1. How to complete DD Form 93 for Soldiers
SSG Shawna Collier
Good morning/afternoon. My name is SSG Shawna Collier. I will be teaching this block of instruction on the DD Form 93 (Record of Emergency Data). I have been an HR NCO for 10 years so I have a lot of experience in filling out this form. Unfortunately I have also had to use this form to contact a Soldier’s next of kin.

2. We all love money, who will get yours?
We all love money, that’s a fact. If something happens to you, who will get your money? Your spouse? Your kids? Your fiancé? Your ex-spouse? These are some questions that need to be answered now. I know it’s a morbid thought I know, but it’s something we all have to think about.

3. How will your family be taken care of if something happens to you?
Money and finances set aside, if something happens to you, who will be notified? If something happens to you, who will get your body? Once again, these are questions that need to be answered.

4. Terminal Learning Objective (TLO)
Action-Teach Soldiers how to properly complete a DD Form 93 (Record of Emergency Data) and demonstrate what a completed form should look like
Condition: In a classroom environment given a blank DD Form 93, students personal notes and a scenario
Standard: Soldiers will be able to complete a DD Form 93 with zero deficiencies
Terminal Learning Objective
Action-Teach Soldiers how to properly complete a DD Form 93 (Record of Emergency Data) and demonstrate what a completed form should look like
Condition: In a classroom environment given a blank DD 93, students personal notes and a scenario
Standard: Soldiers will be able to complete a DD Form 93 with zero deficiencies

5. Risk Assessment Level
Low
Risk assessment level is low

6. Safety Requirements
Be careful moving around the classroom as there are some loose wires.
Ensure all drinks have lids to prevent electrical shock
Safety requirements
Be careful moving around the classroom as there are some loose wires.
Ensure lids are on drinks to prevent electrical shock.

7. Administrative Notes Latrine is located down the hall on the left.
Designated smoking area is out the back door.
Administrative notes
Latrine is located outside the door to class. Keys are on desk. Please ensure you lock the latrine when you are done.
The designated smoking area is the ashtray near the road.

8. Environmental Considerations
It is the responsibility of all Soldiers and DA civilians to protect the environment. Please recycle.
It is the responsibility of all Soldiers and DA civilians to protect the environment.
Please recycle.

9. Evaluation
Students will be evaluated by a Check on Learning at the end of this block of instruction. This grade will be a GO/NO-GO.
Students will also assist the instructor in the demonstration.
Students will be given a practical exercise.
Evaluation: Students will be evaluated by a check on learning after each ELO. The checks on learning are not formal evaluations and will be graded as a go or no-go.
Students will also assist the instructor in the demonstration.
Instruction lead in: This form is one of the most important forms you will fill out in your military career. This form ensures that those you leave behind are contacted and taken care of.
OE: This form is updated before a Soldier deploys overseas to ensure that his/her NOK is contacted properly and that proper beneficiaries are designated by the Soldier.

10. Enabling Learning Objective A-How to complete Section I (Emergency Contact Information) of DD Form 93
Action: Identify the blocks in Section I of DD Form 93
Condition: In a classroom environment given a blank DD Form 93 and students personal notes
Standard: Students will be able to identify each block in Section I of DD Form 93
ELO A-How to complete Section I (Emergency Contact Information) of DD Form 93
Action: Identify the blocks in Section I of DD Form 93
Condition: In a classroom environment given a blank DD 93 and students personal notes
Standard: Students will be able to identify each block in Section I of DD Form 93

11. DD Form 93 (Record of Emergency Data)
On the screen you will see a DD Form 93. This form like I said is Department of Defense form which means that it is used by all branches of service. This form is also used by DA civilians and contractors. During this block of instruction we will be filling this form out the way that ARMY Soldiers complete it.

12. Blocks 1-3: Name, SSN, Service affiliation and reporting unit code/duty station
Block 1 is pretty self explanatory, this is the Soldier’s Last name, first name and middle initial.
Block 2 is the Soldier’s full social security number.
Block 3a check Army block
Block 4 enter the Soldier’s unit identification code as well as the city and state of the Soldier’s duty station

13. Block 4a&b: Spouse name and address
Blocks 4a&b: Spouse name and address. If you are single, leave blank. If you are married and your spouse has the same last name as you, enter only first name and middle initial. If you are married and your spouse has a different last name than you, for example, kept maiden name, enter your spouse’s last name, first name and middle initial. If you are single, divorced or widowed check appropriate block. (If you are separated you are MARRIED!) If you entered a spouse in block 4a, enter spouse’s address and phone number in block 4b. This address can be different from the Soldier’s, for example, in the case of separation.

