1000.13

Department of Defense

INSTRUCTION
NUMBER 1000.13
December 5, 1997

USD(P&R)

SUBJECT: Identification (ID) Cards for Members of the Uniformed Services, Their
Dependents, and Other Eligible Individuals
References: (a) DoD Directive 1000.22, "Uniformed Services' Identification (ID) Cards,"
October 8, 1997
(b) DoD Instruction 1000.13, subject as above, December 30, 1992 (hereby
canceled)
(c) Chapter 55 of title 10, United States Code, "Medical and Dental Care"
(d) DoD Directive 1330.9, "Armed Services Exchange Regulations,"
December 15, 1986
(e) through (ff), see enclosure 1

1. REISSUANCE AND PURPOSE
This Instruction implements policy in reference (a) and reissues reference (b) to update
DoD policy, responsibilities, and procedures for the issuance of ID cards to members of
the Uniformed Services of the United States (see enclosure 3, attachments 1 and 2);
prescribes ID and privilege cards for issuance to their dependents and other eligible
individuals (see enclosure 4, attachments 1, 2, and 3); and incorporates new policies
regarding on Selected Reserve Transition Programs, the Temporary Early Retirement
Authority, abused dependents receiving transitional compensation, and the machinereadable identification card. Technical specifications and issuing procedures for ID cards
are outlined in enclosure 3, attachment 1.

2. APPLICABILITY
This Instruction applies to the Office of the Secretary of Defense (OSD), the Military
Departments (including the Coast Guard, when operating as a Military Service in under
the Department of the Navy), and the Defense Agencies (hereafter referred to collectively
as "the DoD Components"); the Coast Guard, under agreement with the Department of
Transportation (DoT), when it is not operating as a Military Service in under the

DoDI 1000.13, December 5, 1997
Department of the Navy; and the Commissioned Corps of the United States Public Health
Service (USPHS) and the National Oceanic and Atmospheric Administration (NOAA),
under agreements with the Departments of Health and Human Services and Commerce,
respectively (hereafter referred to collectively as "Other Uniformed Services"). The term
"Military Services," as used herein, refers to the Army, the Navy, the Air Force, the
Marine Corps, and the Coast Guard; and their respective National Guard and Reserve
components; the term "Uniformed Services" refers to the Army, the Navy, the Air Force,
the Marine Corps, the Coast Guard, the Commissioned Corps of the USPHS, and the
Commissioned Corps of the NOAA.

3. DEFINITIONS
Terms used in this Instruction are defined in enclosure 2.

4. POLICY
It is DoD policy under DoD Directive 1000.22 reference (a) to provide members of the
Uniformed Services with a distinct ID card for use in identifying their status as active
duty, Reserve, or retired members and as an authorization card for Uniformed Services'
benefits. Eligible dependents and other eligible individuals shall also be provided with a
distinct ID card to be used as an authorization card for benefits and privileges
administered by the Uniformed Services. Implementation of this Instruction will be
consistent with union obligations.

5. RESPONSIBILITIES
5.1. The Under Secretary of Defense for Personnel and Readiness shall establish
overall policy and procedures for the issuance of ID cards to members of the Uniformed
Services, their dependents, and other eligible individuals.
5.2. The Assistant Secretary of Defense Health Affairs under the Under Secretary of
Defense for Personnel and Readiness shall establish overall policy and procedures for
providing medical care through the Military Health Services System to authorized
beneficiaries and the elimination of eliminate fraud, waste, and abuse in the provision of
medical benefits.

2

DoDI 1000.13, December 5, 1997
5.3. The Heads of the DoD Components and Other Uniformed Services shall
comply with this Instruction.

6. PROCEDURES
6.1. The following criteria apply to the use and issuance of the DD Form 2, "U.S.
Armed Forces Identification Card (Active/Reserve/Retired)" and "Armed Forces of the
United States Geneva Conventions Identification Card (Active/Reserve)"; the DD Form
1173, "Uniformed Services Identification and Privilege Card" and "United States
Uniformed Services Identification and Privilege Card"; DD Form 1173-1, "DoD Guard
and Reserve Family Member Identification Card" and "United States Uniformed Services
Identification and Privilege Card"; and the DD Form 1172, "Application for Uniformed
Services Identification Card, DEERS Enrollment":
6.1.1. DD Form 2, "U.S. Armed Forces Identification Card (Active)," is the
primary ID for active duty Uniformed Services' members and shall be used to identify the
member's eligibility for benefits and privileges administered by the Uniformed Services
in accordance with Chapter 55 of 10 U.S.C., DoD Directive 1330.9, DoD Instruction
1015.10, and DoD 1330.17-R (references (c), (d), (e), and (f)). The manually prepared
card (enclosure 3), is being replaced by the DD Form 2, "Armed Forces of the United
States Geneva Conventions Identification Card (Active)" machine-readable card
(enclosure 3). The use of other media shall be restricted to activities and areas where
special ID is required.
6.1.1.1. The card shall also serve as ID for purposes of Article 17 of the
Geneva Convention Relative to the Treatment of Prisoners of War of August 12, 1949
(DoD Instruction 1000.1, reference (g)). The card, which is the property of the U.S.
Government, shall be in the personal custody of the member at all times. If required by
military authority, it shall be surrendered for ID, investigation, or while the member is in
military confinement.
6.1.1.2. If a member is captured as a hostage, detainee, or prisoner of war
(POW), the DD Form 2, shall be shown to the capturing authorities, but, insofar as
possible, should not be surrendered.
6.1.2. DD Form 2, "Armed Forces of the United States Identification Card
(Reserve)," is the primary ID card for Reserve members not on active duty or full-time
National Guard duty in excess of 30 days and for members of the Retired Reserve who
have qualified for retired pay at age 60, but who have not yet reached age 60. The
manually prepared card (enclosure 3) is being replaced by the DD Form 2, "Armed
Forces of the United States Geneva Conventions Identification Card (Reserve)" machinereadable card (enclosure 3), and the DD Form 2, "United States Uniformed Services
Identification Card (Reserve Retired)," machine-readable card (enclosure 3). It is not a
pass. This card does not separately authorize the member's eligibility for medical
3

DoDI 1000.13, December 5, 1997
benefits and commissary privileges. Additional authorization, such as orders, is needed
for medical benefits. Additional identification documents for commissary privileges are
described in DoD 1330.17-R (reference (f)). This card does, by itself, authorize
exchange and morale, welfare, and recreation privileges as described in DoD Directive
1330.9, and DoD Instruction 1015.10 (references (d) and (e)).
6.1.2.1. The DD Form 2 (Reserve) shall also serve as ID for purposes of
Article 17 of the Geneva Convention Relative to the Treatment of Prisoners of War of
August 12, 1949 (DoD Instruction 1000.1, reference (g)). The card, which is the property
of the U.S. Government, shall be in the personal custody of the member at all times.
However, if required by military authority, it shall be surrendered for ID, investigation, or
while the member is in military confinement.
6.1.2.2. If a member is captured as a hostage, detainee, or POW, the DD
Form 2 (Reserve), shall be shown to the capturing authorities, but, insofar as possible,
should not be surrendered.
6.1.2.3. When the manually prepared card is issued to Reserve retirees
entitled to retirement pay at age 60, but who have not yet attained age 60, the
abbreviation "RET" shall be entered after the member's grade in the grade block on the
face of the card. The card must be issued by the retired Reserve member's parent
Service. Issuance of the manually prepared DD Form 2 (Reserve) in this manner will be
discontinued with the issuance of the DD Form 2, "United States Uniformed Services
Identification Card (Reserve Retired)," machine-readable card (enclosure 3), which may
be issued by any Service.
6.1.3. DD Form 2, "United States Uniformed Services Identification Card
(Retired)," is the primary ID for retired Uniformed Services members entitled to retired
pay and shall be used to identify the member's eligibility for benefits and privileges
administered by the Uniformed Services in accordance with Chapter 55 of 10 U.S.C.,
DoD Directive 1330.9, DoD Instruction 1015.10, DoD 1330.17-R, and DoD 6010.8-R
(references (c), (d), (e), (f), and (h)). This manually prepared card (enclosure 3), is being
replaced by the DD Form 2, "United States Uniformed Services Identification Card
(Retired)," machine-readable card (enclosure 3). The card, which is the property of the
U.S. Government, shall be in the personal custody of the retired member at all times. If
required by military authority, it shall be surrendered for ID or investigation.
6.1.4. The DD Form 2, "United States Uniformed Services Identification Card
(Reserve Retired)," machine-readable card (enclosure 3), is replacing the manually
prepared version discussed in subparagraph 6.1.2.3., above, and is the primary card for
members of the Retired Reserve who have qualified for retired pay at age 60, but who
have not yet reached age 60. It is not a pass. This card does not separately authorize the
member's eligibility for medical benefits and commissary privileges. Additional
authorization, such as orders, is needed for medical benefits. Additional identification
documents for commissary privileges are described in DoD 1330.17-R (reference (f)).
4

DoDI 1000.13, December 5, 1997
This card does, by in itself, authorize exchange and morale, welfare, and recreation
privileges as described in DoD Directive 1330.9 and DoD Instruction 1015.10 (references
(d) and (e)).
6.1.5. DD Form 1173, "Uniformed Services Identification and Privilege Card,"
shall be used to identify individuals eligible for benefits and privileges administered by
the Uniformed Services in accordance with references (c), (d), (e), (f), and (h); DoD
Directive 6310.7 (reference (i)); DoD Instruction 1342.24 (reference (j)); and as outlined
in the "DD Form 1173 Entitlement Guide" (enclosure 4, attachment 1). This manually
prepared card (enclosure 4) is being replaced with the DD Form 1173, "United States
Uniformed Services Identification and Privilege Card," machine-readable identification
card (enclosure 4).
6.1.5.1. DD Form 1173 is not a pass and shall not be issued for the sole
purpose of identification. The card, which is the property of the U.S. Government, shall
be in the personal custody of the individual to whom issued at all times. If required by
military authority, it shall be surrendered for ID or investigation.
6.1.5.2. No other form of ID shall be used for such purposes except as
herein provided or as prescribed by the Uniformed Service concerned when required for
additional ID for access to classified areas, activities, or installations or when required to
identify individuals who do not qualify for the DD Form 1173, but who do qualify for
benefits.
6.1.6. DD Form 1173-1, "Department of Defense Guard and Reserve Family
Member Identification Card," shall be used to identify individuals as dependents of
Ready Reserve members not on active duty in excess of 30 days, Standby Reserve
members, and Reserve retirees who are entitled to retirement pay at age 60, but who have
not yet attained age 60. DD Form 1173-1 is for identification only. When accompanied
by a set of the sponsor's valid active duty orders, the card shall be used to authorize full
benefits for a period of time not to exceed 270 days, if the member is called to active duty
by congressional decree or Presidential call-up under Chapter 1209 of 10 U.S.C.,
(reference (k)). During peacetime, appropriate additional identification for benefits and
privileges is described in Chapter 55 of 10 U.S.C. and DoD 1330.17-R (references (c)
and (f)). This card does in itself authorize exchange and morale, welfare, and recreation
privileges as described in DoD Directive 1330.9 and DoD Instruction 1015.10 (references
(d) and (e)). The manually prepared card (enclosure 4), is being replaced by the DD
Form 1173-1, "United States Uniformed Services Identification and Privilege Card,"
machine-readable Reserve dependent identification card (enclosure 4).
6.1.6.1. When issuing the manually prepared version of the DD Form
1173-1 to dependents of Reserve retirees entitled to pay at age 60, but who have not
reached age 60, enter in block 10.d. of DD Form 1173-1 the appropriate sponsor status
abbreviation from enclosure 5. When issuing the machine-readable version of the DD

