Combat-Related Disability Travel Benefit Forms

If you meet the CRDT Benefit Program qualifications, you must submit the following required documents packet to the TRICARE CRDT Benefit program representative.

Getting Started

Use the CRDT Benefit Traveler Checklist to make sure you include all required documents with your travel claim.

Required Documents

If you don’t include all of the required documents, TRICARE can’t process your claim. Be sure to make copies of everything for your records. See tips below if you’re having problems accessing any of the forms.

Form/Document Instructions
DHA Form 131 (Patient Information Worksheet)

You must completely fill out and sign the form. Be sure to complete the CRDT portion of the form. Also, include the following information in the “Additional Information” section of the form.

  • All treated verified combat-related disabilities or illnesses.

Travel claim forms:

DD Form 1351-2
DD From 1351-2c
DD Form 1351-3

Patients and non-active duty non-medical attendants: Complete both forms.

Active duty non-medical attendants: Complete only the DD Form 1351-2.

View DD Form 1351-2 Instructions and Examples for help completing DD Form 1351-2.
Combat-Related Special Compensation letter

Need more information about the CRSC letter? Contact your branch of service.
Itemized receipts

Include legible, itemized receipts for all travel claims.

Credit card or bank statements don’t qualify as receipts.

Receipts must be dated during the approved travel timeline. If not, TRICARE can’t reimburse.
Referral

Be sure the following information is included on your referral letter.

  • Referral printed on office letterhead or accompanied by office letterhead fax sheet
  • Patient’s name
  • Date referral written by primary care provider
  • PCP name and contact information
  • The verified combat related injury or illness (that can be found on the CRSC Letter)
  • Name and contact information of the specialty careSpecialized medical/surgical diagnosis, treatment, or services a primary care provider isn’t qualified to provide. provider that the patient is being referred to by the PCP
  • The medical specialty of the specialty care provider (for example, oncology, radiology)
  • If a non-medical attendant is medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. for the travel
  • The beginning and ending date you will need to travel to get the medical care. This date range must not exceed one year.

If your PCP needs help, they may contact the CDRT program representative.
Proof you attended the appointment
DHA Form 126 (Confirmation of Specialty Care)

The specialty care provider must complete and sign DHA Form 126. The information below
must be included in the “Additional Information” section of the form:

  • All verified combat-related disabilities or illnesses that were treated.
  • A list of the health services provided and current procedural terminology codes, if available.
Non-medical attendant letter
(Needed for adult patients who are 18 years or older)
 A letter from your doctor stating that a non-medical attendant is appropriate and medically necessary.
We only require this if you have a non-medical attendant. For chronic conditions, your doctor may request the letter be valid for up to one year.
Direct deposit authorization form
 All payments are by electronic funds transfer.

Submit Packages

Send all required documents via email, fax, or mail.

Email DHA.CRDT@health.mil

And the DoD SAFE (Secure Access File Exchange)
  • Note: DoD SAFE is a service to make it easy for you to exchange unclassified files up to 8.0 GB that you can’t send through email. If you don’t have a Common Access Card, let us know by the email above. We'll send you a drop-off request so you can use DoD SAFE.
  • Don’t send protected health information via unencrypted email. Also, don’t send encrypted messages to DHA.CRDT@health.mil.

Fax

210-536-6176

 Include social security numbers if faxing.
Mail Combat-Related Disability Travel
7800 W Interstate 10, Suite 400
San Antonio, TX 78230

Your Reimbursement

  • We process your travel claims using the Defense Travel System.
  • Include legible, itemized receipts for all travel expensesAmounts you pay when traveling to and from your appointment.  This includes mileage, meals, tolls, parking, lodging, local transportation, and tickets for public transportation. with each claim. You don’t need to include fuel receipts when using your personal vehicle.
  • The CRDT Benefit uses government rates to reimburse the reasonable expenses. This includes City Pairs for flight allowances.
  • Please allow up to four weeks for your payment to be processed.

Tips for Downloading and Signing Forms

To download certain forms:

  • Due to security settings, you may need to download and install the Adobe Acrobat Reader software.
  • Right-click on the form number.
  • Click “Save Link As” to sign certain forms. If you’re:
  • Getting the forms on a non-government computer:
    • Create a digital signature ID.
    • Digitally sign the form.
  • Getting the forms on your phone or tablet:
    • Use the “Fill & Sign” tool in Adobe Acrobat to create a digital signature ID.
    • Digitally sign the form.

Note: If your devices aren’t compatible, you’ll need to print and manually sign the forms.

Last Updated 9/26/2025