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When someone steps into the world of military and Department of Defense (DoD) benefits, the DD Form 1172-2 becomes a gateway document. This form is an essential tool for applying for and enrolling in the Defense Enrollment Eligibility Reporting System (DEERS), a key process for securing a range of benefits and privileges like medical coverage, DoD Identification Cards, and access to secure sites and computer systems. With sections dedicated to sponsor/employee information, declarations, authorization by sponsoring officials, and dependent details, the form takes on a comprehensive scope. It also lays a strong emphasis on the accuracy of information, highlighting the importance of honest declarations by requiring sponsor or notary verification. The form not only navigates through personal and professional realms of applicants but also serves as a linchpin in ensuring that the right benefits are accorded to the right individuals, underscoring the system's integrity against any potential misuse. Additionally, by outlining the nature of the required information and the consequences of non-disclosure or falsehood, the DD Form 1172-2 embodies the balance between procedural necessity and individual accountability.

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APPLICATION FOR IDENTIFICATION CARD/DEERS ENROLLMENT

Please read Agency Disclosure Notice, Privacy Act Statement, and Instructions prior to completing this form.

OMB No. 0704-0415 OMB approval expires 20230430

SECTION I - SPONSOR/EMPLOYEE INFORMATION

1.NAME (Last, First, Middle)

2. GENDER

3. SSN OR DoD ID NO.

4. STATUS

5. ORGANIZATION

6. PAY GRADE

7. GEN. CAT

8. CITIZENSHIP

9. DATE OF BIRTH (YYYYMMDD)

10. PLACE OF BIRTH

11. CURRENT HOME ADDRESS

12. CITY

13. STATE

14. ZIP CODE

15. COUNTRY

16. PRIMARY EMAIL ADDRESS

Permission to use for benefits notifications

17.TELEPHONE NUMBER (Include Area Code/DSN)

18. CITY OF DUTY LOCATION

19.STATE OF DUTY LOCATION

20. COUNTRY OF DUTY LOCATION

SECTION II - SPONSOR/EMPLOYEE DECLARATION AND REMARKS

21.REMARKS (Cite legal documentation, as applicable.)

NOTARY SIGNATURE

AND SEAL

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.)

22. SPONSOR/EMPLOYEE SIGNATURE

23. DATE SIGNED (YYYYMMDD)

SECTION III - AUTHORIZED BY

24. SPONSORING OFFICE NAME

 

 

25. CONTRACT NUMBER

 

 

 

 

26. SPONSORING OFFICE ADDRESS

27. SPONSORING OFFICE TELEPHONE

28. OFFICE EMAIL ADDRESS

29. OVERSEAS ASSIGNMENT (Country)

(Street, City, State, ZIP Code)

NUMBER (Include Area Code/DSN)

 

 

 

 

 

 

30.OVERSEAS ASSIGNEMENT BEGIN DATE (YYYYMMDD)

31.OVERSEAS ASSIGNEMENT END DATE (YYYYMMDD)

32.ELIGIBILITY EFFECTIVE DATE (YYYYMMDD)

33.ELIGIBILITY EXPIRATION DATE (YYYYMMDD)

I certify the individual identified above, based on personal knowledge and available documentation, is in a status eligible for and requires an identification card in the performance of their duties with the DoD or Uniformed Services.

34. SPONSORING OFFICIAL NAME (Last, First, Middle)

35. UNIT/ORGANIZATION NAME

36. TITLE

37. PAY GRADE

38. SIGNATURE

39. DATE VERIFIED (YYYYMMDD)

SECTION IV - VERIFIED BY

40.VERIFYING OFFICIAL NAME (Last, First, Middle Initial)

41. SITE IDENTIFICATION

42.TELEPHONE NUMBER (Include Area Code/DSN)

43. SIGNATURE

SECTION V - DEPENDENT INFORMATION (Attach additional pages if necessary)

 

44. NAME (Last, First, Middle)

 

45. GENDER

46. DATE OF BIRTH (YYYYMMDD)

47. RELATIONSHIP

48. SSN OR DoD ID NO.

 

 

 

 

 

 

 

 

 

 

 

 

49. CURRENT HOME ADDRESS

 

 

 

 

 

50. PRIMARY EMAIL

Permission to use for benefits

51. TELEPHONE NUMBER

A

 

 

 

 

 

 

