TRICARE logo DHA Home About DHA Conferences TRICARE Contacts Feedback Site Map

GUARD AND RESERVE UNIT
TRICARE BRIEFING REQUEST FORM
Please submit your briefing request preferably at least three (3) weeks before briefing date.

* Required
Date of Request: 11/22/2014 Target Audience:  
Unit (List all units attending):  

Unit POC:  

Unit POC E-mail Address:  

Unit POC Phone (Commercial):  

Alternate Unit POC:
 
Alternate Unit POC E-mail Address:
 
Alternate Unit POC Phone (Commercial):
 
Date Briefing Required (MM/DD/YYYY):    
Service Branch:  
Street:
 
City:
 
State:
 
Zip:
 
Start Time (HHMM):
   
End Time (HHMM):
   
Projected Number of Attendees (Military/Family Members):  
Can you accept a Video Teleconference (VTC) Brief or Telephonic Brief?
Video Teleconference (VTC): Telephonic:
Print: Email:
Type Briefing Requested:  
Comments / Special Instruction: