Get Dd Form 1172 Microsoft Word

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.

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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.)

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”

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.

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/.

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.)