Instructions for the DD Form 1172-2 can be found at http //www. cac.mil/docs/1172-2-Instructions. pdf.. RELATIONSHIP ADDRESS 66. CITY 68. ZIP CODE 67. STATE 69. COUNTRY SECTION VI - RECEIPT Receipt of new card is acknowledged. DD FORM 1172-2 JAN 2014 73. INSTRUCTIONS The instructions for completing the DD Form 1172-2 should be closely followed to ensure accurate data collection and to preclude overcollection of information. Section IV of this form should only be completed if benefits or sponsorship is being requested for/by an eligible sponsor or their dependent. The DD Form 1172-2 currently covers the RUs that would include retirees and dependents. To the Department of Health and Human Services the Department of Veterans Affairs the Social Security Administration and to other Federal state and local government agencies to identify individuals having benefit eligibility in another plan or program. For a complete list of DEERS routine uses visit http //privacy. Chapter 23 E.O. 9397 E.O.....
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How to fill out the DD 1172-2 online
The DD 1172-2 is an essential application form for obtaining an identification card and enrolling in the Defense Enrollment Eligibility Reporting System (DEERS). This guide provides clear, step-by-step instructions on how to complete the DD 1172-2 online, ensuring you provide accurate information for your application.
Follow the steps to successfully complete the DD 1172-2 online.
- Click the ‘Get Form’ button to access the DD 1172-2 form in the editing interface.
- Begin with Section I, where you will need to fill in sponsor or employee information. This includes your name, gender, Social Security Number or DoD ID number, date of birth, place of birth, and current home address. Ensure each entry is accurate and free of typographical errors.
- Complete sections 4 through 20, which ask for various details such as your organization, citizenship status, primary email address, and telephone number. This information is crucial for official correspondence.
- In Section II, you must sign and date the form, either in the presence of an authorizing official or have it notarized. Be sure to include any remarks or necessary legal documentation.
- Section III requires details from the sponsoring office, including office name, contract number, address, telephone number, and official email address. This section may need verification by the sponsor.
- If applicable, provide dependent information in Section V, indicating their names, genders, dates of birth, relationships, and email addresses. This section may require additional pages if you have multiple dependents.
- Lastly, from the receipt section, acknowledge receipt of the new identification card by signing and dating the box provided.
- Once you have completed all sections, review for accuracy, save your changes, and prepare to print or share the completed form as needed.
Start completing the DD 1172-2 online today to ensure timely access to your identification card and benefits.
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