DD Form 1172-2 Form

A DD 1172-2 Form is used by the US Department of Defense (DOD) to process identification card requests for someone who is considered a dependent of a military member. The most common examples of dependents a spouse and a child. this form must be completed so that the dependent can be placed in the Defense Enrollment and Eligibility Reporting System (DEERS). The military member as well as the dependent must sign the completed form. If it isn't properly completed, the form may be rejected.

What is a DD Form 1172 2?

The DD Form 1172-2 form is used by the Department of Defense in the United States. This form is known as an Application for Information Card and DEERS Enrollment. DEERS stands for Defense Enrollment and Eligibility Reporting System. This form will allow someone to enroll their dependent, such as a spouse or child, in DEERS.
This form will require personal information for both the dependent and the government employee. This includes their full name, address, social security or identification number, and contact information. Both parties must sign the form in order for it to be completed. Failure to include all the required information could lead to the application being delayed or denied.

How to complete a DD Form 1172 2 (Step by Step)

To complete a DD Form 1172-2, you will need to provide the following information:

  • Section I - Sponsor/Employee Information
    • Name
    • Gender
    • SSN or DOD ID number
    • Status
    • Organization
    • Pay grade
    • Gen. cat.
    • Citizenship
    • Date of birth
    • Place of birth
    • Current home address, city, state, ZIP code, country
    • Primary email address
    • Telephone number
    • City of duty location
    • State of duty location
    • Country of duty location
  • Section II - Sponsor/Employee Declaration and Remarks
    • Remarks
    • Notary signature and seal
    • Sponsor/employee signature
    • Date signed
  • Section III - Authorized By
    • Sponsoring office name
    • Contact number
    • Sponsoring office address
    • Sponsoring office telephone number
    • Office email address
    • Overseas assignment
    • Overseas assignment begin date
    • Overseas assignment end date
    • Eligibility effective date
    • Eligibility expiration date
    • Sponsoring official name
    • Unit/organization name
    • Title
    • Pay grade
    • Signature
    • Date verified
  • Section IV - Dependent Information
    • Name
    • Gender
    • Date of birth
    • Relationship
    • SSN or DOD ID number
    • Current home address, city, state, ZIP code, country
    • Eligibility effective date
    • Eligibility expiration date
  • Section V - Receipt
    • Acknowledgment of receipt of new card
    • Signature
    • Date issued

Sample DD Form 1172-2

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Sample DD Form 1172-2

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