Fillable Printable Sf 180 (11-15)
Fillable Printable Sf 180 (11-15)
Sf 180 (11-15)
INSTRUCTION AND INFORMATION SHEET FOR SF 180, REQUEST PERTAINING TO MILITARY RECORDS
1. General Information. The Standard Form 180, Request Pertaining to Military Records (SF180) is used to request information from military records.
Certain identifying information is necessary to determine the location of an individual's record of military service. Please try to answer each item on the SF
180. If you do not have and cannot obtain the information for an item, show "NA," meaning the information is "not available". Include as much of the
requested information as you can. Incomplete information may delay response time. To determine where to mail this request see Page 2 of the SF180 for
record locations and facility addresses.
Online requests may be submitted to the National Personnel Records Center (NPRC) by a veteran or deceased veteran’s next-of-kin using eVetRecs at
http://www.archives.gov/veterans/military-service-records/ .
2. Personnel Records/Military Human Resource Records/Official Military Personnel File (OMPF) and Medical Records/Service Treatment
Records (STR). Personnel records of military members who were discharged, retired, or died in service LESS THAN 62 YEARS AGO and medical
records are in the legal custody of the military service department and are administered in accordance with rules issued by the Department of Defense and
the Department of Homeland Security (DHS, Coast Guard). STRs of persons on active duty are generally kept at the local servicing clinic. After the last
day of active duty, STRs should be requested from the appropriate address on page 2 of the SF 180. (See item 3, Archival Records, if the military member
was discharged, retired or died in service more than 62 years ago.)
a. Release of information: Release of information is subject to restrictions imposed by the military services consistent with Department of Defense
regulations, the provisions of the Freedom of Information Act (FOIA) and the Privacy Act of 1974. The service member (either past or present) or
the member's legal guardian has access to almost any information contained in that member's own record. The authorization signature of the service
member or the member's legal guardian is needed in Section III of the SF180. Others requesting information from military personnel records and/or
STRs must have the release authorization in Section III of the SF 180 signed by the member or legal guardian. If the appropriate signature cannot be
obtained, only limited types of information can be provided. If the former member is deceased, the surviving next-of-kin may, under certain
circumstances, be entitled to greater access to a deceased veteran's records than a member of the general public. The next-of-kin may be any of the
following: unremarried surviving spouse, father, mother, son, daughter, sister, or brother. Requesters MUST provide proof of death, such as a
copy of a death certificate, newspaper article (obituary) or death notice, coroner’s report of death, funeral director’s signed statement of
death, or verdict of coroner’s jury.
b. Fees for records: There is no charge for most services provided to service members or next-of-kin of deceased veterans. A nominal fee is
charged for certain types of service. In most instances, service fees cannot be determined in advance. If your request involves a service fee, you will
receive an invoice with your records.
3. Archival Records. Personnel records of military members who were discharged, retired, or died in service 62 OR MORE YEARS AGO have been
transferred to the legal custody of NARA and are referred to as “archival records”.
a. Release of Information: Archival records are open to the public. The Privacy Act of 1974 does not apply to archival records, therefore, written
authorization from the veteran or next-of-kin is not required. In order to protect the privacy of the veteran, his/her family, and third parties named in
the records, the personal privacy exemption of the Freedom of Information Act (5 U.S.C. 552 (b) (6)) may still apply and may preclude the release
of some information.
b. Fees for Archival Records: Access to archival records are granted by offering copies of the records for a fee (44 U.S.C. 2116 (c)). If a fee applies
to the photocopies of documents in the requested record, you will receive an invoice. Photocopies will be sent after payment is made. For more
information see http://www.archives.gov/st-louis/archival-programs/military-personnel-archival/ompf-archival-requests.html.
4. Where reply may be sent. The reply may be sent to the service member or any other address designated by the service member or other authorized
requester. If the designated address is NOT registered to the addressee by the U.S. Postal Service (USPS), provide BOTH the addressee’s name AND “in
care of” (c/o) the name of the person to whom the address is registered on the NAME line in Section III, item 3, on page 1 of the SF 180. The COMPLETE
address must be provided, INCLUDING any apartment/suite/unit/lot/space/etc. number.
