You have arrived looking for DD Form 2526. Before you download, confirm this is the right document: Case Abstract for Malpractice Claims. Full title: DD 2526, Case Abstract for Malpractice Claims, February 2000.
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.
After that, turn to timing. The requirement comes from not stated; the form is maintained by not stated. Local implementing instructions fill in the dates, so check with the office that will receive your copy.
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.
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.
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 Old copies circulate in shared drives for years, and a DD form is revised centrally for every service at once, so a superseded blank may not carry the fields your reviewer expects.
Work through the fields one at a time and leave nothing blank. When a box does not apply to you, write N/A rather than skipping it, so the reviewer can see you read the question. Follow the date format printed beside each date field instead of the one you normally use.
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.
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.
For questions about a specific entry, check the form's own instructions, and if that does not settle it, open not stated. The directive controls where they differ.
Download the form
Begin by choosing a file. Available here: PDF. Plan for 4 pages and about 182 entries.
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
- Press this Reset button to clear the data from all fields.
- 2. Claimant last name.
- 3. Type of report. Press space bar to mark X in first box if initial, second box if correction or addition, third box if revision to action, or fourth box if void previous report.
- b. Ending date.
- 4. Date(s) of act(s) or omission(s) (4 digit year, 2 digit month, 2 digit day). a. Beginning date.
- 1. Date of report (4 digit year, 2 digit month, 2 digit day, no dividers).1. Date of report (4 digit year, 2 digit month, 2 digit day, no dividers).
- 5. Date claim filed (4 digit year, 2 digit month, 2 digit day, no dividers).1. Date of report (4 digit year, 2 digit month, 2 digit day.
- 6. Date of judgment or settlement (4 digit year, 2 digit month, 2 digit day.
- 7. Medical treatment facility. a. Name.
- b. DMIS code.
- 8. Practitioner information. a. Name (last, first, middle).
- b. Social security number. Do not include dashes.
- c. Date of birth (4 digit year, 2 digit month, 2 digit day).
- d. Name of professional school attended.
- e. Date graduated (4 digit year, 2 digit month, 2 digit day).
- f. Specialty code.
- g. Status. X first box if Army, second box if Navy, third box if Air Force, fourth box if PHS, fifth box if civilian GS, sixth box if partnership internal, seventh box if partnership external, eighth box if personnel services contract, or ninth box if non-personnel services contract.
- h. Source of accession. (1) Military. X if volunteer.
- X if Armed Forces Health Professional scholarship program.
- X if Uniformed Services University of Health Sciences.
- X if National Guard.
- X if Reserve.
- X if other.
- (2) Civilian. X if Civil Service.
Submit the completed form through the channel not stated or your local guidance specifies. Save a copy for yourself before it leaves your hands, whether that means a scan, a photograph or a duplicate file.
If the form points you to another document, you can find it by number alone. DD numbering runs across the whole Department, so you do not need to work out which service issued it — one number, one form, everywhere.
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.
Before you go, note what is not covered here. You have the blank form and instructions for completing it; you do not have legal guidance, and no statement on this page determines what any office will do with your submission. Direct those questions to not stated, to the personnel office that serves you, or to the office designated in not stated.
Questions and answers
- What is DD Form 2526?
- DD 2526, Case Abstract for Malpractice Claims, February 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?