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Please read Agency Disclosure Notice, Privacy Act Statement, and Instructions prior to completing this form. MARK HERE FOR CIVILIAN OR CONTRACTOR PRE-ELIGIBILITY APPLICATION FOR DEPARTMENT OF DEFENSE
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How to fill out DD Form 1172-2:

01
Start by entering your full name in the "SPONSOR/EMPLOYEE NAME" section at the top of the form.
02
Provide your Social Security Number (SSN) in the designated box.
03
Indicate your rank or grade in the "RANK/GRADE" field.
04
Enter your organization or unit in the "ORGANIZATION/UNIT" section.
05
Fill in your contact information, including your telephone number and email address.
06
If you are an active duty member, indicate your branch of service in the "BRANCH/AGENCY" box.
07
If you are a civilian employee, select the appropriate "EMPLOYEE" option and provide the necessary information.
08
If you are a contractor, select the "CONTRACTOR/CIVILIAN EMPLOYEE" option and provide the details.
09
For dependents, enter their full name, SSN, date of birth, relationship to you, and other required information.
10
Check the appropriate box to indicate the relationship type (e.g., spouse, natural-born child, adopted child).
11
Provide the dependent's contact information, including address and telephone number.
12
If necessary, attach additional sheets to include information for more dependents.
13
Sign and date the form in the "SIGNATURE/DATUM" section.
14
If you are an authorized representative, complete the "AUTHORIZED REPRESENTATIVE" area.
15
Ensure that all the information provided is accurate and legible.

Who needs DD Form 1172-2?

01
Active duty military members need DD Form 1172-2 to enroll their family members and dependents in the Defense Enrollment Eligibility Reporting System (DEERS).
02
Retired military members use this form to update their dependent information or add new dependents.
03
Civilian employees who are eligible for benefits, such as healthcare coverage for their dependents, may need to fill out this form.
04
Contractors or authorized representatives who handle military personnel or employee data may also need to complete DD Form 1172-2.

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DD Form 1172-2 is a Department of Defense form used for application for a Uniformed Services Identification (ID) Card/DEERS Enrollment.
Military members, their dependents, and other eligible individuals are required to file DD Form 1172-2 for ID card issuance.
DD Form 1172-2 should be filled out with personal information, sponsor information, and other required details as outlined in the instructions.
The purpose of DD Form 1172-2 is to apply for a Uniformed Services Identification Card and enroll in the Defense Enrollment Eligibility Reporting System (DEERS).
Information such as name, social security number, date of birth, sponsor information, and eligibility status must be reported on DD Form 1172-2.
The deadline to file DD Form 1172-2 in 2023 is typically before the expiration date of the current ID card, or as soon as any information changes.
The penalty for late filing of DD Form 1172-2 may result in ID card access being restricted until the form is submitted and processed.
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