Home
TRICARE
Skip to Content
Guard and Reserve Unit TRICARE Briefing Request Form (South Region)
Basic Information
Target Audience
Target Audience must have at least 0 and no more than 50 characters.
The value of the Target Audience field is not valid.
*
Contact Information
Unit (List all units attending)
Unit (List all units attending) must have at least 0 and no more than 50 characters.
The value of the Unit (List all units attending) field is not valid.
*
Unit POC
Unit POC must have at least 0 and no more than 50 characters.
The value of the Unit POC field is not valid.
*
Unit POC E-mail Address
Enter a valid e-mail address.
*
Unit POC Phone (Commercial)
Enter a valid telephone number.
*
Alternate Unit POC
Alternate Unit POC must have at least 0 and no more than 50 characters.
The value of the Alternate Unit POC field is not valid.
*
Alternate Unit POC E-mail Address
Enter a valid e-mail address.
*
Alternate Unit POC Phone (Commercial)
Enter a valid telephone number.
*
Location Information
Requested Briefing Date (The date you want to schedule the briefing, not the date you're filling out this form.)
*
Service Branch
Army National Guard
Air Force National Guard
Army Reserve
Air Force Reserve
Navy Reserve
Marine Reserve
Coast Guard Reserve
*
Street Address
Street Address must have at least 0 and no more than 100 characters.
The value of the Street Address field is not valid.
*
City
City must have at least 0 and no more than 100 characters.
The value of the City field is not valid.
*
State
State must have at least 0 and no more than 100 characters.
The value of the State field is not valid.
*
Zip Code
*
Enter a number.
Start Time (Military Time, Example 1600)
Start Time (Military Time, Example 1600) must have at least 4 and no more than 4 characters.
ex: "1200"
*
End Time (Military Time, Example 1600)
End Time (Military Time, Example 1600) must have at least 4 and no more than 4 characters.
Ex: "1200"
*
Briefing Information
Projected Number of Attendees (Military/Family Members)
Enter a number.
The number in Projected Number of Attendees (Military/Family Members) must be at least 0 and no more than 2.147484E+09.
*
Can you accept a Video Teleconference (VTC) Brief or Telephonic Brief?
Video Teleconference (VTC)
Telephonic
Print
Email
Other
*
Type of Briefing Requested
Premobilization/Yellow Ribbon
Mobilization
Demobilization/Yellow Ribbon
Annual
Overview
Family Day
TRS Only
*
Comments / Special Instruction
Comments / Special Instruction must have at least 0 and no more than 512 characters.
The value of the Comments / Special Instruction field is not valid.
Last Updated
11/7/2016