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Treat DD Form 2570 as Department-level, which changes how you look for it. Title: DD Form 2570, Third Party Collection Program - Report on Program Results, June 2001.. Function: Third Party Collection Program - Report on Program Results. 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.
Use not stated, status not stated. Older printings circulate widely and lose their currency Department-wide the moment a new edition issues.
Available: PDF, across 1 pages, roughly 95 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.
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.
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
- Segment reported. Press space bar to mark X in first box if inpatient, second box if outpatient.
- 1. Quarter ending. Four digit year, two digit month.
- 2. Reporting medical treatment facility (MTF).
- 3. Defense Medical Information System (D M I S) identification number.
- 4. Reporting period. (1) a. Current fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- (1) b. First prior fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- (1) c. Second prior fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- 4.a. Current fiscal year. Column 7. Dollar adjustments and refunds. Note 2. Amounts reported for each fiscal year shall equal the subtotal for reasons codes 8 through 16 in Part 2 for the respective fiscal years.
- Current fiscal year. Column 10. Dollar amount collected current fiscal year.
- (11) Dollar amount remaining uncollected. (Column (6) minus (7) plus (8), (9), and (10).)
- (9) Amount collected, PY 1.
- (10) Amount collected current FY.
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.
Field-level questions go to the printed instructions, then to not stated, which is authoritative.
Route it where not stated or local procedure directs, and keep a copy first. On a Department form the receiving office is frequently outside your own chain — another service, a defense agency, a joint command — which makes recovering a lost original slower than it would be internally.
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.
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 2570?
- DD Form 2570, Third Party Collection Program - Report on Program Results, June 2001.
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?