DAF Form 110: Electronic Medical Device Request & Approval

DAF Form 110: Electronic Medical Device Request & Approval – If you serve in the U.S. Air Force (USAF), U.S. Space Force, or support Department of the Air Force (DAF) operations and require an electronic medical device (EMD) in secure or classified environments, DAF Form 110 is the official tool for requesting approval. Released on February 21, 2023, this form streamlines the process for authorizing medically necessary devices while maintaining operational security.

What Is DAF Form 110?

DAF Form 110, titled DAF Electronic Medical Device Request Form & Approval Card, serves as both a request document and a portable approval card. It enables DAF personnel to seek authorization for electronic medical devices such as:

  • Hearing aids
  • Continuous glucose monitors
  • Heart rate monitors
  • Breast pumps
  • Other FDA-regulated wearable or portable medical devices

The form ensures these devices meet security standards for introduction into areas handling classified information, including collateral open storage, restricted areas, and certain Sensitive Compartmented Information Facilities (SCIFs) where policies align.

Official DownloadDAF Form 110 PDF (Direct from e-Publishing.af.mil).

Why DAF Form 110 Matters for USAF and DAF Personnel?

Modern medical technology supports health and readiness, but electronic devices pose potential risks (e.g., wireless emissions, data storage, or recording capabilities) in secure facilities. DAF Form 110 balances mission security with personnel wellness by requiring documented approval.

Key benefits include:

  • Standardized Process — Clear request and approval workflow.
  • Portability — Approved card allows daily entry/exit with the device.
  • Compliance — Aligns with DAF security policies, DoD guidelines on portable electronic devices (PEDs), and evolving Intelligence Community standards for EMDs.
  • One-Year Validity — Approvals typically last up to one year, requiring renewal.

This form pairs with DAF Form 111 for personal wearable fitness devices, showing the DAF’s structured approach to personal electronics in professional settings.

Who Needs to Use DAF Form 110?

  • Active-duty Air Force and Space Force members
  • DAF civilians and contractors working in secure facilities
  • Anyone requiring medically necessary electronic devices in classified or restricted areas
  • Personnel entering facilities with specific security protocols (e.g., Minot AFB or other installations with strict PED rules)

Note: Non-DoD visitors may need alternative waiver documentation in some contexts.

Step-by-Step Guide: How to Complete and Submit DAF Form 110?

  1. Obtain the Form — Download the fillable PDF from the official Air Force e-Publishing site.
  2. Provide Device Details — Include make, model, manufacturer, FDA classification, wireless capabilities, and medical necessity justification (e.g., physician note).
  3. Submit Through Chain — Route via your Unit Security Manager (USM) or appropriate medical/security authority.
  4. Review and Approval — Security personnel evaluate risks (e.g., emissions, data storage). Approved forms become your Approval Card.
  5. Carry the Card — Present it with the device when entering secure areas. Keep wireless features disabled where required.
  6. Renew Annually — Track expiration to avoid access issues.

Always consult your local security office or USM for installation-specific procedures, as policies can vary (e.g., SCIF vs. collateral areas).

Common Electronic Medical Devices Approved via DAF Form 110

  • Hearing aids and cochlear implants
  • Insulin pumps and glucose monitors
  • Cardiac monitors or pacemakers (external components)
  • Other life-sustaining or health-monitoring devices

Devices must typically lack prohibited features like cameras, microphones, or non-disableable wireless connectivity unless waived.

  • Air Force e-Publishing — Official source for all DAF forms.
  • DoD and DAF PED Guidance — Covers portable electronic devices in accredited spaces.
  • Intelligence Community Directive (ICD) 124 — Broader EMD access policies for SCIFs (2024).
  • Unit Security Manager (USM) — Primary point of contact for approvals.

For the latest guidance, visit e-Publishing.af.mil or contact your base security office.

Download DAF Form 110 Today

Direct Linkhttps://static.e-publishing.af.mil/production/1/af_a2_6/form/daf110/daf110.pdf

Pro Tip: Use a fillable PDF viewer for best results. Print or save the approved version as your carry card.

Stay Compliant and Mission-Ready

Proper use of DAF Form 110 ensures you maintain health needs without compromising security. Whether managing a chronic condition or supporting daily wellness, this form provides a clear, authorized pathway for electronic medical devices in DAF environments.

Last updated for 2026 compliance. Always verify with official DAF sources for the most current requirements.