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Fillable Form DD-149

The DD149 form gives you the opportunity to make a case for why having a prior name on your military record is an injustice for you.

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What is Form DD-149?

Form DD-149, officially known as the Application for Correction of Military Record,
is used by current or former military personnel or their representatives to apply for a correction of military records.

If you find an error or injustice in the military personnel records, you should complete this form within 3 years after the error or injustice was discovered and send it to the appropriate service’s Board.

How to Fill OutForm DD-149?

Section 1: Service Number
1. Branch at time of error or injustice
Select the branch of the military records where the service member has corrections to make (Army, Navy, Air Force, Coast Guard, or Marine Corps).

2. Component at time of error or injustice
Select the appropriate choice (Regular, Reserve, or Guard).

3. Name while serving

Last Name
Enter the service member’s last name while serving the military.

First Name
Enter the service member’s first name while serving the military.

Middle Name
Enter the service member’s middle name while serving the military.

Suffix
Enter the service member’s suffix while serving the military.

4. Current Name
Only fill this out if different from the information filled out on Block 3.

Last Name
Enter the service member’s last name.

First Name
Enter the service member’s first name.

Middle Name
Enter the service member’s middle name.

Suffix
Enter the service member’s suffix.

5a. SSN while serving
Enter the service member’s Social Security Number while serving the military.

Current SSN
Enter the service member’s current SSN if different from the previous field.

5b. (provide, if applicable)
Select one from the boxes that the service member has and enter the number on the space provided.

DOD ID Number
If the service member has a DOD, select this box and enter the ID Number on the space provided.

Service Number
If the service member has a service number, select this box and enter it on the space provided.

TIN
You may choose to write the service member’s TIN. Select this box and enter the TIN on the space provided.

6. Mailing Address
Enter the service member’s mailing address. If you are filling out on behalf of a deceased service member, skip this question.

Street
Enter the street.

City, State / APO/ Country or Foreign Address
Enter the City, State / APO/ Country or Foreign Address.

Email
Enter your email.

ZIP
Enter your zip code.

Phone
Enter your phone.

Section 2: Separation information

7. Currently serving?
Select “Yes” if you are currently serving. If not. Select “No”.

8. Date of Separation
Enter the date of separation.

9. Character of Service
Select the appropriate choice( Honorable, Under Honorable Conditions, Under other than Honorable Conditions, Bad Conduct Discharge, Dishonorable, Dismissal, or Uncharacterized / Entry Level Separation). If not listed, select Other and enter the character of service on the space provided.

Type of Court
If by court-martial, also state Type of Court on the space provided.

Section 3: Error or Injustice

10a. Is this a request for reconsideration of a prior application to the board?
Select “Yes” if the form’s purpose is to request for a reconsideration of a prior application to the board. If not, select “No”.

10b. If yes and known, provide case number and decision date.
If you select Yes on 10a, provide the case number and decision date on the space provided. If not, leave blank.

11. Category
Select the appropriate choice (Administrative Correction, Pay and Allowance, Decoration / Awards, Performance / Evaluation / Derogatory Information, Disability, Promotion or Ranks, or Discharge / Separation). If not listed, select Other and enter the category on the space provided.

12. What correction and relief are you requesting for this error or injustice in the service member’s record?
Provide the details for the correction and relief you are requesting.

13. Are any of the following issues/conditions related to your request:
Select the appropriate choice (PTSD, TBI, Other Mental Health, Sexual Assault/Harassment, DADT, transgender, or Reprisal/Whistleblower).

14. Why should this correction be made?
Provide the reason(s) with a detailed explanation.

15. Approximate Dates, The Error or Injustice Occurred, Discovered
Provide the approximate dates, the error or injustice occurred, and the date of discovery on their respective fields.

16. Is this request related to any of these wars or contingency operations?
If this request was related to any of the listed wars or operations, select “Yes” and check the box/es which apply. If not, select “No”.

17. Do you wish to appear at your own expense before the board in Washington, D.C.?
If you wish to appear before the board in person, select “Yes (In person)”.
If you wish to appear before the board via video or telephone, select “Yes(via video or telephone)”.
If you do not wish to appear before the board, select “No. Consider my application based on records & evidence”.

18. Additional Remarks/Continuation of Information
Enter any additional remarks or information on the space provided. If more space is needed, a separate sheet may be attached to this form.

Section 4: Evidence, records, and additional remarks

19. In support of this claim, the following documentary evidence is attached (List documents):
Enter the documents that you attached as evidence such as separation packet, medical documents, post-service documents, and/or investigations.

If the fields are not enough, enter the additional supporting documents on the space provided.

Section 5: Claimant

This section must only be filled out if the one filing the form is not the service member.

20. Relation to Service Member
Select the appropriate boxes.

If the Service Member was deceased, select “deceased”.
If the Service Member was paralyzed or disabled in a way, select “incapacitated”.
If the reason for the inability of the Service Member to file the form himself is neither of the two choices, select “Other” and provide the reason on the space provided.

I am the heir of the Service Member:
Select your relationship to the service member (widow/er, son, daughter,parent, or sibling). If it is not listed on the choices, select “Other” and provide your relationship on the space provided.

I am the
Select whether you are the conservator, guardian, or attorney-in-fact of the Service Member.

I am the
Select the appropriate choice (spouse, former spouse, or dependent of the Service Member).

21. Name

Last Name
Enter your last name.

First Name
Enter your first name.

Middle Name
Enter your middle name.

Suffix
Enter your suffix.

22. Mailing Address

Street
Enter the street of your mailing address.

City, State / APO/ Country or Foreign Address
Enter the City, State / APO/ Country or Foreign Address.

Email
Enter your email.

ZIP
Enter your zip code.

Phone
Enter your phone.

Section 6: Representative or Counsel

23. Name

Last Name
Enter your last name.

First Name
Enter your first name.

Middle Name
Enter your middle name.

Suffix
Enter your suffix.

24. Organization
Enter the organization you represent.

25.Mailing Address

Street
Enter the street of your mailing address.

City, State / APO/ Country or Foreign Address
Enter the City, State / APO/ Country or Foreign Address.

Email
Enter your email.

ZIP
Enter your zip code.

Phone
Enter your phone.

Section 7: Signature

26. I would like to receive all correspondence & documents electronically
If you wish to receive all correspondence & documents electronically, select “Yes”. If not, select “No”.

27a. Signature
Provide your signature.

27b. Date Signed
Enter the date the form was completed and signed.

Submission

Mail your completed applications to the appropriate address below:

Army
Army Review Boards Agency
251 18th Street South, Suite 385
Arlington, VA 22202-3531

Navy and Marine Corps
Board for Correction of Naval Records
701 S. Courthouse Rd, Suite 1001
Arlington, VA 22204-2490

Air Force
Air Force Board for Correction of Military Records
3351 Celmers Lane
Joint Base Andrews, MD 20762-6435

Coast Guard
DHS Office of the General Counsel
Board for Correction of Military Records, Stop 0485
2707 Martin Luther King Jr. Ave. S.E. Washington, DC 20528-0485

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