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FORM NUMBER:

DD2584

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TITLE:

CLAIM FOR PERSIAN GULF CONFLICT DEATH GRATUITY BENEFITS

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EDITION DATE:

19910601

CANCELLATION DATE:

19941117

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AVAILABLE FILE FORMATS:

PLEASE NOTE:

Fillable Adobe:

If no hyperlink appears next to a format, the form is not available electronically. To

Perform Pro:

obtain hard copies of current forms not available in electronic format, please contact

Form Flow 2.0:

your own Military Service or DoD Component Forms Management Officer.

Form Flow 99:

Cancelled forms are not available in electronic formats. Click on link for a list of

Other:

Forms Management POCs.

Forms Management POCs

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REMARKS:

This form was used to certify information needed to pay benefits to Servicemen’s Group Life Insurance (SGLI)

beneficiaries that were authorized under Section 308, P.L. 102-25. Form being cancelled as program has

expired.

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ISSUANCES:

PL 102-25, SECTION 308

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SPONSOR / POC:

P&R

SUB-SPONSOR:

NUMBER OF PAGES:

2

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USERS*:

A N AF MC CG

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PRESCRIBED OR ADOPTED?:

P

DISPOSITION:

S

FUNCTION CODE:

1300

FORM CONTROLLED:

MANDATORY PRINT SPECIFICATIONS:

N

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:

Y

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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.