You have arrived looking for DD Form 2919. Before you download, confirm this is the right document: Reserve Income Replacement Program (RIRP) Eligibility Verification. Full title: DD Form 2919, Reserve Income Replacement Program (RIRP) Eligibility Verification, July 2006.
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.
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.
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
Begin by choosing a file. Available here: PDF. Plan for 3 pages and about 81 entries.
Take the pdf if you are unsure. Then check which kind you have: if the boxes highlight when you click them, you have a fillable pdf and can type straight into it, and your entries save with the file. If nothing highlights, you have a printable pdf — send it to a printer and use black ink.
Go with the typed route whenever the choice is yours. Consider what happens after you submit: the copy gets scanned, forwarded and filed, and each pass costs handwriting some legibility. Block letters help if you are stuck with a pen.
What the form asks for
- Part 1: Designated use. Press space bar to mark X in first box if initial application, second box if resubmission for changes to RIRP eligibility.
- 1. Member's name (last, first, middle).
- 2. Social Security number or employee ID number (Coast Guard). Do not include dashes.
- 3. Grade.
- 4. Contact telephone number. Include area code or DSN.
- 5. Organization (Permanent drilling unit UIC/Unit of assignment).
- 6. Service.
- 7. Email address.
- 8. Dates of involuntary active duty orders qualifying members for RIRP. (1) Current orders. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date (4 digit year, 2 digit month, 2 digit day).
- d. Involuntary order authority.
- e. Named contingency.
- 8. (2) Prior orders, line 1. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date.
- d. Involuntary order authority.
- e. Named contingency.
- 8. (3) Prior orders, line 2. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date.
- d. Involuntary order authority.
- e. Named contingency.
- 8. (4) Prior orders, line 3. b. Active duty start date (4 digit year, 2 digit month, 2 digit day).
- c. Active duty stop date.
- d. Involuntary order authority.
- e. Named contingency.
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.
Watch out for one trap here. If your instructions cite a DA form as well, do not assume the numbers are connected. DA numbering belongs to the Army alone; DD numbering belongs to the Department and is administered by not stated or another Department office. The same number in each system means two unrelated forms, so read the prefix before you download.
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.
Finally, understand the limits of what you have read. This page distributes a published Department of Defense form and describes how to fill it out. It does not give legal or procedural advice, and it cannot promise any outcome for your particular case. For that, contact not stated, your administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 2919?
- DD Form 2919, Reserve Income Replacement Program (RIRP) Eligibility Verification, July 2006
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?