5

DoDI 1000.13, December 5, 1997
Form 1173-1, the automated system will enter the appropriate status abbreviation from
enclosure 5.
6.1.6.2. DD Form 1173-1 is not a pass and shall not be issued for the sole
purpose of identification. The card, which is the property of the U.S. Government, shall
be in the personal custody of the individual to whom issued at all times. If required by
military authority, it shall be surrendered for ID or investigation.
6.1.6.3. No other form of ID shall be used for such purposes except as
herein provided or as prescribed by the Uniformed Service concerned when required for
additional ID for access to activities or installations.
6.1.7. Any person willfully altering, damaging, lending, counterfeiting, or
using these cards in any unauthorized manner is subject to fine or imprisonment or both,
as prescribed by Sections 499, 506, 509, 701, or 1001 of 18 U.S.C. (reference (l)).1
Section 701 of 18 U.S.C., of reference (l), prohibits photographing or otherwise
reproducing or possessing Uniformed Services ID cards in an unauthorized manner,
under penalty of fine or imprisonment or both. Unauthorized or fraudulent use of the DD
Form 2, DD Form 1173, or the DD Form 1173-1 would exist, if a bearer uses the card in
a manner that would enable the bearer to obtain benefits and privileges to which he or she
is not entitled. Photocopying of the DD Forms 2, DD Form 1173, or DD Form 1173-1 to
facilitate medical care processing, check cashing, or administering other military-related
benefits to eligible beneficiaries are examples of authorized photocopying.
6.1.8. The Uniformed Services agree to cross-Service the issuance of
identification cards as outlined below:
6.1.8.1. Any authorized Uniformed Services personnel office or ID cardissuing facility with on-line access to the Defense Enrollment Eligibility Reporting
System (DEERS) (DoD 1341.1-M, reference (m)), shall, on presentation of the required
documentation, or verification through the DEERS, verify and issue the following
machine-readable cards:
6.1.8.1.1. DD Form 2 (Active) to members on active duty in excess
of 30 days;
6.1.8.1.2. DD Form 2 (Reserve) to members of the Reserve
components not on active duty in excess of 30 days;
6.1.8.1.3. DD Form 2 (Retired) to active duty retired members and
members of the Retired Reserve who have reached their 60th birthday;
___________
1
Machine-readable cards must not be punched.

6

DoDI 1000.13, December 5, 1997

6.1.8.1.4. DD Form 2 (Reserve Retired) to members of the Retired
Reserve eligible for pay at age 60, but not yet age 60, if enrolled in DEERS;
6.1.8.1.5. DD Form 1173-1 to dependents of Reserve component
members not on active duty in excess of 30 days, and to dependents of Retired Reservists
who have qualified for retired pay at age 60, yet have not reached age 60; and
6.1.8.1.6. DD Form 1173 to eligible beneficiaries in the following
categories:
6.1.8.1.6.1. Dependents and survivors of retired members;
6.1.8.1.6.2. Survivors of active duty members;
6.1.8.1.6.3. Survivors of Reserve members on active or inactive
duty;
6.1.8.1.6.4. Active duty dependents;
6.1.8.1.6.5. Unremarried and unmarried former spouses who
have been previously enrolled in the DEERS;
6.1.8.1.6.6. Medal of Honor recipients, their dependents, and
survivors;
6.1.8.1.6.7. One hundred-percent disabled veterans who have
been honorably discharged, and including their eligible dependents and survivors;
6.1.8.1.6.8. Former members having reached age 60 and in
receipt of retired pay for non-regular service, and their eligible dependents, if enrolled in
DEERS;
6.1.8.1.6.9. Voluntary Separation Incentive (VSI) and Special
Separation Benefit (SSB) members and their dependents; and
6.1.8.1.6.10. Transition Assistance Management Program
(TAMP) members and their dependents.
6.1.8.2. When eligibility cannot be verified through the DEERS,
presentation of documentation shall be required. The Uniformed Services restrict crossServicing for verification of the DD Form 1172, "Application for Uniformed Services
Identification Card DEERS Enrollment" (enclosure 5, attachment 1) to the parent
Uniformed Service for the following categories:

7

DoDI 1000.13, December 5, 1997
6.1.8.2.1. Initial application for permanently incapacitated
individuals over age 21 and temporarily incapacitated children over age 21;
6.1.8.2.2. All dependent parents and parents-in-law;
6.1.8.2.3. Illegitimate child of a male sponsor, whose paternity has
not been judicially determined;
6.1.8.2.4. Illegitimate child of spouse of sponsor;
6.1.8.2.5. Unremarried and unmarried former spouses applying for
initial issuance of an ID card;
6.1.8.2.6. Retirees from other Services, and former members not
currently enrolled in DEERS;
6.1.8.2.7. Surviving dependents of Reserve Retirees on the sponsor's
60th birthday; and
6.1.8.2.8. Abused dependents.
6.1.8.3. When presenting a properly verified DD Form 1172 from the
sponsor's parent Uniformed Service, all active, National Guard, or Reserve component ID
card-issuing facilities with on-line access to DEERS will issue all DD forms authorized
by this Instruction. The signature of the sponsor is required, as outlined in subparagraph
6.1.9., below.
6.1.9. The verifying official shall ensure that DD Form 1172 is signed by the
sponsor if the sponsor is living. If the sponsor refuses to sign or is physically unable to
sign the application, the verifying official shall ensure that the dependency between the
sponsor and family member exists. Include reasons why sponsor is not able to or will not
sign DD Form 1172 in enclosure 5, attachment 1, section III, block 89., and certify those
actions and proper authority in the sponsor signature block as well as the verifier's block,
as part of the verification process. Unremarried and unmarried former spouses shall sign
on their own behalf. If the sponsor is deceased, the adult applicant shall sign.
Appropriate remarks shall be included in block 89.
6.1.10. Documentation from the Department of Veterans Affairs (VA) for
honorably discharged veterans who are evaluated 100-percent disabled must certify that
the veteran is entitled to commissary and exchange privileges and indicate whether a
reevaluation is necessary. In addition to VA certification, the veteran must also present a
DD Form 214, "Certificate of Release or Discharge from Active Duty."
6.1.11. DEERS enrollment for eligible overseas civilian sponsors and their
dependents shall be accomplished jointly by the Uniformed Services' and civilian
8

DoDI 1000.13, December 5, 1997
personnel offices. The civilian or Uniformed Services' personnel offices shall complete
and verify the DD Form 1172 for their personnel, as outlined in enclosure 5, and shall
forward the original DD Form 1172 to the nearest ID card-issuing facility for issuance of
an ID card, if required. The verifying official is responsible for insuring DEERS
enrollment is accomplished.
6.1.12. Overstamping of identification cards is limited to "OVERSEAS
ONLY," "DUAL STATUS," and "TA." Use of any other overstamp is prohibited.
6.1.12.1. Use "OVERSEAS ONLY" on DD Forms 1173 issued to
civilians overseas and their eligible dependents who are authorized the DD Form 1173
when stationed or employed in foreign countries. It is also appropriate for DD Forms
1173 issued to NATO and non-NATO active duty and enlisted personnel and eligible
dependents when serving outside the United States and their own country when under the
sponsorship or invitation of DoD or a military service. For additional guidance see
subparagraph 6.2.6., below.
6.1.12.2. Use "DUAL STATUS" on DD Forms 1173 issued to individuals
entitled to privileges from two sources. For additional guidance see subparagraph 6.2.6.,
below.
6.1.12.3. Use "TA" on DD Forms 1173 and 1173-1 issued to members
separating and receiving benefits under the active duty Transition Assistance
Management Program, the Selected Reserve Transition Program, and their eligible
dependents.
6.2. Eligibility for DD Forms 2, 1173 and 1173-1, Restrictions and Overseas
Limitations
6.2.1. DD Form 2 (Active) manually prepared and machine-readable cards
shall be issued to members of the Uniformed Services serving on, or recalled to active
duty in excess of 30 days. Members who are ordered or recalled to active duty for
periods of 30 days or less shall not be issued this form, but shall be identified by copies
of their orders or other documents establishing temporary active duty status and by their
DD Forms 2 (Reserve) or DD Forms 2 (Retired) or (Reserve Retired), as appropriate.
6.2.2. DD Form 2 (Reserve) manually prepared or machine-readable card shall
be issued to members of the following:
6.2.2.1. Ready Reserve, who are not otherwise entitled to either DD Form
2 (Active or Retired).
6.2.2.2. The Standby Reserve.

9

DoDI 1000.13, December 5, 1997
6.2.2.3. Members of the Retired Reserve who have qualified for receipt of
retired pay at age 60, yet have not reached age 60, may be issued the manually prepared
card or the machine-readable card discussed in subparagraph 6.2.4., below.
6.2.2.4. The Reserve Officers' Training Corps (ROTC) College Program
students in their last 2 years of training.
6.2.2.5. ROTC students in receipt of a full-Service scholarship leading to
a commission in a regular or active component of a Uniformed Service.
6.2.3. DD Form 2 (Retired) shall be issued to members of the Uniformed
Services who are entitled to retired pay, even though they may have waived their retired
pay. Additionally, appropriate procedures shall be established by the Uniformed Service
concerned for issuance of DD Form 2 (Retired) to any retired member of the Uniformed
Services, regardless of the Service of the member, on presentation of proof of eligibility;
i.e., a copy of retirement orders reflecting entitlement to retired pay or certification of
entitlement to retired pay, and personal ID, if enrolled in DEERS. Proof of eligibility
shall be required to replace lost, mutilated, worn out, or incorrect cards.
6.2.4. DD Form 2 (Reserve Retired) identification card shall be issued to
members of the Reserve components who are entitled to retired pay at age 60, and have
not yet attained age 60. Additionally, appropriate procedures shall be established by the
Uniformed Service concerned for issuance of DD Form 2 (Reserve Retired) to any retired
member of the Reserve components, regardless of the Service of the member, on
presentation of proof of eligibility; i.e., a copy of retirement orders reflecting entitlement
to retired pay at age 60, and personal ID. Proof of eligibility shall be required to replace
lost, mutilated, worn out, or incorrect cards.
6.2.5. DD Form 1173 shall be issued to the following:
6.2.5.1. Dependents in the following categories:
6.2.5.1.1. Dependents of active duty members, Reservists on active
duty for more than 30 days, and members entitled to retired pay, and eligible dependents
of members who were eligible for retired pay, but separated due to misconduct involving
dependent abuse, including those members in a dual status. (DD Form 1173 may be
issued to a spouse in the legal name by which the spouse is known, such as a maiden
name.)
6.2.5.1.2. Abused dependent of active duty members entitled to
retired pay based on 20 or more years of service who are separated due to misconduct,
and a court order provides annuity from disposable retired pay to abused dependents
(Title 10 U.S.C. 1408(h), reference (n)).

