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  • Dd Form 1172-2, Application For Dod Common Access Card - Deers Enrollment, May 2004

Get Dd Form 1172-2, Application For Dod Common Access Card - Deers Enrollment, May 2004

AY GRADE Form Approved OMB No. 0704-0415 Expires Apr 30, 2007 APPLICATION FOR DEPARTMENT OF DEFENSE COMMON ACCESS CARD DEERS ENROLLMENT 7. GEN. CAT 2. SEX 8. CITIZENSHIP 9. DATE OF BIRTH (YYYYMMMDD) 13. CURRENT RESIDENCE ADDRESS 3. SSN 4. STATUS 5. ORGANIZATION 11. LAST UPDATE (YYYYMMMDD) 10. PLACE OF BIRTH 12. V/I 14. SUPPLEMENTAL ADDRESS INFORMATION 15. CITY 16. STATE 17. ZIP CODE 20. CITY OF DUTY LOCATION 21. STATE OF DUTY LOCATION 18. COUNTRY 19. OFFICE E-MAIL ADDRESS 2.

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supporting statement - Reginfo.gov
Application for Department of Defense Common Access Card – ... In August 2004, the...
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DD Form 1172-2, Application for Department of...
APPLICATION FOR DEPARTMENT OF DEFENSE COMMON ACCESS CARD. DEERS ENROLLMENT. OMB No. 0704...
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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”

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).

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 2:12 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.

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.

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.)

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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