All entries explained below are for electronic or typewriter
completion, except those specifically noted. If a computer
or typewriter is not available, print in black or blue-black ink
insuring a legible image on all copies. Include "Jr.," "Sr.,"
"III" or similar designation for each name, if applicable.
When an address is entered, include the appropriate ZIP
Code. If the member cannot provide a current address,
indicate "unknown" in the appropriate item. Addresses
shown as P.O. Box Numbers or RFD numbers should
indicate in Item 14, "Continuations/Remarks", a street
address or general guidance to reach the place of
residence. In addition, the notation "See Item 14" should be
included in the item pertaining to the particular next of kin or
when the space for a particular item is insufficient. If the
address for the person in the item has been shown in a
preceding item, it is unnecessary to repeat the address;
however, the name must be entered. Those items that are
considered not applicable to civilians will be left blank.
ITEM 1. Enter full last name, first name, and middle initial.
ITEM 2. Enter social security number (SSN).
ITEM 3a. Service. Military: Mark X in appropriate block.
Civilian: Mark two blocks as appropriate. Examples: an
Army civilian would mark Army and either Civilian or
Contractor; a DoD civilian, without affiliation to one of the
Military Services, would mark DoD and then either Civilian or
Contractor as appropriate.
ITEM 3b. Reporting Unit Code/Duty Station. See Service
Directives.
ITEM 4a. Spouse Name. Enter last name (if different from
Item 1), first name and middle initial on the line provided. If
single, divorced, or widowed, mark appropriate block.
ITEM 4b. Address and Telephone Number. Enter the
"actual" address and telephone number, not the mailing
address. Include civilian title or military rank and service if
applicable. If one of the blocks in 4a is marked, leave blank.
ITEM 5a-d. Children. Enter last name (only if different from
Item 1) first name and middle initial, relationship, and date of
birth of all children. If none, so state. Include illegitimate
children if acknowledged by member or paternity/maternity
has been judicially decreed. Relationship examples: son,
daughter, stepson or daughter, adopted son or daughter or
ward. Date of birth example: 19950704. For children not
living with the member's current spouse, include address
and name and relationship of person with whom residing in
item 5d.
ITEM 6a. Father Name. Last name, first name and middle
initial.
ITEM 6b. Address and Telephone Number of Father. If
unknown or deceased, so state. Include civilian title or
military rank and service if applicable. If other than natural
father is listed, indicate relationship.
DD FORM 93 (INSTRUCTIONS), JAN 2008
INSTRUCTIONS FOR PREPARING DD FORM 93
(See appropriate Service Directives for supplemental instructions for completion of this form at other than MEPS)
ITEM 7a. Mother Name. Last name, first name and middle
initial.
ITEM 7b. Address and Telephone Number of Mother. If
unknown or deceased, so state. Include civilian title or
military rank and service if applicable. If other than natural
mother is listed, indicate relationship.
ITEM 8. Persons Not to be Notified Due to Ill Health.
a. List relationship, e.g., "Mother," of person(s) listed in
Items 4, 5, 6, or 7 who are not to be notified of a casualty
due to ill health. If more than one child, specify, e.g.,
"daughter Susan." Otherwise, enter "None".
b. List relationship, e.g., "Father" or name and address of
person(s) to be notified in lieu of person(s) listed in item 8a.
If "None" is entered in Item 8a, leave blank.
ITEM 9a. This item will be used to record the name of the
person or persons, if any, other than the member's primary
next of kin or immediate family, to whom information on the
whereabouts and status of the member shall be provided if
the member is placed in a missing status. Reference 10
USC, Section 655. NOT APPLICABLE to civilians.
ITEM 9b. Address and telephone number of Designated
Person(s). NOT APPLICABLE to civilians.
ITEM 10. Contracting Agency and Telephone Number
(Contractors only). NOT APPLICABLE to military
personnel. Civilian contractors will provide the name of
their contracting agency and its telephone number.
Example: XYZ Electric, (703) 555-5689. The telephone
number should be to the company or corporation's
personnel or human resources office.
ITEM 11a. Beneficiary(ies) for Death Gratuity (Military
only). Enter first name(s), middle initial, and last name(s)
of the person(s) to receive death gratuity pay. A member
may designate one or more persons to receive all or a
portion of the death gratuity pay. The designation of a
person to receive a portion of the amount shall indicate the
percentage of the amount, to be specified only in 10 percent
increments, that the person may receive. If the member
does not wish to designate a beneficiary for the payment of
death gratuity, enter "None," or if the full amount is not
designated, the payment or balance will be paid as follows:
(1) To the surviving spouse of the person, if any;
(2) To any surviving children of the person and the
descendants of any deceased children by representation;
(3) To the surviving parents or the survivor of them;
(4) To the duly appointed executor or administrator of the
estate of the person;
(5) If there are none of the above, to other next of kin of the
person entitled under the laws of domicile of the person at
the time of the person's death.
The member should make specific designations, as it
expedites payment.
