Standard Form 180 (SF 180), Request Pertaining to Military Records (REV. 3/2024) Instructions
This form contains 72 fields organized into 19 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| DD Form 214 Request | ||
| DD Form 214 or Equivalent | Checkbox |
Check this box to request a DD Form 214 or an equivalent document.
|
| DD Form 214 Issuance Year(s) | Text |
Provide the year(s) in which the DD Form 214 or equivalent was issued to the veteran, or the date of separation.
|
| DD Form 214 Deleted Copy | Checkbox |
Check this box if you want a DELETED copy of the DD Form 214, which will have certain items blacked out as described in the form.
|
| Deceased Status | ||
| Deceased Status - No | Checkbox |
Check this box if the person whose records are being requested is not deceased.
|
| Deceased Status - Yes | Checkbox |
Check this box if the person whose records are being requested is deceased; you must also provide the date of death.
|
| Date of Death | Date |
Provide the date of death if the veteran is deceased.
|
| Dental Records Request | ||
| Dental Records | Checkbox |
Check this box if only dental records are needed from the medical record.
|
| First Active Service Record | ||
| First Active Service Branch | Combobox |
Enter the branch of service for the first active service record.
Unknown
Auxiliary
Philippine Commonwealth Army
Public Health Service
Army
Philippine Guerrillas
Philippine Scouts
Army Air Corps
Army Air Force
Air Force
Marine Corps
Coast Guard
Navy
|
| First Active Service Date Entered | Date |
Provide the date the service member entered their first active service record.
|
| First Active Service Date Released | Date |
Provide the date the service member was released from their first active service record.
|
| First Active Service Officer | Checkbox |
Check this box if the first active service record was as an officer.
|
| First Active Service Enlisted | Checkbox |
Check this box if the first active service record was as an enlisted person.
|
| First Active Service Number | Text |
Enter the service number for the first active service record.
|
| First Active Service DOD ID / EDIPI Number | Text |
Enter the Department of Defense ID (DOD ID) or Electronic Data Interchange Personal Identifier (EDIPI) number for the first active service record.
|
| General | ||
| Sign here if you declare that the information in this Section 3 is true and correct and that I authorize the release of the requested information. (Signature required for non-archival records.) | Signature | |
| Last Duty Station | ||
| Last Duty Station | Text |
Provide the last duty station(s).
|
| Medical Records Request | ||
| Medical Records | Checkbox |
Check this box to request general medical records, which include health (outpatient), extended ambulatory, and dental records.
|
| Inpatient/Hospitalization Facility Name | Text |
Enter the name of the facility from which inpatient or hospitalization records are being requested.
|
| Last Treated Year | Number |
Enter the year the patient was last treated at the specified facility.
|
| Inpatient/Hospitalization Records | Checkbox |
Check this box if you are specifically requesting inpatient or hospitalization medical records.
|
| Military Retirement Status | ||
| Military Retirement Status No | Checkbox |
Check this box if the person did not retire from military service.
|
| Military Retirement Status Yes | Checkbox |
Check this box if the person retired from military service.
|
| Official Military Personnel File Request | ||
| Official Military Personnel File (OMPF) Request | Checkbox |
Check this box to request the Official Military Personnel File, which includes duty stations, assignments, training, qualifications, awards, decorations, disciplinary actions, administrative remarks, and enlistment/discharge information.
|
| Other Document Request | ||
| Other (Please Specify) | Checkbox |
Check this box if you are requesting a document not listed above and will provide specific details.
|
| Other Document Request Details | Text |
Provide a detailed description of the other document or information being requested.
|
| Purpose of Request | ||
| Purpose Explanation | Text |
Provide a detailed explanation for the purpose of this request.
|
| 1 Benefits | Checkbox |
Check this box if the purpose of the request is for benefits.
|
| 2 Employment | Checkbox |
Check this box if the purpose of the request is for employment.
|
| 3 VA Loan Programs | Checkbox |
Check this box if the purpose of the request is for VA Loan Programs.
|
| 4 Medical | Checkbox |
Check this box if the purpose of the request is for medical reasons.
|
| 5 Genealogy | Checkbox |
Check this box if the purpose of the request is for genealogy research.
|
| 6 Correction | Checkbox |
Check this box if the purpose of the request is for correction of records.
|
| 7 Personal | Checkbox |
Check this box if the purpose of the request is for personal use.
|
| 8 Other | Checkbox |
Check this box if the purpose of the request falls under none of the listed categories and requires an explanation.
