Form Information
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FORM NUMBER: DD2797

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TITLE: TRICARE SENIOR PRIME ENROLLMENT APPLICATION (Stocked & Issued by OASD(HA))

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EDITION DATE: 20001201 CANCELLATION DATE:

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AVAILABLE FILE FORMATS: PLEASE NOTE:
Fillable Adobe: PDF If no hyperlink appears next to a format, the form is not available
Perform Pro: electronically. To obtain hard copies of current forms not available in
Form Flow 2.0: electronic format, please contact your own Military Service or DoD
Form Flow 99: Component Forms Management Officer. Cancelled forms are not available
Other: in electronic formats. Click on link for a list of Forms Management POCs.

Forms Management POCs

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REMARKS: Stocked & issued by OASD(HA) -- SAMPLE copy available in nonfillable Adobe Acrobat.
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ISSUANCES: BAL BUDGET ACT '97, SEC 4015
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SPONSOR / POC: HA SUB-SPONSOR: TMA/HMSO
NUMBER OF PAGES: 5
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USERS*: A N AF MC
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PRESCRIBED OR ADOPTED?: P

DISPOSITION: S

FUNCTION CODE: 1341

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: Y

RCS:

IRCN:

OMB: 0720-0018

PRIVACY ACT IMPLICATIONS: Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.