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U.S. DOD Form dod-dd-1172-2 Please read Agency Disclosure Notice, Privacy Act Statement, and Instructions prior to completing this form. MARK HERE FOR CIVILIAN OR CONTRACTOR PRE-ELIGIBILITY 1. NAME
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DD1172-1 is the form used by the Department of Defense (DoD) to verify the eligibility of individuals to receive benefits or privileges as dependents of military members.
Military members who have dependents and need to verify their eligibility for benefits or privileges are required to file DD1172-1.
To fill out DD1172-1, you need to provide personal information about the military member, the dependent(s), and their relationship. Additionally, supporting documentation such as marriage certificates or birth certificates may be required.
The purpose of DD1172-1 is to ensure that individuals claiming eligibility for benefits or privileges as dependents of military members are indeed eligible.
The information reported on DD1172-1 includes the military member's name, rank, service branch, and contact information. It also includes the dependent(s)' names, dates of birth, and relationship to the military member.
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