DD Form 2499 occupies a particular place in Defense recordkeeping. Its title is DD Form 2499, Health Care Practitioner Action Report, February 2000, and it exists to Health Care Provider Action Report. What the DD prefix records is an administrative judgment made long before your copy was printed: this transaction was determined to be common to the whole Department rather than peculiar to one service, and so the documentation of it was standardized at Department level.
The practical effect of Department-level issue is interoperability. not stated establishes the requirement across the Defense enterprise; not stated keeps the document current for all of it. No service maintains its own variant, which means a completed record travels between components — service to agency, agency to joint command — and arrives in a format the receiving office already knows how to read.
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.
Unclear entries are resolved from the printed instructions first and from not stated where the two texts diverge.
Download the form
Formats available: PDF, across 3 pages and about 147 fields.
Xfdl appears in the set for reasons of institutional inertia rather than preference. It is the IBM Lotus Forms format, once the Department's electronic forms standard and deployed widely enough that it outlived the decision to move on. IBM Lotus Forms Viewer or an equivalent client opens it; a pdf application will not.
All of it downloads without charge. Where care is needed is in the reader you choose. A fillable pdf depends on field properties that desktop applications honour and browser previews frequently ignore, so work locally rather than inside a browser window.
What the form asks for
- 2. Type of report. Press space bar to mark X in first box if initial, second box if correction or addition, third box if revision to action, or fourth box if void previous report.
- 1. Date of report (4 digit year, 2 digit month, 2 digit day).1. Date of report (4 digit year, 2 digit month, 2 digit day, no dividers).
- 1. Date of report (4 digit year, 2 digit month, 2 digit day).3. Date of action (4 digit year, 2 digit month, 2 digit day).
- 5. Medical treatment facility (MTF). a. Name.
- b. Address (street, city, state, zip code).
- c. DMIS code.
- 6. Practitioner information. a. Name (last, first, middle).
- b. Social security number. Do not include dashes.
- 4. Effective date of action (4 digit year, 2 digit month, 2 digit day).3. Date of action (4 digit year, 2 digit month, 2 digit day).
- d. Name of professional school attended.
- X first box if in U.S., second box if foreign.
- c. Date of birth (4 digit year, 2 digit month, 2 digit day).
- e. Date graduated (4 digit year, 2 digit month, 2 digit day).
- f. Status. X first box if Army, second box if Navy, third box if Air Force, fourth box if PHS, fifth box if civilian GS, sixth box if partnership internal, seventh box if partnership external, eighth box if personnel services contract, or ninth box if non-personnel services contract.
- g. Source of accession. (1) Military. X if volunteer.
- X if Armed Forces Health Professional scholarship program.
- X if Uniformed Services University of Health Sciences.
- X if National Guard.
- X if Reserve.
- X if other.
- Specify if other.
- (2) Civilian. X if Civil Service.
- X if contracted.
- X if consultant.
Submission follows not stated and whatever local instruction supplements it. Make a copy before the original leaves. Department forms travel across organizational lines by design, and the administrative distance that makes them useful is the same distance that makes tracing a lost one difficult.
Forms referenced inside this one are located by number alone, and that simplicity is a direct product of Department-level numbering. Because the DD sequence is maintained centrally and not duplicated by service, a number is a complete address: one number, one document, throughout the Defense establishment.
Where a service form is cited in the same instruction, the two numbering systems should not be read across. DA numbering belongs to the Army and is administered by an Army proponent; DD numbering belongs to the Department and is administered by not stated or an equivalent Department office. The systems developed separately and were never harmonized, so identical digits in each identify two documents with nothing in common. The prefix, not the number, tells you which system you are in.
Understanding why editions change explains why checking them is not optional. Revision follows directive reissue, changes in what data is required, and amendments to mandatory notice text — decisions made at Department level and communicated through publication rather than notification. The file you saved does not update itself, so the edition date at download is what you rely on.
The role of this page is narrow and worth stating plainly. It makes a published Defense form available and explains its structure. It does not advise, does not interpret policy for your circumstances, and cannot indicate how any office will treat a completed copy — those judgments rest with the authorities that own the process. Direct such questions to not stated, to the administrative office that services you, or to the authority named in not stated.
Questions and answers
- What is DD Form 2499?
- DD Form 2499, Health Care Practitioner Action Report, February 2000
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?