Download the form
Treat DD Form 1375 as Department-level, which changes how you look for it. Title: DD Form 1375, Request for Payment of Funeral and/or Interment Expenses, October 2003. Function: Request for Payment of Funeral and/or Interment Expenses. Because the number carries DD rather than a service prefix, the same edition covers all military departments and the defense agencies at once. Nobody issues a Navy copy or an Air Force copy.
Requirement traces to not stated; the form belongs to not stated. Everything about schedule sits below that in local instruction, which is where to ask if a date matters.
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.
Available: PDF, across 1 pages, roughly 31 fields. That is the whole scope of the download decision.
Fillable pdf is the default choice. Its boxes hold typed entries inside the document; the printable release is a static image of the same page with no interactive layer. Since DD forms routinely cross between services and agencies before they are filed, typed entries matter more here than on a form that stays inside one office.
Xfdl is a legacy Department format, IBM Lotus Forms, requiring the matching viewer. Its survival in DD distribution reflects how widely it was fielded across the Department, not any advantage over pdf today.
Nothing costs anything here. Work in a full desktop pdf application rather than a browser preview; field behaviour in browsers is unreliable.
What the form asks for
- 1. Military Activity preparing this form. a. Name.
- 1.b. Address. Street, City, State and ZIP Code.
- 2. Military activity form is to be mailed to for payment. a. Name.
- 2.b. Address. Street, City, State and ZIP Code.
- 3. Name of Decedent. Last Name, First Name, Middle Initial.
- 4. Pay Grade and/or Rank.
- 5. Service Number and/or Social Security Number.
- 6. Place of death. City, State, Country.
- 7. Date of Death. 4 digit year, 2 digit month, 2 digit day.
- 8. Name of Claimant. Last Name, First Name, Middle Initial.
- 9. Relationship.
- 10. Funeral Home and/or National Cemetery. a. Name.
- 10.b. Address. Street, City, State and ZIP Code.
- 11. If Yes, enter name of contracting activity.
- 12. Cemetery, Mausoleum or other Disposition. a. Name.
- 12.b. Address. Street, City, State and ZIP Code.
- 14. Interment Costs. Amount claimed.
- 15. Funeral arrangement costs. Amount claimed.
- 16. Shipping cost of remains. Amount claimed.
- 17. Shipment of remains. a. Shipped from (City and State).
- 17.b. Shipped To. City and State.
- 18.a. Name of Payee (print or type).
- 18.b. Taxpayer ID number or SSN.
- 18.c. Address of Payee. Street, City, State and ZIP Code.
Start by matching the printed date to not stated. Old blanks accumulate in shared folders for years. Because the Department reissues to all services in one action, nobody is still accepting the previous layout by local custom.
Unclear entries — read the form face, then not stated; the directive prevails.
Submit to the office named in not stated or in local instruction; retain a duplicate before it leaves. Joint routing often sends a DD form across organizational boundaries, and tracing one afterward is not a same-day matter.
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.
Where a procedure cites both a service form and a DD form, the two are unconnected. Service numbering answers to a service proponent, DD numbering to not stated or another Department office, and the two sequences were never aligned. Matching numbers mean nothing whatever.
Three drivers of revision: directive reissue, altered collection requirements, updated statutory notice text. No notification accompanies any of them, so download fresh and confirm not stated rather than reusing an archived file.
What is here is the blank form and a description of it. What is not here is legal guidance or any assurance about a particular filing — this page is not the issuing authority and does not speak for one. Those questions go to not stated, to your servicing administrative office, or to the authority identified in not stated.
Questions and answers
- What is DD Form 1375?
- DD Form 1375, Request for Payment of Funeral and/or Interment Expenses, October 2003
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?