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  • Dd Form 1172 2 Feb 2011

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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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The family member may sign the DD Form 1172 (Application for Uniformed Services Identification Card/DEERS Enrollment) using a general power of attorney (POA). Card/DEERS Enrollment) is signed, how long is it good for? Up to 90 days from the date signed by the sponsor and verifying official or notary.

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.

MilConnect Guide for DD1172 Select “Family ID Cards” Ensure you have a DS Login if you no longer have a CAC for access to the site. Once logged in, select “Print Family List” Select the box marked “Select All Family Members” and proceed. Read and acknowledge the statement and select “I agree”

A DD1172-2 must be signed by the sponsor prior to issuance of a dependent ID. If you have a Common Access Card (CAC), you may sign, view or print this form online at https://.dmdc.osd.mil/self_service/.

Section IV of this form should only be completed if benefits or sponsorship is being requested for/by an eligible sponsor or their dependent. Instructions for the DD Form 1172-2 can be found at: http://.cac.mil/Portals/53/Documents/1172-2-Instructions.pdf.

DD1172-2 for Dependents: If you have a Common Access Card (CAC), you may sign, view or print this form online at https://.dmdc.osd.mil/self_service/. If a sponsor is unable to sign the DD1172-2 online, they may come to the ID card office to sign one in person.

0:33 2:12 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.

Should I neglect to report changes, I and/or my dependent(s) may be held responsible for recoupment for any accrued healthcare costs. (If not signed in the presence of the authorizing/verifying official, the signature must be notarized.)

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232