So what is DD Form 2570? The short answer: a Defense Department document, officially DD Form 2570, Third Party Collection Program - Report on Program Results, June 2001., used to Third Party Collection Program - Report on Program Results. Anything else you need follows from that.
Is there a version specific to your service? No. A DD number is issued at Department level, which is the whole point of the prefix — every military department and defense agency works from one identical document. Looking for a branch variant wastes time you do not have.
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.
How current is this? Edition not stated, publisher status not stated. That is the version described throughout this page.
What the form asks for
- Segment reported. Press space bar to mark X in first box if inpatient, second box if outpatient.
- 1. Quarter ending. Four digit year, two digit month.
- 2. Reporting medical treatment facility (MTF).
- 3. Defense Medical Information System (D M I S) identification number.
- 4. Reporting period. (1) a. Current fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- (1) b. First prior fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- (1) c. Second prior fiscal year. (2) Number of non-active duty inpatient dispositions or visits.
- (3) Number of claims.
- (4) Number of collections.
- (5) Number of claims divided by dispositions or visits, expressed as percentage.
- (6) Total dollar amount billed/charges.
- 4.a. Current fiscal year. Column 7. Dollar adjustments and refunds. Note 2. Amounts reported for each fiscal year shall equal the subtotal for reasons codes 8 through 16 in Part 2 for the respective fiscal years.
- Current fiscal year. Column 10. Dollar amount collected current fiscal year.
- (11) Dollar amount remaining uncollected. (Column (6) minus (7) plus (8), (9), and (10).)
- (9) Amount collected, PY 1.
- (10) Amount collected current FY.
Download the form
What can you download? The available set is PDF. How big is the job? The form runs 1 pages with roughly 95 fields to complete.
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.
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.
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.
What if DD Form 2570 points to another form? Search the series and number. Because the DD sequence is common to every military department, no branch qualifier is needed to land on the right file.
Do DA and DD numbers ever correspond? Never. DA numbering is Army-specific, administered by an Army proponent, while DD numbering is Department-wide under not stated or an equivalent Department office. Identical digits in the two systems mean two unrelated documents, which is why the prefix matters more than the number.
Why do editions change at all? Three reasons, mostly: the prescribing directive gets reissued, the information collected changes, or the required notice language is amended. Are you notified when it happens? No. Which is why confirming not stated at the moment you download is worth the few seconds.
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 2570?
- DD Form 2570, Third Party Collection Program - Report on Program Results, June 2001.
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?