10

DoDI 1000.13, December 5, 1997
6.2.5.1.3. Dependents of active duty members (over 30 days) not
entitled to retired pay who were separated from active duty or forfeited all pay and
allowances under a court-martial sentence resulting from a dependent abuse offense or
administratively separated from active duty, if the basis for separation includes a
dependent-abuse offense, when separated on or after November 30, 1993, and when
dependents are eligible for transitional privileges under DoD Instruction 1342.24
(reference (j)).
6.2.5.2. Former spouses in the following categories:
6.2.5.2.1. Unremarried former spouse of a member or retired
member, married to the member or retired member for a period of at least 20 years,
during which period the member or retired member performed at least 20 years of service
that is creditable in determining the member's or retired member's eligibility for retired or
retainer pay, or equivalent pay (20/20/20) (10 U.S.C. 1408 and 1072(2)(F), references (o)
and (p)).
6.2.5.2.2. Unremarried former spouse described in subparagraph
6.2.5.2.1., above, except that the period of overlap of marriage and the member's
creditable service was at least 15 years, but less than 20 years, and the date of the final
decree of divorce, dissolution, or annulment of the marriage was before April 1, 1985. A
former spouse who meets the 20/20/15 requirement, but whose divorce occurred on or
after April 1, 1985, but before September 29, 1988, is no longer eligible for an ID card.
The law authorized an ID card for this category of former spouse for 2 years from date of
divorce or December 31, 1988, whichever is later. This time has now expired. If the
marriage of this category of former spouse ended on or after September 29, 1988,
entitlements shall exist for 1 year after the divorce, dissolution or annulment (10 U.S.C.
1076 and 1072(2)(h), references (q) and (r)).
6.2.5.2.3. Unremarried former spouse as described in subparagraph
6.2.5.2.1., above, except that the period of marriage is at least 10 years; the period of
overlap of marriage and the member's creditable service was at least 10 years; that the
member was separated from the Service due to misconduct involving spousal or child
abuse; a court order provides annuity from disposable retired pay; and the final decree of
divorce, dissolution, or annulment of the marriage was on or after October 23, 1992 (10
U.S.C. 1408, reference (n)). If this former spouse remarries, annuity and ID card
privileges cease; however, if subsequent marriage terminates (death, annulment, divorce),
annuity resumes, and ID card is issued as before.
6.2.5.2.4. Former spouse described in subparagraph 6.2.5.2.1.,
above, whose subsequent remarriage ended in death or divorce. A spouse in that
category is considered to be unmarried, which means they are entitled to a more limited
benefit than unremarried former spouses.

11

DoDI 1000.13, December 5, 1997
6.2.5.2.5. Qualifying 20/20/20 former spouses described in
subparagraph 6.2.5.2.1., above, of Reserve members or recalled retired Reserve members
under age 60, are entitled to benefits when the Reserve member or recalled retired
Reserve member is on active duty in excess of 30 days.
6.2.5.2.6. Qualifying 20/20/15 former spouses discussed in
subparagraph 6.2.5.2.2., above, of Reserve members or recalled Retired Reserve
members under age 60, are entitled to prescribed benefits when the Reserve member or
recalled Retired Reserve member is on active duty in excess of 30 days, but only during
the 1-year period following divorce, dissolution, or annulment of the marriage.
6.2.5.2.7. Qualifying 20/20/20 or 20/20/15 former spouses of Retired
Reserve members who are entitled to retired pay at their 60th birthday on the date the
member attains or would have attained age 60.
6.2.5.3. Surviving dependents of members, who died while on active duty
under orders that specified a period of more than 30 days or members who died while in a
retired-with-pay status.
6.2.5.4. Surviving dependents of Reserve members, whose death occurred
after September 30, 1985, from an injury or illness incurred or aggravated while on active
duty for a period of 30 days or less, on active duty for training, or on inactive duty
training; or while traveling to or from the place at which the member was to perform, or
performed, such active duty, active duty for training, or inactive duty training, are entitled
to full medical benefits in addition to preexisting unlimited commissary, exchange, and
morale, welfare, and recreation privileges (10 U.S.C. 1076(a) and 1086(c)(2), reference
(s)).
6.2.5.5. Surviving dependents of Reserve members, who died on or before
September 30, 1985 from an injury or illness incurred or aggravated while on active duty
for a period of 30 days or less, on active duty for training or inactive duty training; or
while traveling to or from the place at which the member was to perform, or performed,
such active duty for training or inactive duty training are authorized commissary,
exchange, and morale, welfare and recreation privileges. (See enclosure 4, attachment 1,
section E4.A1.4.)
6.2.5.6. Surviving dependents of Reserve members, whose death occurred
after November 14, 1986, from an injury, illness, or disease incurred or aggravated while
performing, or while traveling to or from performing, active duty for a period of 30 days
or less, or active duty for training, or inactive duty training, are entitled to full medical
benefits in addition to preexisting unlimited commissary, exchange, and morale, welfare,
and recreation privileges (10 U.S.C. 1074(a), reference (t)).
6.2.5.7. Surviving dependents of Reserve members who have earned 20
qualifying years for retirement AND who are in receipt of their Notice of Eligibility for
12

DoDI 1000.13, December 5, 1997
Retirement pay at age 60, who have not yet reached age 60 AND have NOT transferred
to the Retired Reserve, AND who died before reaching age 60. (The DD Form 1173 may
be issued only on, or after, the date on which the member would have been 60 years old
had he or she survived.)
6.2.5.8. Surviving dependents of Reserve members who retired without
pay, had met time-in-service requirements, and died before reaching age 60. (The DD
Form 1173 may be issued only on, or after, the date in which the member would have
been 60 years old had he or she survived.)
6.2.5.9. Honorably discharged veterans rated by the VA as 100-percent
disabled from a Uniformed Service-connected injury or disease and Medal of Honor
recipients and their dependents.
6.2.5.10. Surviving dependents of Medal of Honor recipients and
surviving dependents of honorably discharged veterans rated by the VA as 100 percent
disabled from a Uniformed Service-connected injury or disease at the time of his or her
death.
6.2.5.11. Former (discharged) members having reached age 60 and
entitled to receive retired pay, and their eligible dependents.
6.2.5.12. Foreign personnel in the following categories:
6.2.5.12.1. Active duty officer and enlisted personnel of the North
Atlantic Treaty Organization (NATO) or the Partnership For Peace (PFP) countries (and
their accompanying dependents living in the sponsor's U.S. household) serving in the
United States under the sponsorship or invitation of the Department of Defense or a
Military Service and their accompanying dependents living in the sponsor's U.S.
household.
6.2.5.12.2. Active duty officer and enlisted personnel of non-NATO
countries (and their accompanying dependents living in the sponsor's U.S. household)
serving in the United States under the sponsorship or invitation of the Department of
Defense or a Military Service and their accompanying dependents living in the sponsor's
U.S. household.
6.2.5.12.3. Active duty officer and enlisted personnel of NATO
countries (and their accompanying dependents living in the sponsor's U.S. household)
who, in connection with their official NATO duties, are stationed in the United States and
are not under the sponsorship of the Department of Defense or a Military Service and
their accompanying dependents living in the sponsor's U.S. household.
6.2.5.12.4. Active duty officer and enlisted personnel of NATO and
non-NATO countries (and their accompanying dependents living with the sponsor), when
13

DoDI 1000.13, December 5, 1997
serving outside the United States and outside their own country under the sponsorship or
invitation of the Department of Defense or a Military Service or when it is determined by
the major overseas commander that the granting of such privileges is in the best interests
of the United States and such personnel are connected with, or their activities are related
to, the performance of functions of the U.S. military establishment, and their
accompanying dependents living with the sponsor.
6.2.5.12.5. Civilian personnel of NATO and non-NATO countries
(and their accompanying dependents living in the sponsor's U.S. household) attending
training in the United States under the sponsorship of the Department of Defense Security
Assistance Training Program and their accompanying dependents living in the sponsor's
U.S. household.
6.2.5.13. Civilian personnel in the following categories:
6.2.5.13.1. Civilian personnel of the Department of Defense and the
Uniformed Services and their accompanying dependents, when required to reside in a
household on a military installation within the Continental United States (CONUS),
Hawaii, Alaska, Puerto Rico, and Guam.
6.2.5.13.2. Civilian personnel of the Department of Defense, the
Uniformed Services, and other Government Agencies and civilian personnel under
private contract to the Department of Defense or a Uniformed Service (and their
dependents when residing in the same household), when stationed or employed in foreign
countries, and their dependents when residing in the same household.
6.2.5.14. Contract surgeons overseas during the period of their contract.
6.2.5.15. Uniformed and non-uniformed full-time paid personnel of the
Red Cross assigned to duty with the Uniformed Services within the CONUS, Hawaii,
Alaska, Puerto Rico, and Guam, and their accompanying dependents, when required to
reside in the same household on a military installation.
6.2.5.16. Uniformed and non-uniformed full-time paid personnel of the
Red Cross assigned to duty with the Uniformed Services in foreign countries and their
accompanying dependents, when residing in the same household.
6.2.5.17. Area executives, center directors, and assistant directors of the
United Service Organization (USO), when serving in foreign countries and their
accompanying dependents, when residing in the same household.
6.2.5.18. United Seaman's Service (USS) personnel in foreign countries
and their accompanying dependents when residing in the same household.

14

DoDI 1000.13, December 5, 1997
6.2.5.19. Military Sealift Command (MSC) civil service marine personnel
deployed to foreign countries on MSC-owned and -operated vessels.
6.2.5.20. Ship's officers and members of the crews of vessels of the
NOAA (33 U.S.C. 857-4, reference (u)).
6.2.5.21. Officers and crews of vessels, lighthouse keepers, and depot
keepers of the former Lighthouse Service.
6.2.5.22. Involuntarily separated, not for cause, members of the Army, the
Navy, the Air Force, the Marine Corps, or the Coast Guard on active duty or full-time
National Guard duty prior to or on September 30, 1990; on or after November 30; or, in
the case of the Coast Guard on or after October 1, 1994; and involuntarily separated from
active duty on or after October 1, 1990 through September 30, 1999, but before October
1, 1999, and their dependents (Chapter 58 of 10 U.S.C., reference (v)). Dependents are
eligible for benefits regardless of whether dependency status was acquired before or after
the member's separation. Those individuals shall be issued an overstamped DD Form
1173 showing expiration date for each benefit, as shown on the reverse of the card (see
enclosure 4, Transition Assistance Card (Manually Prepared Card) and Transition
Assistance Card (Machine-Readable Card)).
6.2.5.23. Voluntarily separated members of the Army, the Navy, the Air
Force, and the Marine Corps who are eligible and approved for payment of a Special
Separation Benefit (SSB) or the Voluntary Separation Incentive (VSI) annuity program;
have been on active duty for more than 6 years; have served at least 5 years of continuous
active duty immediately preceding the date of separation; and the date of separation is on
or before September 30, 1999, and their dependents (10 U.S.C. 1174a and 1175,
reference (w)). (Dependents are eligible for benefits regardless of whether dependency
status was acquired before or after the member's separation.) Those individuals shall be
issued an overstamped DD Form 1173 showing expiration date for each benefit, as shown
on the reverse of the card (see enclosure 4, Transition Assistance Card (Manually
Prepared Card) and Transition Assistance Card (Machine-Readable Card)).
6.2.5.24. Eligible dependents of Philippine Scouts who have applied for
retirement benefits and have been placed on the retired list.
6.2.6. Overstamping is limited to the following:
6.2.6.1. Overstamp "DUAL STATUS" when issuing a DD Form 1173 to
individuals entitled to privileges from two sources. For purposes of this Instruction,
DUAL STATUS is any person who is entitled to privileges from two sources (e.g., a
retired-with-pay member who is employed overseas as a civilian by the U.S. Government
and is qualified for logistical support because of that civilian employment and their
accompanying dependents when residing in the same household; or a family member of a
retired or active duty member who is employed overseas and is qualified for logistical
15

