So what is DD Form 2493-1? The short answer: a Defense Department document, officially DD Form 2493-1, Asbestos Exposure Part I - Initial Medical Questionnaire, January 2000, used to Asbestos Exposure Part I - Initial Medical Questionnaire. Anything else you need follows from that.
Will you need a different form because of where you serve? No. DD forms are Department-wide instruments, and that scope is what separates them from service publications. One edition, all branches, defense agencies included.
Where does the requirement come from? From not stated, with not stated responsible for the document itself. Those are the names to cite if anyone asks under what authority you filed.
How current is this? Edition not stated, publisher status not stated. That is the version described throughout this page.
What the form asks for
- Identification section. 1. Name (last, first, middle initial).
- 2. Social security number. Do not include dashes.
- 3. Clock number. Enter 5 digit number.
- 4. Present occupation.
- 5. Name of plant.
- 6. Street address of plant.
- 7. Plant city, state and zip code.
- 8. Telephone number, include area code.
- 9. Name of interviewer.
- 10. Date of interview (4 digit year, 2 digit month, 2 digit day).
- 11. Date of birth (4 digit year, 2 digit month, 2 digit day).
- 12. Place of birth
- 13. Sex. Press space bar to mark X in first box if male, second box if female.
- 14. Marital status. X first box if single, second box if married, third box if widowed, or fourth box if divorced/separated.
- 15. Race. X first box if white, second box if black, third box if Asian, fourth box if Hispanic, fifth box if Indian, or sixth box if other.
- 16. Highest grade completed in school.
- 17. Occupational history. a. In the past year, did you work full time (30 hours per week or more) for six months or more? X first box if yes, second box if no.
- b. If yeshave you ever worked for a year or more in any dusty job? X first box if yes, second box if no, third box if not applicable.
- (3) Dust exposure: X first box if mild, second box if moderate, third box if severe.
- c. Have you ever been exposed to gas or chemical funes in your work? X first box if yes, second box if no, third box if not applicable.
- If yes: (1) Specify job or industry.
- (2) Total years worked.
- If yes: (1) Specify job or industry.
- (2) Total years worked.
Download the form
What can you download? The available set is PDF. How big is the job? The form runs 2 pages with roughly 188 fields to complete.
Do you pay for these? No. Free download, every format. What should you avoid? Filling the form inside a browser tab; the fields frequently do not save.
Where do you start? At the top. Identification first, the substance of the entry second, certification last. Why that order? Because fields lower on the page often depend on data you established in the header, and filling out of sequence produces contradictions.
What is the first thing to check? The edition date on the face of the form. Does it read not stated? If not, the copy is superseded, and a superseded DD form is a real problem: Department-level revisions replace the blank for every service at once, so an old file on a shared drive is stale everywhere, not just in your office.
What if a specific field still puzzles you? Read the instructions printed on the form, then not stated. Which wins if they differ? The directive.
Where does the completed form go? To the office named in not stated or in your organization's local procedure. Should you keep a copy? Always — a scan or a saved file costs nothing and spares you the whole exercise if the original disappears.
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.
Can you assume a matching number is the same form? No, and this is where downloads go wrong. Read the prefix. Army numbering and Department numbering are independent systems, so the digits alone tell you nothing about which document you need.
Should you archive this file and reuse it next year? Better not. Forms are revised as directives are reissued, as data requirements shift and as statutory notice text is updated, and none of that reaches you directly. Download fresh, check the edition date.
Will your completed form be accepted? That is not a question this page can answer. What you have here is a published Department of Defense document, a description of it and instructions for filling it out. Nothing on the page is legal advice, and nothing here determines what any office does with a submission. Where do the remaining questions go? To not stated, to your servicing personnel office, or to the office named in not stated.
Questions and answers
- What is DD Form 2493-1?
- DD Form 2493-1, Asbestos Exposure Part I - Initial Medical Questionnaire, 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?