14. Block 5a-d: Children
If you have no children enter none. If child has same last name as the Soldier, enter first name and middle initial. In relationship block enter son, stepson, daughter, stepdaughter, adopted daughter, adopted son, or ward of the court. In block c enter the child’s date of birth in the four digit year, two digit month and two digit day format. Leave blank if child resides with current spouse. If child does not reside with Soldier’s current spouse, enter name, relationship, address and phone number of the person the child resides with.

15. Block 6a&b: Father information
Block 6a- List father’s last name, first name and middle initial . If you do not know your father’s name, simply write unknown.
Block 6b-Enter father’s address and phone number. If father is deceased, write deceased. If address is unknown, write unknown.

16. Block 7a&b: Mother’s information
Block 7a- List mother’s last name, first name and middle initial . If you do not know your mother’s name, simply write unknown.
Block 7b-Enter mother’s address and phone number. If mother is deceased, write deceased. If address is unknown, write unknown.

17. Block 8a&b: Do Not Notify Due to Ill Health
Blocks 8a&b Do not notify due to ill health. This is where you can enter the name of someone that you don’t want to have information about you. If you and your mother had a falling out, you can put her name here. Also this block can be used for someone with a health problem. For example you don’t want your mother contacted because she has a heart problem and you would rather your father be contacted so he can sit her down and tell her bad news. If you do not have anyone that you don’t want notified, simply leave blank.
&b: Do Not Notify Due to Ill Health: Enter name of person you do not want notified if you are ill followed by the person to notify instead. If none, leave blank.

18. Block 9a&b: Designated person(s)
Block 9a&b: Designated person. This is the block that you can put the name and address of anyone who is not your next of kin or immediate family that you would want to be informed of your status if you are in a missing status. For example, fiancé. If no one, just leave it blank.

19. Check on Learning What does the acronym NOK stand for?
If a child has the same last name as the Soldier, how would you list the child’s name?
If a child does not reside with the current spouse, how would you list the child’s address?
In block 9a you can enter the name, address and phone number of person other than NOK or immediate family. This person is called what?
What does the acronym NOK stand for?
If you are separated from your spouse, do you need to list them on your DD 93?
What does DD stand for?
Check on learning
If a child has the same last name as the Soldier, how would you list the child’s name? First name and middle initial
If a child does not reside with the current spouse, how would you list the child’s address? You would enter the address, relationship and phone number of the person the child resides with.
In block 9a you can enter the name, address and phone number of person other than NOK or immediate family. This person is called what? Designated person
What does the acronym NOK stand for? Next of kin
If you are separated from your spouse, do you need to list them on your DD 93? Yes

20. Enabling Learning Objective A Summary: DD Form 93 Section I
Identified blocks in Section I of DD Form 93
ELO A Summary: we identified the blocks in section I of the DD Form 93

21. Enabling Learning Objective A (Re-stated)-How to complete Section I (Emergency Contact Information) of DD Form 93
Action: Identify the blocks in Section I of DD Form 93
Condition: In a classroom environment given a blank DD Form 93 and students personal notes
Standard: Students will be able to identify each block in Section I of DD Form 93
ELO A restated
How to complete Section I (Emergency Contact Information) of DD Form 93
Our action was to identify the blocks in section I of DD Form 93
Our condition was in a classroom environment given a blank DD Form 93 and students personal notes
Our standard was that students will be able to identify each block in Section I of DD Form 93

22. Enabling Learning Objective B: How to complete Section II (Benefits Related Information) of DD Form 93
Action: Identify the blocks in Section II of DD Form 93
Condition: In a classroom environment given a blank DD Form 93 and students personal notes
Standard: Students will be able to identify each block in Section II of DD Form 93
ELO B is how to complete section II (Benefits Related Information) of DD Form 93
Our action is to identify the blocks in section II of DD Form 93
Our condition is in a classroom environment given a blank DD Form 93 and students personal notes
Our standard is that students will be able to identify each block in Section II of DD Form 93

