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This version of the form is not currently in use and is provided for reference only. Download this version of
DD Form 3043-3
for the current year.
DD Form 3043-3 TRICARE Select Enrollment, Disenrollment, and Change Form (Overseas)
What Is DD Form 3043-3?
This is a form that was released by the U.S. Department of Defense (DoD) on October 1, 2018. The form, often mistakenly referred to as the DA Form 3043-3 , is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.
FAQ
Q: What is the DD Form 3043-3?
A: The DD Form 3043-3 is the TRICARE Select Enrollment, Disenrollment, and Change Form for Overseas.
Q: What is TRICARE Select?
A: TRICARE Select is a health insurance program for active dutyservice members, their families, and retirees. It provides comprehensive coverage for medical services.
Q: What is the purpose of the DD Form 3043-3?
A: The purpose of the DD Form 3043-3 is to enroll, disenroll, or make changes to TRICARE Select coverage for individuals residing overseas.
Q: Who can use the DD Form 3043-3?
A: The DD Form 3043-3 is for individuals who are eligible for TRICARE Select coverage and are residing overseas.
Q: What changes can be made using the DD Form 3043-3?
A: The DD Form 3043-3 can be used to make changes such as adding or removing family members, updating contact information, or changing the primary care manager.
Form Details:
- A 4-page document available for download in PDF;
- The latest version available from the Executive Services Directorate;
- Editable, printable, and free to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DD Form 3043-3 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.
Download DD Form 3043-3 TRICARE Select Enrollment, Disenrollment, and Change Form (Overseas)
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