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The DD Form 369 serves as a crucial tool within the United States military recruitment process, specifically designed to facilitate the evaluation of applicants' backgrounds. When a prospective recruit submits this form, they are initiating a police record check that aims to identify any discreditable history that may pose concerns regarding their eligibility for military service. The form requires detailed personal information, including the applicant's name, sex, date and place of birth, and social security number, along with their current address and residency timeline. Additionally, applicants share their ethnic and racial categories, which aids in ensuring diverse recruitment practices. The information provided is utilized not only for exhaustive background checks but also to comply with federal mandates and to uphold the integrity of the Armed Forces. Importantly, both the applicant and the recruiting officer contribute to the completion of this form, ensuring accurate information transfer. Section II of the form emphasizes the privacy of the data collected, underscoring the necessity for consent prior to accessing any police records. Finally, law enforcement agencies are tasked with verifying the applicant’s background, thereby reinforcing the significance of this form in maintaining the standards of service within the military.

Dd 369 Example

POLICE RECORD CHECK

1. DATE OF REQUEST

OMB No. 0704-0007

(YYYYMMDD)

OMB approval expires

 

 

March 31, 2021

The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.

SECTION I - (To be completed by Recruiting Service)

2.

NAME OF APPLICANT (Last, First, Middle Name(s), Alias)

 

3. SEX

4. PLACE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

MALE

a. CITY

 

 

 

 

b. COUNTY

 

c. STATE

 

 

 

 

 

 

 

 

 

FEMALE

 

 

 

 

 

 

 

 

 

5.

DATE OF BIRTH

6.a. ETHNIC CATEGORY

 

b. RACIAL CATEGORY (X one or more)

 

7.

SOCIAL SECURITY

 

(YYYYMMDD)

 

 

 

 

 

(1) AMERICAN INDIAN/ALASKA NATIVE

 

 

(4) NATIVE HAWAIIAN OR

NUMBER

 

 

(1) HISPANIC OR LATINO

 

 

 

 

 

 

 

 

 

 

(2) ASIAN

 

 

 

 

 

OTHER PACIFIC ISLANDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) NOT HISPANIC OR LATINO

 

 

 

 

 

 

(5) WHITE

 

 

 

 

 

 

 

 

(3) BLACK OR AFRICAN AMERICAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block)

 

 

 

 

 

 

9. DATES RESIDED AT THIS ADDRESS

a. NUMBER AND STREET (Include apartment no.)

b. CITY

 

 

 

c. STATE

 

d. ZIP CODE

a. FROM

 

b. TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(YYYYMMDD)

 

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. PERSON MAKING THIS REQUEST

a.NAME (Last, First, Middle Name(s))

b. RANK

c. SIGNATURE

d. TITLE

SECTION II - (To be completed by Applicant)

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. Sections 136, 504, 505, 12102; 14 U.S.C. Sections 351 and 632; DoDI 1304.2; DoDI 1304.26; and E.O. 9397 (SSN), as amended.

PRINCIPAL PURPOSE(S): The information collected on this form is used to screen and identify applicants to the Armed Forces who may have discreditable involvement with the police or other law enforcement agencies. Completed forms are used to conduct background records checks used to determine eligibility of applicants for accession into the Armed Forces. Completed forms are covered by recruiting and official military personnel SORNs maintained by each of the Services.

ROUTINE USE(S): The routine uses are found in the associated system of records notices listed below:

A0601-270, U.S. Military Processing Command Integrated Resources System (USMIRS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-view/Article/570661/ a0601-270-usmepcom-dod/

A0601-210c TRADOC, Army Recruiting Prospect System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570073/a0601-210c-tradoc/

F036 AETC R, Air Force Recruiting Information Support System (AFRISS) Records; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569780/f036- aetc-r/

M01133-3, Marine Corps Recruiting Information Support System (MCRISS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570628/m01133-3/ N01133-2, Recruiting Enlisted Selection System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570318/n01133-2/

DHS/USCG-027, Recruiting Files System of Records; http://www.gpo.gov/fdsys/pkg/FR-2011-08-10/html/2011-20225.htm

DISCLOSURE: Voluntary. However, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United States. An applicant's SSN is used to conduct the police records check and keep all records together during the enlistment process.

