Navy · Personnel & Career · NAVPERS 1070/602, Rev. 10-2024 edition

Page 2: Dependency Application/Record of Emergency Data (NAVPERS 1070/602)

The paper Page 2, blocks 1–80: spouse, children, parents, prior marriages, designated beneficiaries, next of kin, SGLI check, and the designator's certification. Use it when NSIPS RED/DA self-service isn't available.

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Every block on the NAVPERS 1070/602

Laid out block for block like the official DEPENDENCY APPLICATION/RECORD OF EMERGENCY DATA (Rev. 10-2024 edition), with the instruction for each block. Name, rank, and unit prefill from your service profile.

Form details

1
Unit I.D.
Your command's UIC. On the paper form the unlabeled boxes 3 and 4 beside block 2 are for personnel office use.
2
Ship or Station
5
Name of Spouse
Full name (first, middle, last); note maiden name in parentheses.
6
Date of Birth of Spouse
7
Relationship
8
Place of Marriage (City & State if Country)
9
Date Married
10
Citizenship of Spouse
11
Address of Spouse
12
Dep
Mark whether this person is claimed as your dependent for allowances.
Name of Child or Dependent / Date of Birth / Relationship / Address (include name of custodian if other than claimant) / Dep (blocks 13–32)
Four dependents fit on the form (13–16/17, 18–21/22, 23–26/27, 28–31/32). Stepchildren, wards, and incapacitated children over 21 need supporting documents (DD 137 series for secondary dependents).
33
Name of Father
Birth father's full name (e.g., James M. Smith III).
34
Address of Father (see special instructions before completing box 35)
Write DECEASED or UNKNOWN if that applies.
35
Dep
Only if the parent is an approved secondary dependent (you provide more than half their support).
36
Name of Mother
Birth mother's name with maiden name in parentheses (e.g., Mary Jane (Jones) Smith).
37
Address of Mother (see special instructions before completing box 38)
38
Dep
39
Were you previously married?
40
Prior marriage dissolved by
41
Date
42
Place (City & State or County)
43
Was spouse previously married?
44
Prior marriage dissolved by
45
Date
46
Place (City & State or County)
47
Other
Anyone not already listed whom you want notified if you are seriously injured or killed (e.g., a stepparent).
48
Address
49
Relationship
50
Next of Kin of Spouse (not husband, wife or minor child)
51
Address
52
Relationship
Beneficiary(s) for Unpaid Pay and Allowances / Address / Relationship / % (blocks 53–56)
You may designate anyone. Percentages must total 100 (e.g., 50/50 or 75/25).
Person to Receive Allotment if in a Missing Status. Subject to SECNAV Determination / Address / % (blocks 57–59)
Must be a relative (a fiancé does not qualify). Up to 80% of pay; the rest is held for you.
Beneficiary(s) for Gratuity Pay / Address / Relationship / % (blocks 60–63)
Current death-gratuity designations are made on the DD Form 93 (RED). Follow your personnel office's instructions for this legacy block.
Life Insurance Data (name of co.) (do not include SGLI) / Address / Policy Number (blocks 64–66)
Commercial policies only. Enter NONE if you have none.
67
Religion
Spell out the preference (e.g., Roman Catholic, Southern Baptist) or enter NONE. Chaplains use it in a casualty. Blocks 68–69 are for personnel office use.
70
Rank / Rate
73
Name of Designator (Last, First, Middle)
74
SSN
75
USN / USNR
77
Location of Will or Other Valuable Papers
78
Remarks
Required entries such as notify-instead instructions and other designations the Legacy SOP puts in Remarks. Put PNOK and SNOK on the printed lines below.
Primary Next of Kin and Telephone Number
Name or relationship and phone, preceded by PNOK. If the address appears above, cite the block instead of repeating it.
Secondary Next of Kin and Telephone Number
Is beneficiary designation of S.G.L.I. on file?
Page 2 does not designate SGLI beneficiaries. That's done in SOES.
Date (if yes) on file
79
Signature of Designator
80
Signature of Approving Officer, Title, and Date

Certification of designator

I have reviewed the data entered on this form and certify that it is correct. Execute a new NAVPERS 1070/602 if data is not correct.
Each time you review an unchanged form (annually, before deployment, at PCS), sign and date a new line.

