Every entry in the Defense records system exists because some decision needed a documented basis, and DD Form 2492 is one of those instruments: DD Form 2492, DoDMERB Report of Medical History, March 2008, created to DoD Medical Examination Review Board (DoDMERB) Report of Medical History. The reason it carries a DD number rather than a service designation is structural — the Department maintains a single body of forms for matters that arise identically in every service, so that a record created in one component remains intelligible in another.
That decision has consequences you will notice. Because not stated prescribes the form for the Department as a whole, and not stated maintains it on the Department's behalf, the same blank passes between the Army, the Navy, the Air Force, the Marine Corps, the Space Force, the Coast Guard when operating under Defense jurisdiction, the defense agencies and the combatant commands without translation. A clerk in one component reads a record created in another and finds the fields where they expect them.
You are looking for edition not stated, listed as not stated. Department-wide supersession is a single event rather than a rollout, which is what distinguishes edition currency on a DD form from the same question on a service publication: nobody anywhere is still accepting the previous version out of habit.
The form is laid out top to bottom in a sequence that reflects how the record will be read, not merely how it was drawn. Identification comes first because everything below it is understood in relation to a named person, unit or transaction; substantive entries follow; certification closes the document because certification attests to what precedes it. Filling out of order tends to produce internal inconsistencies — an entry that made sense before the header was settled and does not afterward.
Verify the printed edition against not stated first. Field structure shifts between editions, and the office that receives your record is reading the current one. That office may sit outside your service, which removes even the informal accommodation you might expect from a colleague who used the old version last month.
Where a specific field is genuinely unclear, the instructions printed on the form come first and not stated governs where the two do not agree.
Download the form
The set published here is PDF, covering 2 pages with roughly 103 fields.
Nothing here is charged for. Published Defense forms are public documents and distribution carries no fee, in any format. One caution about software: fill the form in a desktop pdf application rather than a browser tab. Browser-embedded viewers implement field behaviour inconsistently, and the failure mode is silent loss of everything you entered.
What the form asks for
- 1. Name (last, first, middle initial).
- 2. Social security number. Do not include dashes.
- 3. Telephone number (include area code).
- 4. Purpose of examination.
- 5. Examination facility or examiner and address (include zip code).
- 6. Date of examination (4 digit year, 2 digit month, 2 digit day, no dividers).
- 7. Have you ever or do you now use any of the following: Amphetamines. Press space bar to mark X in first box if yes, second box if no.
- Barbiturates. X first box if yes, second box if no.
- Cocaine. X first box if yes, second box if no.
- Narcotic drugs. X first box if yes, second box if no.
- Marijuana. X first box if yes, second box if no.
- Alcohol. X first box if yes, second box if no.
- Chemical inhalants. X first box if yes, second box if no.
- Hallucinogens. X first box if yes, second box if no.
- 8. Do you wear glasses? X first box if yes, second box if no.
- 9. Do you wear contact lenses or corneal eye retainers? X first box if yes, second box if no.
- 10. Have you ever had your vision improved by methods other than stated in questions 8 or 9? X first box if yes, second box if no.
- 9.a. If you wear contact lenses, how many days have they been removed prior to this examination? X first box if less than 3, second box if 3 - 30, third box if 21 or over.
- Type lens: X first box if hard, second box if soft.
- Have you ever had or do you now have: 11. Eye trouble (exclude glasses, contact lenses). X first box if yes, second box if no.
- 12. Have fluctuating vision or double vision. X first box if yes, second box if no.
- 13. Have any allergies. X first box if yes, second box if no.
- 14. Take any medications regularly. X first box if yes, second box if no.
- 15. Stutter or stammer. X first box if yes, second box if no.
The completed form goes to the office named in not stated or in local implementing procedure, and it is worth keeping a copy before it goes. On a Department form the destination is frequently outside your own chain — another service, a defense agency, a joint staff — and recovering a document that has crossed an organizational boundary is a slower business than retrieving one from a file down the hall.
When DD Form 2492 cites another form, the citation is self-sufficient. The DD series is a single sequence administered at Department level, so the number resolves to exactly one document without any need to establish which component issued it — a convenience that exists only because the sequence was never allowed to fork.
Procedures that touch both Department and service processes will cite forms from both sequences, and the coincidence of numbers between them is exactly that — coincidence. An Army proponent maintains the DA series for the Army; not stated or another Department office maintains the DD series for the whole Department. Two independent registries, two independent numbering runs, no correspondence at any value.
A form is downstream of the policy that requires it, and revision usually starts there: a directive is reissued, a collection requirement is altered, notice language is updated by statute. The form is republished as a consequence. Since none of that reaches individual users, an archived copy quietly becomes wrong, and verifying not stated each time you download is the whole remedy.
A word on what this page is. It distributes a published Department of Defense document and describes what the document contains and how it is completed. It is not the issuing authority, does not speak for one, and offers no legal advice; nothing written here determines whether a particular submission will be accepted, because that determination belongs entirely to the office receiving it. Questions of applicability, eligibility or procedure go to not stated, to your servicing personnel office, or to the office identified in not stated.
Questions and answers
- What is DD Form 2492?
- DD Form 2492, DoDMERB Report of Medical History, March 2008
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?