11. I HEREBY CONSENT TO RELEASE FROM YOUR FILES

SIGNATURE

THE INFORMATION REQUESTED BELOW.

 

SECTION III - (To be completed by Police or Juvenile Agency)

 

The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.

12.DOES THE APPLICANT HAVE A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS?

(If YES, what was the offense or charge, date, disposition and sentence?)

YES

NO

13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND? (If YES, give details.)

YES

NO

THIS IS TO CERTIFY THAT THE ABOVE DATA, AS CORRECTED, ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE. THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES.

14.DATE (YYYYMMDD)

15. TITLE

16.VERIFIED BY (Signature)

LAW ENFORCEMENT AGENCY MAIL TO:

RECRUITING AGENCY MAIL FROM:

DD FORM 369, APR 2019

PREVIOUS EDITION IS OBSOLETE.

File Breakdown

Fact Name Description
Form Purpose This form is used to conduct a police record check for individuals applying to enlist in the Armed Forces of the United States.
OMB Control Number The DD 369 form is assigned OMB No. 0704-0007, indicating that it has been reviewed and approved for use.
Completion Time The average time to fill out the form is estimated to be 27 minutes, which includes gathering necessary data and reviewing instructions.
Privacy Act Statement The form includes a Privacy Act Statement, highlighting the legal authority under which the information is gathered and the purposes for its use.
Disclosure Information Providing information on the form is voluntary. However, failure to complete Section II may result in the refusal of enlistment.
Section Completion Sections I and II must be completed by both the recruiting service and the applicant, respectively, before submission to law enforcement agencies.
Use of SSN An applicant's Social Security Number is required to perform the police records check and maintain the confidentiality of records during the enlistment process.
Record Handling All collected data is treated as confidential and can only be used for official purposes related to military recruitment.

Guide to Using Dd 369

After completing the DD 369 form, it is crucial to ensure all the information is accurate and up to date before submitting it to the designated recruiting agency. Take time to validate each entry for errors, as inaccuracies could delay the processing of the request.

  1. Write the date of your request in the format YYYYMMDD.
  2. Provide your full name, including last name, first name, middle name(s), and any alias used.
  3. Select your sex by marking the appropriate box for either male or female.
  4. Enter your place of birth, specifically the city, county, and state.
  5. Input your date of birth in the format YYYYMMDD.
  6. Indicate your ethnic category and racial category by marking one or more appropriate options.
  7. Fill in your social security number in the designated field.
  8. Provide your current address in the jurisdiction where you are requesting the check, including the number and street, city, state, and ZIP code.
  9. List the dates you have resided at that address, including the start and end date in the format YYYYMMDD.
  10. Complete the section for the person making the request by entering your name, rank, signature, and title.
  11. Sign the consent section in Section II, confirming that you permit the release of your information.
  12. Section III will be completed by the police or juvenile agency; do not fill this section out. Ensure they have the necessary details to check your records.
  13. Verify all information is correct and clear before submitting it to the address listed at the bottom of the form.

Get Answers on Dd 369

  1. What is the DD Form 369?

    The DD Form 369 is a Police Record Check form used by the U.S. Armed Forces. It collects information necessary to screen applicants for enlistment based on their criminal history or involvement with law enforcement agencies.

  2. Why do I need to complete the DD Form 369?

    Completing the DD Form 369 is essential for the enlistment process. The information helps determine whether an applicant is eligible for service based on their legal background.

  3. Who fills out the DD Form 369?

    Two parties are involved in completing the form: the recruiting service and the applicant. The recruiting service inputs initial information, while the applicant must provide details about their personal history and consent to a background check.

  4. What kind of information is required on the form?

    The form requires several pieces of personal information, including:

    • Name (Last, First, Middle, Alias)
    • Sex
    • Place of birth (City, County, State)
    • Date of birth
    • Ethnic and racial categories
    • Social Security Number
    • Current address
  5. What happens if I omit information?

    Failure to complete the form accurately may result in delays or even denial of your application for enlistment in the Armed Forces. It is crucial to provide complete and correct information.

