Free Dd 1172 2 Form in PDF

Instructions on Writing Dd 1172 2

Filling out the DD Form 1172-2 is a critical step in securing identification and benefits within the Department of Defense system. It's designed to gather necessary details for the enrollment in the Defense Enrollment Eligibility Reporting System (DEERS), ensuring those serving, retired, or dependent on someone in the armed forces have access to their entitled benefits. This straightforward guide will walk you through the process, making sure the form is completed accurately and efficiently.

1. Start with Section I - SPONSOR/EMPLOYEE INFORMATION. Here, provide the full name of the sponsor or employee, gender, Social Security Number (SSN) or Department of Defense (DoD) Identification Number, and current status (active, retired, etc.).
2. Detail the organization the sponsor or employee belongs to, their pay grade, general category, citizenship, date and place of birth, and current home address including city, state, ZIP code, and country.
3. Enter the primary email address and consent if it can be used for benefits notifications. Add the primary telephone number, including the area code or DSN.
4. Fill in the city and state of the duty location, along with the country if it’s outside the United States.
5. Proceed to Section II - SPONSOR/EMPLOYEE DECLARATION AND REMARKS. In the remarks section, cite any legal documentation relevant to the application. This could involve custody documents for dependents or marriage certificates.
6. In the presence of an authorizing official or notary, sign and date the form to certify the accuracy of the information provided. If the form isn't signed in the presence of an authorizing official, ensure the signature is notarized.
7. In Section III - AUTHORIZED BY, have the sponsoring office name, contract number, and address filled out by the sponsoring official. They should also include the start and end dates of any overseas assignment.
8. The sponsoring official must certify the form, providing their name, organization name, title, pay grade, and signature along with the date verified.
9. Section IV - VERIFIED BY only needs completion if the person is applying for benefits or sponsorship, requiring the verifying official's name, site identification, telephone number, and signature.
10. Section V - DEPENDENT INFORMATION is where you list details about dependents, including name, gender, date of birth, relationship to the sponsor, SSN or DoD ID number, and current home address. Repeat this section for each dependent.
11. The final section acknowledges receipt of a new card. This will be signed and dated by the personnel handling your form at the real-time automated personnel identification system work station.

After completing these steps, you have now accurately filled out your DD Form 1172-2. Ensure you have all the required signatures and official stamps, if necessary. The next steps involve submitting the form to the appropriate personnel or department that manages ID card distribution and DEERS enrollment. Be ready to present any additional documents they may require, such as identification or proof of relationship. This careful and thorough completion of your form is pivotal in ensuring you and your eligible dependents gain access to deserved benefits and services.

What is the DD Form 1172-2 used for?

The DD Form 1172-2 is utilized to apply for and enroll in the Defense Enrollment Eligibility Reporting System (DEERS) for Department of Defense (DoD) benefits and privileges. These 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.

How long is the DD Form 1172-2 valid after issue?

After verification, the DD Form 1172-2 is valid for the issue of a DoD ID card for 90 days.

What information do I need to provide on the DD Form 1172-2?

You need to provide sponsor/employee information including your name, gender, SSN or DoD ID number, status, organization, pay grade, citizenship, date and place of birth, current home address, primary email address, and telephone number. Additionally, dependent information is required if applicable, along with a signature from the sponsor/employee and the verifying official.

Who needs to sign the DD Form 1172-2?

The sponsor/employee must sign the form to certify that the provided information is true and accurate to the best of their knowledge. If the form is not being signed in the presence of the authorizing/verifying official, the sponsor/employee's signature must be notarized. Additionally, a verifying official's signature is required for the form to be processed.

Where do I submit the completed DD Form 1172-2?

Do not return your completed form to the Department of Defense address listed on the form. Instead, submit the completed form to a Real-Time Automated Personnel Identification System (RAPIDS) workstation.

Is it necessary to complete all sections of the DD Form 1172-2?

Yes, it is necessary to complete all relevant sections of the form to ensure accurate data collection and to avoid the overcollection of information. Section IV, which relates to dependent information, should be completed if benefits or sponsorship is being requested for/by an eligible sponsor or their dependent.

What happens if I do not provide all the requested information on the DD Form 1172-2?

Failure to provide all the requested information may result in the denial of a Uniformed Services Identification Card and/or non-enrollment in DEERS, as well as refusal to grant access to DoD installations, buildings, facilities, computer systems, and networks.

Can false statements on the DD Form 1172-2 lead to penalties?

