Attach 4 DD2088.pdf

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Catholic Priest Services
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FA663326QA002
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About this file

DD Form 2088 is a Statement of Ecclesiastical Endorsement template used by the Department of Defense to verify the professional and ecclesiastical qualifications of Religious Ministry Professionals seeking initial appointment or career status changes as military chaplains. The form is controlled by the Office of the Under Secretary of Defense for Personnel and Readiness and carries an estimated public reporting burden of 45 minutes per response.

The form requires completion by an authorized ecclesiastical endorsing agent representing a qualified religious organization with IRC 501(c)(3) exempt status. Section 1 captures information about the endorsing agent, including their credentials, authorization date, and contact details. Section 2 collects prospect information such as name, Social Security number (last four digits), date of birth, years of professional ministry experience, prior military service, ordination credentials and date, and the type of appointment sought (Chaplain Candidate, Reserve, National Guard, Active Duty, or withdrawal of endorsement). Section 3 directs the completed form to the appropriate military branch Chief of Chaplains (Army, Navy, or Air Force). Section 4 requires organizational details from the religious organization granting the endorsement, including its name, IRC exempt status date, Employer Identification Number, and contact information. The form certifies that the prospect meets standards outlined in DoDI 1304.28 and becomes part of the chaplain's military personnel record. Completed forms must be returned to the Chief of Chaplains, not to the address listed in the OMB section. The information is protected under the Privacy Act of 1974 and contains controlled unclassified information.

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DD FORM 2088, JAN 2019 Page 1 of 1

PREVIOUS EDITION IS OBSOLETE.

CUI (when filled in)

CUI (when filled in)

Controlled by: OUSD(P&R) CUI Category: PRVCY

LDC: FEDCON

POC: osd.pentagon.ousd-p-r.mbx.forms@mail.mil

(Updated 20250527)

STATEMENT OF ECCLESIASTICAL ENDORSEMENT

OMB No. 0704-0190 OMB approval expires 20270831

The public reporting burden for this collection of information, 0704-0190, is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO CHIEF OF CHAPLAINS (ITEM 3).

PRIVACY ADVISORY

Disclosure of this information is voluntary and will be used to verify the professional and ecclesiastical qualifications of Religious Ministry Professionals for initial appointment or chaplains change of career status appointments as chaplains in the Military Services. This form is an essential element of a chaplain’s professional qualifications and will become part of a chaplain’s military personnel record. When completed, this form contains personally identifiable information and is protected by the Privacy Act of 1974, as amended.

For additional information, see the official military personnel records and accessions system of records notices, located at: Army Personnel (https://dpcld.defense.gov/Portals/49/Documents/Privacy/ SORNs/Army/A006-8-104-AHRC.pdf); Navy Personnel (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570310/n01070-3/); Marine Corps Personnel (http:// dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/); Air Force Personnel (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article- View/Article/569821/f036-af-pc-c/); Coast Guard Personnel (https://www.federalregister.gov/documents/2008/12/19/E8-29793/privacy-act-of-1974-united-states-coast-guard-014-military-pay-and-personnel-system-of-records); and DoD Accessions (https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-Wide-Notices/DOD-Wide-Article-List/).

1. ECCLESIASTICAL ENDORSING AGENT (Complete entire form)

a. AS THE ECCLESIASTICAL ENDORSING AGENT AUTHORIZED TO REPRESENT (Name of religious organization) (Item 4a)

, I HEREBY VERIFY THAT THE PERSON INDICATED IN SECTION 2,

BELOW, IS CREDENTIALED AND QUALIFIED FOR AN APPOINTMENT WITHIN THE MILITARY CHAPLAINCY (as indicated in blocks 2(j) and 2(k))

IN ACCORDANCE WITH THE STANDARDS CONTAINED IN DODI 1304.28. (Date of agent authorization - YYYYMMDD:)

b. TYPED OR PRINTED NAME (Last, First, Middle Initial) c. E-MAIL ADDRESS

d. ADDRESS. (1) STREET (Include apartment or suite number) (2) CITY (3) STATE (4) ZIP CODE

e. TELEPHONE (Include Area Code)

f. FAX NUMBER (Include Area Code)

g. SIGNATURE h. DATE SIGNED (YYYYMMDD)