5. Definitions and abbreviations. DISCHARGED -- the individual has no current military status; SERVICE TREATMENT RECORD (STR) -- The
chronology of medical, mental health, and dental care received by service members during the course of their military career (does not include records of
treatment while hospitalized); TDRL – Temporary Disability Retired List.
6. Service completed before World War I. National Archives Trust Fund (NATF) forms must be used to request these records. Obtain the forms by e-
mail from [email protected] or write to the Code 6 address on page 2 of the SF 180.
PRIVACY ACT OF 1974 COMPLIANCE INFORMATION
The following information is provided in accordance with 5 U.S.C. 552a(e)(3) and applies to this form. Authority for collection of the information is 44
U.S.C. 2907, 3101, and 3103, and Public Law 104-134 (April 26, 1996), as amended in title 31, section 7701. Disclosure of the information is voluntary. If
the requested information is not provided, it may delay servicing your inquiry because the facility servicing the service member's record may not have all of
the information needed to locate it. The purpose of the information on this form is to assist the facility servicing the records (see the address list) in locating
the correct military service record(s) or information to answer your inquiry. This form is then retained as a record of disclosure. The form may also be
disclosed to Department of Defense components, the Department of Veterans Affairs, the Department of Homeland Security (DHS, U.S. Coast Guard), or
the National Archives and Records Administration when the original custodian of the military health and personnel records transfers all or part of those
records to that agency. If the service member was a member of the National Guard, the form may also be disclosed to the Adjutant General of the
appropriate state, District of Columbia, or Puerto Rico, where he or she served.
PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT
Public burden reporting for this collection of information is estimated to be five minutes per request, including time for reviewing instructions and
completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of the collection of information,
including suggestions for reducing this burden, to National Archives and Records Administration (ISSD), 8601 Adelphi Road, College Park, MD 20740-
6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. SEND COMPLETED FORMS TO THE APPROPRIATE ADDRESS LISTED ON
PAGE 2 OF THE SF 180.
Standard Form 180 (Rev. 11/2015) (Page 1) Authorized for local reproduction
Prescribed by NARA (36 CFR 1233.18 (d)) Previous edition unusable OMB No. 3095-0029 Expires 04/30/2018
REQUEST PERTAINING TO MILITARY RECORDS
Requests from veterans or deceased veteran’s next-of-kin may be submitted online by using eVetRecs at http://www.archives.gov/veterans/military-service-records/
To ensure the best possible service, please thoroughly review the accompanying instructions before filling out this form. PLEASE PRINT LEGIBLY OR TYPE BELOW.
SECTION I - INFORMATION NEEDED TO LOCATE RECORDS (Furnish as much information as possible.)
1. NAME USED DURING SERVICE (last, first, full middle)
2. SOCIAL SECURITY #
3. DATE OF BIRTH
4. PLACE OF BIRTH
5. SERVICE, PAST AND PRESENT (For an effective records search, it is important that ALL service be shown below.)
BRANCH OF SERVICE
DATE
ENTERED
DATE
RELEASED
OFFICER
ENLISTED
SERVICE NUMBER
(If unknown, write “unknown”)
a. ACTIVE
b. RESERVE
c. STATE
NATIONAL
GUARD
6. IS THIS PERSON DECEASED?
NO YES -
MUST provide Date of Death if veteran is deceased:
7. DID THIS PERSON RETIRE FROM MILITARY SERVICE?
NO YES
SECTION II – INFORMATION AND/OR DOCUMENTS REQUESTED
1. CHECK THE ITEM(S) YOU ARE REQUESTING:
DD Form 214 or equivalent. Year(s) in which form(s) issued to veteran:
This form contains information normally needed to verify military service. A copy may be sent to the veteran, the deceased veteran’s next-of-kin, or other
persons or organizations, if authorized in Section III, below. An UNDELETED DD214 is ordinarily required to determine eligibility for benefits. If you
request a DELETED copy, the following items will be blacked out: authority for separation, reason for separation, reenlistment eligibility code, separation
(SPD/SPN) code, and, for separations after June 30, 1979, character of separation and dates of time lost.
