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DD 1172-2 2011 free printable template

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APPLICATION FOR IDENTIFICATION CARD/DEER ENROLLMENT Please read Agency Disclosure Notice, Privacy Act Statement, and Instructions prior to completing this form. OMB No. 0704-0415 OMB approval expires
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How to fill out DD 1172-2

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How to fill out DD 1172-2

01
Begin by downloading the DD Form 1172-2 from the official website.
02
Enter the sponsor's information, including name, Social Security number, and military affiliation.
03
Provide personal information for each family member, including names, dates of birth, and Social Security numbers.
04
Indicate the type of identification requested (e.g., ID card for dependents).
05
Sign and date the form in the designated areas.
06
Submit the completed form to your unit's personnel office or the nearest ID card issuance facility.

Who needs DD 1172-2?

01
Military sponsors needing to obtain identification cards for their eligible family members.
02
Dependents of military personnel who need to apply for or renew their ID cards.

Who needs a DD Form 1172-2?

Application for Identification Card/Deer's Enrollment, Form DD 1172-2 is used for enrollment in the Defense Enrollment Eligibility Reporting System (DEER) for Department of Defense (DoD) benefits and privileges. These benefits include medical coverage, DoD Identification Cards, access to DoD installations, buildings or facilities, and access to DoD computer systems and networks. Anyone from armed forces can apply for such benefits by completing the relevant application materials, but all applications require Form DD 1172-2.

What is a DD Form 1172-2 for?

Information provided on this form is used to ensure that the applicant is not improperly receiving duplicate benefits from another Federal program.
Information provided on this form can be directed to all the entities who are connected to benefit programs, such as Federal or State agencies, private entities, and individual providers of care.

When is the DD Form 1172-2 due?

This form valid for issue of DoD ID Card for 90 days from date of verification.

How do I fill out the Form DD 1172 online?

You should read Agency Disclosure Notice, and Instructions prior to completing this form.
The following sections must be filled out in order to complete the form:

  • Section I — Sponsor/Employee Information;
  • Section II — Sponsor/Employee Declaration and Remarks (should be approved by a notary's signature and seal);
  • Section III — Authorized By;
  • Section IV — Dependent Information (you may attach additional pages for filling this section if necessary);
  • Section V — Receipt (an acknowledgement of the new card).

Where do I send DD Form 1172-2?

Once completed and signed, this form should be directed to a verifying official.

 
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What is dd form 1172 2?

The DD Form 1172-2 shall be used to apply for issuance of a DD Form 2 (Reserve, Retired, and Reserve Retired), a DD Form 1173, a DD Form 1173-1, a DD Form 2764, a DD Form 2765, and a Common Access Card (CAC) for eligible individuals who are not enrolled in the Defense Enrollment Eligibility Reporting System (DEERS).

People Also Ask about

What is a DD Form 1172 and what is its purpose? The DD Form 1172 is an application for uniformed services identification card/DEERS Enrollment. It is used for the application of military ID cards for military dependents.
All potential cardholders must register in the Defense Enrollment Eligibility Reporting System (DEERS). To do this, you will need to complete a DD Form 1172-2. If you are a dependent, an active duty or retired Service member must take action to register you in DEERS with the required eligibility documents.
0:22 2:13 Learn How to Fill the DD form 1172 Application for Identification Card YouTube Start of suggested clip End of suggested clip And pay grade information furthermore. You must supply. All contact information that is required.MoreAnd pay grade information furthermore. You must supply. All contact information that is required.
0:33 2:13 Learn How to Fill the DD form 1172 Application for Identification Card YouTube Start of suggested clip End of suggested clip And pay grade information furthermore. You must supply. All contact information that is required.MoreAnd pay grade information furthermore. You must supply. All contact information that is required.
Dependents and others will need to complete a DD Form 1172-2 with their military sponsor and visits a RAPIDS site with two forms of acceptable ID and proper documentation for final verification and processing. Use this RAPIDS Site Locator to find a location near you to make an appointment.

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DD 1172-2 is a Department of Defense form used to apply for an identification card for eligible family members of military personnel and certain veterans.
The form is required to be filed by military service members who wish to enroll their eligible dependents for identification cards and benefits.
To fill out DD 1172-2, individuals must provide personal information such as name, Social Security number, date of birth, and relationship to the service member, as well as the service member's information.
The purpose of DD 1172-2 is to register dependents for eligibility for various military benefits, including medical care and access to installations.
Information that must be reported includes the service member's personal details, dependent's information, and signatures from both the service member and the responsible individual.
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