Yes, presenting false claims or making false statements in connection with claims on the DD Form 1172-2 can result in a fine of up to $10,000, imprisonment for up to five years, or both.

Where can I find instructions for completing the DD Form 1172-2?

Instructions for completing the DD Form 1172-2 can be found at the official Common Access Card (CAC) website, under the forms or instructions section designated for the DD Form 1172-2.

Are there any privacy concerns with submitting the DD Form 1172-2?

Applicant information on the DD Form 1172-2 is subject to computer matching within the Department of Defense or with other Federal or non-Federal agencies to ensure individuals do not improperly receive duplicate benefits from another program. However, the Privacy Act Statement on the form outlines the authority, purpose, routine uses, and disclosure requirements to protect individuals' privacy.

Filling out the DD Form 1172-2, which is crucial for the application and enrollment in the Defense Enrollment Eligibility Reporting System (DEERS) for obtaining DoD benefits, often involves complex details that can lead to errors. One common mistake is inaccurately entering the Social Security Number (SSN) or DoD Identification Number. Accuracy in these numbers is paramount since they are primary identifiers for benefits and eligibility verifications.

Another prevalent error is the failure to provide complete and accurate sponsor or employee information in Section I. This section sets the foundation for the entire application, making it imperative to double-check all entries, such as name, gender, and date of birth, ensuring they match official documents.

Applicants often overlook the importance of the Privacy Act Statement before completing the form. This oversight can lead to a misunderstanding of how the provided data will be used, which might result in reluctance to share necessary information or inadvertent omission of crucial details.

Incorrectly listing current home address and contact information is another frequent mistake. It is essential to provide accurate and up-to-date contact details to ensure that all communications regarding benefits and ID card issuance reach the applicant promptly. Changes in addresses or contact numbers should be updated as soon as possible to avoid issues with receiving benefits notifications or ID cards.

There's also a tendency to leave the "Remarks" section in Part II blank. This section allows the applicant to cite any legal documentation that may be relevant to the application. Providing detailed remarks can significantly assist in clarifying eligibility and expediting the processing of the form.

Failure to properly complete the dependent information section is common when the applicant is applying for benefits or sponsorship on behalf of dependents. Ensuring that each dependent's name, date of birth, relationship to the sponsor, and other relevant details are correctly entered is crucial. Incomplete information could lead to delays or denial of benefits for dependents.

An error often made is not signing or improperly dating the form in the declaration section. The applicant's signature and the correct date are necessary to validate the form. An unsigned or incorrectly dated form may be considered invalid, leading to processing delays.

Not verifying the eligibility and expiration dates for the sponsorship in Section III is another mistake that can have significant repercussions. Incorrect dates may affect the start and end of the eligibility, similarly impacting the access to benefits and privileges.

People sometimes return the completed form to the wrong organization because they overlook the instruction specifying the correct submission point. It's crucial to send the completed form to a Real-Time Automated Personnel Identification System (RAPIDS) Work Station and not to the address listed under the Agency Disclosure Notice.

Last but not least, applicants often don’t check the expiration date of the OMB No. listed at the form's top, potentially using an outdated form for their application. Given that the form is subject to periodic updates, using the most current version is essential to ensure compliance with the latest requirements.

Completing the DD Form 1172-2, "Application for Identification Card/DEERS Enrollment," is a vital step for military members, retirees, DoD employees, and their eligible dependents to access benefits and privileges provided by the Department of Defense (DoD). This process often involves additional documentation to ensure smooth and accurate enrollment. Understanding these related forms and documents can streamline the application process and prevent potential delays.

• DD Form 214, "Certificate of Release or Discharge from Active Duty": This document is crucial for veterans as it proves their military service and the conditions of their discharge. It's often required when enrolling a veteran or retiree in DEERS for the first time or when updating their status.
• SF-180, "Request Pertaining to Military Records": Sometimes needed to obtain or verify military service records, the SF-180 can help correct or update information in DEERS. Applicants may need this form to retrieve records that support their application or claim for benefits.
• Marriage Certificate: To enroll a spouse in DEERS, the original marriage certificate (or a certified copy) must be provided. This document is necessary to verify the relationship between the sponsor and the beneficiary.
• Birth Certificate: Essential for enrolling dependents, such as children, in DEERS. The original birth certificate (or a certified copy) is required to verify the dependent’s identity and relationship to the sponsor.