An UNDELETED copy will be sent UNLESS YOU SPECIFY A DELETED COPY by checking this box: I want a DELETED copy.
Medical Records Includes Service Treatment Records, Health (outpatient) and Dental Records. IF HOSPITALIZED (inpatient) the FACILITY NAME and
DATE (month and year) for EACH admission MUST be provided:
Other (Specify):
2. PURPOSE: (Providing information about the purpose of the request is strictly voluntary; however, it may help to provide the best possible response and may
result in a faster reply. Information provided will in no way be used to make a decision to deny the request.)
Benefits (explain)
Employment
VA Loan Programs
Medical
Genealogy
Correction
Personal
Other (explain)
EExplain here:
SECTION III - RETURN ADDRESS AND SIGNATURE
1. REQUESTER NAME:
2.
I am the MILITARY SERVICE MEMBER OR VETERAN identified in Section
I, above.
I am the VETERAN’S LEGAL GUARDIAN (MUST submit copy of Court
Appointment) or AUTHORIZED REPRESENTATIVE (MUST submit copy of
Authorization Letter or Power of Attorney)
I am the DECEASED VETERAN’S NEXT-OF-KIN (MUST submit Proof of
Death. See item 2a on instruction sheet.)
OTHER
(Relationship to deceased veteran)
(Specify type of Other)
3. SEND INFORMATION/DOCUMENTS TO:
(Please print or type. See item 4 on accompanying instructions.)
4. AUTHORIZATION SIGNATURE: I declare (or certify, verify, or
state) under penalty of perjury under the laws of the United States of
America that the information in this Section III is true and correct and
that I authorize the release of the requested information. (See items 2a or
3a on accompanying instruction sheet. Without the Authorization Signature
of the veteran, next-of-kin of deceased veteran, veteran’s legal guardian,
authorized government agent, or other authorized representative, only
limited information can be released unless the request is archival. No
signature is required if the request if for archival records. )
Name
Street Apt.
______________________________________________________________
City State Zip Code
*
This form is available at http://www.archives.gov/veterans/military-service-
records/standard-form-180.html on the National Archives and
Records Administration (NARA) web site. *
Signature Required - Do not print Date
Daytime phone
Fax Number
Email address
-
-
-
-
Standard Form 180 (Rev. 11/2015) (Page 2) Authorized for local reproduction
Prescribed by NARA (36 CFR 1233.18 (d)) Previous edition unusable OMB No. 3095-0029 Expires 04/30/2018
LOCATION OF MILITARY RECORDS
The various categories of military service records are described in the chart below. For each category there is a code number which indicates the address at the bottom of the
page to which this request should be sent. Please refer to the Instruction and Information Sheet accompanying this form as needed.
BRANCH
CURRENT STATUS OF SERVICE MEMBER
ADDRESS CODE
Personnel
Record
Medical or Service
Treatment Record
AIR
FORCE
Discharged, deceased, or retired before 5/1/1994
14
14
Discharged, deceased, or retired 5/1/1994 – 9/30/2004
14
11
Discharged, deceased, or retired 10/1/2004 – 12/31/2013
1
11
Discharged, deceased, or retired on or after 1/1/2014
1
13
Active (including National Guard on active duty in the Air Force), TDRL, or general officers retired with pay
1
Reserve, IRR, Retired Reserve in non-pay status, current National Guard officers not on active duty in the Air Force, or National Guard
released from active duty in the Air Force
2
Current National Guard enlisted not on active duty in the Air Force
2
13
COAST
GUARD
Discharge , deceased, or retired before 1/1/1898
