Every entry in the Defense records system exists because some decision needed a documented basis, and DD Form 2570 is one of those instruments: DD Form 2570, Third Party Collection Program - Report on Program Results, June 2001., created to Third Party Collection Program - Report on Program Results. 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.
Work down the page in the printed order, and understand why the order exists. The identifying block establishes whose record this is and under what circumstances it arises. The body of the form then answers questions that are only meaningful once that context is fixed. The signature block comes last because a certification signed before the entries are complete certifies nothing.
Before the first entry, compare the date printed on the form face with not stated. This is not bureaucratic fussiness. Editions change field numbering, and a receiving office working from the current layout may look for information where your copy does not put it. On a Department form the exposure is wider than usual: your record may be reviewed by an office in another service entirely, one with no reason to remember what the previous edition looked like.
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
What you can download: PDF. The form runs 1 pages and asks for approximately 95 entries. The plurality of formats is deliberate: Defense distribution has never been able to assume one operating environment across the whole force.
Two states of the same page circulate, and the reason is worth knowing. In the fillable pdf, the boxes are real fields holding real data; in the printable pdf, the boxes are drawings. Where a record will cross components — as Department records regularly do — the typed version is the safer artifact. Each scan, each forwarding, each reproduction costs handwriting a little legibility, and the office that finally files the record is rarely the office that received it first.
What the form asks for
- Segment reported. Press space bar to mark X in first box if inpatient, second box if outpatient.
- 1. Quarter ending. Four digit year, two digit month.
- 2. Reporting medical treatment facility (MTF).
- 3. Defense Medical Information System (D M I S) identification number.
- 4. Reporting period. (1) a. Current fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- (1) b. First prior fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- (1) c. Second prior fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- 4.a. Current fiscal year. Column 7. Dollar adjustments and refunds. Note 2. Amounts reported for each fiscal year shall equal the subtotal for reasons codes 8 through 16 in Part 2 for the respective fiscal years.
- Current fiscal year. Column 10. Dollar amount collected current fiscal year.
- (11) Dollar amount remaining uncollected. (Column (6) minus (7) plus (8), (9), and (10).)
- (9) Amount collected, PY 1.
- (10) Amount collected current FY.
Route the executed form as not stated or local guidance directs, and retain a duplicate first. Cross-component routing is ordinary for DD forms, which is precisely why a personal copy earns its keep: the receiving office may belong to an organization you have no standing to query about a missing document.
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.
It helps to see the DA and DD sequences as what they are: separate registries with separate custodians. One serves a single service under a service proponent, the other serves the Department under not stated or an equivalent office, and neither was ever indexed against the other. A number that appears in both systems points to two unrelated documents, which is why reading the prefix comes before reading the digits.
Editions change for reasons that originate above the form itself. The prescribing directive is reissued and the form follows; the information the Department needs to collect changes and the fields change with it; the statutory notice language is amended and every form carrying that notice is republished. None of these events announces itself to the person who downloaded a copy last year, which is why confirming not stated at the moment of download is the only reliable check available to you.
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 2570?
- DD Form 2570, Third Party Collection Program - Report on Program Results, June 2001.
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?