ADDRESS

 

notifications (18 and above)

(Include Area Code/DSN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

52. CITY

53. STATE

 

54. ZIP CODE

55. COUNTRY

56. ELIGIBILITY EFFECTIVE DATE

57. ELIGIBILITY EXPIRATION DATE

 

 

 

 

 

 

 

 

 

(YYYYMMDD)

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

58. NAME (Last, First, Middle)

 

59. GENDER

60. DATE OF BIRTH (YYYYMMDD)

61. RELATIONSHIP

62. SSN OR DoD ID NO.

 

 

 

 

 

 

 

 

 

 

 

 

63. CURRENT HOME ADDRESS

 

 

 

 

 

64. PRIMARY EMAIL

Permission to use for benefits

65. TELEPHONE NUMBER

B

 

 

 

 

 

 

ADDRESS

 

notifications (18 and above)

(Include Area Code/DSN)

 

 

 

 

 

 

 

 

 

 

66. CITY

67. STATE

 

68. ZIP CODE

69. COUNTRY

70. ELIGIBILITY EFFECTIVE DATE

71. ELIGIBILITY EXPIRATION DATE

 

 

 

 

 

 

 

 

 

(YYYYMMDD)

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

SECTION VI - RECEIPT

Receipt of new card is acknowledged.

72. SIGNATURE

73. DATE ISSUED (YYYYMMDD)

DD FORM 1172-2, APRIL 2020

PREVIOUS EDITION IS OBSOLETE.

This form is valid for issue of DoD ID Card for 90 days

from date of verification.

 

 

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whd.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

RETURN COMPLETED FORM TO A REAL-TIME AUTOMATED PERSONNEL IDENTIFICATION SYSTEM WORK STATION.

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. Chapter 53, Miscellaneous Rights and Benefits; 10 U.S.C. Chapter 54, Commissary and Exchange Benefits; 50 U.S.C. Chapter 23, Internal Security; DoD Instruction 1341.2, Defense Enrollment Eligibility Reporting System (DEERS) Procedures; Homeland Security Presidential Directive 12, Policy for a Common Identification Standard for Federal Employees and Contractors; and E.O. 9397 (SSN), as amended.

PRINCIPAL PURPOSE(S): To apply for and enroll in the Defense Enrollment Eligibility Reporting System (DEERS) for DoD benefits and privileges. These benefits and privileges include, but are not limited to, medical coverage, DoD Identification Cards, access to DoD installations, buildings or facilities, and access to DoD computer systems and networks.

ROUTINE USE(S): To Federal and State agencies and private entities; individual providers of care, and others, on matters relating to claim adjudication, program abuse, utilization review; professional quality assurance; medical peer review, program integrity, third party liability, coordination of benefits and civil and criminal litigation, and access to Federal government and contractor facilities, computer systems, networks, and controlled areas. The DD Form 1172-2 currently covers the RUs that would include retirees and dependents. To the Department of Health and Human Services, the Department of Veterans Affairs, the Social Security Administration, and to other Federal, state, and local government agencies to identify individuals having benefit eligibility in another plan or program. Additional Routine Uses can be found in system of records notice DMDC 02, at: https://dpcld.defense.gov/Portals/49/Documents/Privacy/

SORNs/OSDJS/DMDC-02-DoD.pdf?ver=2019-12-09-111827-743

Applicant information is subject to computer matching within the Department of Defense or with other Federal or non-Federal agencies. Matching programs are conducted to assure that an individual eligible under a Federal program is not improperly receiving duplicate benefits from another program. A beneficiary or former beneficiary who has applied for privileges of a Federal Benefit Program and has received concurrent assistance under another plan will be subject to adjustment or recovery of any improper payments made or delinquent debts owed.

DISCLOSURE: Voluntary; however, failure to provide information may result in denial of a Uniformed Services Identification Card and/or non-enrollment in the Defense Enrollment Eligibility Reporting System, refusal to grant access to DoD installations, buildings, facilities, computer systems and networks.

Penalty for presenting false claims or making false statements in connection with claims: fine of up to $10,000 or imprisonment for up to five years or both.

INSTRUCTIONS

The instructions for completing the DD Form 1172-2 should be closely followed to ensure accurate data collection and to preclude over collection of information. Section IV of this form should only be completed if benefits or sponsorship is being requested for/by an eligible sponsor or their dependent. Instructions for the DD Form 1172-2 can be found at: http://www.cac.mil/Portals/53/Documents/1172-2-Instructions.pdf.

