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Please read Privacy Act Statement and Agency Disclosure Notice prior to completing this form. APPLICATION FOR UNIFORMED SERVICES IDENTIFICATION CARD DEERS ENROLLMENT 1. NAME (Last, First, Middle).

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How to fill out the DD1172 online

Filling out the DD1172 form online can streamline the application process for a Uniformed Services Identification Card and facilitate DEERS enrollment. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the DD1172 form online.

  1. Click ‘Get Form’ button to access the DD1172 form electronically and open it in the appropriate editor.
  2. Enter your name in the designated fields (Last, First, Middle). Ensure the spelling is correct as it should match your identification documents.
  3. Select your sex from the options provided.
  4. Input your Social Security Number (or Service Number) accurately in the specified field.
  5. Indicate your current status (e.g., active duty, retired) and branch of service.
  6. Provide your pay grade and rank, ensuring the entries are in line with your current military record.
  7. Fill in your general category and the type of card you are requesting.
  8. Complete the current residence address section thoroughly, including any supplemental address information as needed.
  9. Provide your home telephone number, including the area code.
  10. Enter your date of birth in the specified format (YYYYMMMDD).
  11. Provide additional details such as blood type, color of eyes, and hair, height, and weight as required.
  12. Fill in the marital status and include any pertinent eligibility start and end dates.
  13. Describe the privileges authorized for the card you are requesting.
  14. If applicable, include details of dependents in the subsequent sections, repeating the necessary fields for each.
  15. Sign and date the form where indicated, certifying that the provided information is true and accurate.
  16. After all fields are completed, save your changes, download a copy, and print the form for your records or to share as necessary.

Start filling out the DD1172 form online today to ensure a smooth application process.

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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”

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.)

Application for Identification Card/DEERS Enrollment (DD Form 1172-2) This form is used to register in the DEERS database and apply for a uniformed service identification card or Common Access Card.

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.

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.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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