2. PROSPECT INFORMATION. a. IS THIS AN INITIAL ENDORSEMENT? (X one) u YES NO

b. TYPED OR PRINTED NAME (Last, First, Middle Initial) c. SOCIAL SECURITY NUMBER (Last 4) d. TELEPHONE (Include area code)

e. ADDRESS. (1) STREET (Include apartment or suite number) (2) CITY (3) STATE (4) ZIP CODE

f. E-MAIL ADDRESS g. DATE OF BIRTH

(YYYYMMDD)

h. NUMBER OF YEARS OF PROFESSIONAL MINISTRY

EXPERIENCE PROSPECT HAS COMPLETED

i. NUMBER OF MONTHS OF PRIOR ACTIVE MILITARY SERVICE PROSPECT HAS COMPLETED

(1) OFFICER (2) ENLISTED

j. SOURCE OF ORDINATION/PROFESSIONAL CREDENTIALS k. DATE OF ORDINATION/PROFESSIONAL

CREDENTIALS (YYYYMMDD)

l. APPLICATION IS FOR (X one)

(1) CHAPLAIN CANDIDATE

(2) RESERVE

(3) NATIONAL GUARD

(4) ACTIVE DUTY (Army and Navy Only: X (a) or (b))

(a) Initial Active Duty - 3 Years

(b) Extended Active Duty - Indefinite

(5) WITHDRAWAL OF ENDORSEMENT

(6) RESERVE (AGR)

3. TO

a. CHIEF OF CHAPLAINS (X appropriate block)

(1) ARMY (2) NAVY

(3) AIR FORCE

b. ADDRESS. (1) STREET (Include apartment or suite number)

(2) CITY (3) STATE (4) ZIP CODE

4. FROM

a. TYPED OR PRINTED NAME OF RELIGIOUS ORGANIZATION GRANTING

RELIGIOUS MINISTRY PROFESSIONAL ENDORSEMENT

b. DATE OF CURRENT INTERNAL REVENUE CODE (IRC) 501(c)(3)

EXEMPT STATUS (YYYYMMDD)

c. EMPLOYER IDENTIFICATION

NUMBER (IRC)

d. TELEPHONE (Include Area Code) e. FAX NUMBER (Include Area Code)

f. ADDRESS. (1) STREET (Include apartment or suite number) (2) CITY (3) STATE (4) ZIP CODE

g. E-MAIL ADDRESS h. WEB SITE

5. COMMENTS

mailto:whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil https://dpcld.defense.gov/Portals/49/Documents/Privacy/SORNs/Army/A006-8-104-AHRC.pdf https://dpcld.defense.gov/Portals/49/Documents/Privacy/SORNs/Army/A006-8-104-AHRC.pdf http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570310/n01070-3/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569821/f036-af-pc-c/ http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569821/f036-af-pc-c/ https://www.federalregister.gov/documents/2008/12/19/E8-29793/privacy-act-of-1974-united-states-coast-guard-014-military-pay-and-personnel-system-of-records https://www.federalregister.gov/documents/2008/12/19/E8-29793/privacy-act-of-1974-united-states-coast-guard-014-military-pay-and-personnel-system-of-records https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-Wide-Notices/DOD-Wide-Article-List/

DD FORM 2088, JAN 2019

Page of

PREVIOUS EDITION IS OBSOLETE.

CUI (when filled in) Document classification when filled in is CUI CUI (when filled in) Document classification when filled in is CUI Controlled by: OUSD(P&R) CUI Category: PRVCY LDC: FEDCON POC: osd.pentagon.ousd-p-r.mbx.forms@mail.mil (Updated 20250527)

DD FORM XXXX (BACK), 20YYMMDD DRAFT

Page of

PREVIOUS EDITION IS OBSOLETE.

CUI (when filled in) Document classification when filled in is CUI CUI (when filled in) Document classification when filled in is CUI (Updated 20250527)

INSTRUCTIONS

PREVIOUS EDITION IS OBSOLETE.

DD FORM XXXX, 20YYMMDD DRAFT

Page of

STATEMENT OF ECCLESIASTICAL ENDORSEMENT

OMB No. 0704-0190 OMB approval expires 20270831 The public reporting burden for this collection of information, 0704-0190, is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO CHIEF OF CHAPLAINS (ITEM 3).

