{ const mode = $event.detail.mode || 'hosted'; const storage = $event.detail.storage ? ' + storage' : ''; window.fathom?.trackEvent('Intake Submit ' + mode + storage); })()"
@intake-payment-ready.window="window.dd214Checkout?.boot($event.detail.clientSecret, $event.detail.amountCents, { scroll: true })"
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Who is this DD214 for?
Start your request
DD214 Request Form
You can leave at any point β we'll save your progress.
Step 1 of 5
The basics
SSL-encrypted
Auto-saves
Real US humans
Let's start with the basics.
A few quick details so we know whose record we're looking up.
Myself
I am the veteran requesting my own DD214.
A family member who has passed away
I am next-of-kin requesting on their behalf.
Why SSN last 4, not full?
NPRC matches records by name + DOB + last 4 of SSN. We never collect the full number on this site β your secure signing partner handles it later, off our servers.
Encrypted & private
SSL on every page. We never sell, share, or send your info to anyone except NPRC.
πΎ We auto-save your progress. Step away any time.
π SSL-encrypted. We never store your full Social Security Number on this site. No information shared with third parties.