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The scope here is Department-wide. DD Form 137-5 — DD Form 137-5, Dependency Statement - Incapacitated Child Over Age 21 — exists to Dependency Statement - Incapacitated Child Over Age 21 ( Instructions ), and it applies across the services rather than inside one. That is what the DD prefix encodes: joint issue, single edition, every branch and defense agency working from identical paper.
not stated is the prescribing publication and not stated the office responsible for the document. Deadlines belong to local implementing guidance, not to either of those, so a submission date is a question for the receiving office.
Current edition is not stated, carried as not stated. Check that against any copy you already hold before doing anything else — Department-level revisions land everywhere simultaneously, so a stale file is stale across the whole Department.
Formats: PDF. Length 5 pages, approximately 200 entries.
Free download, every format. Do not fill the form in a browser tab — browser pdf viewers handle interactive fields inconsistently and discard entries on close.
What the form asks for
- 1.Entitlements Requested. a. Type. Press space bar to mark X if B A H.
- Mark X if Travel Allowance.
- Mark X if U S I P card.
- 1.b. First application? X first box if yes, second box if no.
- If no, give date of last application. Four digit year, two digit month, two digit day.
- c. Last application was: X first box if approved, second box if disapproved.
- 2.Member information. a. Name (Last, First, Middle Initial).
- 2.b. DoD ID Number.
- 2.c. Rank.
- d. Status. X first box if active duty, second box if retired, third box if national guard, fourth box if reserve.
- X first box if Army, second box if Marine Corps, third box if Navy, fourth box if Air Force.
- Mark X if deceased.
- If deceased: Date of death (Four digit year, two digit month, two digit day).
- X if any other status or service.
- Specify other status.
- 2.e. Complete residence address (Street, apartment number, city, state and zip code).
- 2.f. Complete military address (include assignment, squadron and base).
- 2.g.(1) Work telephone number.
- (2) Home telephone number.
- 2.h. E-mail address.
- 2.i. Marital status. X first box if single, second box if married, third box if separated, fourth box if divorced, or fifth box if widowed.
- 3. Member's child. a. Name (last, first, middle initial).
- c. Date of birth. Four digit year, two digit month, two digit day.
- d. Relationship to member. X first box if legitimate child, second box if child born out of wedlock, third box if adopted child, or fourth box if stepchild.
Edition check comes first, ahead of any entry. Compare the printed date to not stated and replace anything older. Department-level supersession is simultaneous across the services, so a superseded blank is not merely out of date locally; the office receiving it is already working from the new field structure whichever branch it belongs to.
Work the printed sequence: header, body, signature block. The order is functional rather than decorative, since entries below frequently key to identifying data above them.
Complete every field, N/A where an item does not apply, dates exactly as the form prescribes. A DD form crosses service lines, and a convention obvious in one branch is not obvious in the next.
Read the Privacy Act Statement before entering identifiers, not after. Four facts are in it: authority, purpose, routine uses, consequence of declining. Its placement ahead of the data fields is deliberate.
Signature comes after everything else and must be a signature: pen, or a credentialed digital signature via Common Access Card. Typing does not qualify. Add the date at the same moment.
Review for the usual: old edition, blank required fields, illegibility on reproduction, date format, signature and date. Unclear entries — read the form face, then not stated; the directive prevails.
Send it as not stated or local guidance specifies. Save a copy. Cross-service and cross-agency routing is normal for Department forms, and a lost original outside your own organization is harder to chase down.
Look up cross-referenced forms by series and number. DD numbering is unified across the Department, which removes the usual step of identifying which service issued the thing.
Prefix before number. A DA citation and a DD citation in the same instruction point at separate systems — one Army, administered by an Army proponent, one Department-wide under not stated — and there is no correspondence between them at any number.
Revision follows directive changes, changed data requirements and amended notice language, unannounced. Verify not stated each time rather than trusting a saved copy — the cost of the check is seconds.
This page publishes a Defense document and explains its contents. It does not advise, does not rule on applicability, and determines nothing about how a completed form will be treated. Direct such questions to not stated, to the servicing personnel office, or to the office designated in not stated.
Questions and answers
- What is DD Form 137-5?
- DD Form 137-5, Dependency Statement - Incapacitated Child Over Age 21
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?