23. Block 11a-d: Beneficiary(ies) for Death Gratuity
Block 11a is Beneficiary or beneficiaries for death gratuity.
Before selecting a beneficiary we need to know what death gratuity is. Death gratuity is:
$100,000 paid to the eligible survivors of:
 Soldiers who die while on active duty or Soldiers who die within 120 days of separation or retirement from active duty if the death is a result of a service connected injury or illness
 Soldiers may designate up to ten persons to receive death gratuity in 10% increments
 The Army must notify the spouse in writing when the Soldier does not leave 100% to the spouse
If no designation is made, the order of precedence for payment is as follows:
 Lawful spouse
 Children
 Parents(s)
 Executor or Administrator of the estate, for distribution to the
estate
 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
In block 11b you will enter the relationship of the person you want your death gratuity to go to. In block 11c you will enter the person’s address and phone number and finally in block d you will enter what percentage you want them to get.

24. Blocks 12a-c: Beneficiary for Unpaid Pay/Allowances
Blocks 12a is the beneficiary for unpaid pay/allowances
Unpaid pay and allowances are any money you have already earned that you haven’t been paid for as well as any leave that you may not have used. The Soldier may indicate anyone to receive this payment.
In block 12 a the Soldier identifies the name of the person to receive any unpaid pay and allowances at the time of death. When entering the name, enter last name, first name, middle initial and relationship. In block 12b enter address and telephone number. In block 12C state the percentage to be paid
 If the Soldier does not wish to designate a beneficiary, enter “By Law”
 If no election is made, order of precedence is as
follows:
Surviving spouse
Children and their descendants, by representation.
Father and mother in equal parts or, if either is dead, the survivor
Legal representative
Person entitled under the law of the domicile of the deceased Soldier

25. Blocks 13a&b. Person Authorized to Direct Disposition (PADD)
Blocks 13a-b. is the Person Authorized to Direct Disposition (PADD)
 Your PADD is the person authorized to make funeral/memorial arrangements
 By law, the PADD must be either the spouse, a blood relative, or an adoptive relative; if none of the above exist, the Soldier can then name a person serving in
loco parentis. This is something you may want to think about if you are separated from your spouse, make sure you put someone who will care what happens to your body.
 Counseling is required when a Soldier makes a valid, but unusual, PADD designation
If no election is made, order of precedence is as follows:
 Spouse
 Eldest Child over 18
 Eldest/custodial parent
 Eldest sibling
 Eldest grandparent
 Other blood relatives in order of seniority
 Remarried surviving spouse
 Other interested persons
 Secretary of the Army

26. Block 14: Continuation/Remarks
Block 14 is the Continuation/Remarks
 This block is used for the continuation of any items
 When continuing an item, Prefix the entry with the number of the item being continued
(e.g. 5/John J./son/ /321 Pecan Drive, Schertz TX 78151)
 You may also include additional information in this block such as:
 Other persons to be notified
 Name other dependents
 any language barriers
 the locations or existence of wills and private insurance
 If living in the sticks you may want to include directions to the residence
The following are required to go in this block
 Desired non-medical attendant. Non-medical attendant is someone who can stay with you if you are in the hospital. Put someone that you like spending time with. I had the opportunity to visit Walter Reed during a TDY to Washington DC. There is a place at Walter Reed named the Fisher House which is a hotel for Soldiers who no longer need to be hospitalized but are receiving follow up care from the hospital. It was very neat because this where your non-medical attendant gets to stay in the room with you and ensure you get to your appointments, etc.
The other required entry is geographic location. This is the geographic location of your preferred hospital. You do not have to list the hospital, just the city and state.
 If additional space is required, attach a supplemental sheet
of standard bond paper with the information

27. Block 15-17: Signature of Soldier, Signature of Witness, Date Signed
Pretty self explanatory. Soldier will sign block 15 and write in rank and grade. Witness (usually admin NCO) will sign block 16 and write in rank and grade. Block 17 is the date the form was signed in the four digit year, two digit month and two digit day format.

28. Check on Learning How much is the death gratuity?
What does the term loco parentis mean?
What percentage of increments must the death gratuity be broken into?
If an m-day Soldier (traditional) dies will their family receive the death gratuity?
What does the acronym NMAD stand for?
Check on Learning
How much is the death gratuity? $100,000
What does the term loco parentis mean? Someone who raised you in lieu of your parents.
What percentage of increments must the death gratuity be broken into? 10%
If an m-day Soldier dies will their family receive the death gratuity? No
What does the acronym NMAD stand for?

