So what is DD Form 2216? The short answer: a Defense Department document, officially DD Form 2216, Hearing Conservation Data, January 2000, used to Hearing Conservation Data. Anything else you need follows from that.
Does it apply to your branch? Yes. The DD prefix means Department of Defense, not one service, so the same blank serves the Army, Navy, Air Force, Marine Corps, Space Force and the Coast Guard under Defense jurisdiction. There is no Army version and no Navy version to search for.
Who decides this form exists? not stated owns it; not stated directs its use. If someone told you to file this, the authority traces back to those.
Which edition should you have? not stated, listed as not stated. A copy dated otherwise is a copy worth replacing.
What the form asks for
- 1. Zip code, A. P. O., F. P. O., P. A. S.
- 2. D. O. D. component. Enter A. for army, F. for air force, N. for navy, M. for marine corps, or 1 for other DoD activity.
- 3. Service component. Enter R for Regular, V for Reserve, G for National Guard, or 1 for other.
- 4. Social security number. Do not include dashes.
- 5. Name (last, first, middle initial).
- 7. Sex. Enter M if male, F if female.
- 8. Pay grade, uniformed services.
- 9. Pay grade, civilian.
- 10. Service duty occupation code.
- 11. Mailing address of assignment.
- 12. Location - place of work.
- 13. Major command.
- 14. Duty telephone (include area code).
- 15. Audiometry. a. Purpose. Enter 1 if 90-day, 2 if Annual, 3 if Termination, or 4 if Other.
- 6. Date of birth. (4 digit year, 2 digit month, 2 digit day)
- f. Remarks. Include exposure data.
- g. Type of personal hearing protection used. Enter 1 for single flange (V. S. 1. R), 2 if triple flange, 3 if hand formed earplug, 4 if ear canal caps, 5 if noise muffs, or 6 if other.
- b. Current audiogram date. (4 digit year, 2 digit month, 2 digit day)
- Audiometric data. Left, 500.
- Left, 1000
- Left, 2000
- Left, 3000
- Left, 4000
- Left, 6000
Download the form
Which files are here? These: PDF. How much work is involved? 2 pages, about 153 entry fields.
Fillable or printable — which do you have? Click inside a box. If it accepts a cursor and typed text, the file is fillable and your entries save with it. If nothing happens, the pdf is flat, and the only way forward is printing it and writing on paper.
Is handwriting acceptable? Yes, but it is the weaker choice. Scanning flattens pen strokes and reproduction blurs them, while typed characters survive the whole chain intact. Print in capitals if you are working from a paper blank.
Can you skip around the form? Better not to. The layout runs identification, then content, then certification, and entries near the bottom frequently take their meaning from what sits above them.
What if your copy is old? Replace it. Check the date printed on the form against not stated. Old blanks circulate for years in shared folders, and because a DD revision lands across the whole Department at once, the receiving office will be working from the new layout.
Can you leave fields blank? Not safely. A reviewer cannot tell a deliberate omission from a missed question, so mark inapplicable items N/A. And date fields? Match the format shown on the form — conventions differ, and misreading a date is easy.
Why read the Privacy Act Statement? Because it sits ahead of the personal data fields deliberately. It names the collection authority, the principal purpose, the routine uses of your data and the consequence of declining. Reading it afterward tells you nothing you can still act on.
How do you sign electronically? With a digital signature, usually CAC-based, in a reader that handles it. Will typing your name work? Not as execution — it fills a field without certifying anything. Either way, the date goes in immediately after.
What goes wrong most? The same short list: old edition, empty fields, illegibility, wrong date format, missing signature or date.
Is the form its own instruction manual? Partly. The rest sits in not stated, which is also the authority where the two texts conflict.
What happens after you finish? It routes to the office specified in not stated or in local guidance. And your own record? Save a duplicate first; nobody regrets having one.
How do you find a form referenced inside this one? By its number alone. The DD sequence runs across the entire Department, so a number identifies exactly one document regardless of which service cited it.
Why do some instructions cite both a DA and a DD form? Because the procedure touches both systems, not because the forms are related. Service forms answer to a service proponent; DD forms answer to not stated or another Department office. The sequences were never aligned.
How often does a form like this change? Unpredictably — revision follows directive changes, altered collection requirements and updated notice language. What is the practical defence? Verifying not stated every time you download rather than trusting a saved copy.
Is any of this advice? No. This page distributes a published Defense form and explains its contents, which is a different thing from telling you whether your circumstances qualify or whether a reviewer will accept your copy. Direct questions of eligibility, applicability and procedure to not stated, to your servicing personnel office, or to the office designated in not stated.
Questions and answers
- What is DD Form 2216?
- DD Form 2216, Hearing Conservation Data, January 2000
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?