, or retired service members and annuitants to request a waiver of indebtedness if that indebtedness was caused by an overpayment. In the case of enlisted members, the DD 2789 is filed to request a remission of these debts

The form - sometimes incorrectly referred to as the DA Form 2789 - was released by the Department of Defense (DoD) in May 2008 with all previous editions being obsolete.

The current edition of the form is unclassified and approved for public release. A DD Form 2789 fillable version is available for digital filing and download below or can be found through the Executive Services Directorate website.

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Download DD Form 2789 Waiver/Remission of Indebtedness Application

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How to Fill out DD Form 2789?

The form is made up of two pages with no filing guidelines provided by the DoD. DD Form 2789 instructions are as follows:

  1. The type of claim identified in Block 1 should always be "Waiver". Remission is only applicable to active duty enlisted personnel (see DoDFMR, Volume 7A for more information);
  2. The claimant has to provide their full name, rank or grade and social security number in Blocks 2 through 4;
  3. Block 5 is for specifying the claimants' branch of service. Annuitants should check the "Other" box and specify their annuitant status;
  4. Block 6 requires the claimants status;
  5. The current mailing address of the claimant should be in Block 7. Annuitants and retirees should write N/A in Block 8, others should provide their place of assignment or employment. Block 9 is for specifying the applicant's work and home phone numbers and email address;
  6. The type of debt or pay should be specified in Block 10. The gross debt amount is entered in Block 11;
  7. The date and the consequences in which the claimant found out about the debt should be identified in Block 12. A notification or any additional documentation can be attached of needed;
  8. If the claimant was aware of the debt, they should provide the actions they took to correct the situation in Block 13;
  9. Any reasons for the request to be approved are provided in Block 14. Any supporting documentation must be attached to the form;
  10. Annuitants should fill Block 15 with name, social security number, and date deceased of military member or sponsor;
  11. All supporting documentation for Blocks 12 through 14 should be listed in Block 16;
  12. Block 17 contains a set of questions with yes-or-no answers. Negative answers should be explained;
  13. Block 18 specifies whether the claimant has requested military records correction;
  14. The claimant provides their signature, the date of filing the form and their job title in Block 19;
  15. Blocks 20 through 22 and the entire Section II - Report of Investigation - are for administrative use only.
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