DD Form 1172-2: Application for Identification Card / DEERS Enrollment
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DD Form 1172-2, Application for Identification Card / DEERS Enrollment (OMB No. 0704-0415), is the official U.S. Department of Defense form used by uniformed service members, retirees, 100% disabled veterans, and DoD civilian sponsors to enroll eligible family members in the Defense Enrollment Eligibility Reporting System (DEERS) and issue or renew Uniformed Services ID cards (USID) or Common Access Cards (CAC) at a RAPIDS ID card office. Open the DD Form 1172-2 blank in JustFill to complete every section online and download a clean PDF.
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DD Form 1172-2 is the three-page DoD application required whenever a military sponsor enrolls a spouse, child, full-time college student (ages 21–23), incapacitated adult child, or secondary dependent in DEERS or authorizes issuance/renewal of a Next Generation Uniformed Services ID (USID) card without the sponsor attending the RAPIDS appointment in person. Because official DoD PDFs often use legacy XFA or rigid multi-page grids, military families, unit S-1 personnel admins, and installation Pass & ID offices use JustFill to fill DD Form 1172-2 cleanly in any browser, sign or route for sponsor notarization, and download a print-ready PDF.
The official DD Form 1172-2 PDF is published by Washington Headquarters Services (WHS) DoD Forms Management at esd.whs.mil. Click "Fill the blank DD Form 1172-2 now" above to open our multi-page fillable DD 1172-2 directly in JustFill, type into every Sponsor and Dependent block in your browser, and download a clean PDF.
What each section of DD Form 1172-2 asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.
Sponsor full name (Last, First, Middle Initial), SSN or 10-digit DoD ID number, Branch of Service/Agency, Pay Grade, Personnel Category (Active Duty, Retiree, Reserve/Guard, DAV, DoD Civilian), current residential/mailing address, email, and telephone number.
Sponsor verification remarks (such as power of attorney reference, notarized signature when the sponsor is not present at RAPIDS, or overseas deployment details), Sponsor signature, and date signed.
Up to two dependents per page (with continuation blocks): full name, SSN/DoD ID, relationship to sponsor (Spouse, Child, Stepchild, Ward), date of birth, sex, marital status, full-time student school graduation date, and Medicare Hospital (Part A) / Medical (Part B) effective dates.
Completed at the RAPIDS site by the Verifying Official (VO) with Site ID, card expiration date, and form serial number, followed by the card recipient signature acknowledging receipt of the ID card.
An active-duty U.S. Army Staff Sergeant stationed at Fort Cavazos prepares DD Form 1172-2 prior to deployment so his spouse can renew her Uniformed Services ID card and enroll their full-time college-student daughter in DEERS at the RAPIDS office.
SAMPLE, MARCUS T · DoD ID: 12345-XXXX-0 · Service: USA (Army) · Status: Active Duty · Pay Grade: E-6 · Address: 412 Battalion Way, Fort Cavazos, TX 76544
Identifies the uniformed sponsor whose eligibility governs DEERS enrollment (identifiers masked).
Remarks: Sponsor deploying; notarized signature authorizing spouse USID renewal and student dependent enrollment · Signed: Marcus T. Sample, SSG, USA · Date: 2026-10-23
SAMPLE, ELENA M · Relationship: Spouse · DOB: 1992-04-14 · Marital Status: Married · Residence: Same as Sponsor
SAMPLE, MAYA L · Relationship: Child · DOB: 2005-08-19 · Student Indicator: Yes (Full-Time Accredited University, Expected Grad: 2027-05-15)
Unmarried children aged 21–23 remain eligible for DEERS and USID cards while enrolled full-time at an accredited institution.
These values are made up. They are here to show what belongs on each line, not to be copied — every name, number, and address on your own DD Form 1172-2 has to be your own. If the Sponsor cannot accompany the dependent to the RAPIDS site, either sign DD Form 1172-2 online via IDCO with a CAC or have the Sponsor’s signature in Section II notarized.
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Official source: DD Form 1172-2 on U.S. Department of Defense (DoD) / Defense Manpower Data Center (DMDC)’s website
Edition checked: DD Form 1172-2 (OMB No. 0704-0415, DoD DEERS / RAPIDS ID Card Application, 3 pages). Verified against the official source on · Verified in our Government Forms Fillability Study.
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