DoDI 1000.13, December 5, 1997
support because of that civilian employment and their accompanying dependents when
residing in the same household).
6.2.6.2. Overstamp "OVERSEAS ONLY" when issuing DD Forms 1173
to the following:
6.2.6.2.1. Civilian personnel of the Department of Defense, the
Uniformed Services, and other Government Agencies, and civilian personnel under
private contract to the Department of Defense or a Uniformed Service stationed or
employed overseas, and their accompanying dependents when residing in the same
household.
6.2.6.2.2. Civilian personnel of the Department of Defense and the
Uniformed Services and eligible dependents when required to reside in a household on at
he military installation in Puerto Rico or and Guam.
6.2.6.2.3. Uniformed and non-uniformed full-time paid personnel of
the Red Cross assigned to duty with the Uniformed Services in foreign countries and their
accompanying dependents, when residing in the same household.
6.2.6.2.4. NATO and non-NATO active duty and enlisted personnel
and eligible dependents when serving outside the United States and their own country
when under the sponsorship or invitation of the Department of Defense or a Military
Service.
6.2.6.2.5. USS personnel in foreign countries and their
accompanying dependents when residing in the same household.
6.2.6.2.6. Area Executives, Center Directors, and Assistant Directors
of the USO when serving in foreign countries, and their accompanying dependents when
residing in the same household.
6.2.6.3. Transition Assistance (TA).
6.2.6.3.1. Overstamp "TA" when issuing DD Forms 1173 to
members and their eligible dependents separating and receiving benefits under the
Transition Assistance Management Program.
6.2.6.3.2. Overstamp "TA" when issuing the DD Form 1173-1 to
members of the Reserve components being discharged to civilian life under the Selected
Reserve Transition Program. Eligible dependents of these members will also be issued
the DD Form 1173-1 overstamped "TA".
6.2.7. DD Form 1173-1 shall be issued to the following:

16

DoDI 1000.13, December 5, 1997
6.2.7.1. Dependents of Reserve component members not on active duty in
excess of 30 days, in the categories of spouse, child, stepchild, ward, and dependent child
21 years of age or older if incapacitated, or a student as outlined in DD Form 1173-1,
"Entitlement and Expiration Date Guidelines" (enclosure 4, attachment 3).
6.2.7.2. Dependents of Reserve retirees entitled to retired pay at age 60,
but who have not yet reached age 60, in the categories of spouse, child, stepchild, ward,
and dependent child 21 years of age or older if incapacitated, or a student as outlined in
DD Form 1173-1, "Entitlement and Expiration Date Guidelines" (enclosure 4, attachment
3).
6.2.7.3. Unremarried surviving spouses of Reserve members who have
earned 20 qualifying years for retirement and who were in receipt of their Notice of
Eligibility for Retirement pay at age 60, yet have not reached 60, and have not transferred
to the Retired Reserve, and who died before reaching age 60. Eligible dependents in the
categories of child, stepchild, ward, and dependent child 21 years of age or older if
incapacitated or a student, shall also be issued DD Form 1173-1. The surviving
dependents of these members shall be issued the DD Form 1173, instead of the DD Form
1173-1, on the anniversary of the sponsor's sixtieth birthday.
6.2.7.4. Unremarried surviving spouses of Reserve retirees entitled to
retired pay at age 60, who die before reaching age 60. Eligible dependents in the
categories of child, stepchild, ward, and dependent child 21 years of age or older, if
incapacitated or a student, shall also be issued DD Form 1173-1. The surviving
dependents of Reserve retirees shall be issued the DD Form 1173 instead of the DD Form
1173-1, on the anniversary of the sponsor's sixtieth birthday.
6.2.7.5. Members of the Selected Reserve of the Reserve components of
the Army, the Navy, the Marine Corps, the Air Force, or the Coast Guard eligible for
Selected Reserve Transition Program benefits, who are involuntarily separated from the
Selected Reserve due to discharge to civilian status, on or after October 23, 1992, to on or
before September 30, 1999, and their dependents (Chapter 1221 of 10 U.S.C., reference
(x)). Dependents are eligible for benefits regardless of whether dependency status was
acquired before or after the member's separation. Those individuals shall be issued an
overstamped DD Form 1173-1 showing the expiration date for each benefit on the
reverse of the card. (See enclosure 4, Transition Assistance Card (Manually Prepared
Card)).
6.2.8. Restrictions
6.2.8.1. DD Form 1173 may not be issued to the following:
6.2.8.1.1. Individuals when eligibility for, or usage of, the card for
periods of 30 days or less is indicated.

17

DoDI 1000.13, December 5, 1997
6.2.8.1.2. Dependent children under 10 years old, unless they do not
reside in the household of an eligible adult family member, are dependents of a joint
Service married couple, or are the child is living with a sponsor who is a single parent.
6.2.8.1.3. Children adopted after age 21 or, if a full-time student,
after age 23. A case-by-case waiver of this restriction may be granted in any case of an
adoption of an individual 21 years or older with an incapacitating condition that existed
prior to age 21 or that occurred while the individual was a full-time student prior to the
age of 23, if it is determined that there is a BONA FIDE parent-child relationship. The
criteria for determining that relationship shall be as follows that:
6.2.8.1.3.1. The person adopted was a close blood relative prior
to the adoption;
6.2.8.1.3.2. The member, in fact, has responsibility for the care,
maintenance, and support of the person adopted and the person's legal, financial, and
other affairs; and,
6.2.8.1.3.3. The person adopted has resided with the member at
least 1 year before the issuance of the ID card and will continue to reside with the
member. Any such waiver may be approved by the appropriate Assistant Secretary of the
Military Department or an appropriate official to whom he or she has delegated approval
authority.
6.2.8.1.4. Military personnel, except on an individual basis when the
Secretary of the Military Department concerned, or a designee, considers the issuance to
be in the Military Department' s interest.
6.2.8.1.5. Employees of nonappropriated fund instrumentalities in
the United States, unless otherwise eligible, including retired Armed Services exchange
employees with 20, or more, years of Armed Services exchange employment.
6.2.8.1.6. Individuals whose eligibility for privileges is based on
temporary duty (TDY), except, emergency essential personnel, required to support the
Uniformed Services in support of a Congressional decree or Presidential commitment.
(Presentation of travel orders constitutes acceptable ID.)
6.2.8.1.7. Dependents, when the member is in a deserter status.
(This does not apply to former spouses, who are eligible for benefits.)
6.2.8.1.8. Individuals who stand in loco parentis (in the place of a
parent or instead of a parent charged factitiously with a parent's duties and
responsibilities).

18

DoDI 1000.13, December 5, 1997
6.2.8.1.9. The abused dependent of a member of a Uniformed
Service receiving a dishonorable or bad-conduct discharge or dismissed from a
Uniformed Service as a result of a court-martial conviction for an offense involving
abuse of the dependent, even though the abused dependent may be entitled to receive
limited military medical or dental care for an injury or illness resulting from the abuse.
Exception: See subparagraph 6.2.5.12.3., above.
6.2.8.1.10. Former spouses who had 20 years of marriage, at least a
15-year overlap with their former spouse's 20 years of Military Service, who were
divorced after April 1, 1985, whose medical benefits have expired, and who purchase
DoD-designated conversion insurance, in accordance with 10 U.S.C. 1078a (reference
(y)), even though the former spouse may be entitled to receive limited military medical or
dental care for a pre-existing medical or dental condition.
6.2.8.1.11. Individuals for the sole purpose of identification.
6.2.8.2. DD Form 1173-1 may not be issued to the following:
6.2.8.2.1. Reserve and Reserve retiree dependent children under 10
years old or 21 years of age or older unless:
6.2.8.2.1.1. The child under 10 years of age does not reside in
the household of an eligible adult family member, the child is a dependent of a jointService married couple, or the child is living with a sponsor who is a single parent; or,
and,
6.2.8.2.1.2. The dependent child 21 years of age or older is
incapacitated or a student. Dependency determinations will be made done in accordance
with Uniformed Services regulations.
6.2.8.2.2. Former spouses.
6.2.8.2.3. Dependents of Reserve component sponsors executing
active duty orders for more than 30 days.
6.2.8.2.4. Former (discharged) members entitled to pay at age 60, but
who have not yet reached age 60, and their eligible dependents.
6.2.8.2.5. Individuals for the sole purpose of identification.
6.2.9. Overseas Limitations. Treaties, status of forces agreements (SOFAs), or
military bases agreements in overseas areas may place further limitations on the logistical
support that otherwise might be available to eligible personnel. SOFAs with foreign
countries usually prohibit the use of commissary or exchange facilities by persons who
are not stationed or performing temporary duty within the host country under official
19

DoDI 1000.13, December 5, 1997
orders in support of the mutual defense mission. ID cards shall be issued in accordance
with this Instruction, and the Uniformed Services shall use other means, such as ration
cards, to implement restrictions under SOFAs.
6.3. Preparation and Issuance of DD Forms 2, 1172, 1173, and 1173-1
6.3.1. Procedures for preparation and issuance of DD Forms 2 shall be, as
determined by the Uniformed Service concerned, subject to the following:
6.3.1.1. DD Form 2 (Active). The "expiration date" shall be shown, as
prescribed in enclosure 3, attachment 2.
6.3.1.2. DD Form 2 (Reserve). The "expiration date" shall be shown, as
prescribed in enclosure 3, attachment 2, for Reserve, Ready Reserve, and Reserve
Retired. For Reserve retirees entitled to retired pay at age 60, if the manually prepared
card is issued, the abbreviation "RET" shall be entered after the retiree's grade in the
grade block on the face of the card and the "expiration date" shall be shown. When the
DD Form 2 "United States Uniformed Services" (Reserve Retired) machine-readable card
is issued, the "expiration date" shall be shown.
6.3.1.3. DD Form 2 (Retired)
6.3.1.3.1. The "expiration date" shall be shown, as prescribed in
enclosure 3, attachment 2.
6.3.1.3.2. If the manually prepared card is issued, a positive
statement of entitlement to health care benefits under CHAMPUS/TRICARE (reference
(h)) shall not be entered on that card. Sources of medical care shall assume entitlement,
unless there is a negative statement. If the machine-readable card is issued, the
automated system will enter the health care entitlement on the back of the card.
6.3.1.3.3. The verifying official shall determine if the retired member
is entitled to Medicare Part A hospital insurance benefits, under Subchapter XVIII of 42
U.S.C. (reference (z)), regardless of the age or disability status of the retiree. Except as
provided in subparagraph 6.3.1.3.4., below, if entitled to Medicare Part A hospital
insurance benefits under reference (z), the retiree is ineligible for medical care under
CHAMPUS/TRICARE, and the DD Form 2 (Retired) shall be issued to reflect that the
member is not authorized civilian medical benefits. Retirees are not authorized
CHAMPUS/TRICARE beyond attainment of age 65, unless they present a formal
statement of eligibility for Medicare Part A benefits from the Social Security
Administration certifying that they are not entitled to hospital insurance benefits under
Subchapter XVIII of 42 U.S.C. (reference (z)). If the retiree is entitled to hospital
insurance benefits, under Subchapter XVIII of 42 U.S.C. (reference (z)), the word "After"
in the medical block, on the form, shall be deleted. If the retiree can show satisfactory
evidence (formal determination from the Social Security Administration (SSA))
20

