Form Information
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FORM NUMBER:
DD1369

TITLE:
APPLICATION FOR ENROLLMENT ON THE MEDAL OF HONOR ROLL

AND FOR THE PENSION AUTHORIZATION BY THE ACT OF CONGRESS

APPROVED AUGUST 14, 1961

EDITION DATE:
20000101

CANCELLATION DATE:
20140507

FORMATS:
PLEASE BE ADVISED:

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:
5/7/2014 - Public Law 113-66 (National Defense Authorization Act for

FY14), signed December 26, 2013, section 1134a, supersedes the

requirement that living Medal of Honor recipients apply for enrollment on

the Medal of Honor Roll or request the special monthly pension using DD

Form 1369. DD Form 1369 is cancelled.

ISSUANCES:
DOD 1348.33-M

SPONSOR / POC:
P&R

SUB-SPONSOR:
FMP(MPP)(OEPM)

NUMBER OF PAGES:
1

USERS*:
A N AF MC

PRESCRIBED OR ADOPTED?:
P

DISPOSITION:
S

SUBJECT GROUP:
1348

FORM CONTROLLED:
N

MANDATORY PRINT SPECIFICATIONS:
N

RCS:

IRCN:

OMB:

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

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