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.
Form VA 21-4138 Statement In Support of Claim
INSTRUCTIONS : STATEMENT IN SUPPORT OF CLAIM (VA Form 21-4138)
A VA Form 21-4138 is the Veteran Affairs Statement in Support of a Claim form that is used to support a claim for benefits. This form is used to provide requested information by Veteran’s Affairs while they are evaluating your claim.
The VA Form 21-4138 is available on the United States Department of Veteran Affairs website.
The first blank boxes require your basic identification information.
1. In the top box, you must provide the name, social security number, and the claims file number of the veteran who is making the claim.
Next, the large box on the first page requires a statement made in connection with the applied for claims.
2. This is the most important section of your VA Form 21-4138.
3. It is important that you write a well thought out statement that supports your claims.
4. Write a draft of your statement.
5. Ensure that your draft includes a very detailed explanation addressing all of the required additional information the Department of Veteran’s Affairs requires. Also ensure that you cover all of your claims.
6. Once you have a completed draft, you can either handwrite your explanation in the box or print it from a computer and attach it. You must also attach any supporting documents you may require.
Finally, you must certify your VA Form 21-4138.
7. Sign and date the VA Form 21-438 at the bottom of the page.
8. Supply your address and phone number contacts
If your statement will not fit in the box on the first page, you may continue your statement in the box on the second page. You may also attached additional pages for your form if you so require.
9. Submit your VA Form 21-4138 to the Department of Veteran Affairs by mailing it to the address provided, ensuring that it gets to the office it needs to be reviewed.
Form DD-214 Certificate of Release of Discharge from Active Duty
INSTRUCTIONS : CERTIFICATE OF RELEASE OF DISCHARGE FROM ACTIVE DUTY (Form DD-214)
A DD-214 Form is a Department of Defense form used as a certificate of release or discharge from active duty. It is the final papers a military member receives and is very important for receiving veterans benefits.
The DD-214 Form is available on the Department of Defense documentation website or can be supplied through the chain of command. When requesting a completed DD-214 Form, you must contact the National Personnel Records Center.
In order to properly fill out a DD-214 Form, you must first start with the basic information of the individual.
1. In boxes 1 through 6, you must fill in the military member's name, department, social security number, grade at time of discharge, pay grade, date of birth, and reserve obligations.
2. Box 7 requires some basic historical information about the military member, including their place of entry into the service and home of record at the time of entry.
3. Box 8 requires the last duty assignment as well as last station when separated.
If the military member is being transferred to another department or branch, box 9 is used to indicate where the transfer is to take place.
Boxes 11 through 14 will give a history of the military member's career and service records.
4. Box 11 requires specialties, listed in order with dates and length of specialty service. Additional space may be needed, so an addendum may be added if all specialties do not fit inside the box.
5. Box 12 will indicate the record of service, specifically breaking down the time periods of active duty, separation dates, prior active and inactive service time, foreign service, sea service, and effective pay rate dates.
6. Boxes 13 and 14 further expand on the military career of the subject of the DD-214 Form. Awards, education, and commendations will be listed in these boxes. Additional sheets may be added.
Box 16 will indicate the days accrued pays leave, if any are applicable.
Box 18 will have any additional remarks that involve the separation from the military. This box may be left blank, unless there are clear remarks of the individual's military service that should be commented on.
7. Boxes 19 through 22 are the contact information for the military member at the time of separation and the certification by both the separated member and the authorization officer.
Form VA 21-526 Veteran’s Application for Compensation and/or Pension
INSTRUCTIONS : VETERAN’S APPLICATION FOR COMPENSATION AND/OR PENSION(VA Form 21-526)
A VA Form 21-626 is the Veteran Affairs Application for Compensation or Pension form that is used to make a claim for benefits. This form is used to claims for benefits that arise from disability or injuries sustained during military service or for benefits for qualifying retired military members.
The VA Form 21-526 is available on the United States Department of Veteran Affairs website.
Boxes 1 and 2 require that you identify the compensation you are applying for and any previous applications for compensation.
1. In box 1, you should seek compensation if you have suffered an injury or illness while in the military.
2. You should seek a pension claim if you are over 65 years old with a disability, served on active duty during at least one day of a period of war, and your income and net worth does not exceed the limits outline by the Veterans Affairs office.
Next, boxes 3 through 9 require your basic identification information.
Boxes 10 through 18 require information about past benefits applications, a history of your injuries, and your medical treatment history.
3. You should provide a detailed history of all medical events that occurred during your military service.
4. Ensure that you give as much specific information as possible in box 11. You can add additional information in the blank box at the end of the form if you need more space.
Parts III through V require that you supply your service information.
5. Part V requires that you supply your military retired and severance pay.
Part VI requires your marital status and dependency information, which will be used to determine the type of benefits you are entitled.
6. Ensure that you include all of your marriage history and all dependents for which you support in the appropriate boxes.
Parts VII through X require your financial information for evaluation of your benefits.
7. In Parts VII, VIII and IV, do not leave any boxes blank, even if they do not apply to you or your spouse. Fill in a zero if you do not receive the benefit.
Complete the form by certifying all of the information in Part XII and consent to the release form that allows Veterans Affairs to review your information.
8. Send in the VA Form 21-526 to the address supplied by the VA.