Draft / worksheet aid. Prepare it here, then transcribe into NSIPS Electronic Service Record, RED/DA self-service (generates NAVPERS 1070/602 and DD 93); legacy paper Page 2 through the personnel office. This is not an official submission. Check it against the current official NAVPERS 1070/602 before use.

How to fill out the NAVPERS 1070/602

Page 2 establishes dependency for allowances and travel entitlements (the Dependency Application) and records who is notified and who receives member-designated benefits if you become a casualty or go missing (the emergency data). In NSIPS RED/DA the two parts are generated separately: NAVPERS 1070/602 for dependency and DD Form 93 for emergency data. This paper version holds both and is used when RED/DA isn't available. When: Per MILPERSMAN 1070-270, on entry or re-entry and after any change in: dependents or their names or addresses, next of kin, permanent duty station, deployment or IA status, spouse's citizenship, secondary dependency, or required Remarks entries. Also verify it annually, before deployment, and at PCS check-in and check-out.

Step by step

If your command has NSIPS RED/DA, update Page 2 in the ESR instead. Use this form only when told to (Ops Alert 002-22 exception).
Blocks 1–12: unit and ship, then your spouse's name, date of birth, marriage place and date, citizenship, and address. Attach the marriage certificate for a new marriage.
Blocks 13–32: each child or other dependent with date of birth, relationship, and address (with the custodian's name if the child doesn't live with you). Attach birth certificates or court documents.
Blocks 33–38: parents' names and addresses. Write DECEASED or UNKNOWN where it applies.
Blocks 39–46: prior marriages for you and your spouse, with how and where each ended. Attach the final decree.
Blocks 47–66: other people to notify, your spouse's next of kin, beneficiaries for unpaid pay and allowances (% totals 100), the allotment payee if you are missing (up to 80%), gratuity-pay beneficiaries, and commercial life insurance (not SGLI).
Blocks 67–78: religion, your identification, the location of your will, and the Remarks (PNOK/SNOK with phone numbers, any notify-instead instructions).
Sign block 79. The approving officer signs block 80. Re-certify in the certification block whenever you review an unchanged form.

What a strong one looks like

Update SGLI (SOES) and DEERS at the same time. Page 2 does not change your SGLI beneficiaries.
Anyone may be named for member-designated benefits. Anyone you fail to designate defaults to the order of precedence in the law (Legacy SOP).
If a parent should not be notified, put a notify-instead instruction in Remarks with the other person's phone and address.
Keep your own copy. RED/DA Inquire is the only place to print a copy that the OMPF will accept.

Common mistakes

Percentages that don't add to 100% in block 56 or 63, or more than 80% in block 59.
An out-of-date PNOK phone number. That's the number casualty assistance calls first.
Adding a dependent without documents, which delays BAH at the with-dependents rate.
Treating this as your SGLI designation. It isn't.

References: MILPERSMAN 1070-270, Dependency Application; MILPERSMAN 1070-271, Record of Emergency Data (DD Form 93); MILPERSMAN 1070-111, Submission of NSIPS and ESR Documents to the OMPF; NAVADMIN 254/17, Self-Service RED and DA in NSIPS; NAVADMIN 296/13, Member-Designated Benefits; DoD FMR Vol. 7A, ch. 36, Payments on Behalf of Deceased Members; MyNavy Career Center SOP: NAVPERS 1070/602 Legacy SOP (Apr 2025) and RED/DA SOP (Nov 2024) Checked against the official source: Sep 2026 Official blank form

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