Form Information

For assistance see

FAQs and Downloading Instructions

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

FORM NUMBER:

DD2947

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

TITLE:

TRICARE Young Adult Application

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

EDITION DATE:

20121101

CANCELLATION DATE:

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

FORMATS:

PLEASE BE ADVISED:

PDF-Ext

No link under "FORMATS:" indicates no electronic format is available.

To obtain copies of forms, contact YOUR Military Service or Component Forms Manager

click here.

Cancelled forms are not available.

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

REMARKS:

The form will be posted on the TRICARE Management Activity web site as well as designated contractor

web sites for beneficiaries to either fill and print or print and fill as desired. The form will be available via

the Beneficiary Web Enrollment web site for beneficiaries to fill and submit their application

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

ISSUANCES:

32 CFR 199.26

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

SPONSOR / POC:

HA

SUB-SPONSOR:

TMA

NUMBER OF PAGES:

2

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

USERS*:

A N AF CG

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

PRESCRIBED OR ADOPTED?:

P

DISPOSITION:

S

SUBJECT GROUP:

6010

FORM CONTROLLED:

N

MANDATORY PRINT SPECIFICATIONS:

N

RCS:

IRCN:

OMB:

0720-0049

PRIVACY ACT IMPLICATIONS:

Y

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* 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.