DD FORM 1172-2, APRIL 2020

PREVIOUS EDITION IS OBSOLETE.

This form is valid for issue of DoD ID Card for 90 days

from date of verification.

 

 

Document Attributes

Fact Name Description
Form Purpose The DD 1172-2 form is designed for individuals to apply for and enroll in the Defense Enrollment Eligibility Reporting System (DEERS) for DoD benefits and privileges.
OMB Control Number The form carries the OMB No. 0704-0415, and its approval is set to expire on April 30, 2023.
Principal Uses The form is utilized to access various DoD benefits and privileges, including medical coverage, identification cards, access to installations, buildings, facilities, and computer systems.
Penalty for False Statements Presenting false claims or making false statements in connection with the form can result in a fine of up to $10,000, imprisonment for up to five years, or both.

How to Fill Out Dd 1172 2

Completing the DD Form 1172-2 is an essential step for eligible sponsors and their dependents to access a range of Department of Defense (DoD) benefits and privileges, including medical coverage, DoD Identification Cards, and access to installations and facilities. Accuracy in filling out this form is crucial to ensure that all benefits and privileges are properly granted. The following instructions are designed to assist sponsors, employees, and their dependents in accurately completing the form.

  1. Under Section I - SPONSOR/EMPLOYEE INFORMATION: Enter the sponsor or employee's full name, gender, Social Security Number (SSN) or Department of Defense Identification Number (DoD ID NO.), status, organization, pay grade, general category (GEN. CAT), citizenship, date of birth in YYYYMMDD format, place of birth, current home address, city, state, ZIP code, country, primary email address (with permission for benefits notifications), and telephone number. Also, include the city, state, and country of the duty location.
  2. In Section II - SPONSOR/EMPLOYEE DECLARATION AND REMARKS, provide any necessary remarks citing legal documentation as applicable. If the sponsor or employee's signature cannot be verified in person, it must be notarized. Ensure that the sponsor or employee signs and dates this section.
  3. The Section III - AUTHORIZED BY section is for official use. The sponsoring office name, contract number, sponsoring office address, telephone, and email address need to be filled out. If applicable, include overseas assignment details, eligibility effective, and expiration dates.
  4. For Section IV - VERIFIED BY, to be completed by the verifying official, including their name, site identification, and telephone number. The official must sign and date this section.
  5. In Section V - DEPENDENT INFORMATION, list the dependents' names, genders, dates of birth in YYYYMMDD format, relationships to the sponsor, SSN or DoD ID NO., current home addresses, primary email addresses (if 18 and above, with permission for benefits notifications), telephone numbers, cities, states, ZIP codes, countries, and eligibility effective and expiration dates. Attach additional pages if necessary.
  6. Section VI - RECEIPT acknowledges receipt of the new card. The recipient should sign and date this section.

It is important to fill out each section of the form with accurate information to avoid delays in processing. After completing the form, do not return it to the address listed under the Agency Disclosure Notice. Instead, submit the completed form to a Real-Time Automated Personnel Identification System work station. Reviewing the Privacy Act statement before submission is encouraged to understand the use of the provided information.

More About Dd 1172 2

  1. What is the DD Form 1172-2?
  2. The DD Form 1172-2 is an application form used for the enrollment in the Defense Enrollment Eligibility Reporting System (DEERS) and for the issuance of a Department of Defense (DoD) ID Card. It is utilized by military personnel, retirees, dependents, and certain civilians affiliated with the DoD.

  3. Who needs to complete the DD Form 1172-2?
  4. This form needs to be completed by sponsors (such as active duty military, retirees, or eligible civilian employees) and their dependents who are applying for or renewing a DoD ID Card and enrolling in DEERS for access to benefits and privileges provided by the DoD.

  5. How often should the DD Form 1172-2 be updated or renewed?
  6. The form should be updated or renewed anytime there is a change in the sponsor or dependent's status that affects eligibility for benefits, such as a change in marital status, addition of new family members, or at the time of ID card renewal.

  7. What information is required on the DD Form 1172-2?
  8. Required information includes sponsor/employee details, such as name, Social Security Number (SSN) or DoD Identification (ID) Number, citizenship, and contact information, as well as dependent information, if applicable. Declarations, verifying official signatures, and for certain sections, notarization may be required.

