What is DD Form 2493-2? It is a Department of Defense form titled DD Form 2493-2, Asbestos Exposure Part II - Periodic Medical Questionnaire, January 2000, and its job is straightforward: Asbestos Exposure Part II - Periodic Medical Questionnaire. That single line covers most of what people want to know before they download it.
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.
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
- 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. Marital status. Press space bar to mark X in first box if single, second box if married, third box if widowed, or fourth box if divorced/separated.
- 12. 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. Did you work at any dusty job during the past year? X first box if yes, second box if no.
- c. If yes, was exposure: X first box if mild, second box if moderate, third box if severe, or fourth box if not applicable.
- d. In the past year, were you exposed to gas or chemical funes in your work? X first box if yes, second box if no.
- e. If yes, was exposure: X first box if mild, second box if moderate, third box if severe, or fourth box if not applicable.
- f. In the past year, what was your (1) Job or occupation.
- (2) Position or job title.
- 13. Medical history. a. Do you consider yourself to be in good health? X first box if yes, second box if no.
- If no, state reason.
- b. In the past year, have you developed: (1) Epilepsy (or seizures, fits or convulsions). X first box if yes, second box if no.
- (2) Rheumatic fever. X first box if yes, second box if no.
- (3) Kidney disease. X first box if yes, second box if no.
- (4) Bladder disease. X first box if yes, second box if no.
Download the form
Which files are here? These: PDF. How much work is involved? 1 pages, about 53 entry fields.
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.
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.
Why does the edition matter so much here? Because DD forms are revised centrally. When the Department reissues one, it reissues it for all branches simultaneously, and the field layout can shift. Compare the printed date against not stated before you type anything.
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.
Do you need to know which branch issued a related form? No. DD numbering is Department-wide and unified, which means the number on its own is a complete address for the document.
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.
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 2493-2?
- DD Form 2493-2, Asbestos Exposure Part II - Periodic 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?