Uncharacterized Discharge Documentation Request Form
Uncharacterized Discharge Documentation Request Form
Your name
*
First Name
Last Name
Email address
*
example@example.com
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Approximate discharge date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Service branch
*
Please Select
Army
Navy
Air Force
Marine Corps
Coast Guard
Space Force
Other or unsure
Your relationship to the documentation request
*
I am requesting my own documentation
I am assisting someone else with their request
I am an authorized representative
Which documentation are you requesting?
*
Discharge characterization documentation
Discharge record copy
Information about the documentation request process
Other documentation
Preferred way to receive a response
*
Email
Phone
Reference or case number, if available
Additional request details (do not include sensitive or health information)
Submit Request
Should be Empty: