| | Form Information |
| For assistance see | FAQs and Downloading Instructions |
| | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| | FORM NUMBER: | DD214WS |
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| | TITLE: | CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY (WORKSHEET) |
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| EDITION DATE: | 20090801 | CANCELLATION DATE: |
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| AVAILABLE FILE FORMATS: | PLEASE NOTE: |
| Fillable Adobe: | 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. Click on link for a list of Forms |
| Other: | Management POCs. |
| | Forms Management POCs |
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| REMARKS: |
| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| | ISSUANCES: | DODI 1336.01 |
| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| | SPONSOR / POC: | P&R | SUB-SPONSOR: | FMP(MPP)(OEPM) |
| NUMBER OF PAGES: | 1 |
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| | USERS*: | A N MC AF CG VA |
| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| | PRESCRIBED OR ADOPTED?: | P |
| | DISPOSITION: | S |
| | FUNCTION CODE: | 1336 |
| | FORM CONTROLLED: | Y |
| | MANDATORY PRINT SPECIFICATIONS: | Y |
| | RCS: |
| | IRCN: |
| | OMB: |
| | PRIVACY ACT IMPLICATIONS: | N |
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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. |