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Declaration Of Status Of Dependents 21- 686C: What You Should Know

Information to submit: • Date and place of birth of your dependent(s). (You will receive a new copy of  this report by mail.) • The name and street address of the parent who claims the child as his or her dependent(s). (Please note, that the parent name will not match the name on the dependents' birth certificate.) • Whether your dependents are U.S. citizens, U.S. nationals, or U.S. permanent residents, or have been lawfully admitted into the United States. This form may be used to provide information to the following people: 1. Your supervisor at a military installation. This person will determine if your dependent is eligible for benefits. 2. The branch of service where you are serving. This person will determine if your dependent is eligible for benefits. 3. This person will determine if your dependent is eligible for benefits as provided under 38 U.S.C. 1101, 1110, 1102 and 1112. 4. Your supervisor.

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