Get the up-to-date 1172 form-2023 now

Show details

4.9 out of 5

43 votes

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 ...

Here's how it works

01. Edit your dd form 1172 printable online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dd 1172 form via email, link, or fax. You can also download it, export it or print it out.

The easiest way to edit 1172 form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on paperwork with our feature-rich and user-friendly PDF editor is simple. Follow the instructions below to fill out 1172 form online quickly and easily:

Log in to your account. Sign up with your credentials or register a free account to test the product prior to upgrading the subscription.
Upload a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit 1172 form. Easily add and highlight text, insert images, checkmarks, and symbols, drop new fillable areas, and rearrange or remove pages from your document.
Get the 1172 form accomplished. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other people using a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to promptly manage your paperwork online!

See more 1172 form versions

We've got more versions of the 1172 form form. Select the right 1172 form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2005	4.9 Satisfied (43 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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.