DD FORM 1172-2 PDF

DD FORM for Dependents or PCS Orders. DD for Dependents: A DD must be signed by the sponsor prior to issuance of a dependent ID. Create dd form 2 in minutes using a fillable PDF editor. Generating Form DD To generate Form DD for a dependent: On the “Home” page, click Generate Verify the configuration of your system.

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Physician’s office address and telephone number. This paragraph g describes eligibility documentation required for civilian personnel, and their dependents, when they are eligible for benefits in accordance with subpart C of this part. VA rating determination letter that establishes eligibility as percent disabled or incapable of pursuing substantially gainful employment. It is important to note that both torm must sign the form to be termed completed. Section VI involves the receipt of the card.

This rule is effective on January 6, forn A dissolution decree or annulment decree is also accepted. Other information required in this section include pay grade, citizenship, date of birth, city, place of birth, state, zip code, email address and other information on the form. A travel authorization produced by the sponsoring DoD Component authorizing the sponsor to reside on a military installation in the United States, or indicating an assignment outside the United States.

Forms & Claims – Eligibility | TRICARE

Comments must be received by March 7, A child under the age of 21, who marries and subsequently divorces, may present a divorce decree and have eligibility reinstated, if the other requirements for a dependent 112-2 are met. Additional documentation confirming 1172-22 before being married may be required. This paragraph k describes documentation required to request a change to a retiree’s, a dependent ‘s, or a contractor’s gender marker in DEERS. Sponsors should contact their SJA for information on how to request issuance of certificate s of authentication from a U.

For ID card issuance, the unremarried former spouse must certify on the DD Form that the former spouse has not remarried. Torm every other form, enter the last name, first name and the middle initial or the full middle name.


Do not use the old form as it would not be processed. All sections of the form are very important. Illegitimate child of record whose paternity has been judicially determined.

An affidavit of paternity, recognized by a court of competent jurisdiction in the United States or U.

This will include their full names, social security, contact information and address. A foreign affiliate serving in the United States or outside the United States under the sponsorship or invitation of the DoD or a Military Service, and accompanying dependents, or a foreign affiliate serving in the United States in connection with their official duties but who are not under the sponsorship or invitation of the DoD or a Military Service, and accompanying dependents, must have eligibility verified by documentation shown in Table 28 to this subpart.

Eligible dependents, as identified in subpart C of this part, must establish their relationship to the sponsor, as specified in Tables 1 through 10 of this subpart, if the relationship has not previously been established.

By clicking the button, I agree to the privacy policy and to hear about offers or services. All documentation must be an original or certified document. A MOH recipient should have eligibility verified by documentation shown in Table 20 to this subpart.

32 CFR – Procedures. | US Law | LII / Legal Information Institute

D A VO may request additional documentation if there is any question of the authenticity of those presented. Free Download, Edit, Fill. A marriage certificate, if the child marries. There you will be required to take a picture to be printed on your card. Birth certificate Note 1 and Sponsor’s marriage certificate Note for. Temporary or Permanent Incapacitated Child.

Status Eligibility documentation Former Spouse: This card is a defense kind of an ID that is used by the service members who have retired, those who are on active duty and the dx.


Status Eligibility documentation Civilian: An order or appropriate document from a court of competent jurisdiction in the United States or U. Their eligibility ends at age 18 unless otherwise eligible as full-time students aged or based on an incapacitation that existed before age 18 or occurred between the ages of 18 and 23 while firm full-time student.

A sponsor must follow the Service-specific process for initial determination of an incapacitated dependent child. Marriage certificate to sponsor Note 1 and Death certificate of sponsor. A request to restrict health information.

DD FORM 1172-2

Retired members include voluntary retired memberspermanent disability retired list membersand temporary disability retired list members. Thanks for 11172-2 a trial of PDFelement.

Physician’s medical license or certificate number. There are different types of identification cards relating to different organizations like a case of military where they have military identification cards. Ofrm requests by retirees, dependents, and contractors to change gender fork must be submitted by the sponsor ‘s responsible uniformed service project office or sponsoring agency to DoDHRA.

An appropriate document from any other source authorized by State or local law with written approval from the responsible uniformed service Judge Advocate General or local SJA. The ID cards shall be issued to uniformed service members, their dependents, and other eligible individuals and will be used as proof of identity and DoD affiliation. A sponsor ‘s foster child must have eligibility verified by documentation shown in Table 7 to this subpart. An df duty member should have eligibility updated in DEERS by an authoritative feed; however, under certain circumstances described in the notes of the table, an active duty member may have eligibility verified by documentation shown in Table 15 to this subpart.