DoDI 1000.13, December 5, 1997
indicating that the member is not entitled to Medicare Part A hospital insurance benefits,
under reference (z), the words "No" and "After," in the medical block, shall be deleted. If
the retiree is under age 65 and not eligible for Medicare Part A benefits, enter the date the
retiree will attain age 65. (See enclosure 2, definition E2.1.3., "Attainment of Age 65.")
6.3.1.3.4. All CHAMPUS/TRICARE beneficiaries under age 65 who
would otherwise have lost eligibility for CHAMPUS/TRICARE due to eligibility for
Medicare Part A as a result of disability will remain CHAMPUS/TRICARE-eligible
under certain conditions. Medicare eligible beneficiaries under age 65 may retain their
CHAMPUS/TRICARE eligibility or have their CHAMPUS/TRICARE eligibility
restored provided they are entitled to Medicare Part A as a result of a disability or end
stage renal disease; and they are enrolled in Medicare Part B. The date the beneficiary
becomes entitled to CHAMPUS/TRICARE is based on the status of the beneficiary.
Retirees and eligible spouses or children of living retirees are restored for eligibility
effective October 1, 1991. Eligible unremarried former spouses, and survivors of
deceased active duty and retired members, and Guard and Reserve deceased members are
restored for eligibility effective December 5, 1991.
6.3.1.4. Photograph and Lamination Process. If the manually prepared
cards are issued, the DD Form 2 cards shall have a passport-type, full-face photograph of
the bearer affixed to the obverse side. If the machine-readable card is issued, the system
will apply a digitized, full-face photograph. Cards shall be laminated, using the heatpressure method, before issuance.
6.3.2. Procedures for completion of DD Form 1172 (enclosure 5, attachment 1)
shall be in accordance with the instructions in enclosure 5, and the following:
6.3.2.1. The sponsor or applicant shall be provided a "Privacy Act
Statement" that shall include information on authority, principal purposes, routine uses,
and disclosure, as required by 5 U.S.C. 552a (reference (aa)).
6.3.2.2. The sponsor or applicant shall also list each child under 10 years
old, or any other beneficiary, who shall not be issued an ID card for whom dependent
status is claimed for medical benefits. That information shall be provided in section II
and shall include all applicable information, in accordance with enclosure 5. If
confirmed through the DEERS by eligibility inquiry or by viewing a previously verified
DD Form 1172, duplication of that action is not necessary.
6.3.2.3. Regardless of the individual's age or incapacity status, the
verifying official shall determine if the individual is entitled to hospital insurance benefits
under Medicare Part A, Subchapter XVIII of 42 U.S.C. (reference (z)). If entitled to
insurance benefits under Subchapter XVIII of 42 U.S.C. (reference (z), the individual is
ineligible for medical care under CHAMPUS/TRICARE unless the military sponsor is on
active duty except as provided in subparagraph 6.3.1.3.4., above. Spouses and children
of active duty sponsors do not lose entitlement to the CHAMPUS/TRICARE because of
21

DoDI 1000.13, December 5, 1997
entitlement to insurance benefits under Subchapter XVIII of 42 U.S.C. (reference (z)).
To determine CHAMPUS/TRICARE eligibility for permanently incapacitated children
over the age of 21, a formal determination of eligibility for Medicare Part A benefits must
be obtained from the SSA and presented to the verifying official. Individuals receiving
Social Security disability compensation for 24 consecutive months are automatically
entitled to Medicare Part A hospital insurance benefits under Subchapter XVIII of 42
U.S.C. (reference (z), effective with the twenty-fifth month of compensation. All
applicants must be asked if they are receiving Social Security disability benefits and
when the benefits began to determine CHAMPUS/TRICARE eligibility. If Social
Security disability benefits have been received for more than 24 months,
CHAMPUS/TRICARE benefits shall be disallowed. Individuals are not authorized
CHAMPUS/TRICARE beyond attainment of age 65, unless the sponsor is on active duty
or the applicant presents a statement from the SSA certifying that the individual is not
entitled to Medicare Part A hospital insurance benefits under Medicare Part A,
Subchapter XVIII of 42 U.S.C. (reference (z)). The verifying official shall cite that
documentation in enclosure 5, attachment 1, DD Form 1172, section III, block 89., in
addition to all other required documentation prescribed in subparagraph 6.3.2.4., below.
6.3.2.4. The verifying personnel officer or other responsible official of the
sponsor's Uniformed Service shall complete enclosure 5, attachment 1, DD Form 1172,
blocks 59. and 87., section II, as prescribed in enclosure 4, attachment 1, and MC
effective date and expiration date, as prescribed in enclosure 4, attachment 2. Legal
documentation, such as a marriage certificate, birth certificate, and court order for
adoption or custody, shall be presented to establish eligibility for each dependent
claimed. Retirees shall show retirement orders, or DD Form 214, "Certificate of Release
or Discharge from Active Duty." However, these requirements can be satisfied, when a
DEERS inquiry is made verifying eligibility. The verifying official shall cite the
documentation presented in DD Form 1172, enclosure 5, attachment 1, section III, block
89., or shall make appropriate notation and date, if the verification is made through the
DEERS.
6.3.2.5. To establish eligibility for unremarried former spouses, a
marriage certificate and final decree of divorce, dissolution, or annulment of marriage
shall be required to satisfy the 20-year marriage requirement. Additionally, it is the
verifying official's responsibility to obtain the member's military records to verify the
necessary overlap between marriage and Military Service, and verify that the former
spouse has not remarried and is not enrolled in an employer-sponsored health plan.
6.3.2.6. Military sponsors shall provide documentation necessary to
update DEERS eligibility for dependents whose eligibility for benefits and privileges has
lapsed. Personnel offices shall assist sponsors in proper completion of the DD Form
1172 to update those family members' eligibility in the DEERS. Survivors of deceased
personnel shall also be so directed. Notification to the parent Uniformed Service of ID
card destruction is not required. The Uniformed Services shall ensure that the DEERS
database is updated immediately.
22

DoDI 1000.13, December 5, 1997
6.3.3. Procedures relative to the issuance and preparation of DD Form 1173
shall be in accordance with the following and instructions in enclosure 5.
6.3.3.1. Eligible dependents of each sponsor shall be listed on the DD
Form 1172. A DD Form 1173 shall be issued to each dependent 10 years old or older.
However, the DD Form 1173 shall be issued to dependent children under the age of 10
years who are dependents of a joint-Service married couple, or if the child is living with a
sponsor who is a single parent. DD Form 1173 may but need not be reissued solely
because of change in the grade of the sponsor.
6.3.3.2. If the manually prepared card is issued, privileges and facilities
not authorized for the holder of DD Form 1173 shall be blocked out. If the machinereadable card is issued, the system will print only those privileges authorized, in the
lower right hand corner on the face of the card. If the name of the privilege does not
appear on the card, the dependent is not entitled.
6.3.3.3. No individual shall be entitled to possess or be issued more than
one DD Form 1173 at a time.
6.3.3.4. However, a VSI or SSB separatee, who is also a Ready Reserve
member and the dependent of an active duty or retired member, shall be issued two cards-a DD Form 2 (Reserve) and a DD Form 1173. The applicant may choose a DD Form
1173 overstamped "TA" or a DD Form 1173 as a dependent. A DD Form 1173 "TA" ID
card must show a separate expiration date for each benefit: 120 days medical care, 2
years unlimited commissary, and 2 years unlimited exchange.
6.3.3.5. DD Form 1173 manually prepared card preparation instructions
are, as follows:
6.3.3.5.1. Date. Enter all dates in the four-digit year, three-alpha
character month, and two-digit day format (YYYYMMMDD).
6.3.3.5.2. Block 3. Expiration dates shall be shown, as prescribed in
enclosure 4, attachment 2.
6.3.3.5.3. Block 4. The relationship code to the sponsor shall be, as
specified in block 35 or block 63, DD Form 1172 (enclosure 5, attachment 1).
6.3.3.5.4. Block 9. In special circumstances that permit children 21
years, and older, entitlement to medical care and other privileges, indicate, after date of
birth, "INCT" for a temporarily incapacitated child, "INCP" for a permanently
incapacitated child, or "SCH" for attendance at an approved school.
6.3.3.5.5. Block 11. The present status of the sponsor shall be as
specified in block 4., DD Form 1172 (enclosure 5, attachment 1).
23

DoDI 1000.13, December 5, 1997
6.3.3.5.6. Block 12. Enter the Social Security Number (SSN) or, if
the member died and did not have an SSN, enter zeros and the Uniformed Service
number.
6.3.3.5.7. Block 13. Privileges shall be as specified on verified DD
Form 1172 (enclosure 5, attachment 1). For privileges allowed only while the bearer is
overseas, add "OS ONLY."
6.3.3.5.8. Block 14. That block shall contain the signature of the
cardholder. If the individual is too young to sign, enter "INFANT." Enter "INC," if the
individual cannot sign due to a mental or a physical incapacity.
6.3.3.5.9. Blocks 15.a. and 15.b. Medical care shall be as specified
on verified DD Form 1172 (enclosure 5, attachment 1).
6.3.3.5.10. Photographs. All DD Forms 1173 shall have a passporttype and full-faced photograph of the bearer affixed to the obverse side and shall be
laminated, using the heat-pressure method, before issuance. Enter the SSN of the
cardholder below the photograph.
6.3.3.6. Machine-readable DD Form 1173 instructions. The automated
system will enter the appropriate information in the appropriate blocks based on the
information entered by the Issuing Authority.
6.3.4. Procedures relative to the issuance and preparation of DD Form 1173-1
shall be in accordance with the instructions in enclosure 5, and the following:
6.3.4.1. Eligible dependents of each Reserve member and Reserve retiree,
who is entitled to pay at age 60, shall be listed on DD Form 1172. A DD Form 1173-1
shall be issued to each dependent child 10 years old or older, dependent child under the
age of 10 years if the dependent child of a joint-Service married couple, or the dependent
child of a single parent.
6.3.4.2. Unremarried surviving spouses of Reserve members who have
completed 20 qualifying years for retirement AND who are in receipt of their Notice of
Eligibility for Retirement pay at age 60, but have not yet reached 60, AND have not
transferred to Retired Reserve status; and unremarried surviving spouses of Retired
Reserve members entitled to pay at age 60, who died prior to reaching age 60 shall be
issued DD Form 1173-1 until such time as the member would have attained age 60, at
which time and the surviving spouse shall be issued the DD Form 1173.
6.3.4.3. Dependents of sponsors who are involuntarily separated from the
Selected Reserve and transferred to the Individual Ready Reserve or Retired Reserve
under the Selected Reserve Transition Program, Pub. Law 102-484 (1992) (reference
(bb)), will be issued DD Forms 1173-1. Dependents of sponsors who are separated from
24

DoDI 1000.13, December 5, 1997
the Selected Reserve by discharge to civilian status under the Selected Reserve Transition
Program, will be issued the DD Form 1173-1 overstamped "TA," which indicates
continued eligibility for Reserve commissary and exchange privileges for up to 2 years.
6.3.4.4. No individual shall be entitled to possess or be issued more than
one dependent ID card at a time, except:
6.3.4.4.1. On the occasion where a Reserve member executes shorttour active duty orders (31 to 269 days), and their dependents require issuance of DD
Form 1173, the dependents may simultaneously possess the DD Form 1173-1 and DD
Form 1173, as prescribed by Uniformed Service regulations.
6.3.4.4.2. Dependents of sponsors separating under the VSI or SSB
program shall be issued two ID cards--a DD Form 1173 overstamped "TA," which
indicates continued eligibility for various benefits for up to 2 years, and dependent's DD
Form 1173-1.
6.3.4.5. If the sponsor is called to active duty by congressional decree or
Presidential call-up under Chapter 1209 of 10 U.S.C. (reference (k)), the DD Form 11731 shall become a benefits extending card, when accompanied by a copy of the sponsor's
orders to active duty and activation in the DEERS. Normally, if the sponsor is retained
on active duty beyond 270 days, the dependent shall then be issued the DD Form 1173 to
continue benefits eligibility beyond 270 days. However, the 270 day provision may be
extended by the Department of Defense, as required.
6.3.4.6. DD Form 1173-1 manually prepared card preparation instructions
are, as follows:
6.3.4.6.1. Date. Enter all dates in the four-digit year, three-alpha
character month, and two-digit day format (YYYYMMMDD).
6.3.4.6.2. Block 1. The relationship code to the sponsor shall be as
specified in block 35. or block 63., DD Form 1172 (enclosure 5, attachment 1).
6.3.4.6.3. Block 6. The cardholder's social security number shall be
entered in this block.
6.3.4.6.4. Block 7. In special circumstances that allow children 21
years of age and older to commissary, exchange, and morale, welfare, and recreation
privileges, indicate, after the date of birth, "INCT" for a temporarily incapacitated child,
"INCP" for a permanently incapacitated child, or "SCH" for attendance at an approved
school.
6.3.4.6.5. Block 8. Expiration dates shall be shown, as prescribed in
enclosure 4, attachment 3.
25

DoDI 1000.13, December 5, 1997
6.3.4.6.6. Block 9. That block shall contain the signature of the
cardholder. If the individual is too young to sign, enter "INFANT". Enter "INC," if the
individual cannot sign due to a mental or physical incapacity.
6.3.4.6.7. Blocks 10.c. and 10.d. Enter Service and status, as
specified in blocks 4. and 5., DD Form 1172 (enclosure 5, attachment 1).
6.3.4.6.8. Photographs. All DD Forms 1173-1 shall have a passporttype, and full-faced photograph of the bearer affixed to the obverse side and shall be
laminated, using the heat-pressure method, before issuance.
6.3.4.7. Machine-readable DD Form 1173 instructions. The automated
system will enter the appropriate information in the appropriate blocks based on the
information entered by the Issuing Authority.

