PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DD Form 2876-3
for the current year.
DD Form 2876-3 TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (Overseas)
What Is DD Form 2876-3?
This is a form that was released by the U.S. Department of Defense (DoD) on July 1, 2016. The form, often mistakenly referred to as the DA Form 2876-3 , 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 DD Form 2876-3?
A: DD Form 2876-3 is the TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (Overseas).
Q: What is the purpose of DD Form 2876-3?
A: The purpose of DD Form 2876-3 is to facilitate enrollment, disenrollment, and changes to Primary Care Manager (PCM) for TRICARE Prime beneficiaries stationed overseas.
Q: Who can use DD Form 2876-3?
A: TRICARE Prime beneficiaries stationed overseas can use DD Form 2876-3.
Q: Is DD Form 2876-3 specific to overseas beneficiaries only?
A: Yes, DD Form 2876-3 is specific to TRICARE Prime beneficiaries stationed overseas.
Form Details:
- A 5-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 2876-3 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.
Download DD Form 2876-3 TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (Overseas)
1
2
3
4
5