Together, these documents complement the DD Form 1172-2 and play a crucial role in securing access to benefits for service members, retirees, and their families. Applicants are encouraged to gather and prepare these documents before beginning the DEERS enrollment or ID card application process to ensure a smoother experience. Proper understanding and preparation of these documents can significantly enhance the efficiency and success of DEERS enrollments and ID card issuances.

The Standard Form 86 (SF-86), also known as the Questionnaire for National Security Positions, shares similarities with the DD Form 1172-2 in its purpose of collecting detailed personal information. While the DD Form 1172-2 focuses on the enrollment for identification cards and DEERS, the SF-86 delves into an individual's background, employment history, and personal connections for security clearance purposes. Both forms serve as critical tools in vetting individuals for security and access within the Department of Defense and associated federal entities, ensuring that only qualified and verified personnel gain access to sensitive information and areas.

The I-9 Form, Employment Eligibility Verification, although used in a different context, also parallels the DD Form 1172-2 by necessitating the verification of an individual's identity and eligibility. Where the DD Form 1172-2 is specific to military and defense-related eligibility for identification cards and benefits, the I-9 applies broadly to all employees in the United States, verifying their legal right to work. Both forms require personal information and documentation to affirm identity and status, reflecting the importance of proper identification in both national defense and employment law compliance.

The Veterans Affairs (VA) Form 10-10EZ, Application for Health Benefits, is akin to the DD Form 1172-2 as it similarly gathers personal information to determine eligibility, in this case for VA health benefits. Both forms are crucial for accessing vital services - the DD Form 1172-2 facilitating DoD benefits and privileges, and the VA Form 10-10EZ enabling veterans to receive healthcare services. Each document ensures that benefits are extended to eligible individuals, underscoring the commitment to support and care for those serving or who have served.

The Form DS-11, Application for a U.S. Passport, bears resemblance to the DD Form 1172-2 by requiring comprehensive personal information to issue a form of identification, a passport in this instance. The parallel lies in their shared goal of confirming identity through detailed personal data and supporting documents. While the DS-11 allows citizens to travel internationally, the DD Form 1172-2 provides military members, retirees, and dependents with identification cards essential for accessing military benefits and facilities.

The Health Insurance Portability and Accountability Act (HIPAA) Authorization Form, which authorizes the release of an individual's health information, draws parallels to the information disclosure aspect of the DD Form 1172-2, particularly in its routine use section. Both documents consider the sensitivity of personal information, making provisions for its protected use. While the DD Form 1172-2 outlines how personal data can be shared for benefit eligibility and identification within DoD frameworks, HIPAA forms regulate how health information is shared between healthcare entities and others, emphasizing confidentiality and privacy in both contexts.

The Social Security Administration's Application for a Social Security Card (Form SS-5) shares the objective of issuing an identification document based on personal and eligibility information, much like the DD Form 1172-2. The SS-5 form is pivotal for citizens and residents to obtain a Social Security number, a necessity for employment, taxation, and accessing government services in the U.S. Despite the differing scopes - one for a broad civilian application and the other for defense-related identification - both forms facilitate essential identification processes within their respective domains.

The Common Application for college admissions, while serving a significantly different purpose, holds similarities in gathering detailed personal and demographic information to make eligibility and identification determinations. Just as the DD Form 1172-2 assesses eligibility for military benefits, the Common Application evaluates student qualifications for college admission. Each document streamlines the collection of comprehensive personal data for decision-making processes within specific institutional frameworks.

The Internal Revenue Service (IRS) Form W-4, Employee's Withholding Certificate, like the DD Form 1172-2, gathers personal information, but with a focus on determining the correct amount of federal income tax to withhold from employees' paychecks. Although the W-4 primarily deals with taxation, and the DD Form 1172-2 centers on military benefits and identification, both require accurate personal details to fulfill their intended functions. These forms illustrate how personal data serves varied administrative purposes, from tax compliance to securing military and defense benefits.

When filling out the DD 1172-2 form for identification card/DEERS enrollment, accurate and thoughtful completion is crucial. Here are nine essential dos and don'ts to assist in the process:

