You have arrived looking for DD Form 2852. Before you download, confirm this is the right document: Patient Movement Event/Near Miss Report. Full title: DD Form 2852, Patient Movement Event/Near Miss Report, February 2011.
Next, check the edition. You want not stated, currently carried as not stated by the publisher. Then confirm the form applies to you — this is a Department of Defense form, so you use it whether you serve in the Army, Navy, Air Force, Marine Corps, Space Force or Coast Guard under Defense jurisdiction.
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.
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.
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.
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
Step one is picking the format. You have PDF to choose from, across 2 pages, with approximately 118 fields to complete.
Choose pdf as your default. Next, click inside a box. A fillable pdf responds by outlining the field and letting you type; the text stays in the document when you save it. A printable pdf does not respond, which tells you to print the page and complete it by hand.
Type when you can. Printed entries stay legible after the form is scanned, copied and forwarded, and handwriting often does not survive that trip. If you must write by hand, use block capitals and press firmly.
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
- Section I - Person completing form. 1.a. Last name.
- b. First name.
- c. Middle initial.
- d. Grade.
- e. Unit of assignment.
- f. Telephone number (include area code).
- g. Email address.
- h. Signature.
- i. Witnesses to event. (1) Name and grade, line 1.
- (2) Unit of assignment or address.
- (3) Telephone number.
- (4) Email address.
- (1) Name and grade, line 2.
- (2) Unit of assignment or address.
- (3) Telephone number.
- (4) Email address.
- j. PMQ-R generated log number (for PM safety manager).
- Section II - General information. 2. Date (4 digit year, 2 digit month, 2 digit day) and time (Z) of event.
- 3. Location of event. a. MTF.
- b. ASF or ASTS.
- c. Other R O N.
- d. En route holding area.
- e. Ground transport.
- f. Aircraft on ground.
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.
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.
Plan to repeat this step whenever the form comes up again. Revisions follow directive changes, changes in what data is collected, and updates to notice language. Since nobody notifies you, check not stated at download and you have covered it.
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 2852?
- DD Form 2852, Patient Movement Event/Near Miss Report, February 2011
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?