SF 180 REQUEST PERTAINING TO MILITARY RECORDS

INSTRUCTION AND INFORMATION SHEET FOR SF 180, REQUEST PERTAINING TO MILITARY RECORDS

This form can be found in it's entirety at: https://www.benefits.va.gov/homeloans/documents/docs/standard_form_180.pdf The form fields below need to be filled out and submitted to move forward with your request.
REQUEST PERTAINING TO MILITARY RECORDS
SECTION I - INFORMATION NEEDED TO LOCATE RECORDS (Furnish as much information as possible
1. NAME USED DURING SERVICE
LAST/FIRST/FULL MIDDLE
2. SOCIAL SECURITY
3. DATE OF BIRTH

MonthDayYear
Date
4. PLACE OF BIRTH
5. SERVICE, PAST AND PRESENT (For an effective records search, it is important that ALL service be shown below

Rows	BRANCH OF SERVICE	DATE ENTERED	DATE RELEASED	OFFICER	ENLISTED	SERVICE NUMBER (If unknown, write “unknown”)
a.ACTIVE
b.RESERVE
C.STATE NATIONAL GUARD

6. IS THIS PERSON DECEASED?
IF DECEASED - MUST provide Date of Death

MonthDayYear
Date
7. DID THIS PERSON RETIRE FROM MILITARY SERVICE?
SECTION II – INFORMATION AND/OR DOCUMENTS REQUESTED
1. CHECK THE ITEM(S) YOU ARE REQUESTING
YEAR(S) IN WHICH FORM(S) ISSUED TO VETERAN
This form contains information normally needed to verify military service. A copy may be sent to the veteran, the deceased veteran’s next-of-kin, or other persons or organizations, if authorized in Section III, below. An UNDELETED DD214 is ordinarily required to determine eligibility for benefits. If you request a DELETED copy, the following items will be blacked out: authority for separation, reason for separation, reenlistment eligibility code, separation (SPD/SPN) code, and, for separations after June 30, 1979, character of separation and dates of time lost.
An UNDELETED copy will be sent UNLESS YOU SPECIFY A DELETED COPY by checking this box
Medical Records Includes Service Treatment Records, Health (outpatient) and Dental Records. IF HOSPITALIZED (inpatient) the FACILITY NAME and DATE (month and year) for EACH admission MUST be provided:
OTHER (Specify)
2. PURPOSE: Providing information about the purpose of the request is strictly voluntary; however, it may help to provide the best possible response and may result in a faster reply. Information provided will in no way be used to make a decision to deny the request
Explain here
SECTION III - RETURN ADDRESS AND SIGNATURE
1.REQUESTER NAME
2. I AM:
RELATIONSHIP TO DECEASED
OTHER
3. SEND INFORMATION/DOCUMENTS TO:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. AUTHORIZATION SIGNATURE: I declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that the information in this Section III is true and correct andthat I authorize the release of the requested information. (See items 2a or 3a on accompanying instruction sheet. Without the Authorization Signature of the veteran, next-of-kin of deceased veteran, veteran’s legal guardian, authorized government agent, or other authorized representative, only limited information can be released unless the request is archival. No signature is required if the request if for archival records. )
TODAYS DATE

MonthDayYear
Date
DAYTIME PHONE NUMBER
Please enter a valid phone number.Format: (000) 000-0000.
FAX NUMBER
Please enter a valid phone number.Format: (000) 000-0000.
EMAIL ADDRESS
example@example.com
This form can be found in it's entirety at:

https://www.benefits.va.gov/homeloans/documents/docs/standard_form_180.pdf

After submitted, this form will be reviewed by VMCO for accuracy, then forwarded to Request Pertaining to Military Records department.
Should be Empty:

INSTRUCTION AND INFORMATION SHEET FOR SF 180, REQUEST PERTAINING TO MILITARY RECORDS

REQUEST PERTAINING TO MILITARY RECORDS

SECTION I - INFORMATION NEEDED TO LOCATE RECORDS (Furnish as much information as possible

SECTION II – INFORMATION AND/OR DOCUMENTS REQUESTED

SECTION III - RETURN ADDRESS AND SIGNATURE