  9. Where can the instructions for completing the DD Form 1172-2 be found?
  10. Instructions for completing the DD Form 1172-2 can be found online at the official Common Access Card (CAC) website. Ensure all sections relevant to your situation are accurately filled out to avoid processing delays.

  11. What is the purpose of the DD Form 1172-2?
  12. The primary purpose of this form is to enroll eligible individuals in DEERS, to facilitate their access to DoD benefits and privileges, including medical coverage, installation access, and others, and for the issuance of a DoD ID Card.

  13. How is the DD Form 1172-2 processed?
  14. Once completed, the form should not be returned to the address listed under Agency Disclosure Notice but instead should be processed at a Real-Time Automated Personnel Identification System (RAPIDS) workstation. This processing includes verification of eligibility and the actual issuance of the DoD ID Card.

  15. What are the penalties for submitting false information on the DD Form 1172-2?
  16. Submitting false information can result in penalties, including fines of up to $10,000, imprisonment for up to five years, or both. Accuracy and honesty in filling out the form are imperative to avoid legal repercussions.

  17. What happens if the DD Form 1172-2 is not filled out correctly?
  18. Incomplete or incorrectly filled forms can result in delays in processing, denial of the DoD ID Card, or non-enrollment in DEERS. It's crucial to follow the provided instructions closely and provide all requested information accurately.

Common mistakes

  1. Not carefully reading the instructions before starting the form can lead to errors. It's important to review the guidelines closely to ensure you understand what information is needed and how to properly fill out the form.

  2. Omitting the sponsor/employee signature and date in Section II is a common mistake. This section is crucial because it verifies that the information provided is accurate and true. Without these signatures, the application could be considered incomplete.

  3. Incorrect or incomplete information in the sponsor/employee information section (Section I) is another frequent error. This section requires precise details, including the full name, gender, SSN or DoD ID number, and citizenship, amongst others. Any inaccuracies here can delay processing.

  4. Failing to include the required legal documentation or remarks in Section II can lead to processing delays. If there's a request or specific situation that needs to be noted, leaving the remarks section blank overlooks an opportunity to communicate vital information to the processing agency.

  5. Forgetting to fill out dependent information (Section V) when applicable. Dependents eligible for benefits need to be accurately listed, including their relationship to the sponsor, date of birth, and SSN or DoD ID number. Missing details here can result in denied benefits.

  6. Ignoring the privacy act and agency disclosure notice may also lead to mistakes. Understanding your rights and the purpose of the information collection can provide clarity and ensure that you're comfortable with the enrollment process.

  7. Lastly, overlooking the expiration date of the form. Using an outdated form can invalidate the application process, as the most current information and acknowledgments may not be included. Always check for the most recent version before submission.

In filling out the DD 1172-2 form, paying close attention to detail and adhering to the instructions is paramount. Each section plays a crucial role in the identification card and DEERS enrollment process. Ensuring accuracy and completeness at every step not only streamlines the process but also safeguards against unnecessary setbacks.

Documents used along the form

Alongside the DD 1172-2 form, which is used for application and enrollment into the Defense Enrollment Eligibility Reporting System (DEERS) for Department of Defense benefits and privileges, there are several other essential forms that often accompany it for various purposes within the military and defense community. These forms facilitate the seamless processing of benefits, identification, and other necessary administrative actions. Here is a brief overview of some of these critical documents.

  • DD Form 214: This document, known as the "Certificate of Release or Discharge from Active Duty," is arguably one of the most important forms for military service members. It is provided upon a military service member's retirement, separation, or discharge from active duty and delineates the individual’s service and discharge status, vital for accessing veteran benefits.
  • DD Form 1387: Also known as the "Military Personnel Shipment Label," this form is used for logistical purposes. It identifies the personal property of military personnel being shipped among different locations, ensuring proper handling and delivery of personal effects.
  • SF-86: The "Questionnaire for National Security Positions" is a comprehensive document required for military personnel applying for security clearances. This extensive form collects information necessary to conduct background checks and assess eligibility for accessing classified information.
  • DD Form 2656: This document, the "Data for Payment of Retired Personnel," must be submitted by retiring military personnel to start receiving retirement pay. It includes vital information about the retiree and designated beneficiaries for retirement benefits.
  • DD Form 2586: Known as the "Verification of Military Experience and Training," this form helps service members to translate their military experience and training into civilian terms. It's beneficial for veterans seeking employment or educational opportunities in the civilian sector.
  • DD Form 93: The "Record of Emergency Data" is a crucial form for all military personnel. It records beneficiary information for the Service Member’s Group Life Insurance (SGLI) policy and provides contact information for next of kin in case of emergencies during service.

