You need DD Form 2217, and this page gives you the blank plus the steps for handling it. Start with what the form does: Biological Audiometer Calibration Check. Its official title is DD Form 2217, Biological Audiometer Calibration Check, January 2000.
Your second step is the edition, not stated, listed as not stated. Your third is scope. Because the number carries a DD prefix, you use the same blank as every other military department and defense agency; no service-specific version exists for you to hunt down.
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.
Before you download, pick your approach — editable file or printed page. What follows covers the formats first, then the entries, then what you do afterward.
Now fill it in. Work from the top of the page downward, and do not jump ahead — the identifying block comes first, the substance of your entry second, the certification last. Later boxes often depend on what you put at the top.
Before your first entry, look at the corner of the page and compare the printed date with not stated. If they do not match, stop and download again. Old copies circulate in shared drives for years, and a DD form is revised centrally for every service at once, so a superseded blank may not carry the fields your reviewer expects.
Take the fields in order and answer all of them. Mark inapplicable items N/A instead of leaving white space. When you reach a date, copy the format shown on the form, since a reviewer reading a different convention may misread your entry entirely.
Stop at the Privacy Act Statement and read it through. You will find the authority for the collection, the principal purpose, the routine uses, and whether disclosure is voluntary or mandatory. Read it now, while you still have the choice of what to disclose.
Finish with the certification. Print the form and sign in ink, or apply a digital signature with your CAC if the receiving office accepts one. Do not type your name in the signature box and consider it done; that is a name, not a signature. Date the block immediately after signing.
Review before you submit. Look for a superseded edition, blank mandatory fields, illegible writing, dates in the wrong format, and an unsigned or undated certification.
Look up an unclear item on the form face before anywhere else, then in not stated. Should the two texts conflict, the directive is the one you follow.
Download the form
Begin by choosing a file. Available here: PDF. Plan for 2 pages and about 200 entries.
Download the pdf first. After it opens, test a field with your cursor. Fillable means you type, tab to the next box, and save your work inside the file. Printable means the page is a flat blank, so print it and write your answers in ink.
Prefer typing over writing. Your form will likely be scanned and emailed onward, and typed text reproduces at every stage while pen strokes fade or blur. When you do write, print in capitals so the receiving clerk can read it.
What the form asks for
- 1. Audiometer. a. Manufacturer.
- b. Model.
- c. Serial number.
- d. Last electroacoustic calibration date (4 digit year, 2 digit month, 2 digit day, no dividers).
- 2. Listener. a. Name (last, first, middle initial).
- b. Facility.
- c. Location.
- 4. Hearing threshold levels of test frequencies. a. Baseline. (1) Left earphone. 500 Hz.(2) Right earphone. 500 Hz.
- 1000 Hz.
- 2000 Hz.
- 3000 Hz.
- 4000 Hz.
- 6000 Hz.
- 3. Dates and data review. Baseline. a. Date (4 digit year, 2 digit month, 2 digit day).
- b. Name of examiner (last, first, middle initial).
- c. Calibration check. Press space bar to mark X in first box if pass (plus or minus 5 dB of baseline) or second box if fail (greater than plus or minus 5 dB of baseline).
- 4. Hearing threshold levels of test frequencies. a. Baseline. Enter hearing threshold levels in increments of 5 decibels. (1) Left earphone. 500 Hz.
- 1000 Hz.
- 2000 Hz.
- 3000 Hz.
- 4000 Hz.
- 6000 Hz.
- Periodic biological calibration checks. a. Date, line 1.
- b. Name of examiner.
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.
When DD Form 2217 references another form, search on the series and number. Because DD numbers are common to every military department, the number by itself identifies exactly one document.
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 2217?
- DD Form 2217, Biological Audiometer Calibration Check, January 2000
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?