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DD Form 2216 — DD Form 2216, Hearing Conservation Data, January 2000

Hearing Conservation Data

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The scope here is Department-wide. DD Form 2216 — DD Form 2216, Hearing Conservation Data, January 2000 — exists to Hearing Conservation Data, 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.

Available: PDF, across 2 pages, roughly 153 fields. That is the whole scope of the download decision.

Default to fillable pdf, print only when you must. The fillable file stores what you type; the printable file is a blank picture. A Department form often travels further than a service form — scanned, emailed, forwarded to an agency that never saw the original — and typed text is what survives that.

What the form asks for

  • 1. Zip code, A. P. O., F. P. O., P. A. S.
  • 2. D. O. D. component. Enter A. for army, F. for air force, N. for navy, M. for marine corps, or 1 for other DoD activity.
  • 3. Service component. Enter R for Regular, V for Reserve, G for National Guard, or 1 for other.
  • 4. Social security number. Do not include dashes.
  • 5. Name (last, first, middle initial).
  • 7. Sex. Enter M if male, F if female.
  • 8. Pay grade, uniformed services.
  • 9. Pay grade, civilian.
  • 10. Service duty occupation code.
  • 11. Mailing address of assignment.
  • 12. Location - place of work.
  • 13. Major command.
  • 14. Duty telephone (include area code).
  • 15. Audiometry. a. Purpose. Enter 1 if 90-day, 2 if Annual, 3 if Termination, or 4 if Other.
  • 6. Date of birth. (4 digit year, 2 digit month, 2 digit day)
  • f. Remarks. Include exposure data.
  • g. Type of personal hearing protection used. Enter 1 for single flange (V. S. 1. R), 2 if triple flange, 3 if hand formed earplug, 4 if ear canal caps, 5 if noise muffs, or 6 if other.
  • b. Current audiogram date. (4 digit year, 2 digit month, 2 digit day)
  • Audiometric data. Left, 500.
  • Left, 1000
  • Left, 2000
  • Left, 3000
  • Left, 4000
  • Left, 6000

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.

Related forms are found by number alone. The DD sequence is one unified Department-wide series, so a cited number resolves to exactly one document with no branch qualifier needed.

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.

Editions change when the prescribing directive is reissued, when the data collected changes, or when notice language is amended. None of that reaches you. Checking not stated at download is the entire defence, and it is cheaper than repeating a submission.

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 2216?
DD Form 2216, Hearing Conservation Data, January 2000
Which edition is current?
Not stated by the publisher
Who is responsible for this form?
Not stated
In which formats can it be downloaded?
PDF

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