DA Form 2569 Attorney of Record Designation for Civilian Counsel

DA Form 2569 Attorney of Record Designation for Civilian Counsel

What Is DA Form 2569?

This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 2023. The form, often mistakenly referred to as the DD Form 2569 Third Party Collection Program/Medical Services Account/Other Health Insurance, 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 DA.

FAQ

Q: What is DA Form 2569?
A: DA Form 2569 is a document used to designate an attorney of record for civilian counsel in civil cases.

Q: What is the purpose of DA Form 2569?
A: The purpose of DA Form 2569 is to formally designate an attorney of record for civilian counsel in civil cases.

Q: Who uses DA Form 2569?
A: DA Form 2569 is used by individuals who require civilian counsel in civil cases.

Q: Can I designate multiple attorneys of record on a single DA Form 2569?
A: Yes, you can designate multiple attorneys of record on a single DA Form 2569.

Q: Is DA Form 2569 specific to any branch of the military?
A: No, DA Form 2569 is specifically used by the Department of the Army.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 2569 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 2569 Attorney of Record Designation for Civilian Counsel

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  • DA Form 2569 Attorney of Record Designation for Civilian Counsel, Page 1
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