DD-214 Request Form

DD-214 Request Application

Secure form • 256-bit SSL encrypted • Privacy Act protected

Veteran Info

Service Info

Request & Delivery

Review & Submit

Step 1: Veteran Information

Enter the veteran's personal information exactly as it appears on official military records.

Privacy Notice: Information is collected solely to process your military records request under 5 U.S.C. 552a (Privacy Act). Providing your SSN is voluntary but will significantly speed up locating your record.

Last Name *

This field is required.

First Name *

This field is required.

Middle Name

Suffix

Date of Birth *

This field is required.

Place of Birth

Social Security Number *

Your SSN is used to locate your military record at the records center.

Please enter your Social Security Number.

Your Relationship to Veteran *

Please select your relationship.

Step 2: Military Service Information

Provide details about the veteran's military service. Approximate dates are acceptable if exact dates are unknown.

Branch of Service *

Please select a branch.

Service Component

Enlisted or Officer

Date Entered Active Duty *

This field is required.

Date of Discharge / Separation *

This field is required.

Grade / Rank at Discharge

Last Unit of Assignment

Character of Discharge (if known)

Note: If the veteran served before 1973, records may have been affected by the 1973 NPRC fire. Additional documentation may be requested to reconstruct your record. Our team is experienced in handling these cases.

Step 3: Request Details & Delivery

Tell us what documents you need and where to send them.

Purpose of Request *

Please select a purpose.

Describe Your Purpose *

Documents Requested *

DD-214 (Certificate of Release or Discharge from Armed Forces) Medical Records Dental Records Awards & Decorations Documentation Complete Service Record

Please select at least one document type.

Copy Type Requested

Member 4 Copy — standard, shows character of discharge Member 1 Copy — omits discharge character (suitable for public use) Certified Copy — raised seal, may require additional processing time

Mailing Address for Records

Street Address *

This field is required.

Address Line 2

City *

This field is required.

State *

Required.

ZIP Code *

This field is required.

Email Address

Daytime Phone Number

Step 4: Review & Submit

Please review your information carefully, then complete payment to submit your request.

Payment Information

One-time processing fee — no recurring charges

$150.00

VISA MC AMEX DISC 🔒 256-bit SSL

DD-214 Request Processing$125.00

Handling & Submission Fee$25.00

Total Due Today$150.00

🔒 Your payment is secured with 256-bit SSL encryption. We do not store your full card number. A receipt will be emailed upon successful payment.

DD-214 Request Application

Step 1: Veteran Information

Step 2: Military Service Information

Step 3: Request Details & Delivery

Mailing Address for Records

Step 4: Review & Submit

Payment Information

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