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Dd 93 page 2 Form: What You Should Know

Life Insurance (10K) and 100,000 survivor annuities if survivor qualifies for pension. This form is used in the field of Emergency Medical Assistance in the military. A) INTRODUCTION: This form may be used to designate beneficiaries during the emergency medical assistance (EMA) services provided by the Army, Navy, Marine Corps and Air Force medical departments. B) DEFINITIONS: 1. Emergency medical assistance service. EMS or EMA services for a soldier's death. 2. Death. Death of a service member with life-threatening injury, illness and/or psychological distress during an actual or threatened active-duty mission or an emergency medical, dental or health care evacuation mission on a ship, aircraft or aircraft carrier during operations in a hostile environment. 3. Emergency medical assistance. A medical service available to Soldiers, Soldiers' next of kin and/or survivors of deceased Soldiers. 4. Emergency medical dispatch. A service that is conducted as a part of a crisis response in which an emergency medical crew or equipment is deployed at the direction of the Medical Manager for immediate medical/dental care. The Military First Responder Team is an example of an MDR deployment. DD Form 93 Purpose of DD Form 93. The purpose of this form is to provide information to the service member's nearest next of kin concerning the effects of a covered injury and/or condition. F) METHOD OF FILING A DD FORM 93 1. The information may be sent electronically through a secure website to the mailing address provided by the service member's next of kin. 2. The form containing this information may be mailed to the mail address provided by the service member's next of kin. 3. The service member's nearest next of kin is the service member's spouse, child(men), parent, adult guardian, or next of kin, whether the service member is next of kin. G) RECORD OF ELIGIBILITY: H) DIAGNOSIS AND PHYSICAL EXAMINATION: I) REQUIRED DOCUMENTATION: The veteran and next of kin must submit a copy of the DD Form 93, to the Commander, United States Army Center of Military History that includes, a. Military orders, instructions or other official correspondence indicating the service member's death or an emergency medical assistance service in connection with the accident. b. The medical records of the injury. 2.

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