Form SF 180

Check all that apply

Check all that apply.

This form contains information used to verify military service.

An UNDELETED DD Form 214 is ordinarily required to determine eligibility for benefits. If you request a DELETED copy, the following items will be blacked out: authority for separation, reason for separation, reenlistment eligibility code, separation (SPD/SPN) code, and, for separations after June 30, 1979, character of separation and dates of time lost.

The OMPF may include duty stations and assignments, training and qualifications, awards and decorations received, disciplinary actions, administrative remarks, enlistment and/or discharge information (including DD Form 214, Report of Separation, or equivalent), and other personnel actions. Detailed information about the veteran's participation in battles and their military engagements is NOT contained in the record.

 Includes health (outpatient), extended ambulatory, and dental records.

Check this box if ONLY dental records are needed from the Veteran's medical records.

If available, you may receive copies of inpatient narrative summaries, operative reports, discharge summaries, etc. contained in the record.

Legal Guardians must include a copy of a Court Appointment
Authorized Representatives must include a copy of an Authorization Letter or Power of Attorney
Deceased Veterans' next-of-kin must include proof of death, such as: DD Form 1300, Casualty Report, a copy of a death certificate, newspaper article (obituary) or death notice, coroner’s report of death, funeral director’s signed statement of death, or verdict of coroner’s jury.

The table on page 3 of the printed form is used to locate the correct National Personnel Records Center address. If you FAX this request, you must still mail the original, signed, and dated copy to the National Personnel Records Center.