Start here if you have been told to submit DD Form 2493-1. First, know what you are filling: Asbestos Exposure Part I - Initial Medical Questionnaire. The document is titled DD Form 2493-1, Asbestos Exposure Part I - Initial Medical Questionnaire, 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.
Then settle the schedule. You are working under not stated, with not stated responsible for the document, and your organization layers its own deadlines on that. Ask before you assume a date.
Last in this stage, choose your method: complete it on screen, or print the blank form and fill it out in pen. The sections below take each route step by step.
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.
Check the edition before you type a word. The date appears on the face of the form; it should read not stated. When it does not, discard the file and take a fresh copy from this page. Department-level revisions replace the blank across all services simultaneously, which means an old printout can be out of step everywhere.
Fill every box as you come to it. If an item does not apply, enter N/A — an empty field looks like an oversight, and the form comes back to you. Watch the date fields especially: use the format the form specifies, not your habitual one.
Do not skip past the Privacy Act Statement. It is placed ahead of the personal data fields on purpose: it explains under what authority you are being asked, what happens to the information, and what follows if you decline. Take the minute it costs.
Sign only after every other entry is complete. Use ink on a printed copy, or a credentialed digital signature — CAC-based, in a reader that handles it — on an electronic one. A typed name satisfies neither method. Enter the date next to it before you close the file.
Then check your work against the usual failures: an obsolete edition, empty required boxes, handwriting nobody can read after scanning, wrong date format, missing signature or date.
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
Step one is picking the format. You have PDF to choose from, across 2 pages, with approximately 188 fields to complete.
You will not be charged for any of these; the whole set is free. Before you start entering data, save the file to your computer and open it there. Fields behave far more reliably in a desktop reader than in a browser preview.
What the form asks for
- Identification section. 1. Name (last, first, middle initial).
- 2. Social security number. Do not include dashes.
- 3. Clock number. Enter 5 digit number.
- 4. Present occupation.
- 5. Name of plant.
- 6. Street address of plant.
- 7. Plant city, state and zip code.
- 8. Telephone number, include area code.
- 9. Name of interviewer.
- 10. Date of interview (4 digit year, 2 digit month, 2 digit day).
- 11. Date of birth (4 digit year, 2 digit month, 2 digit day).
- 12. Place of birth
- 13. Sex. Press space bar to mark X in first box if male, second box if female.
- 14. Marital status. X first box if single, second box if married, third box if widowed, or fourth box if divorced/separated.
- 15. Race. X first box if white, second box if black, third box if Asian, fourth box if Hispanic, fifth box if Indian, or sixth box if other.
- 16. Highest grade completed in school.
- 17. Occupational history. a. In the past year, did you work full time (30 hours per week or more) for six months or more? X first box if yes, second box if no.
- b. If yeshave you ever worked for a year or more in any dusty job? X first box if yes, second box if no, third box if not applicable.
- (3) Dust exposure: X first box if mild, second box if moderate, third box if severe.
- c. Have you ever been exposed to gas or chemical funes in your work? X first box if yes, second box if no, third box if not applicable.
- If yes: (1) Specify job or industry.
- (2) Total years worked.
- If yes: (1) Specify job or industry.
- (2) Total years worked.
Now that it is complete, send it where not stated or your local procedure says it goes. Before you do, make yourself a copy — scan it or save the file elsewhere. It costs you nothing and saves you the whole exercise if the original goes missing.
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.
Do not archive this file and reuse it in a year. Forms are reissued as directives are revised, as data requirements shift, and as statutory notice text is amended. Your protection is simple: download fresh each time and confirm the edition date.
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 2493-1?
- DD Form 2493-1, Asbestos Exposure Part I - Initial Medical Questionnaire, 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?