6
Discharged, deceased, or retired 1/1/1898 – 3/31/1998
14
14
Discharged, deceased, or retired 4/1/1998 – 9/30/2006
14
11
Discharged, deceased, or retired 10/1/2006 – 9/30/2013
3
11
Discharged, deceased, or retired on or after 10/1/2013
3
14
Active, Reserve, Individual Ready Reserve or TDRL
3
MARINE
CORPS
Discharged, deceased, or retired before 1/1/1895
6
Discharged, deceased, or retired 1/1/1905 – 4/30/1994
14
14
Discharged, deceased, or retired 5/1/1994 – 12/31/1998
14
11
Discharged, deceased, or retired 1/1/1999 - 12/31/2013
4
11
Discharged, deceased, or retired on or after 1/1/2014
4
8
Individual Ready Reserve
5
Active, Selected Marine Corps Reserve, TDRL
4
ARMY
Discharged, deceased, or retired before 11/1/1912 (enlisted) or before 7/1/1917 (officer)
6
Discharged, deceased, or retired 11/1/1912 – 10/15/1992 (enlisted) or 7/1/1917 – 10/15/1992 (officer)
14
Discharged, deceased, or retired 10/16/1992 – 9/30/2002
14
11
Discharged, deceased, or retired (including TDRL) 10/1/2002 – 12/31/2013
7
11
Discharged, deceased, or retired (including TDRL) on or after 1/1/2014
7
9
Current Soldier (Active, Reserve (including Individual Ready Reserve) or National Guard)
7
NAVY
Discharged, deceased, or retired before 1/1/1886 (enlisted) or before 1/1/1903 (officer)
6
Discharged, deceased, or retired 1/1/1886 – 1/30/1994 (enlisted) or 1/1/1903 – 1/30/1994 (officer)
14
14
Discharged, deceased, or retired 1/31/1994 – 12/31/1994
14
11
Discharged, deceased, or retired 1/1/1995 – 12/31/2013
10
11
Discharged, deceased, or retired on or after 1/1/2014
10
8
Active, Reserve, or TDRL
10
PHS
Public Health Service - Commissioned Corps officers only
12
ADDRESS LIST OF CUSTODIANS and SELF-SERVICE WEBSITES (BY CODE NUMBERS SHOWN ABOVE) – Where to write/send this form
1
Air Force Personnel Center
HQ AFPC/DPSIRP
550 C Street West, Suite 19
Randolph AFB, TX 78150-4721
6
National Archives & Records Administration
Research Services (RDT1R)
700 Pennsylvania Avenue NW
Washington, DC 20408-0001
11
Department of Veterans Affairs
Records Management Center
ATTN: Release of Information
P.O. Box 5020
St. Louis, MO 63115-5020
2
Air Reserve Personnel Center
Records Management Branch (DPTSC)
18420 E. Silver Creek Avenue
Building 390 MS 68
Buckley AFB, CO 80011
7
US Army Human Resources Command’s web page:
https://www.hrc.army.mil/TAGD/Accessing%20or%20
Requesting%20Your%20Official%20Military%20Pers
onnel%20File%20Documents
or 1-888-ARMYHRC (1-888-276-9472)
12
Division of Commissioned Corps Officer Support
ATTN: Records Officer
1101 Wooton Parkway, Plaza Level, Suite 100
Rockville, MD 20852
3
Commander, Personnel Service Center
(BOPS-C-MR) MS7200
US Coast Guard
2703 Martin Luther King Jr Ave SE
Washington, DC 20593-7200
MR_CustomerServ[email protected]
8
Navy Medicine Records Activity (NMRA)
BUMED Detachment St. Louis
4300 Goodfellow Boulevard, Building 103
St. Louis, MO 63120
13
AF STR Processing Center
ATTN: Release of Information
3370 Nacogdoches Road, Suite 116
San Antonio, TX 78217
14
National Personnel Records Center
(Military Personnel Records)
1 Archives Drive
St. Louis, MO 63138-1002
eVetRecs:
http://www.archives.gov/veterans/military-service-records/
4
Headquarters U.S. Marine Corps
Manpower Management Records & Performance
(MMRP-10)
2008 Elliot Road
Quantico, VA 22134-5030
9
AMEDD Record Processing Center
3370 Nacogdoches Road, Suite 116
San Antonio, TX 78217
5
Marine Forces Reserve
2000 Opelousas Avenue
New Orleans, LA 70146-5400
10
Navy Personnel Command (PERS-313)
5720 Integrity Drive
Millington, TN 38055-3120
