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Dd Form 137 3

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A DD 137-3 Form is used by the US Department of Defense (DOD). It is also referred to as a Dependency Statement. The purpose of the form is to verify that there is a relationship between the applicant and the dependent. Without properly completing this form and it being approved by the DOD, the named dependent would not be eligible to receive benefits.

Dd Form 137 3

Related Documents

DD Form-137-7 › DD Form-1970 › DD Form-362 ›

What is a DD Form 137 3?

This form is used by the Department of Defense in the United States. The DD Form 137-3 is also known as a Dependency Statement. This form will be used to verify the relationship between the applicant and the claimed dependent.
This form will be used to verify that someone is eligible for benefits as a dependent. Because of this, it is very important to fill it out honestly and accurately. You will need to include information about yourself and the person you are claiming as a dependent. This will include full name, address, relationship, and social security number. Filling out the form completely will ensure that the statement is processed quickly.

How to complete a DD Form 137-3 (Step by Step)

To complete a DD Form 137-3, you need to provide the following information:

  • Entitlements requested: BAH, USIP card, travel allowance
  • Whether this is a first application
  • Status of prior application
  • Member information
    • Name
    • SSN
    • Rank
    • Status: active duty, retired, National Guard, Reserve, Army, Marine Corps, Navy, Air Force, deceased, other
    • Complete residence address
    • Complete military address
    • Telephone numbers
    • Email address
  • Parent(s) information
    • Name
    • SSN
    • Date of birth
    • Relationship
    • Complete address
    • Telephone number
    • Present occupation or business
    • Name and address of employer
    • Marital status
    • If spouse deceased or legally separate, date of event
    • Any reason for living apart or non support
    • All living children, SSN, branch of service, monthly contribution to parent
    • Does any other child claim parent for BAH, travel allowance, or USIP card
  • Parent’s residence
    • Type of residence
    • Owner of residence - name and address
    • Whether residence is subsidized
    • Date parent started living there
    • Is current address permanent
  • Persons living in household with parent
    • Name
    • Relationship to parent
    • Age
    • Marital status
    • Employment status
    • Monthly contribution to parent
    • Household expenses - present monthly expense and total expense for past 12 months
      • Rent/mortgage/FRV, tax, insurance 
      • Food
      • Utilities
      • Furniture and appliances
      • Repairs on home
      • Other
    • Parent’s personal expenses - present monthly expense and total expense for past 12 months
      • Clothing
      • Laundry and dry cleaning
      • Medical
      • Value of USIP card
      • Personal insurance
      • Personal taxes
      • Private auto payments
      • Monthly transportation payments
      • School expenses
      • Other expenses
    • Parent’s assets
      • Description
      • Present value
      • Parent’s equity
      • Is parent liquidating assets
    • Parent’s income - present monthly expense and total expense for past 12 months
      • Wages, salaries, tips, or other cash gratuities
      • Interest on investments, bonds, savings, trust funds, etc.
      • Insurance or public/government pension payments, unemployment or disability compensation
      • Net income from rental property, business and farming
      • Foreign pension payments
      • Contributions from persons other than member
      • Tax refunds
      • Other
      • Scholarships or educational grants
      • Social security payments, disability or regular
      • Supplemental security income (SSI)
      • Veterans administration payments
      • State or local welfare aid, including aid to dependent children
      • Payment or alimony from separated or divorced spouse
      • Has parent or spouse applied for any type of pension, social security, VA, disability, unemployment, or retirement payments not yet received
    • Member’s contribution
      • Total amount the member gave parent, or paid in parent’s behalf for each of past 12 months
      • Member provides support by: allotment, personal check, money order, other
    • Remarks
    • Signatures
      • Parents - print, sign, date
      • Notary public - official seal, sign, date, location
      • Member - sign, date

    Download a PDF or Word Template

    DD Form-137-3

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    DD Form-137-7

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    Create DD Form 137-7

    DD Form-1970

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    Create DD Form 1970

    DD Form-362

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    Create DD Form 362

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