Form DD 1172 Application for Identification Card/DEERS Enrollment
INSTRUCTIONS : APPLICATION FOR IDENTIFICATION CARD/DEERS ENROLLMENT (DD Form 1172)
A DD Form 1172 is a Department of Defense form is used for application for an identification card and DEERS enrollment. The form is required for obtaining the identification card and provides the adequate information for enrollment in benefits programs for the military member and their dependents.
The DD Form 1172 is available on the Department of Defense documentation website or can be supplied through the chain of command.
The applying military or department of defense employee must fill out section I, providing basic contact information.
1. You must provide your name, social security number, status, and pay grade information.
2. Furthermore, you must supply all contact information that is required, including address and phone contact.
Section II may require you include additional information about your current assignment, qualifying status, or other important information about the benefits you are eligible.
3. Depending on your agency or department, section II may already be per-printed with the information necessary for your application.
Section III requires the information about your sponsoring group or agency, with the appropriate authorizations and approvals.
4. Your sponsoring office must provide its contact information, details of your assignments and positions, and be signed off by a qualified official for authorization.
If you have any dependents which will qualify for benefits through the Department of Defense, you must include their information in part IV.
5. If you do not have any dependents, you may leave this section blank. An amendment to this form may be necessary if you are responsible for dependents at a later date.
6. If you need additional space for more than 2 dependents, you may use additional sheets attached to your DD Form 1172.
Once a new identification card is issued, you must certify receipt of the the new card in section V.
7. Retain a copy of DD Form 1172 for future reference and your file. You may need to file amended DD Form 1172s in the future or need the necessary information on it.