|
| Recipient Address and Contact | ||
| Recipient Name | Text |
Enter the full name of the recipient.
|
| Recipient Street Address | Text |
Enter the street address of the recipient.
|
| Recipient Apartment Number | Text |
Enter the apartment number of the recipient, if applicable.
|
| Recipient City | Text |
Enter the city of the recipient.
|
| Recipient State | Text |
Enter the state of the recipient.
|
| Recipient ZIP Code | Text |
Enter the ZIP code of the recipient.
|
| Recipient Daytime Phone | Text |
Enter the daytime phone number of the recipient.
|
| Recipient Fax Number | Text |
Enter the fax number of the recipient.
|
| Recipient Email Address | Text |
Enter the email address of the recipient.
|
| Requester Information | ||
| Requester Name | Text |
Enter the full name of the person making this request.
|
| Relationship to Veteran | Text |
Enter your relationship to the veteran.
|
| Requester Status | ||
| Deceased Veteran's Next-of-Kin | Checkbox |
Check this box if you are the deceased veteran's next-of-kin, and remember to submit proof of death as instructed.
|
| Military Service Member or Veteran | Checkbox |
Check this box if you are the military service member or veteran identified in Section 1 of the form.
|
| Veteran's Legal Guardian or Authorized Representative | Checkbox |
Check this box if you are the veteran's legal guardian (and must submit a copy of Court Appointment) or authorized representative (and must submit a copy of an Authorization Letter or Power of Attorney).
|
| Other Requester Status | Checkbox |
Check this box if your requester status is not covered by the other options and specify your status in the provided field.
|
| Requester Other Relationship | Text |
Specify the relationship of the requester to the veteran if it is not covered by the predefined options.
|
| Second Reserve Service Record | ||
| Second Reserve Branch of Service | Combobox |
Enter the branch of service for the second reserve record.
Unknown
Auxiliary
Philippine Commonwealth Army
Public Health Service
Army
Philippine Guerrillas
Philippine Scouts
Army Air Corps
Army Air Force
Air Force
Marine Corps
Coast Guard
Navy
|
| Second Reserve Date Entered | Date |
Provide the date the second reserve service began.
|
| Second Reserve Date Released | Date |
Provide the date the second reserve service was released.
|
| Second Reserve Officer Service | Checkbox |
Check this box if the second service record for Reserve was as an Officer.
|
| Second Reserve Enlisted Service | Checkbox |
Check this box if the second service record for Reserve was as Enlisted personnel.
|
| Second Reserve Service Number | Text |
Enter the service number for the second reserve service record. If unknown, write 'unknown'.
|
| Second Reserve DOD ID / EDIPI Number | Text |
Enter the Department of Defense ID or Electronic Data Interchange Personal Identifier number for the second reserve service record.
|
| Signature Date | ||
| Signature Date | Date |
Enter the date the form is signed.
|
| Third National Guard Service Record | ||
| Third National Guard Branch of Service | Combobox |
Please enter the branch of service for the third National Guard record.
Unknown
Air National Guard
Army National Guard
|
| Third National Guard Date Entered | Date |
Please enter the date the service member entered service for the third National Guard record.
|
| Third National Guard Date Released | Date |
Please enter the date the service member was released from service for the third National Guard record.
|
| Third National Guard Officer | Checkbox |
Check this box if the service member was an officer during their third National Guard service record.
|
| Third National Guard Enlisted | Checkbox |
Check this box if the service member was enlisted personnel during their third National Guard service record.
|
| Third National Guard Service Number | Text |
Please enter the service number for the third National Guard record. If unknown, write 'unknown'.
|
| Third National Guard DOD ID / EDIPI Number | Text |
Please enter the DOD ID or EDIPI number for the third National Guard record.
|
| VA Claim Information | ||
| VA Claim Information No | Checkbox |
Check this box if the person has NOT filed a claim with the VA.
|
| VA Claim Information Yes | Checkbox |
Check this box if the person HAS filed a claim with the VA, and provide the VA Claim/File # if known.
|
| VA Claim or File Number | Text |
Please provide the VA claim or file number for this person if known.
|
| Veteran Identification | ||
| 1. Name Used During Service | Text |
Enter the full name (last, first, full middle) used by the veteran during their service.
|
| 2. Social Security Number | Text |
Provide the veteran's Social Security Number.
|
| 3. Date of Birth | Date |
Enter the veteran's date of birth.
|
| 4. Place of Birth | Text |
Enter the city, state, and country where the veteran was born.
|