PRIVACY ADVISORY

Disclosure of this information is voluntary and will be used to verify the professional and ecclesiastical qualifications of Religious Ministry Professionals for initial appointment or chaplains change of career status appointments as chaplains in the Military Services. This form is an essential element of a chaplain’s professional qualifications and will become part of a chaplain’s military personnel record. When completed, this form contains personally identifiable information and is protected by the Privacy Act of 1974, as amended.

For additional information, see the official military personnel records and accessions system of records notices, located at: Army Personnel (https://dpcld.defense.gov/Portals/49/Documents/Privacy/SORNs/Army/A006-8-104-AHRC.pdf); Navy Personnel (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570310/n01070-3/); Marine Corps Personnel (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570626/m01070-6/); Air Force Personnel (http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569821/f036-af-pc-c/); Coast Guard Personnel (https://www.federalregister.gov/documents/2008/12/19/E8-29793/privacy-act-of-1974-united-states-coast-guard-014-military-pay-and-personnel-system-of-records); and DoD Accessions (https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-Wide-Notices/DOD-Wide-Article-List/).

1. ECCLESIASTICAL ENDORSING AGENT (Complete entire form)

a. AS THE ECCLESIASTICAL ENDORSING AGENT AUTHORIZED TO REPRESENT (Name of religious organization) (Item 4a)

, I HEREBY VERIFY THAT THE PERSON INDICATED IN SECTION 2,

BELOW, IS CREDENTIALED AND QUALIFIED FOR AN APPOINTMENT WITHIN THE MILITARY CHAPLAINCY (as indicated in blocks 2(j) and 2(k)) IN ACCORDANCE WITH THE STANDARDS CONTAINED IN DODI 1304.28. (Date of agent authorization - YYYYMMDD:)

2. PROSPECT INFORMATION. a. IS THIS AN INITIAL ENDORSEMENT? (X one) u

i. NUMBER OF MONTHS OF PRIOR ACTIVE MILITARY SERVICE PROSPECT HAS COMPLETED

k. DATE OF ORDINATION/PROFESSIONAL

l. APPLICATION IS FOR (X one)

3. TO

a. CHIEF OF CHAPLAINS (X appropriate block)