26

DoDI 1000.13, December 5, 1997
7. EFFECTIVE DATE
This Instruction is effective immediately.

Enclosures - 5
E1. References, continued
E2. Definitions
E3. DD Form 2 (titles of seven different versions follow):
E3.1. DD Form 2, "U.S. Armed Forces Identification Card" (Active) (manually
prepared card)
E3.2. DD Form 2, "Armed Forces of the United States Geneva Conventions
Identification Card" (Active) (machine-readable card)
E3.3. DD Form 2, "Armed Forces of the United States Geneva Conventions
Identification Card" (Reserve) (manually prepared card)
E3.4. DD Form 2, "Armed Forces of the United States Geneva Conventions
Identification Card" (Reserve) (machine-readable card)
E3.5. DD Form 2, "United States Uniformed Services Identification Card" (Retired)
(manually prepared card)
E3.6. DD Form 2, "United States Uniformed Services Identification Card" (Retired)
(machine-readable card)
E3.7. DD Form 2, "United States Uniformed Services Identification Card" (Reserve
Retired) (machine-readable card)
E4. DD Forms 1173 and 1173-1 (title of forms follow):
E4.1. DD Form 1173, "Uniformed Services Identification and Privilege Card"
(manually prepared card)
E4.2. DD Form 1173, "United States Uniformed Services Identification and Privilege
Card" (machine-readable card)
E4.3. DD Form 1173, "Uniformed Services Identification and Privilege Card,"
Transition Assistance Card (manually prepared card)
E4.4. DD Form 1173, "United States Uniformed Services Identification and Privilege
Card," Transition Assistance Card (machine-readable card)
E4.5. DD Form 1173-1, "Department of Defense Guard and Reserve Family Member
Identification Card" (manually prepared card)
E4.6. DD Form 1173-1, "United States Uniformed Services Identification and
Privilege Card" (machine-readable card)
E4.7. DD Form 1173-1, "DoD Guard and Reserve Family Member Identification
Card," Transition Assistance Card (manually prepared card)

27

DoDI 1000.13, December 5, 1997
E4.8. DD Form 1173-1, "United States Uniformed Services Identification and
Privilege Card," Transition Assistance Card (machine-readable card)
E5. Instructions for Completion of DD Form 1172, "Application for Uniformed
Services Identification Card - DEERS Enrollment"

28

DoDI 1000.13, December 5, 1997
E1. ENCLOSURE 1
REFERENCES, continued

(e) DoD Instruction 1015.10, "Programs for Military Morale, Welfare, and Recreation
(MWR)," November 3, 1995
(f) DoD 1330.17-R, "Armed Services Commissary Regulations (ASCR)," April 1987
(g) DoD Instruction 1000.1, "Identity Cards Required by the Geneva Conventions,"
January 30, 1974
(h) DoD 6010.8-R, "Civilian Health and Medical Program of the Uniformed Services
(CHAMPUS)," July 1991
(i) DoD Directive 6310.7, "Medical Care for Foreign Personnel Subject to the North
Atlantic Treaty Organization (NATO) Status of Forces Agreement (SOFA),"
December 18, 1962
(j) DoD Instruction 1342.24, "Transitional Compensation for Abused Dependents," May
23, 1995
(k) Chapter 1209 of title 10, United States Code, "Selected Reserve"
(l) Sections 499, 506, 509, 701, and 1001 of title 18, United States Code, "Crimes and
Criminal Procedure"
(m) DoD 1341.1-M, "Defense Enrollment Eligibility Reporting System (DEERS)
Program Manual," May 1982
(n) Section 1408(h) of title 10, United States Code, "Benefits for Dependents Who Are
Victims of Abuse by Members Losing Right to Retired Pay"
(o) Section 1408 of title 10, United States Code, "Payment of Retired or Retainer Pay in
Compliance with Court Orders"
(p) Section 1072(2)(F) of title 10, United States Code, "Definitions"
(q) Section 1076 of title 10, United States Code, "Medical and Dental Care for
Dependents"
(r) Section 1072(2)(H) of title 10, United States Code, "Definitions"
(s) Sections 1076(a) and 1086(c)(2) of title 10, United States Code, "Medical and Dental
Care"
(t) Section 1074(a) of title 10, United States Code, "Medical and Dental Care"
(u) Section 857-4 of title 33, United States Code, "Commissary Privileges"
(v) Chapter 58 of title 10, United States Code, "Benefits and Services for Separated
Members"
(w) Sections 1174a and 1175 of title 10, United States Code, "Separation"
(x) Chapter 1221 of title 10, United States Code, "Separation"
(y) Section 1078a of title 10, United States Code, "Continued Health Benefits
Coverage"
(z) Subchapter XVIII, Chapter 7, of title 42, "Health Insurance for Aged and Disabled"
(aa) Section 552a of title 5, United States Code, "Records Maintained on Individuals"
(bb) Sections 4403 and 4411 through 4422 of Public Law 102-484, "National Defense
Authorization Act, Fiscal Year 1993"
(cc) Deputy Assistant Secretary of Defense (Military Manpower & Personnel Policy)
Memorandum, "Active Duty Early Retirement Policy Guidance," March 12, 1993

29

ENCLOSURE 1

DoDI 1000.13, December 5, 1997
(dd) Chapter 1223 of title 10, United States Code, "Retired Pay for Non-Regular
Service"
(ee) Sections 3452 and 3501 of title 38, United States Code, "Definitions"
(ff) Assistant Secretary of Defense (Force Management and Personnel) Memorandum,
"Voluntary Separation Incentive (VSI) and Special Separation Benefit (SSB) Policy
Guidance," January 3, 1992

30

ENCLOSURE 1

DoDI 1000.13, December 5, 1997
E2. ENCLOSURE 2
DEFINITIONS

E2.1.1. Adopted Child. A child adopted before the age of 21 or, if enrolled in a
full-time course of study at an institution of higher learning, before the age of 23. Except
for entitlement to medical care, a child with an incapacitating condition that existed
before the age of 21 or that occurred while the child was a full-time student prior to the
age of 23, may be adopted at any age provided it is determined that there is a BONA
FIDE parent-child relationship. Surviving children adopted by a non-military member
after the death of the sponsor remain eligible for medical care only.
E2.1.2. Annulled. The status of an individual, whose marriage has been declared a
nullity by a court of competent jurisdiction, that restores unremarried status to a widow,
widower, or former spouse for reinstatement of benefits and privileges.
E2.1.3. Attainment of Age 65. The first day of the month of the anniversary of the
sixty-fifth birthday, unless the birthday falls on the first of the month. If the birthday is
the first of the month, attainment of age 65 occurs on the first day of the preceding
month.
E2.1.4. Dependent. An individual whose relationship to the sponsor leads to
entitlement to benefits and privileges.
E2.1.5. Documentation. Properly certified birth certificate or certificate of live birth
authenticated by attending physician or other responsible person from a U.S. hospital or a
military treatment facility showing the name of at least one parent; properly certified
marriage certification; properly certified final decree of divorce, dissolution, or
annulment of marriage and statements attesting to nonremarriage and status of employersponsored healthcare; court order for adoption or guardianship; statement of incapacity
from a physician or personnel or medical headquarters of sponsor's parent Uniformed
Service; letter from school registrar; retirement orders (providing entitlement to retired
pay is established) or DD Form 214; DD Form 1300, "Report of Casualty"; certification
from the VA of 100-percent disabled status; orders awarding Medal of Honor; formal
determination of eligibility for Medicare Part A benefits from the Social Security
Administration; civilian personnel records; and invitational travel orders.
E2.1.6. Dual Status. A person who is entitled to privileges from two sources (e.g., a
retired member, who is also the dependent of an active duty member; a retired-with-pay
member who is employed overseas as a civilian by the U.S. Government and is qualified
for logistical support because of that civilian employment; a member of a Reserve
component who is an eligible dependent of an active duty military sponsor; or a child,

31

ENCLOSURE 2

DoDI 1000.13, December 5, 1997
who is the natural child of one sponsor and the stepchild and member of a household of
another sponsor).
E2.1.7. Early Retirement (ER) (Active Duty). Authorized by Pub. L. 102-484,
Section 4403 (reference (bb)), from October 23, 1992 through October 1, 1999, for
members of the active component and members of the Reserve component who complete
at least 15, but less than 20, years of active duty (includes Full-Time National Guard
Duty) as of October 23, 1992. These members receive the same benefits as those
members who have completed 20 active duty years for retirement, and are issued the DD
Form 2 (Retired). The eligible dependents are issued the DD Form 1173 as dependents
of active duty retired members. Assistant Secretary of Defense for Force Management
and Personnel guidance memorandum, dated March 12, 1993 (reference (cc)),
implemented the ER program.
E2.1.8. Former Member. For the purpose of this Instruction, a former member
refers to an individual who is in receipt of retired pay for non-Regular service under
Chapter 1223 of 10 U.S.C. (reference (dd)), but who has been discharged from the
Service and who maintains no military affiliation. These former members and their
eligible dependents are only entitled to medical care. They are not entitled to
commissary, exchange, or morale, welfare, and recreation privileges. These former
members and their eligible dependents will be issued the DD Form 1173.
E2.1.9. Former Spouses. Individuals who were married to a Uniformed Service
member for at least 20 years, and the member had at least 20 years of service creditable
toward retirement, and the marriage overlapped by:
E2.1.9.1. 20 or more years (20/20/20),
E2.1.9.2. 15, but less than 20 (20/20/15),
E2.1.9.3. an abused spouse whose marriage overlapped by 10 or more years
(10/20/10).
E2.1.10. Graduate Student. Children who have graduated from an undergraduate
program and have a letter of acceptance in a graduate degree program signed by an
authorized officer of the college or university for a student over the age of 21 who is
dependent on the sponsor for over one-half of the child's support. The letter of
acceptance will document student status. A temporary ID card may be issued for a period
not to exceed the 30th day of the month of enrollment as an expiration date in order for
the student to complete enrollment procedures at the college or university in the graduate
study program. After registration is complete, an ID card will be issued for the entire
period of the graduate work program as determined by the college or university, not to
exceed the 23rd birthday of the child.

