In addition to the provisions of the reference in this link you also need a letter from the va stating that you are 100% disabled and have a valid dd form 214. Dd form 11731, department of defense guard and reserve dependent identification card or united states uniformed services identification and privilege card paragraph 4. Dd form 11731 guard and reserve family member card color. Department of defense deers enrollment and id card. Military id cards for the 100% disabled vet and family. They gave me a id card in july 2003 when i was in the military area in italy to visit my sister. Dd form 1173 download printable pdf or fill online. The dod benefits number is an 11digit number that will be used to determine eligibility to receive benefits. Normally, guard and reserve family members and other dependents receive a dd form 11731, the dod guard and reserve dependent id card red. Dd form 1172 is only valid for 90 days children with dual military parents are eligible for an id cards no matter what the age. Completed dd form 1172 a completed dd form 1172 which has been signed. Local badges will not be accepted as a valid form of id during the dod id card issuance process. Afp id application form fill out and sign printable pdf.
Generating a dd form 11722 for those dependents in need of a new identification id card. Osd and the services should have a coherent vision of providing housing for unaccompanied service members that. Applicants for a cac shall be sponsored by a dod government official or employee. Sponsors will usually complete this form for themselves and their dependents, but family members may submit the form with a valid power of attorney. Unites states uniformed services identification and privilege card. To determine what documentation you will need to take with you, such as a birth certificate, marriage certificate, or divorce decree, please read the dod identity and eligibility documentation requirements. Application for department of defense common access card deers enrollment omb no. Click check box next to the name of the dependent for whom you want to request a form dd11722 and click proceed. Unmarried dependent children of active duty and retired service members. Retiree and dependent id cards what you should know.
Verify the configuration of your system and click proceed. Start a free trial now to save yourself time and money. Please click on the following link for more information. Children of single parent soldiers are eligible for id. Dod is removing social security numbers ssn removalfrom. It serves as proof of eligibility for medical care within the army health care system, tricare benefits and access to morale welfare and recreation mwr facilities.
Fill out, securely sign, print or email your afp dependent id form instantly with signnow. This application, along with surrender of the dd form 11731red guard and reserve id card, will allow family members and dependents to receive the dd form 1173 tan card. Identification cards for members of the uniformed services, their. Digitally signed and submitted using rapids self service.
Dod forms management washington headquarters services. Eligibility application for identification carddeers enrollment dd form 11722 this form is used to register in the deers database and apply for a uniformed serivce identification card or common access card. Taking care of the families of americas armed forces. In addition, the following common access card cac maintenance actions, previously available through the user maintenance portal ump, are available. Dependents enrolled in the defense enrollment eligibility reporting system deers. Dd form 1173 fill out and sign printable pdf template. Dd form 11722, application for department of defense. Dd form 1173 is a military id card issued by the department of defense dod to eligible dependents of active duty and retired service members. Taking care of americas armed force families 581001105.
Need to make an appointment for deers enrollment or dod id card issuancerenewal. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Stepparent, parentbyadoption dd form 1173 1, 2, 3 notes. Dependents ages 1017 are required to have 1 form of state or federal issued id. Normally, reserve component rc family members and other dependents receive a dd form 11731, the dod guard and reserve dependent id card red.
Dependent information na for retiree id renewal first name. Rss portal, the dd form 11722 is saved under the dependents deers. Reserve retired, a dd form 1173, a dd form 11731, a dd form 2764, a dd form. Dependency statement incapacitated child over age 21 form dd form 75 application for identification carddeers enrollment form dd form 11722 current physicians statement dated within 90 days contact the sponsors service for specific details. Fill out the uniformed services identification and privilege card online and print it out for free. Block 35 or block 63 of dd form 1172 contain this information. If your id card is brown and the bottom right says davprm disabled veteran permanent then there is no entitlement for spacea travel. Additional provisions use this space to continue general andor specific provisions, as needed. Dd form 11722 back, feb 2011 the instructions for completing the dd form 11722 should be closely followed to ensure accurate data collection and to preclude overcollection of information. If your situation is not listed, contact your nearest military id card facility. Please send your comments or questions to va forms managers.