4. FROM

9.0.0.2.20120627.2.874785 DD Form 2088, "Statement of Ecclesiastical Endorsement"

CurrentPage:
PageCount:
1. ECCLESIASTICAL ENDORSING AGENT (Complete entire form) - a. AS THE ECCLESIASTICAL ENDORSING AGENT AUTHORIZED TO REPRESENT (Name of religious organization) (Item 4a) :
I HEREBY VERIFY THAT THE PERSON INDICATED IN SECTION 2, BELOW, IS CREDENTIALED AND QUALIFIED FOR AN APPOINTMENT WITHIN THE MILITARY CHAPLAINCY (as indicated in blocks 2(j) and 2(k)) IN ACCORDANCE WITH THE STANDARDS CONTAINED IN DODI 1304.28. (Date of agent authorization - YYYYMMDD:):
1. ECCLESIASTICAL ENDORSING AGENT - b. TYPED OR PRINTED NAME (Last, First, Middle Initial):
1. ECCLESIASTICAL ENDORSING AGENT - c. E-MAIL ADDRESS:
1. ECCLESIASTICAL ENDORSING AGENT - d. ADDRESS - (1) STREET (Include apartment or suite number):
1. ECCLESIASTICAL ENDORSING AGENT - d. ADDRESS - (2) CITY:
1. ECCLESIASTICAL ENDORSING AGENT - d. ADDRESS - (3) STATE:
1. ECCLESIASTICAL ENDORSING AGENT - d. ADDRESS - (4) ZIP CODE:
1. ECCLESIASTICAL ENDORSING AGENT - e. TELEPHONE (Include Area Code):
1. ECCLESIASTICAL ENDORSING AGENT - f. FAX NUMBER (Include Area Code):
1. ECCLESIASTICAL ENDORSING AGENT - g. SIGNATURE:
1. ECCLESIASTICAL ENDORSING AGENT - h. DATE SIGNED (YYYYMMDD):
2. PROSPECT INFORMATION. a. IS THIS AN INITIAL ENDORSEMENT? (X one) - Select for "yes.": 0
2. PROSPECT INFORMATION. a. IS THIS AN INITIAL ENDORSEMENT? (X one) - Select for "no.": 0
2. PROSPECT INFORMATION. - b. TYPED OR PRINTED NAME (Last, First, Middle Initial):
2. PROSPECT INFORMATION. - c. SOCIAL SECURITY NUMBER (Last 4):
2. PROSPECT INFORMATION. - d. TELEPHONE (Include area code):
2. PROSPECT INFORMATION. - e. ADDRESS - (1) STREET (Include apartment or suite number):
2. PROSPECT INFORMATION. - e. ADDRESS - (2) CITY:
2. PROSPECT INFORMATION. - e. ADDRESS - (3) STATE:
2. PROSPECT INFORMATION. - e. ADDRESS - (4) ZIP CODE:
2. PROSPECT INFORMATION. - f. E-MAIL ADDRESS:
2. PROSPECT INFORMATION. - g. DATE OF BIRTH (YYYYMMDD):
2. PROSPECT INFORMATION. - h. NUMBER OF YEARS OF PROFESSIONAL MINISTRY EXPERIENCE PROSPECT HAS COMPLETED :
2. PROSPECT INFORMATION. - i. NUMBER OF MONTHS OF PRIOR ACTIVE MILITARY SERVICE PROSPECT HAS COMPLETED - (1) OFFICER :
2. PROSPECT INFORMATION. - i. NUMBER OF MONTHS OF PRIOR ACTIVE MILITARY SERVICE PROSPECT HAS COMPLETED - (2) ENLISTED :
2. PROSPECT INFORMATION. - j. SOURCE OF ORDINATION/PROFESSIONAL CREDENTIALS:
2. PROSPECT INFORMATION. - k. DATE OF ORDINATION/PROFESSIONAL CREDENTIALS (YYYYMMDD):
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) - Select for "(1) CHAPLAIN CANDIDATE": 0
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) - Select for "(2) RESERVE": 0
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) - Select for "(3) NATIONAL GUARD": 0
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) - Select for "(4) ACTIVE DUTY (Army and Navy Only: X (a) or (b))": 0
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) -NAVY ONLY - Select for "(a) Initial Active Duty - 3 Years": 0
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) - NAVY ONLY - Select for "(b) Extended Active Duty - Indefinite": 0
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) - Select for "(5) WITHDRAWAL OF ENDORSEMENT ": 0
2. PROSPECT INFORMATION. - l. APPLICATION IS FOR (X one) - Select for "(6) RESERVE (AGR)": 0
3. TO - a. CHIEF OF CHAPLAINS (X appropriate block) - Select for "(1) ARMY": 0
3. TO - a. CHIEF OF CHAPLAINS (X appropriate block) - Select for "(2) NAVY": 0
3. TO - a. CHIEF OF CHAPLAINS (X appropriate block) - Select for "(3) AIR FORCE": 0
3. TO - b. ADDRESS - (1) STREET (Include apartment or suite number):
3. TO - b. ADDRESS - (2) CITY:
3. TO - b. ADDRESS - (3) STATE:
3. TO - b. ADDRESS - (4) ZIP CODE:
4. FROM - a. TYPED OR PRINTED NAME OF RELIGIOUS ORGANIZATION GRANTING RELIGIOUS MINISTRY PROFESSIONAL ENDORSEMENT:
4. FROM - b. DATE OF CURRENT INTERNAL REVENUE CODE (IRC) 501(c)(3) EXEMPT STATUS (YYYYMMDD):
4. FROM - c. EMPLOYER IDENTIFICATION NUMBER (IRC):
4. FROM - d. TELEPHONE (Include Area Code):
4. FROM - e. FAX NUMBER (Include Area Code):
4. FROM - f. ADDRESS - (1) STREET (Include apartment or suite number):
4. FROM - f. ADDRESS - (2) CITY:
4. FROM - f. ADDRESS - (3) STATE:
4. FROM - f. ADDRESS - (4) ZIP CODE:
4. FROM - g. E-MAIL ADDRESS:
4. FROM - h. WEB SITE:
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