DDFORMS.ORG – DD Form 137-5 – Dependency Statement – Incapacitated Child Over Age 21 (Instructions) – DD Form 137-5 is a form that is filed on behalf of a dependent and it is used to document the condition of the dependent. The form is also called a Dependency Statement, and in some cases, it is also called an Incapacitated Statement.
Download DD Form 137-5 – Dependency Statement – Incapacitated Child Over Age 21 (Instructions)
| Form Number | DD Form 137-5 |
| Form Title | Dependency Statement – Incapacitated Child Over Age 21 (Instructions) |
| Edition Date | March 2018 |
| File Size | 196 KB |
What is a DD Form 137-5?
DD Form 137-5 is a form used by military service members to determine whether they are eligible for certain military benefits. It is also used by the Department of Defense to determine whether a military service member is eligible to provide a certain amount of living expenses to a dependent. The form should be submitted to the local ID card office of the claimant.
The form is used to verify the relationship between the applicant and the dependent. The form requires that the claimant provide the full name of the dependent, as well as the SSN of the dependent’s other parent. The form must also include the dependent’s date of birth. The form must be completed in YYYYMMDD order.
The form must also list the type of entitlements requested. For instance, if the dependent is a child, you must list his or her education, personal expenses, and monthly transportation payments. The form must also specify whether the dependent has a private medical insurance policy. The form must also list whether the dependent has received medical care at a military medical facility. If the dependent has received medical care at a state or local agency, the form must include the name and contact information of that agency.
The form must also list the relationship of the child with the claimant. For instance, if the child is hospitalized, the claimant should list the child’s name, the hospital’s name, the medical facility’s name, and the name of the medical staff.
Where Can I Find a DD Form 137-5
DD Form 137-5, formally referred to as the Dependency Statement – Incapacity of a Child Over 21 is a document produced by the United States Department of Defense that is required for all military service members to claim their disabled dependents. In order to claim benefits from military post privileges, you will need to fill out this form. Using the form correctly, you can claim up to 50% of your living expenses. This form can be downloaded from the Department of Defense website or from your local military ID card office.
The DD Form 137-5 is not just for military personnel; you can use it to claim benefits for a parent of an incapacitated child. A child is designated as an incapacitated dependent if they are disabled, over the age of 18. They are eligible for military post privileges and TriCare health benefits. Using the form correctly will ensure your dependent gets the benefits they deserve.
A DD Form 137-5 isn’t the only document you should be used to claim benefits; the Department of Defense also publishes a number of other helpful forms. The DD 137-3 form is a must-have if you plan on filing for disability, and the DD 137-5 form is a must-have if your dependent plans on claiming 50% of your living expenses.
DD Form 137-5 – Dependency Statement – Incapacitated Child Over Age 21 (Instructions)
DD Form 137-5 is a dependency determination form for military service members who are the guardians of an incapacitated child over the age of 21. This form must be filed to establish the military’s eligibility to provide benefits to the dependent. The dependent must be incapable of self-support and continue to be so for the duration of the disability. The form also determines the relationship between the claimant and the dependent.
When completing the form, be sure to provide the claimant’s complete address, area code, and ZIP code. You must also include a complete breakdown of medical and other expenses. This does not include expenses incurred from Medicare, insurance, or welfare.
If you do not provide the correct information, your dependent entitlements will be suspended. You should obtain the original form from your sponsor and keep a copy. You may also need to submit a copy of the form at a later date.
In addition, you must complete the ENTITIES REQUESTED section of the form and provide the DoD ID number. You should also provide a breakdown of your financial assistance, including monthly transportation payments and school expenses. You must also include a notarized statement confirming that you are providing 50% of the dependent’s living expenses. If you have dependents who are divorced or married, you must also provide documentation of your 50% financial support.
DD Form 137-5 Example
