Family Member Travel Screening

OMB 0704-0560

The FMTS forms are used during the DoD FMTS process when active duty Service members with Permanent Change of Station (PCS) orders request Command sponsorship for accompanied travel to remote or OCONUS installations. These forms document any special medical, dental, and/or educational needs of dependents to assist in determining the availability of care at a new installation.

The latest form for Family Member Travel Screening expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD Form 3040-3 DD Form 3040-3 - Patient Care Review Form and Instruction
Form DD Form 3040-2 DD Form 3040-2 - Dental Health Information Form and Instruction
Form DD Form 3040-1 DD Form 3040-1 Medical and Educational Information Form and Instruction
Form DD Form 3040 DD Form 3040 - Screening Verification Form and Instruction
0704-0560_SSA_6.22.22.docx Supporting Statement A
DD Form 3040-3 - Patient Care Review Form and Instruction
DD Form 3040-2 - Dental Health Information Form and Instruction
DD Form 3040-1 Medical and Educational Information Form and Instruction
DD Form 3040 - Screening Verification Form and Instruction

All Historical Document Collections

202203-0704-004 Approved without change	Extension without change of a currently approved collection	2022-06-28
201905-0704-001 Approved without change	Revision of a currently approved collection	2019-05-17
201610-0704-001 Approved without change	New collection (Request for a new OMB Control Number)	2016-10-12

OMB Details

DD Form 3040 - Screening Verification

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Form DD Form 3040

Screening Verification

Fillable Printable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.