Dd Form 2790 - Custodianship Certificate To Support Claim On Behalf Of Minor Children Of Deceased Members Of The Armed Forces Page 2

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INSTRUCTIONS FOR COMPLETING DD FORM 2790
Item 1. Enter deceased military member’s name. Continue to item 2.
Item 2. Enter social security number of the deceased military member. Continue to Item 3.
Item 3. Enter the name, social security number, date of birth, and relationship of each eligible child(ren). Continue
to item 4.
Item 4. The Custodian enters their relationship to each of the above child(ren). Continue to Item 5.
Item 5. Place an “X” in each applicable statement. Continue to Item 5a.
Items 5a,5b,5c,5d. Print name of Custodian, Signature of Custodian, date signed, street address, city, state and zip
code. Continue to item 6.
Item 6. Place any remarks if applicable.
MAR 2017

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