32

ENCLOSURE 2

DoDI 1000.13, December 5, 1997
E2.1.11. Guard and Reserve DEERS Enrollment Program. The program by which
Guard and Reserve members and their eligible dependents are enrolled into the DEERS.
These sponsors and their dependents are maintained in a pre-eligibility status for future
entitlement to unlimited benefits, until such time as the sponsor is called to active duty by
Presidential call-up or congressional decree. On sponsor activation, as reflected in the
Uniformed Service personnel tapes submitted to the Defense Manpower Data Center
(DMDC), the DEERS shall reflect activation of pre-eligible dependents as eligible for
full benefits for a period not to exceed 270 days. Pre-eligible dependents shall not be
required again to prove their relationship to the sponsor to receive benefits. To receive
benefits during the 270-day period, dependents shall be required to possess the DD Form
1173-1 and a copy of the sponsor's orders to active duty. Retention of eligibility after
270 days, requires revalidation of the dependent's relationship to the sponsor in the
DEERS and issuance of a DD Form 1173. At any time during the 270-day period,
dependents can request issuance of the DD Form 1173.
E2.1.12. Inactive National Guard (ING). The ING is part of the Army National
Guard. These individuals are Reservists who are attached to a specific National Guard
unit, but who do not participate in training activities. On mobilization, they shall
mobilize with their assigned units. These members muster with their units once a year.
Issuance of DD Form 1173-1 to ING dependents is mandatory. The ING participates in
the Guard or Reserve DEERS Enrollment Program.
E2.1.13. Individual Ready Reserve (IRR). Trained individuals who have previously
served in the active component or Selected Reserve, and have time remaining on their
Military Service Obligation (MSO). It also includes volunteers, who do not have time
remaining on the MSO, but are under contractual agreement to be a member of the IRR.
These individuals are mobilization assets and may be called to active duty under the
provisions of Chapter 1209 of 10 U.S.C. (reference (k)). Issuance of DD Form 1173-1 to
IRR dependents is mandatory. The IRR participates in the Guard and Reserve DEERS
Enrollment Program.
E2.1.14. Institution of Higher Learning. A college, university, or similar institution,
including a technical or business school, offering post secondary-level academic
instruction that leads to an associate or higher degree, if the school is empowered by the
appropriate State education authority under State law to grant an associate, or higher,
degree. When there is no State law to authorize the granting of a degree, the school may
be recognized as an institution of higher learning, if it is accredited for degree programs
by a recognized accrediting agency. The term shall include a hospital offering
educational programs at the post-secondary level regardless of whether the hospital
grants a post-secondary degree. The term also shall include an educational institution
that is not located in a State that offers a course leading to a standard college degree, or
the equivalent, and that is recognized as such by the Secretary of Education (or
comparable official) of the country, or other jurisdiction, in which the institution is
located (38 U.S.C. 3452 and 3501, reference (ee)).

33

ENCLOSURE 2

DoDI 1000.13, December 5, 1997
E2.1.15. Issuing Official. A person who is a U.S. military member, DoD civilian
(appropriated or nonappropriated fund-supported) or equivalent civilian personnel
employed by the National Guard of the United States, and responsible for issuing DD
Forms 2, DD Form 1173, and DD Form 1173-1 to bona fide beneficiaries, as determined
by the verifying official, and the only person authorized to sign block number 108 on DD
Form 1172.
E2.1.16. Member. An individual who is affiliated with a Service, either active duty,
Reserve, active duty retired or Retired Reserve. Members in a retired status are not
former members. See "Former Member," definition E2.1.8. of enclosure 2.
E2.1.17. Parent-by-Adoption. A person who adopted the sponsor, before the
sponsor's twenty-first birthday, and is entitled to benefits because of a BONA FIDE
parent and child relationship. Emancipation of the sponsor before the adoption shall
normally be presumed to prevent the commencement of the parent and child relationship.

E2.1.18. Pre-adoptive Child. With respect to determinations of dependency made
on or after October 5, 1994, an unmarried person who is placed in the home of the
member or former member by a placement agency (recognized by the Secretary of
Defense2 ) in anticipation of the legal adoption of the person by the member or former
member; AND who either:
E2.1.18.1. Has not attained the age of 21;
E2.1.18.2. Has not attained the age of 23, is enrolled in a full-time course of
study at an institution of higher learning approved by the administering Secretary and is,
or was at the time of the member's or former member's death, in fact dependent on the
member or former member for over one-half of the child's support; OR
E2.1.18.3. Is incapable of self-support because of a mental or physical
incapacity that occurred while a dependent of a member or former member under
subparagraph E2.1.18.1. or E2.1.18.2., above, and is, or was at the time of the member's
or former member's death, in fact dependent on the member or former member for over
one-half of the child's support.
E2.1.19. Ready Reserve. Military members of the National Guard and Reserve,
organized in units or as individuals, liable for recall to active duty to augment the active
components in time of war or national emergency. The Ready Reserve consists of three
Reserve component subcategories: the Selected Reserves (SelRes), the IRR, and the ING.
___________
2
Placement agency (recognized by the Secretary of Defense) - For purposes of this policy, and authorized
placement agency in the United States and/or U.S. territories must be licensed for the purpose of adoption
by the State or territory in which the adoption procedures will be completed. In all other locations, a
request for recognition must be approved by the appropriate Assistant Secretary of the Military Department
concerned or an appropriate official to whom he or she has delegated approval authority.

34

ENCLOSURE 2

DoDI 1000.13, December 5, 1997

E2.1.20. Remarried Parent. A dependent parent of a deceased military member
who loses dependency-based eligibility for benefits on remarriage.
E2.1.21. Retired Reserve Entitled to Pay at Age 60 (Gray Area Retirees). Reserve
members who have completed 20 qualifying years for retirement and are entitled to
receive pay at age 60, but have not yet reached age 60. Individuals may be recalled to
active duty under Chapter 1209 of 10 U.S.C. (reference (k)).
E2.1.22. Selected Reserve (SelRes). Those National Guard and Reserve units and
individuals within the Ready Reserve designated by their respective Services, the
Chairman of the Joint Chiefs of Staff, and approved by the Chairman of the Joint Chiefs
of Staff, as so essential to initial wartime missions that they have priority over all other
Reserves. They must be prepared to mobilize within 24 hours. The issuance of DD Form
1173-1 to their dependents and participation in the Guard and Reserve DEERS
Enrollment Program are mandatory.
E2.1.23. Selected Reserve Transition Program. The Selected Reserve Transition
Program established by Pub. L. 102-484 (1992) (reference (bb)) authorizes the following:
E2.1.23.1. Separation Pay. A lump-sum payment authorized from October 23,
1992, through September 30, 1999 (until October 1, 1999) to a member of the Selected
Reserve who is involuntarily discharged or transferred from the Selected Reserve, and
who has between 6 and 15 years of service.
E2.1.23.2. Early Qualification for Retired Pay. Authorized from October 23,
1992, through September 30, 1999 (until October 1, 1999). An enlisted member of the
Selected Reserve who has completed more than 15, but less that 20 qualifying years for
retired pay at age 60, who is involuntarily separated and voluntarily transfers to the
Retired Reserve, will be considered eligible for such retired pay at age 60.
E2.1.23.3. Special Separation Pay. Authorized from October 23, 1992,
through September 30, 1999, (until October 1, 1999). An enlisted member of the
Selected Reserve who has qualified for retirement on reaching age 60, but who is not yet
60, and is involuntarily transferred to the Individual Ready Reserve, will qualify for
Special Separation Pay on voluntary transfer to the Retired Reserve.
E2.1.23.4. Eligible members and their eligible dependents will be issued the
DD Forms 2 (Reserve) and DD Forms 1173-1, as appropriate, and are entitled to Reserve
commissary and exchange privileges.
E2.1.23.5. Certain members of the Selected Reserve who are in an active duty
status qualify for Active Duty Early Retirement (ER), the Special Separation Benefit

35

ENCLOSURE 2

DoDI 1000.13, December 5, 1997
(SSB), or the Voluntary Separation Incentive (VSI). (See definitions E2.1.7., E2.1.24.,
and E2.1.30.)
E2.1.24. Special Separation Benefit (SSB). A program and benefits for eligible
members who voluntarily separate from active duty with 6 or more years of active
service, and have not completed 20 years of active service at time of separation. 10
U.S.C. 1174a and 1175 (reference (w)) authorize this program until September 30, 1999,
although termination dates for each Military Service may be sooner. This incentive
entitles certain individuals a lump sum payment, benefits and entitlements. DD Form
1173 identification cards will be issued to these individuals and their family members.
The SSB provides 2 years of exchange and commissary privileges and 120 days of
medical benefits (CHAMPUS/TRICARE and MTF). Assistant Secretary of Defense for
Force Management and Personnel guidance memorandum, dated January 3, 1992
(reference (ff)), implemented the SSB program.
E2.1.25. Standby Reserve. Personnel who maintain their military affiliation
without being in the Ready Reserve, who have been designated key civilian employees,
or who have a temporary hardship or disability. These individuals are not required to
perform training and are not part of units. These individuals are trained and could be
mobilized, if necessary, to fill manpower needs in specific skills.
E2.1.26. Transition Assistance Management Program (TAMP) or (TA). A program
available to certain members who were on active duty before or on September 30, 1990,
and involuntarily separated from active duty on or after October 1, 1990, through
September 30, 1999 (until October 1, 1999) or on active duty after November 29, 1993
and then separated through September 30, 1999 (until October 1, 1999). To qualify for
these benefits, individuals must be separated involuntarily with service characterized as
honorable or general under honorable conditions. For enlisted Service members, not for
reasons of misconduct, discharge instead of court-martial or other reasons for which
service normally is characterized as under other than honorable conditions. For officers,
not for resignation instead of trial by court-martial, or misconduct or moral or
professional dereliction if the discharge could be characterized as under other than
honorable conditions. DD Form 1173 identification cards will be issued to these
individuals and their eligible family members. TAMP provides 2 years of exchange and
commissary privileges and medical benefits (CHAMPUS/TRICARE and MTF) for 60
days for those who separated with less than 6 years of active service, and 120 days for
those separating with 6 or more years of active service. Individuals entering active duty
after October 1, 1990, and separated through November 29, 1993, were not eligible for
TAMP benefits. A member of a Reserve component called or ordered to active duty in
support of a contingency operation, involuntarily retained on active duty in support of a
contingency operation, or voluntarily agrees to remain on active duty for a period of less
than one year in support of a contingency operation and the dependents of the member on
release from active duty shall be eligible for healthcare until earlier of 30 days after the
date of the release of the member from active duty; or the date on which the member and
the dependents of the member are covered by a health plan sponsored by an employer.
36

