Fillable Form DD 149

What is the DD-149 Form?

The DD-149 form, officially known as the Application for Correction of Military Record, is used to apply for a correction of military records. 

How to fill out DD-149 Form?

Section 1: Service Number 

1. Branch at time of error or injustice

Select the branch of the military records where the service member have corrections to make (Army, Navy, Air Force, Coast Guard, or Marine Corps).

2. Component at time of error or injustice 

Select the appropriate choice (Regular, Reserve, or Guard).

3. Name while serving 

Last Name

Provide the service member’s last name while serving the military.

First Name

Provide the service member’s first name while serving the military.

Middle Name 

Provide the service member’s middle name while serving the military.

Suffix

Enter the service member’s suffix while serving the military.

4. Current Name

Only fill this out if different from the information filled out on Block 3.

Last Name

Enter the service member’s last name.

First Name

Enter the service member’s first name.

Middle Name

Enter the service member’s middle name.

Suffix

Enter the service member’s suffix.

5a. SSN while serving 

Enter the service member’s Social Security Number while serving the military.

Current SSN 

 Enter the service member’s current SSN if different from the previous field.

5b. (provide, if applicable)

Select one from the boxes that the service member has and enter the number on the space provided.

DOD ID Number

If the service member has a DOD, select this box and enter the ID Number on the space provided.

Service Number

If the service member has a service number, select this box and enter it on the space provided.

TIN

You may choose to write the service member’s TIN. Select this box and enter the TIN on the space provided.

6. Mailing Address 

Enter the service member’s mailing address. If you are filling out on behalf of a deceased service member, skip this question.

Street   

Enter the street.

City, State / APO/ Country or Foreign Address

Enter the City, State / APO/ Country or Foreign Address.

Email

Enter your email.

ZIP 

Enter your zip code.

Phone 

Enter your phone.

Section 2: Separation information

7. Currently serving?

Select “Yes” if you are currently serving. If not. Select “No”.

8. Date of Separation 

Enter the date of separation.

9. Character of Service 

Select the appropriate choice( Honorable, Under Honorable Conditions, Under other than Honorable Conditions, Bad Conduct Discharge, Dishonorable, Dismissal, or Uncharacterized / Entry Level Separation). If not listed, select Other and enter the character of service on the space provided.

Type of Court 

If by court-martial, also state Type of Court on the space provided.

Section 3: Error or Injustice

10a. Is this a request for reconsideration of a prior application to the board?

Select “Yes” if the form’s purpose is to request for a reconsideration of a prior application to the board. If not, select “No”.

10b. If yes and known, provide case number and decision date.

If you select Yes on 10a, provide the case number and decision date on the space provided. If not, leave blank.

11. Category 

Select the appropriate choice (Administrative Correction, Pay and Allowance, Decoration / Awards, Performance / Evaluation / Derogatory Information, Disability, Promotion or Ranks, or Discharge / Separation). If not listed, select Other and enter the category on the space provided.

12. What correction and relief are you requesting for this error or injustice in the service member’s record?

Provide the details for the correction and relief you are requesting.

13. Are any of the following issues/conditions related to your request:

Select the appropriate choice (PTSD, TBI, Other Mental Health, Sexual Assault/Harassment, DADT, transgender, or Reprisal/Whistleblower).

14. Why should this correction be made?

Provide the reason(s) with a detailed explanation. 

15. Approximate Dates, The Error or Injustice Occurred, Discovered

Provide the approximate dates, the error or injustice occurred, and the date of discovery on their respective fields.

16. Is this request related to any of these wars or contingency operations? 

If this request was related to any of the listed wars or operations, select “Yes” and check the box/es which apply. If not, select “No”.

17. Do you wish to appear at your own expense before the board in Washington, D.C.?

If you wish to appear before the board in person, select “Yes (In person)”.

If you wish to appear before the board via video or telephone, select “Yes(via video or telephone)”.

If you do not wish to appear before the board, select “No. Consider my application based on records & evidence”.

18. Additional Remarks/Continuation of  Information

Enter any additional remarks or information on the space provided. If more space is needed, a separate sheet may be attached to this form.

Section 4: Evidence, records, and additional remarks

19. In support of this claim, the following documentary evidence is attached (List documents):

Enter the documents that you attached as evidence such as separation packet, medical documents, post-service documents, and/or investigations. 

If the fields are not enough, enter the additional supporting documents on the space provided.

Section 5: Claimant

This section must only be filled out if the one filing the form is not the service member.

20. Relation to Service Member

Select the appropriate boxes.

If the Service Member was deceased, select “deceased”.

If the Service Member was paralyzed or disabled in a way, select “incapacitated”.

If the reason for the inability of the Service Member to file the form himself is neither of the two choices, select “Other” and provide the reason on the space provided.

I am the heir of the Service Member:

Select your relationship to the service member (widow/er, son, daughter,parent, or sibling). If it is not listed on the choices, select “Other” and provide your relationship on the space provided.

I am the 

Select whether you are the conservator, guardian, or attorney-in-fact of the Service Member.

I am the

Select the appropriate choice (spouse, former spouse, or dependent of the Service Member).

21. Name

Last Name

Enter your last name.

First Name

Enter your first name.

Middle Name

Enter your middle name.

Suffix

Enter your suffix.

22. Mailing Address 

Street   

Enter the street of your mailing address.

City, State / APO/ Country or Foreign Address

Enter the City, State / APO/ Country or Foreign Address.

Email

Enter your email.

ZIP 

Enter your zip code.

Phone 

Enter your phone.

Section 6: Representative or Counsel

23. Name

Last Name

Enter your last name.

First Name

Enter your first name.

Middle Name

Enter your middle name.

Suffix

Enter your suffix.

24. Organization

Enter the organization you represent.

25. Mailing Address 

Street   

Enter the street of your mailing address.

City, State / APO/ Country or Foreign Address

Enter the City, State / APO/ Country or Foreign Address.

Email

Enter your email.

ZIP 

Enter your zip code.

Phone 

Enter your phone.

Section 7: Signature

26. I would like to receive all correspondence & documents electronically

If you wish to receive all correspondence & documents electronically, select “Yes”. If not, select “No”.

27a. Signature

Provide your signature.

27b. Date Signed

Enter the date the form was completed and signed.

Submission

Mail your completed applications to the appropriate address below:

Army

Army Review Boards Agency

251 18th Street South, Suite 385

Arlington, VA 22202-3531

Navy and Marine Corps

Board for Correction of Naval Records

701 S. Courthouse Rd, Suite 1001

Arlington, VA 22204-2490

Air Force

Air Force Board for Correction of Military Records

3351 Celmers Lane

Joint Base Andrews, MD 20762-6435

Coast Guard

DHS Office of the General Counsel

Board for Correction of Military Records, Stop 0485

2707 Martin Luther King Jr. Ave. S.E. Washington, DC 20528-0485

Tips:

If you find an error or injustice in the military personnel records, you should complete this form within 3 years after the error or injustice was discovered and send it to the appropriate service’s Board.