Dependents of active duty and retired service members are eligible to receive a tan colored id card dd form 1173. Yes no sponsor must complete before submitting for dependents only reason for new id card. This application, along with surrender of the dd form 11731, will allow family members and dependents to receive the dd form 1173 tan card. Eligible dependents of reserve component members and retirees as described in subpart c of this part are eligible for the dd form 11731. Dependent id card renewal application 60 travis force. Although not required for id card issuance, dependents may bring a printed copy of the digitally signed and submitted form. The sponsor can sign the form at the time of processing the dependent id card or the. You may add or remove family members to your deers record at the nearest military id card issuing facility. Wards will be issued a dd form 1173 when basic eligibility criteria for. How to renew your military identification card married. Use the rapids site locator at to find a rapids site.
Dd form 11731, the dod guard and reserve dependent id. Dd form 1173 download printable pdf or fill online uniformed. Dependency statement incapacitated child over age 21 form dd form 75. Damaged loststolen if lost or stolen, complete memo. Dd form 1173, this single piece of paper is all you need.
A dd11722 must be signed by the sponsor prior to issuance of a dependent id. Refer to figure 311 showing the front and back of an intentionally voided dd form 1173. Issuance of dd form 11731 to irr dependents is mandatory. B an indefinite dd form 1173 will be issued to a dependent of retired service members. Download printable dd form 1173 in pdf the latest version applicable for. If you are a dependent, you must provide a completed dd form 11722 and two forms of id in original form. Despite rumors to the contrary, 100 percent disabled veterans in possession of dd form 1173 or dd form 2765 replaces the dd form 1173 identification cards are not entitled to spacea travel aboard dod aircraft. Dependents of active duty uniformed services members. Electronically by the sponsor with cac or ds logon and submitted using id card office online. Use nine characters, 10 characters in the case of a fin. The following dependents are eligible for issuance of this id card. Section iv of this form should only be completed if benefits or sponsorship is being requested forby an eligible sponsor or their dependent. The department of defense issues eligible dependents and other eligible individuals a distinct identification card id authorizing them to receive uniformed services benefits and privileges.
Spouses, antor unmarried legitimate children, adopted children, and stepchildren under age 21 who have a documented or biological relationship to the sponsor. Dd form 11722 application for identification carddeers enrollment a64 u. Instructions for completion of dd form 11722 updated july 21, 2003 foreign nationals who do not have an ssn, and contractor employees who refuse to provide their ssn. Surviving dependents of active duty and retired military members medal of honor recipients 100% disabled veterans dav dd form 1173 dd form 11731 recipients are dependents of. Dd form 11722, dec 2007 this form valid for issue of common access card for 90 days from date of verification. Reserve members not on active duty or in receipt of retired pay. Spouses may request the card be issued in the legal name by which they are known.
Management airm in the office of the secretary of defense osd and washington headquarters services whs, august 20, 1991 b dod 7200. Dd form 1173 fill out and sign printable pdf template signnow. Until the office of secretary of defense osd terminates the. List pdrl dd form 1173 11731 dependent dependents of activeduty members reserve component members on active duty for more than 30 days. This card is needed to gain access to medical benefits and continued access to commissary, exchange, mwr benefits and. Download printable dd form 1173 in pdf the latest version applicable for 2020. Dependent child information if applicable expiredexpiring is the child 21 yrs or older. Here is the reference to obtaining a military id card for those disabled veterans who are rated at 100% disability. If you have a common access card cac, you may sign, view or print this form online at if a sponsor is unable to sign the. This application, along with surrender of the dd form 11731, will allow family members and. This application, along with surrender of the dd form 11731, will allow family members and dependents to receive the dd form 1173 tan.
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