BENEFICIARIES

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Beneficiary Forms


Find all the forms you need to take care of your TRICARE business.

 

TRICARE Prime Enrollment Form
Third Party Liability Form (DD2527)
Authorization to Disclose Information

Appointment of Representative

Beneficiary Claim Form (DD2642)
Other Health Insurance Questionnaire (Please note: As a myTRICARE.com member, you can update OHI online. Just Sign-In!)

 

Some of these forms are in Adobe Acrobat PDF format. To view or print, you will need the Adobe Acrobat Reader.



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