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U.S. Department of Defense Form DD1172-2 APPLICATION FOR DEPARTMENT OF DEFENSE COMMONACCESS CARD-DEERS ENROLLMENT FORM NUMBER DD1172-2 FORM TITLE APPLICATION FOR DEPARTMENT OF DEFENSE COMMONACCESS CARD-DEERS ENROLLMENT U.S. GOVERNMENT AGENCY U.S. Department of Defense U.S. DoD POINTS OF CONTACT U.S. DoD Forms Management Officer USERS FILE FORMATS PDF OPTIMIZED T PRINTABLE FILLABLE SAVABLE OBTAINING FROM 1 DoD.

How to fill out dd1172 form

How to fill out dd1172:

1. Start by entering the date in the designated space.
2. Provide your last name, first name, and middle initial in the appropriate fields.
3. Fill in your Social Security Number or DoD ID Number.
4. Enter your current rank or grade.
5. Indicate your branch of service.
6. Include your duty station or organization.
7. Provide your work phone number or email address.
8. Fill out your residential address, including street, city, state, and ZIP code.
9. If applicable, provide your home phone number or email address.
10. Specify your shipping address, if different from residential address.
11. Enter the shipping phone number or email address, if different from residential information.
12. Provide the name, rank, and branch of service of the sponsor or requestor.
13. Indicate the relationship of the sponsor or requestor to the dependent.
14. Fill out the dependent's full name, including last name, first name, and middle initial.
15. Enter the dependent's Social Security Number or DoD ID Number.
16. Specify the dependent's date of birth.
17. Indicate the dependent's relationship to the sponsor or requestor.
18. Provide the dependent's work phone number or email address, if applicable.
19. Fill in the dependent's residential address, including street, city, state, and ZIP code.
20. If applicable, provide the dependent's home phone number or email address.
21. Enter the dependent's shipping address, if different from residential address.
22. Specify the shipping phone number or email address, if different from residential information.

Who needs dd1172:

1. Active duty military personnel may need dd1172 when sponsoring a dependent for benefits.
2. Reserve and National Guard members may require dd1172 for their dependent's benefits.
3. Retired military personnel may need to fill out dd1172 when enrolling dependents in benefits programs.
4. DoD civilian employees may also need dd1172 for sponsoring dependents for benefits.
5. Some contractors or vendors working with the Department of Defense may be required to fill out dd1172 for dependent-related matters.
6. Dependents themselves may need to complete dd1172 for certain procedures or benefits applications.

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What is dd1172?

DD1172 is a form used by the Department of Defense (DoD) to record and verify the identification, eligibility, and relationship of individuals who are eligible for DoD benefits and privileges.

Who is required to file dd1172?

DD1172 is typically filed by military members, DoD civilian employees, and their dependents who are seeking DoD benefits and privileges.

How to fill out dd1172?

To fill out DD1172, you need to provide personal information, such as your name, contact information, and social security number. Additionally, you need to provide information about your eligibility status and the relationship of your dependents.

What is the purpose of dd1172?

The purpose of DD1172 is to establish and verify the eligibility of individuals for DoD benefits and privileges, including healthcare, access to military facilities, and other associated benefits.

What information must be reported on dd1172?

On DD1172, you need to report personal information such as full name, contact details, social security number, as well as the relationship and eligibility status of your dependents.