TRICARE Overseas
Accident or Work Injury Claims: DD Form 2527 and TRICARE
If an overseas injury was an accident or happened at work, the DD Form 2642 asks for a second form, DD Form 2527. What it is and how to describe the injury.
By the PaidTrail team · Updated · Checked against official sources
Most routine visits are not tied to an accident. If yours was, the claim form asks for one extra document. Here is what the DD Form 2642 says.
Block 7: accident related or work related?
Block 7 of the DD Form 2642 has two questions, each with a yes box and a no box:
- Accident related?
- Work related?
The form says to check the boxes to show whether the patient’s condition is accident related, work related, or both. A fall, a car accident or a sports injury is an accident. An injury that happened while working is work related.
If either answer is yes
The form says the patient is required to complete DD Form 2527, “Statement of Personal Injury - Possible Third Party Liability.” Its reminder list tells you to attach it to the claim if the condition is accident or work related. The form’s instructions say you can download DD Form 2527 at tricare.mil/forms.
The reason is that someone else may be responsible for the injury, and TRICARE asks for a statement so it can look into that.
Describe it in block 8a
Block 8a asks for the condition that required treatment. The form says to describe the condition, with examples such as a broken arm, appendicitis or an eye infection. If the condition is the result of an injury, report how it happened, for example “fell on stairs at work” or “car accident.” The form also tells you not to list the services performed, because they are on the itemized bill.
The rest of the claim is the same
An accident claim still needs the signed DD Form 2642, the itemized bill, a narrative description of the reason for care, and proof of payment. See the claim checklist and the block-by-block form guide.
If you also have other insurance that may cover the injury, such as travel insurance, see other health insurance and TRICARE.
How PaidTrail helps
PaidTrail asks the accident and work questions when you make the form and ticks block 7 for you. Remember to add DD Form 2527 yourself when either answer is yes, because it is a separate TRICARE form.
Frequently asked questions
When do I need DD Form 2527?
The DD Form 2642 says that if the patient's condition is accident related or work related, the patient is required to complete DD Form 2527, the Statement of Personal Injury and Possible Third Party Liability.
Where do I get DD Form 2527?
The DD Form 2642's instructions say you can download it at tricare.mil/forms.
How should I describe the injury on the claim form?
In block 8a, report how it happened, for example a fall on stairs or a car accident, and describe the patient's condition, such as a broken arm.
Which blocks do I check?
Block 7 has separate yes and no boxes for accident related and for work related. The form says you can check both if both apply.
Sources
- DD Form 2642, SEP 2024 (blocks 7 and 8a)
- TRICARE Overseas Program: How to File a TRICARE Overseas Claim
PaidTrail is built by a veteran and stands on its own. It is not run or endorsed by TRICARE, the Department of Defense or the VA. Program rules change, so confirm anything that matters with TRICARE or the VA before you rely on it. This is general information, not legal or benefits advice.