All branches · Personnel & Career · DD Form 1172-2, FEB 2025 edition

DD 1172-2: Application for ID Card / DEERS Enrollment

The FEB 2025 DEERS enrollment form, all 73 blocks: sponsor data, declaration, sponsoring and verifying officials, two dependents, and receipt.

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Every block on the DD Form 1172-2

Laid out block for block like the official APPLICATION FOR IDENTIFICATION CARD/DEERS ENROLLMENT (FEB 2025 edition), with the instruction for each block. Name, rank, and unit prefill from your service profile.

Section i - sponsor/employee information

  • 1
    Name (Last, First, Middle)
  • 2
    Sex
  • 3
    SSN or DoD ID No.
  • 4
    Status

    Your sponsor status (e.g., active duty, reserve, retired, DoD civilian, contractor).

  • 5
    Organization
  • 6
    Pay Grade
  • 7
    Gen. Cat

    Geneva Convention category (from your current ID card).

  • 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)

    Tick the permission box on the form if you want DEERS benefit notices sent here.

  • 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.)

    What you're requesting and the documents that prove eligibility.

  • 22
    Sponsor/Employee Signature

    Sign in front of the verifying official. If not, your signature must be notarized.

  • 23
    Date Signed (YYYYMMDD)

Section iii - authorized by

  • 24
    Sponsoring Office Name

    Section III is completed by the sponsoring official for contractors, civilians, and other categories that need a sponsor. Not used for a routine family member add.

  • 25
    Contract Number
  • 26
    Sponsoring Office Address (Street, City, State, ZIP Code)
  • 27
    Sponsoring Office Telephone Number (Include Area Code/DSN)
  • 28
    Office Email Address
  • 29
    Overseas Assignment (Country)
  • 30
    Overseas Assignment Begin Date (YYYYMMDD)
  • 31
    Overseas Assignment End Date (YYYYMMDD)
  • 32
    Eligibility Effective Date (YYYYMMDD)
  • 33
    Eligibility Expiration Date (YYYYMMDD)
  • 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)

    Section IV is completed by the RAPIDS verifying official at the ID card office.

  • 41
    Site Identification
  • 42
    Telephone Number (Include Area Code/DSN)
  • 43
    Signature

Section v - dependent information (Attach additional pages if necessary)

  • 44
    A. Name (Last, First, Middle)
  • 45
    Sex
  • 46
    Date of Birth (YYYYMMDD)
  • 47
    Relationship

    Spouse, child, stepchild, adopted child, ward, parent, and so on. Bring the document that proves it.

  • 48
    SSN or DoD ID No.
  • 49
    Current Home Address
  • 50
    Primary Email Address (Permission to use for benefits notifications, 18 and above)
  • 51
    Telephone Number (Include Area Code/DSN)
  • 52
    City
  • 53
    State
  • 54
    ZIP Code
  • 55
    Country
  • 56
    Eligibility Effective Date (YYYYMMDD)

    Completed by the verifying official.

  • 57
    Eligibility Expiration Date (YYYYMMDD)
  • 58
    B. Name (Last, First, Middle)
  • 59
    Sex
  • 60
    Date of Birth (YYYYMMDD)
  • 61
    Relationship
  • 62
    SSN or DoD ID No.
  • 63
    Current Home Address
  • 64
    Primary Email Address (Permission to use for benefits notifications, 18 and above)
  • 65
    Telephone Number (Include Area Code/DSN)
  • 66
    City
  • 67
    State
  • 68
    ZIP Code
  • 69
    Country
  • 70
    Eligibility Effective Date (YYYYMMDD)
  • 71
    Eligibility Expiration Date (YYYYMMDD)

Section vi - receipt

  • 72
    Signature

    The cardholder acknowledges receipt of the new card and the duty to report eligibility changes within 30 days.

  • 73
    Date Issued (YYYYMMDD)
Draft / worksheet aid. Prepare it here, then transcribe into DEERS, through a RAPIDS ID card office (book the appointment at idco.dmdc.osd.mil); some updates via milConnect. This is not an official submission. Check it against the current official DD Form 1172-2 before use.

How to fill out the DD Form 1172-2

The application that enrolls a sponsor's family members in DEERS and gets them a Uniformed Services ID card and TRICARE eligibility. Contractors and civilians also use it for CACs, with Section III. When: After marriage, a birth or adoption, a stepchild or ward joining the household, a child turning 21 who's in school or incapacitated, or when an ID card is expiring.

Step by step

  1. Section I: your (sponsor's) information, exactly as it appears in DEERS.
  2. Section II: in Remarks, cite the documents you're bringing (marriage certificate, birth certificate, court order). Sign in front of the verifying official or have it notarized.
  3. Section V: one block of entries per dependent (A and B). Attach another page for more.
  4. Bring originals or certified copies of every document plus two forms of ID for each adult. The RAPIDS verifying official completes Section IV.
  5. The dependent signs Section VI when the card is issued.

What a strong one looks like

  • If you can't go to the ID office with your spouse, sign ahead and have your signature notarized. The form is valid for 90 days from verification.
  • Newborns: enroll in DEERS promptly (TRICARE deadlines apply) using the hospital record or birth certificate.
  • Report changes (divorce, a child's school status) within 30 days. The form warns you can be billed for healthcare after a lost eligibility.

Common mistakes

  • Names that don't match the source documents (a maiden name vs. married name without the marriage certificate).
  • Forgetting the notary when the sponsor isn't present.
  • Bringing photocopies instead of originals or certified copies.
References: DoDI 1341.02, Defense Enrollment Eligibility Reporting System (DEERS) Program and Procedures; DoDM 1000.13, Volumes 1 and 2, DoD Identification (ID) Cards; AR 600-8-14 / BUPERSINST 1750.10 / AFI 36-3026 IP, Identification Cards for Members of the Uniformed Services, Their Family Members, and Other Eligible Personnel; DD 1172-2 instructions at cac.mil Checked against the official source: Sep 2026 Official blank form

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