You need DD Form 137-5, and this page gives you the blank plus the steps for handling it. Start with what the form does: Dependency Statement - Incapacitated Child Over Age 21 ( Instructions ). Its official title is DD Form 137-5, Dependency Statement - Incapacitated Child Over Age 21.
Then look at the edition date: not stated, publisher status not stated. After that, ask whether the form covers your situation. It almost certainly does regardless of your branch — DD forms run Department-wide rather than through a single service.
Once you know the form fits, find out when you file it. not stated sets the requirement, and not stated maintains the form itself. Your own command or agency adds local timing on top of that, so ask your administrative office if the deadline matters to you.
Finally, decide how you will complete it. You can type into a fillable file or print a blank and write by hand, and the rest of this page walks you through both paths in order.
Start at the header. Complete your identification before anything else, then work through the main entries, then finish at the certification. Skipping around causes contradictions between the top of the form and the bottom.
Your first action is verification. Find the edition date on the form and match it against not stated. A mismatch means you are working from a superseded printing, and because DD forms change Department-wide rather than service by service, the office receiving it will notice.
If a particular field puzzles you, read the instructions printed on the form first, then go to not stated. When the two disagree, follow the directive.
Download the form
First, look at what you can download. The set covers PDF, the form runs 5 pages, and you will complete roughly 200 fields.
Whichever you pick, you pay nothing — every format here is a free download. One last tip: open your pdf in a desktop reader rather than in a browser tab, because browser viewers sometimes drop the interactive fields you need.
What the form asks for
- 1.Entitlements Requested. a. Type. Press space bar to mark X if B A H.
- Mark X if Travel Allowance.
- Mark X if U S I P card.
- 1.b. First application? X first box if yes, second box if no.
- If no, give date of last application. Four digit year, two digit month, two digit day.
- c. Last application was: X first box if approved, second box if disapproved.
- 2.Member information. a. Name (Last, First, Middle Initial).
- 2.b. DoD ID Number.
- 2.c. Rank.
- d. Status. X first box if active duty, second box if retired, third box if national guard, fourth box if reserve.
- X first box if Army, second box if Marine Corps, third box if Navy, fourth box if Air Force.
- Mark X if deceased.
- If deceased: Date of death (Four digit year, two digit month, two digit day).
- X if any other status or service.
- Specify other status.
- 2.e. Complete residence address (Street, apartment number, city, state and zip code).
- 2.f. Complete military address (include assignment, squadron and base).
- 2.g.(1) Work telephone number.
- (2) Home telephone number.
- 2.h. E-mail address.
- 2.i. Marital status. X first box if single, second box if married, third box if separated, fourth box if divorced, or fifth box if widowed.
- 3. Member's child. a. Name (last, first, middle initial).
- c. Date of birth. Four digit year, two digit month, two digit day.
- d. Relationship to member. X first box if legitimate child, second box if child born out of wedlock, third box if adopted child, or fourth box if stepchild.
With the form finished, route it to the office named in not stated or in your organization's own instruction. Keep a copy first. People rarely regret having one and frequently regret not having one.
Should you need a related form, look it up by its number. The DD sequence is Department-wide, which makes your search simple: no service qualifier, no branch-specific variant to track down.
Here is where people go wrong. They see a number in an instruction and download whichever form matches it. But DA and DD are separate systems — Army-specific in one case, Department-wide under not stated in the other — so check which series you were sent to before you take the file.
Come back and check the edition next time you need this form. Editions change when the prescribing directive is reissued, when the information collected changes, or when the required notice language is updated, and none of those events reaches you directly. Verifying not stated at the moment you download is the whole defence.
One thing this page does not do: tell you whether your submission will be accepted. We publish the document and explain how to complete it, and that is where our role ends. Nothing here is legal advice. Take questions about eligibility, applicability or procedure to not stated, to your servicing personnel office, or to the office named in not stated.
Questions and answers
- What is DD Form 137-5?
- DD Form 137-5, Dependency Statement - Incapacitated Child Over Age 21
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?