Form Information

For assistance see

FAQs and Downloading Instructions

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

FORM NUMBER:

DD1375

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

TITLE:

FUNERAL AND/OR INTERMENT EXPENSES, REQUEST FOR PAYMENT OF

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

EDITION DATE:

20031001

CANCELLATION DATE:

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

AVAILABLE FILE FORMATS:

PLEASE NOTE:

Fillable Adobe:

PDF

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

Perform Pro:

PERF

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

Form Flow 2.0:

FF 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

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

REMARKS:

This form has not been set up to work with a text-to-speech reader. Contact the Department of Defense

Forms Manager for further details if this access is required.

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

ISSUANCES:

AR 638-2

NAVMEDCOMINST 5360.1

AFI 34-242

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

SPONSOR / POC:

A

SUB-SPONSOR:

DAPE-ZXM

NUMBER OF PAGES:

1

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

USERS*:

A N AF MC

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

PRESCRIBED OR ADOPTED?:

A

DISPOSITION:

S

FUNCTION CODE:

1340

FORM CONTROLLED:

N

MANDATORY PRINT SPECIFICATIONS:

N

RCS:

IRCN:

OMB:

0704-0030

PRIVACY ACT IMPLICATIONS:

Y

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* 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.