• Do thoroughly read the Agency Disclosure Notice, Privacy Act Statement, and the specific instructions provided for filling out the form before you start. This step ensures you understand the purpose and requirements of the form.
• Do ensure all information provided is accurate and truthful. Misrepresentation can lead to penalties, including fines or imprisonment.
• Do check that all sections applicable to your situation are completed in full. Leaving mandatory fields empty can result in the denial of the identification card or non-enrollment in DEERS.
• Do use a black or blue pen if completing the form by hand. This ensures the form is legible and can be scanned or photocopied without issue.
• Do include all required supporting documentation, as cited in the REMARKS section or elsewhere in the form. Proper documentation is essential for verifying eligibility.
• Don't guess any information. Verify specific details, such as dates and identification numbers, to ensure they are correct. Incorrect information can delay the enrollment process.
• Don't use correction fluid or tape. Mistakes should be neatly crossed out, and the correct information should be written nearby. Using correction fluid can make the document look tampered with.
• Don't return the completed form to the organization listed under the Agency Disclosure Notice. Instead, submit it to a Real-Time Automated Personnel Identification System (RAPIDS) workstation, as instructed at the bottom of the form.
• Don't overlook the OMB control number's expiration date. Using an obsolete form can invalidate your application. The current version's validity is indicated in the form's footer (e.g., DD FORM 1172-2, APRIL 2020).

Following these guidelines will help ensure the process is completed smoothly and efficiently, facilitating access to benefits and privileges without unnecessary delays.

Understanding the DD Form 1172-2, or the Application for Identification Card/DEERS Enrollment, is crucial for service members, retirees, dependents, and civilian employees associated with the Department of Defense. However, there are common misconceptions about this form that can lead to confusion. Here are ten misconceptions and explanations to clarify them:

1. It's only for military personnel: While it is widely used by service members, the DD Form 1172-2 is also necessary for civilian employees, retirees, and dependents to access benefits and services.
2. The form has an indefinite validity: The form is valid for issue of a DoD ID Card for 90 days from the date of verification. It is not indefinitely valid and must be renewed or reverified as necessary.
3. Anyone can complete the form: The form must be completed by either the sponsor or the individual requiring identification and enrollment in DEERS, following specific instructions and guidelines.
4. Submission of the form guarantees benefits: Completion and submission of the form are necessary steps, but they do not guarantee eligibility for or receipt of benefits. Eligibility is determined through further verification and documentation.
5. Online submission is always available: While digital methods for completing and submitting the form have become more common, not all cases allow for online submission, and some require in-person submission at a Real-Time Automated Personnel Identification System workstation.
6. The form is complex and time-consuming: The estimated public reporting burden for this form is around 3 minutes per response, highlighting its designed simplicity and user-friendliness.
7. Personal information isn't protected: The Privacy Act Statement and instructions emphasize the protections in place for personal information, detailing the uses of the data and the measures for safeguarding privacy.
8. Errors on the form cannot be corrected: Mistakes can usually be corrected through proper channels and with the assistance of verifying officials or personnel managing DEERS enrollment.
9. All sections must be completed by everyone: Certain sections of the form are applicable only under specific conditions or for certain populations, such as dependents or those with overseas assignments.
10. No legal implications for incorrect information: There are legal implications for knowingly presenting false claims or making false statements on the form, including fines and imprisonment.

Being informed about the DD Form 1172-2 can ease the process of obtaining necessary identification and access to benefits and services for eligible individuals and their families.

Here are key takeaways regarding the completion and utilization of the DD Form 1172-2, Application for Identification Card/DEERS Enrollment:

• The form serves as an application to enroll in the Defense Enrollment Eligibility Reporting System (DEERS) and is necessary for obtaining DoD benefits and privileges.
• Before filling it out, applicants should read the Agency Disclosure Notice, Privacy Act Statement, and Instructions to ensure understanding and compliance.
• It requires accurate sponsor/employee and dependent information, including names, social security numbers or DoD identification numbers, and contact details.
• Section I should be filled with the sponsor's or employee's information, ensuring details like the current home address, date of birth, and citizenship are correctly entered.
• In Section II, the sponsor or employee must sign and date the form, potentially in the presence of a notary, if not signed in front of an authorizing official.
• Accuracy is crucial when declaring eligibility and required benefits in Section III. A sponsoring official’s signature is needed to validate the application.
• If benefits or sponsorship for dependents are requested, details must be filled accurately in Section V, including each dependent's relationship to the sponsor and eligibility dates.
• The form is valid for the issuance of a DoD ID Card for 90 days from the date of verification, emphasizing the importance of timely submission after completion.
• Voluntary disclosure of the information requested on the form is necessary; failure to provide complete information may result in denial of an Identification Card or non-enrollment in DEERS.
• The form should not be returned to the address listed under the Agency Disclosure Notice. Instead, it must be submitted to a real-time automated personnel identification system work station.

Ensuring the completeness and accuracy of the DD Form 1172-2 is instrumental in securing identification cards and accessing various DoD benefits and privileges for service members, employees, and their dependents.