29. Enabling Learning Objective B Summary: DD Form 93 Section II
Identified blocks in Section II of DD Form 93
ELO B Summary
Today we learned how to identify the blocks in Section II of DD Form 93

30. Enabling Learning Objective B (Re-stated): How to complete Section II (Benefits Related Information) of DD Form 93
Action: Identify the blocks in Section II of DD Form 93
Condition: In a classroom environment given a blank DD Form 93 and students personal notes
Standard: Students will be able to identify each block in Section II of DD Form 93
Restate ELO B

31. Enabling Learning Objective C-Demonstrate the proper completion of a DD Form 93
Action: Demonstrate how to correctly fill out DD Form 93
Condition: In a classroom environment given a blank DD Form 93, students personal notes and a scenario
Standard: Soldiers will be able to complete a DD Form 93 with zero deficiencies
State ELO C

32. Demonstration Scenario
Today is May 12, 2017 and SSG Bobby J. Hunt who is in your unit comes to you asking for help updating his DD 93. SSG Hunt is married to Jessie R. Hunt. His SSN is His UIC is W92MAA in Eastover, SC. Jessie Hunt lives at 123 Happy Lane, Anytown, SC Jessie’s phone number is (555) SSG Hunt has a son, Anthony L. Hunt who resides with his ex-wife, Cheryl Hunt at 125 Sad Lane, Othertown, SC Anthony’s date of birth is July 1, Cheryl’s phone number is (444) Bobby and Jessie have a daughter, Hailey B. Hunt that lives with them. Hailey’s date of birth is April 15, Bobby does not know who his father is. Bobby’s mother’s name is Naomi Hunt but she died a few years ago. Bobby wants to ensure that if he is in a missing status that his friend Will Burdette is informed of his status. Will lives at 67 Turtle Lane, Eastover, SC and his phone number is (333) Bobby wants his death gratuity to go to his wife Jessie. Bobby wants Jessie to be his PADD and he wants to leave all of his unpaid allowances to her. Bobby wants his Non Medical Attendant to be Jessie. Bobby’s preferred geographic location is Columbia, SC.
Read scenario and pull up blank form to go through together in class

33. Enabling Learning Objective C (Re-stated): Demonstrate the proper completion of a DD Form 93
Action: Demonstrate how to correctly fill out DD Form 93
Condition: In a classroom environment given a blank DD Form 93, students personal notes and a scenario
Standard: Soldiers will be able to complete a DD Form 93 with zero deficiencies
Restate ELO C

34. Enabling Learning Objective D-Practical Exercise-Filling out a DD Form 93
Action: Soldiers will complete a DD Form 93
Condition: In a classroom environment given a blank DD Form 93, students personal notes and a scenario
Standard: Soldiers will be able to complete a DD Form 93 with zero deficiencies
State ELO C

35. Practical Exercise Scenario
Today is June 4, 2013 and PFC Robert L. Camelbak who is in your unit comes to you asking for help updating his DD 93. PFC Camelbak is single. His SSN is His UIC is W8FCA3 in Greer, SC. PFC Camelbak has no children. PFC Hunt’s mother and father are still married and live at the same address with the same phone number. His mother’s name is Betty Boop and his father’s name is Bubba Boop. They live at 78 Lipton Lane in Patrol, TX and their phone number is (803) PFC Camelbak wants his death gratuity to go to his father. He wants his mother to be his PADD, NMAD and he wants to leave all of his unpaid allowances to her. PFC Camelbak’s preferred geographic location is Patrol, TX. Fill out the DD Form 93 appropriately.

36. Enabling Learning Objective D (Re-stated)-Practical Exercise-Filling out a DD Form 93
Action: Soldiers will complete a DD Form 93
Condition: In a classroom environment given a blank DD Form 93, students personal notes and a scenario
Standard: Soldiers will be able to complete a DD Form 93 with zero deficiencies
State ELO C

37. Summary
Today we learned how to fill out the blocks on the DD Form 93. I also demonstrated how to complete DD Form 93 and then you filled the form out on your own.

38. Terminal Learning Objective (TLO)
Action-Teach Soldiers how to properly complete a DD Form 93 (Record of Emergency Data) and demonstrate what a completed form should look like
Condition: In a classroom environment given a blank DD 93, students personal notes and a scenario
Standard: Soldiers will be able to complete a DD Form 93 with zero deficiencies
Read TLO

39. Questions ?