  6. Is my information kept confidential?

    Yes, the information provided on the DD Form 369 is confidential and can only be used for official purposes related to the enlistment process. This is backed by federal guidelines ensuring the privacy of applicants.

  7. What if I have a police or juvenile record?

    If you have a police or juvenile record, it is important to disclose this on the form. Failing to report a record can lead to significant issues during the enlistment process.

  8. How long does it take to complete the DD Form 369?

    The estimated average time for filling out the form is around 27 minutes. This includes reviewing instructions, gathering necessary data, and completing the form.

  9. Where do I submit the completed DD Form 369?

    Submit the completed form to the address specified at the bottom of the form. Do not send it to the Department of Defense or any other organization listed on the form.

  10. What should I do if I have questions about filling out the form?

    If you have questions while filling out the DD Form 369, it’s advisable to reach out to your recruiter for assistance. They can provide guidance to ensure your form is completed correctly.

Common mistakes

Filling out the DD Form 369 is an important step in the enlistment process, but it’s easy to overlook a few details that could lead to complications. One common mistake is leaving out the date of request. This date is critical as it helps track the timing of your request, and without it, processing your form can be delayed.

Another frequent error occurs when people incorrectly fill in their name. It is essential to list your name accurately, including your last name, first name, and middle name(s) if applicable. Any discrepancies between your documented name and the name provided on the form may cause issues later on during your background check.

Many applicants might also overlook the need to include a social security number. This number is essential for conducting a thorough police record check. Missing this crucial piece of information can hinder the verification process, leading to delays or even denials.

It’s also important to ensure that the address you provide is complete and accurate. Applicants sometimes forget to include apartment numbers or misspell city and state names. Inaccurate addresses can prevent your records from being correctly matched and may lead to further complications, so double-check this information before submission.

Completing the section regarding dates of residence is another area where errors can occur. Listing incorrect dates can raise red flags during the background check process. Make sure to indicate the correct time frame that you have lived at the address provided.

Many individuals do not realize the importance of signing the form. Failing to provide a signature or neglecting to sign in the correct area can render the form invalid. This single act may delay the entire enlistment process, so it's vital to sign where indicated.

Lastly, always confirm that your contact information is clear and legible. With a missing or illegible phone number or email, follow-ups regarding your application may not reach you. Taking a moment to review your contact details ensures you can be promptly notified regarding any updates or issues with your form.

By paying attention to these details, you can streamline your application process and minimize the chances of delays or complications.

Documents used along the form

The DD Form 369 is primarily used for conducting police record checks for applicants seeking enlistment in the U.S. Armed Forces. Alongside this form, several related documents are often required to ensure a thorough background review. Here are five common documents that may accompany the DD Form 369:

  • Standard Form 86 (SF-86): This form is used for background investigations for security clearances. It collects personal identification information and background history to assess an individual's suitability for access to classified information.
  • Authorization for Release of Information (ARI): This document grants permission for the investigation of personal and professional records. An applicant must sign this form for agencies to share their background information with the recruiting service.
  • Form I-9, Employment Eligibility Verification: Required by law, this form verifies an applicant's identity and eligibility to work in the United States. It must be completed at the time of hire, ensuring legal employment status.
  • Certificate of Release or Discharge from Active Duty (DD Form 214): For applicants who are veterans, this document provides details about their military service, including dates of service and type of discharge. It is crucial for assessing prior military experience.
  • Medical Examination Report (DD Form 2808): This form details the results of the applicant's medical examination. It assesses physical and mental health to ensure candidates meet the health standards required for military service.

Understanding these documents and their purpose is essential for any applicant navigating the recruitment process. Proper preparation and accuracy in providing information can greatly influence the outcome of the enlistment application.

