Claim Certification and Voucher for Death Gratuity Payment

OMB 0730-0017

This form is used to document and approve death gratuity payments. The Service Casualty Office completes part of the form and provides the form to the Service Member's beneficiaries to complete and sign their portion of the form. The form is sent to DFAS for payment.

The latest form for Claim Certification and Voucher for Death Gratuity Payment expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD Form 397 Claim Certification and Voucher for Death Gratuity Payment Form
0730-0017_SS-A_07.30.2024.docx Supporting Statement A
dd397_justification memo_20171031.pdf Supplementary Document
CDS SORN Final.docx Supplementary Document
Claim Certification and Voucher for Death Gratuity Payment Form

All Historical Document Collections

202407-0730-002	Extension without change of a currently approved collection	2024-07-30
202105-0730-001 Approved with change	Revision of a currently approved collection	2021-05-27
201712-0730-001 Approved without change	Reinstatement with change of a previously approved collection	2017-12-26
201201-0730-002 Improperly submitted and continue	Extension without change of a currently approved collection	2012-01-31
200809-0730-001 Approved without change	Existing collection in use without an OMB Control Number	2008-09-18