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DD Form 2493-2 — DD Form 2493-2, Asbestos Exposure Part II - Periodic Medical Questionnaire, January 2000

Asbestos Exposure Part II - Periodic Medical Questionnaire

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Treat DD Form 2493-2 as Department-level, which changes how you look for it. Title: DD Form 2493-2, Asbestos Exposure Part II - Periodic Medical Questionnaire, January 2000. Function: Asbestos Exposure Part II - Periodic Medical Questionnaire. 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.

Authority: not stated prescribes it, not stated maintains it. Those two names settle most disputes about why the form is being asked for. Local commands add timing on top; the requirement itself comes from above them.

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.

The set is PDF. Size: 1 pages, about 53 fields. Everything below refines that choice.

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.

Skip xfdl unless the viewer is already installed. It is the IBM Lotus Forms format, adopted Department-wide for electronic forms and still present in the set for that reason; ordinary pdf software reports it as unreadable.

All formats are free. One operational note: save the file locally and open it in a desktop reader. Browser-embedded viewers drop field properties and lose typed data without warning.

What the form asks for

  • Identification section. 1. Name (last, first, middle initial).
  • 2. Social security number. Do not include dashes.
  • 3. Clock number. Enter 5 digit number.
  • 4. Present occupation.
  • 5. Name of plant.
  • 6. Street address of plant.
  • 7. Plant city, state and zip code.
  • 8. Telephone number, include area code.
  • 9. Name of interviewer.
  • 10. Date of interview (4 digit year, 2 digit month, 2 digit day).
  • 11. Marital status. Press space bar to mark X in first box if single, second box if married, third box if widowed, or fourth box if divorced/separated.
  • 12. Occupational history. a. In the past year, did you work full time (30 hours per week or more) for six months or more? X first box if yes, second box if no.
  • b. Did you work at any dusty job during the past year? X first box if yes, second box if no.
  • c. If yes, was exposure: X first box if mild, second box if moderate, third box if severe, or fourth box if not applicable.
  • d. In the past year, were you exposed to gas or chemical funes in your work? X first box if yes, second box if no.
  • e. If yes, was exposure: X first box if mild, second box if moderate, third box if severe, or fourth box if not applicable.
  • f. In the past year, what was your (1) Job or occupation.
  • (2) Position or job title.
  • 13. Medical history. a. Do you consider yourself to be in good health? X first box if yes, second box if no.
  • If no, state reason.
  • b. In the past year, have you developed: (1) Epilepsy (or seizures, fits or convulsions). X first box if yes, second box if no.
  • (2) Rheumatic fever. X first box if yes, second box if no.
  • (3) Kidney disease. X first box if yes, second box if no.
  • (4) Bladder disease. X first box if yes, second box if no.

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.

Field-level questions go to the printed instructions, then to not stated, which is authoritative.

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.

Do not read across from a service number. DA numbering is Army-specific under an Army proponent; DD numbering is Department-wide under not stated or an equivalent Department office. The sequences are unrelated, so identical digits in each identify two different documents. Read the prefix, not the digits.

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 2493-2?
DD Form 2493-2, Asbestos Exposure Part II - Periodic Medical Questionnaire, 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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