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CITY 50. INCAP 51. MEDICARE 45. COUNTRY 67. V/I 77. STU 78. INCAP 54. HEIGHT 28. MARITAL STATUS 32. END ELIG REASON 37. ID NO. 56. MARITAL STATUS DATE 55. WEIGHT 64. SSN 65. ID NO. 69. SUPPLEMENTAL ADDRESS INFORMATION 59. PRIVILEGES AUTHORIZED Enter correct abbreviation AFTER privilege Morale Welfare Medical Commissary Exchange Exchange Recreation Civilian Service Unlimited Limited 68. CURRENT RESIDENCE ADDRESS 46. HOME TELEPHONE NO. Include Area Code 62. SEX 63. RELATIONSHIP 70. CITY 76. MBI 2 ...

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How do I get DD form 1172?

If you have a Common Access Card (CAC), you may sign, view or print this form online at https://www.dmdc.osd.mil/self_service/. If a sponsor is unable to sign the DD1172-2 online, they may come to the ID card office to sign one in person.

Who fills out DD form 1172?

All potential cardholders must register in the Defense Enrollment Eligibility Reporting System (DEERS). To do this, you will need to complete a DD Form 1172-2. If you are a dependent, an active duty or retired Service member must take action to register you in DEERS with the required eligibility documents.

Does the DD1172 need to be notarized?

I certify the information provided in connection with the eligibility requirements of this form is true and accurate to the best of my knowledge. (If not signed in the presence of the authorizing/verifying official, the signature must be notarized.)

What is a form 1172?

What is a DD Form 1172 and what is its purpose? The DD Form 1172 is an application for uniformed services identification card/DEERS Enrollment. It is used for the application of military ID cards for military dependents.