| | Form Information |
| For assistance see | FAQs and Downloading Instructions |
| | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| | FORM NUMBER: | DD137-5 |
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| | TITLE: | DEPENDENCY STATEMENT - INCAPACITATED CHILD OVER AGE 21 |
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| EDITION DATE: | 20080101 | CANCELLATION DATE: |
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| AVAILABLE FILE FORMATS: | PLEASE NOTE: |
| Fillable Adobe: | PDF-Ext | If no hyperlink appears next to a format, the form is not available electronically. |
| Perform Pro: | To obtain hard copies of current forms not available in electronic format, please |
| Form Flow 2.0: | contact your own Military Service or DoD Component Forms Management |
| Form Flow 99: | Officer. Cancelled forms are not available in electronic formats. Click on link for |
| Other: | a list of Forms Management POCs. |
| | Forms Management POCs |
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| REMARKS: |
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| | ISSUANCES: | JTFR VOL 1, CH 10 |
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| | SPONSOR / POC: | DFAS | SUB-SPONSOR: | DFAS-CL/JJFMB |
| 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: | 7000 |
| | FORM CONTROLLED: | N |
| | MANDATORY PRINT SPECIFICATIONS: | N |
| | RCS: |
| | IRCN: |
| | OMB: | 0730-0014 |
| | 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. |