Each of these documents serves a specific purpose, complementing the DD 1172-2 form in supporting the administrative needs of military personnel and their families. Whether for transitioning to civilian life, ensuring the receipt of benefits, or securing personal property during moves, these forms together enable the effective management of military and associated civilian processes. It's essential for service members and their dependents to be familiar with these forms, understand their purposes, and know how to properly complete and submit them as required.

Similar forms

  • Form I-9, Employment Eligibility Verification: Similar to DD Form 1172-2, this form is used to verify the identity and legal authorization to work of all paid employees in the U.S. Both forms require personal information and are critical for eligibility verification purposes.

  • Form DS-11, Application for a U.S. Passport: This form, like the DD 1172-2, collects an applicant's personal information, citizenship status, and other personal details to verify identity and eligibility, in this case, for a U.S. passport.

  • VA Form 10-10EZ, Application for Health Benefits: This form is for enrolling in the health system of the Department of Veterans Affairs, similar to how the DD 1172-2 is used for enrolling eligible individuals and dependents in DEERS for military benefits.

  • SSA-1-BK, Application for Retirement Insurance Benefits: Like the DD 1172-2, this Social Security Administration form is crucial for individuals applying for benefits, requiring detailed personal information to determine eligibility.

  • Form W-7, Application for IRS Individual Taxpayer Identification Number: Both the W-7 and DD 1172-2 require substantial personal information, including identification details, to process critical eligibility for benefits or services.

  • DS-3053, Statement of Consent - Issuance of a Passport to a Minor Under Age 16: Like the DD Form 1172-2, this form involves consent and the verification process, specifically for minors, and includes detailed personal and guardian information.

  • Form SF-86, Questionnaire for National Security Positions: Similar to the DD Form 1172-2 in its detailed collection of personal information, the SF-86 assesses eligibility and suitability for a classified position or access.

  • CG-719B, Application for Merchant Mariner Credential: Although this form caters to maritime personnel, it parallels the DD Form 1172-2 by requiring extensive personal information and documentation for eligibility verification.

  • Form N-400, Application for Naturalization: Like the DD 1172-2, the N-400 is a comprehensive form used to collect personal data and eligibility information, in this case, for individuals seeking U.S. citizenship.

  • HUD-1, Settlement Statement: While primarily used in real estate transactions, this document shares the DD Form 1172-2's attention to detail in record-keeping and verifies transactions, reflecting a standard of disciplined documentation.

Dos and Don'ts

When filling out the DD Form 1172-2 for identification card/DEERS enrollment, it's crucial to adhere to specific dos and don'ts to ensure the process is completed correctly and efficiently.

Do:
  • Read the Agency Disclosure Notice, Privacy Act Statement, and Instructions before beginning the form to understand the purpose, the privacy implications, and how to fill it out properly.
  • Ensure all information is accurate and truthful. Misrepresentation can lead to penalties including fines or imprisonment.
  • Fill out the form in legible handwriting if completing it manually, to avoid any misunderstandings or processing errors.
  • Use the correct format for dates (YYYYMMDD) as specified in the instructions to maintain consistency and avoid confusion.
  • Check all the filled information before submission for any errors or omissions.
  • Attach all required legal documentation that supports the application, especially in the Remarks section if applicable.
  • If the form is not signed in the presence of an authorizing official, ensure the signature is notarized to validate the form.
Don't:
  • Leave any required fields blank. If a section does not apply, consider marking it as "N/A" (not applicable) instead of leaving it empty.
  • Use nicknames or initials. Always provide full legal names to avoid any discrepancies with official documents and records.
  • Guess on any information. If unsure about a detail, verify it before entering it on the form to maintain accuracy.
  • Overlook the email and telephone preferences. State clearly if the stated contacts can be used for benefits notifications.
  • Avoid submitting the form without reviewing the completed application for accuracy and completeness.
  • Ignore the expiration date of the OMB approval number. Ensure the form is the current version for processing.
  • Return the completed form to the wrong address. Use the specified address on the form or as directed by the issuing authority.