Similar forms

  • Form I-9: This employment eligibility verification form requires information about the employee's identity and eligibility to work in the U.S. Similar to DD 369, it collects personal data, including date of birth and social security number.
  • SF-86: The Standard Form 86 is used for background checks in federal employment. Just like the DD 369, it seeks detailed personal history to assess potential security risks.
  • Form 4473: This form is used to purchase firearms. It collects personal information, including residency history and criminal records, similar to how DD 369 gathers information for security screening.
  • W-4 Form: The Employee’s Withholding Certificate calculates taxes withheld from pay. It requires personal data such as full name and social security number, paralleling the identification information in DD 369.
  • Background Check Release: This document authorizes a third party to conduct a background check. Like the DD 369, it gathers identifying information to facilitate the screening process.
  • Request for Criminal History Record Check: Often used in various sectors, this document requests criminal history checks, similarly requiring personal information and consent, akin to what DD 369 does for military applicants.
  • G-28 Form: This form is used for representation in immigration matters. It demands personal details for identification purposes, much like the information collected in DD 369.
  • Credit Application: This document assesses an individual's creditworthiness. It collects personal data such as social security numbers, similar to the personal verification in DD 369.
  • Employment Application: Commonly used in job applications, it requires personal details and work history. Like DD 369, it screens applicants based on disclosed information.

Dos and Don'ts

When filling out the DD 369 form, it is important to pay attention to details to ensure the process runs smoothly. Here are five things to do and avoid:

  • Do double-check your personal information. Accuracy is crucial, as errors can lead to delays.
  • Do follow the instructions carefully. Each section of the form has specific requirements that need to be met.
  • Do provide complete addresses. Include all necessary details, such as apartment numbers and ZIP codes.
  • Do use black ink. This helps maintain clarity and ensures that your writing is easily readable.
  • Do keep a copy of the completed form. Having a personal record can be useful for future reference.
  • Don't rush through the form. Taking your time can prevent mistakes that might otherwise complicate your application.
  • Don't skip any questions. Every item needs to be answered, even if a response is "none" or "not applicable."
  • Don't provide false information. Honesty is essential, as misrepresentations can have serious consequences.
  • Don't use a pencil. Only use ink, as it ensures the document remains permanent and legible.
  • Don't return the form to the wrong address. Make sure to send it to the correct location as specified on the form.

Misconceptions

Here are eight common misconceptions about the DD 369 form, which is used for police record checks in the Armed Forces enlistment process:

  1. The DD 369 form is only for applicants with criminal records. Many believe that only individuals with a history of criminal behavior need this form. However, it applies to all applicants undergoing enlistment, regardless of their background.
  2. Completion of the form guarantees enlistment. Filling out the DD 369 form does not ensure acceptance into the military. The information is used to conduct a background check, and any disqualifying factors could affect eligibility.
  3. The information provided is public. Some think that the data submitted on the DD 369 form is public information. In truth, it is confidential and used solely for official purposes related to military enlistment.
  4. The form is optional. While participation in the process is voluntary, failure to complete the DD 369 can lead to refusal of enlistment. Completing the form is critical for those seeking to join the Armed Forces.
  5. Only law enforcement organizations fill it out. It's a misconception that only law enforcement handles the DD 369. Applicants are responsible for submitting the form, while law enforcement agencies provide the requested information.
  6. The form can be submitted without a signature. Some believe they can return the form without a signature. A signed form is essential for validating the request and consenting to the disclosure of information.
  7. There is no deadline for submission. Many assume they can take their time submitting the DD 369. However, timely completion is crucial as it can affect the overall enlistment timeline.
  8. Only certain demographic groups need to fill it out. The DD 369 does not discriminate based on ethnicity or background. All potential recruits are required to complete the form to ensure fairness in the background check process.

Understanding these misconceptions can help streamline the enlistment process and ensure that applicants are better prepared when submitting the DD 369 form.

Key takeaways

Filling out the DD 369 form correctly is crucial for applicants seeking enlistment in the Armed Forces. Here are four key takeaways to keep in mind:

  • Accuracy is Essential: Ensure that all information is accurate and complete. This includes personal details like your name, date of birth, and social security number. Inaccuracies can cause delays or negatively impact your application.
  • Privacy Matters: The information you provide is confidential and used solely for official purposes, such as background checks. Understand that failing to complete Section II can lead to complications during your enlistment process.
  • Follow Submission Guidelines: Once completed, do not return the form to the organization at the top of the page. Instead, follow the instructions to send it to the correct recruiting agency address.
  • Engage with Law Enforcement: If the police or juvenile agency discovers any records, they must provide accurate details, including any offenses or ongoing court actions. This can significantly influence your application.