Misconceptions

When it comes to obtaining or renewing a Department of Defense (DoD) ID card, the DD Form 1172-2 plays a crucial role. However, there are several misconceptions about this form that can create confusion. Let's clear up some of these misconceptions to help you better understand the process and ensure that you have all the accurate information you need.

  • Misconception 1:

    Many believe that the DD Form 1172-2 solely serves active duty personnel. While it's true that active duty members require this form for ID card issuance, it's also essential for retirees, dependents, and certain contractors. The form is a multi-purpose document intended for all individuals eligible for DoD benefits and privileges, not just those on active duty.

  • Misconception 2:

    Another common misunderstanding is the notion that completion of the DD Form 1172-2 automatically enrolls individuals in DEERS (Defense Enrollment Eligibility Reporting System). While the form is a vital step in the process, it is part of a broader procedure that includes verification of eligibility and identity. Enrollment in DEERS often requires submission of additional documentation and verification through a Real-Time Automated Personnel Identification System (RAPIDS) workstation.

  • Misconception 3:

    Some people think that once the DD Form 1172-2 is filled out and submitted, no further actions are required. However, the form itself has a validity period for ID card issuance—specifically, it is valid for 90 days from the date of verification. Applicants must complete the process within this timeframe; otherwise, a new form may need to be submitted, and the verification process started anew.

  • Misconception 4:

    There's a belief that submitting the DD Form 1172-2 is a lengthy and complicated process. While it's comprehensive, to ensure accurate data collection and to prevent the overcollection of information, the form includes detailed instructions designed to streamline the process. By following the provided guidelines and preparing the necessary documentation beforehand, applicants can complete and submit the form efficiently.

Understanding the DD Form 1172-2 and clearing up these misconceptions is the first step toward a smoother ID card application or renewal process. Remember, accurate and timely submission of this form, along with understanding its role within the broader context of DoD benefits and privileges, is key to accessing the services and support you're entitled to as part of the DoD community.

Key takeaways

Filling out the DD Form 1172-2 is an essential step for obtaining a Department of Defense (DoD) ID Card and enrolling in the Defense Enrollment Eligibility Reporting System (DEERS). Here are 10 key takeaways to understand this process:

  1. Ensure all personal information is accurate, including name, Social Security Number (SSN) or DoD Identification Number, and contact details. This accuracy is critical for eligibility verification.
  2. Familiarize yourself with the Agency Disclosure Notice, Privacy Act Statement, and the form's instructions before beginning to fill it out. These sections provide important information about the use of your data and legal considerations.
  3. The DD Form 1172-2 is used not only for ID card issuance but also for enrolling sponsors and their dependents in DEERS, which is crucial for accessing benefits and privileges such as medical coverage and facility access.
  4. Pay close attention to the Sponsor/Employee section, as it requires detailed information about the sponsoring individual's employment and eligibility status with the DoD or Uniformed Services.
  5. The form requires a notary signature and seal if the sponsor/employee’s signature was not obtained in the presence of an authorizing/verifying official. This adds a level of security and verification to the process.
  6. Section III, which needs to be authorized by a sponsoring official, confirms the eligibility of the individual for an identification card. This step is vital for verifying the need and status for an ID card within the DoD or Uniformed Services.
  7. Dependent information must be provided in detail in Section V if benefits or sponsorship is being requested for or by eligible dependents, ensuring that all eligible family members are correctly enrolled in DEERS.
  8. The form is valid for issue of a DoD ID Card for 90 days from the date of verification. It's important to note this time frame to ensure timely processing and receipt of your ID card.
  9. Completion of the form and the provision of information is voluntary, but failing to provide necessary details could result in denial of a Uniformed Services Identification Card and/or non-enrollment in DEERS.
  10. Lastly, return the completed form to a Real-Time Automated Personnel Identification System (RAPIDS) workstation—not to the Department of Defense address listed in the Agency Disclosure Notice. RAPIDS stations are the designated sites for processing these forms.

By adhering to these guidelines, individuals can streamline the process of obtaining a DoD ID Card and enrolling in DEERS, ensuring access to the wide range of benefits and privileges provided to service members, retirees, and their dependents.

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