ENCLOSURE 2

DoDI 1000.13, December 5, 1997
E2.1.27. Unmarried. A widow or widower who remarried and whose marriage
terminated by death or divorce, or a former spouse whose subsequent remarriage ended
by death or divorce.
E2.1.28. Unremarried
E2.1.28.1. A widow or widower who has never remarried, or
E2.1.28.2. A former spouse whose only remarriage was to the same military
sponsor is treated as if he or she never remarried and the periods of marriage may be
combined to document eligibility for former spouse benefits.
E2.1.29. Verifying Official. A person who is a U.S. military member, DoD civilian
(appropriated or nonappropriated fund-supported), or equivalent civilian personnel
employed by the National Guard of the United States, or other similarly qualified
personnel in exceptional cases as determined by the Secretary of the Military
Department, or a designee, who is responsible for validating eligibility of bona fide
beneficiaries to receive benefits and entitlements, and who is the only person authorized
to sign block number 99 on DD Form 1172.
E2.1.30. Voluntary Separation Incentive (VSI). A program and benefit for eligible
members who have voluntarily separated from active duty with 6 or more years of active
service, and who have not completed 20 years of active service at time of separation. 10
U.S.C. 1174a and 1175 (reference (w)) authorizes this program until September 30, 1999,
although termination dates for each Military Service may be sooner. This incentive
entitles certain individuals an annual annuity payment based on the number of years of
active service. In accordance with provisions contained in 10 U.S.C. 1174a and 1175
(reference (w)), a DD Form 1173 identification card will be issued to these individuals
and their family members. The VSI program provides 2 years of exchange and
commissary privileges and 120 days of medical benefits (CHAMPUS/TRICARE and
MTF). Assistant Secretary of Defense for Force Management and Personnel guidance
memorandum, dated January 3, 1992 (reference (ff)), implemented the VSI program.
E2.1.31. Ward. An unmarried person whose care and physical custody has
been entrusted to the sponsor by a legal decree or other instrument that a court of law or
placement agency (recognized by the Secretary of Defense)3 issues. This term includes
foster children and children for whom a managing conservator has been designated.
_____________
Placement agency (recognized by the Secretary of Defense) - For purposes of this policy, an authorized
placement agency in the United States and/or U.S. territories must be licensed for the purpose of adoption
by the State or territory, in which the adoption procedures will be completed. In all other locations, a
request for recognition must be approved by the appropriate Assistant Secretary of the Military Department
concerned or an appropriate official to whom he or she has delegated approval authority.
3

37

ENCLOSURE 2

DoDI 1000.13, December 5, 1997
Wards must be dependent on the sponsor for over half of their support. An identification
card issued to a ward may reflect entitlement to medical care benefits with respect to
determinations of dependency made on or after July 1, 1994 for children who are placed
in the legal custody of the member or former member as a result of an order of a court of
competent jurisdiction in the United States (or a Territory or possession of the United
States) for a period of at least 12 consecutive months; and either:
E2.1.31.1. Has not attained the age of 21;
E2.1.31.2. Has not attained the age of 23 and is enrolled in a full-time course
of study at an institution of higher learning approved by the administering Secretary; or
E2.1.31.3. Is incapable of self support because of a mental or physical incapacity
that occurred while the person was considered a dependent of the member or former
member under this subparagraph pursuant to subparagraph E2.1.31.1. or E2.1.31.2.; is
dependent on the member or former member for over one-half of the person's support;
resides with the member or former member unless separated by the necessity of military
service or to receive institutional care as a result of disability or incapacitation or under
such other circumstances as the administering Secretary may by regulation prescribe; and
is not a dependent of a member or a former member under any other subparagraph.

38

ENCLOSURE 2

DoDI 1000.13, December 5, 1997
E3. ENCLOSURE 3
DD Form 2, "U.S. Armed Forces Identification Card" (Active) Manually Prepared Card

39

ENCLOSURE 3

DoDI 1000.13, December 5, 1997
DD Form 2, "Armed Forces of the United States Geneva Conventions Identification
Card" (Active) Machine-Readable Card

40

ENCLOSURE 3

DoDI 1000.13, December 5, 1997
DD Form 2, "Armed Forces of the United States Geneva Conventions Identification
Card" (Reserve) Manually Prepared Card

41

ENCLOSURE 3

DoDI 1000.13, December 5, 1997
DD Form 2, "Armed Forces of the United States Geneva Conventions Identification
Card" (Reserve) Machine-Readable Card

42

ENCLOSURE 3

DoDI 1000.13, December 5, 1997
DD Form 2, "United States Uniformed Services Identification Card" (Retired)
Manually Prepared Card

43

ENCLOSURE 3

DoDI 1000.13, December 5, 1997
DD Form 2, "United States Uniformed Services Identification Card" (Retired)
Machine-Readable Card

44

ENCLOSURE 3

DoDI 1000.13, December 5, 1997
DD Form 2, "United States Uniformed Services Identification Card" (Reserve Retired)
Machine-Readable Card

Attachments - 2
E3.A1. Technical Specifications and Issuing Procedures for DD Forms 2, DD Form
1173, and DD Form 1173-1 ID Cards
E3.A2. DD Forms 2 Expiration Date Guidelines

45

ENCLOSURE 3

DoDI 1000.13, December 5, 1997
E3.A1. ATTACHMENT 1 TO ENCLOSURE 3
TECHNICAL SPECIFICATIONS AND ISSUING PROCEDURES FOR DD FORM 2,
DD FORM 1173, AND DD FORM 1173-1 ID CARDS

E3.A1.1. TECHNICAL SPECIFICATIONS
All technical specifications for the manually prepared forms shall be in accordance with
those retained by the Bureau of Engraving and Printing, Department of the Treasury. All
technical specifications for the machine-readable card shall be in accordance with those
retained by the Defense Manpower Data Center.

E3.A1.2. SECURITY AND ACCOUNTABILITY
The method of control and record of issuance of DD Form 2, DD Form 1173, and DD
Form 1173-1 to individuals shall be, as determined by the Uniformed Service concerned,
subject to the following:
E3.A1.2.1. Manually Prepared ID Cards
E3.A1.2.1.1. Proper procedures for strict accountability and security of the
manually prepared ID cards shall be maintained. All requisitioning documents for ID
cards submitted by an issuing facility shall be maintained for 5 years.
E3.A1.2.1.2. Controls for processing and handling of ID cards shall be
established to ensure that unauthorized individuals do not obtain them.
E3.A1.2.1.3. A log of the disposition of each manually prepared card shall be
maintained for 5 years to provide for an audit trail. That log shall include, but not be
limited to, the ID card serial number, the name of the activity, the name of the individual
to whom the card was issued, and his or her SSN.
E3.A1.2.2. Machine-Readable ID Cards
E3.A1.2.2.1. Proper procedures for accountability and security of ID card
cardstock and laminate shall be maintained. The cardstock and laminate should be
safeguarded by placement in a locked environment with limited access.
E3.A1.2.2.2. Controls for processing and handling of ID cards shall be
established to ensure that unauthorized individuals do not obtain them.

46

ATTACHMENT 1, ENCLOSURE 3

DoDI 1000.13, December 5, 1997
E3.A1.3. ISSUING PROCEDURES
Issuing procedures for bulk stocks of blank cards shall be established by the Uniformed
Service concerned, subject to the following:
E3.A1.3.1. Records associated with the issuance and accountability of manually
prepared ID cards requisitioned by ID card activities shall be maintained for 5 years.
E3.A1.3.2. The appropriate Uniformed Service ID card control activity shall be
notified of failure of delivery of any ID cards by requisition control number.
E3.A1.3.3. Manually prepared ID cards shall normally be shipped to requisitioning
activities by certified mail. Registered mail may be used only in overseas areas where
that additional safeguard is deemed absolutely necessary.
E3.A1.3.4. Controls for processing and handling of ID cards shall be implemented
to ensure that ID cards are not obtained by unauthorized individuals.
E3.A1.3.5. When blank, manually prepared cards or machine-readable card stock
and laminate cannot be accounted for, either by an activity that issues individual cards or
by a bulk supply stock point, a report shall be made to the appropriate ID card control
activity indicating the circumstances involved, serial number or numbers of the missing
manually prepared card or cards, corrective actions taken, and, if warranted, disciplinary
action taken. When appropriate, all nearby commissary stores, exchanges, medical
facilities, and Military Police shall be notified of the missing manually prepared card or
cards by serial number.
E3.A1.3.6. A holographic image is incorporated into the laminate of the machinereadable ID card. The hologram is a multicolored, three-dimensional image of the Great
Seal of the United States layered over the letters "USA." The colors of the hologram are
the colors of a rainbow. The hologram appears in two rows across the front of the card.
There are a minimum of five holograms on the front of each card, and some of the images
may be slightly cut off on the sides of the card. The holographic laminate shall be used
for laminating only the Joint Uniformed Services ID Cards. Other uses of this laminate
are prohibited. Insertion of materials between the cardstock and the laminate is
prohibited.
E3.A1.3.7. Nothing is to be placed on the back of the identification card that in any
way inhibits scanning of the bar codes.

47

ATTACHMENT 1, ENCLOSURE 3

DoDI 1000.13, December 5, 1997
E3.A2. ATTACHMENT 2 TO ENCLOSURE 3
DD FORM 2 EXPIRATION DATE GUIDELINESEXPIRATION DATE NOTES

When there appears to be a choice of two or more dates, always choose the earliest date.
1 - Indefinite
2 - Date of expiration of term of active service
3 - Expected date of graduation
4 - Thirty months from date placed on the Temporary Disability Retired List (TDRL) for initial
issue. After initial 30 month issuance period, reissue card for 30 months. If the individual is not
entitled to Medicare Part A at the end of the first thirty-month period, reissue the card at one-year
intervals -- not to exceed 5 years from the date the individual was placed on the TDRL.
5 - Expiration of enlistment contract
6 - Sixtieth birthday
DD FORM 2 (ACTIVE)

EXPIRATION
DATE

Regular component officers

1

Enlisted personnel

2

Reserve members on active duty for more than 30 days (officer and enlisted)

2

Service academy cadets and midshipmen

3

DD FORM 2 (RETIRED)
Retiree not on the TDRL

1

Retiree placed on the TDRL

4

DD FORM 2 (RESERVE)
Officer personnel (including Reserves receiving SSB and VSI benefits)

1

Enlisted personnel (including Reserves receiving SSB and VSI benefits)

5

ROTC College Program students in last 2 years of training and ROTC students
in receipt of a scholarship leading to a commission in a Regular component of a
Uniformed Service (includes Marine Corps Platoon Leaders Class (PLC)
Program)

3

DD FORM 2 (RESERVE RETIRED)
Retired Reserve members entitled to retired pay on reaching age 60

48

6

ATTACHMENT 2, ENCLOSURE 3

DoDI 1000.13, December 5, 1997
E4. ENCLOSURE 4
DD Form 1173, "Uniformed Services Identification and Privilege Card"
Manually Prepared Card

49

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
DD Form 1173, "United States Uniformed Services Identification and Privilege Card"
Machine-Readable Card

50

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
DD Form 1173, "Uniformed Services Identification and Privilege Card"
Transition Assistance Card
Manually Prepared Card

51

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
DD Form 1173, "United States Uniformed Services Identification and Privilege Card"
Transition Assistance Card
Machine-Readable Card

52

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
DD Form 1173-1, "DoD Guard and Reserve Family Member Identification Card"
Manually Prepared Card

53

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
DD Form 1173-1 "United States Uniformed Services Identification and Privilege Card"
Machine-Readable Card

54

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
DD Form 1173-1, "DoD Guard and Reserve Family Member Identification Card"
Transition Assistance Card
Manually Prepared Card

55

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
DD Form 1173-1, "United States Uniformed Services Identification and Privilege Card"
Transition Assistance Card
Machine-Readable Card

Attachments - 3
E4.A1. DD Form 1173 Entitlement Guide
E4.A2. DD Form 1173 Expiration Date and MC Effective Date Guidelines
E4.A3. DD Form 1173-1 Entitlement and Expiration Date Guidelines

56

ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A1. ATTACHMENT 1 TO ENCLOSURE 4
DD FORM 1173 ENTITLEMENT GUIDE

Abbreviations
MC

medical care in civilian facilities

MS

medical care in Uniformed Service facilities

C

commissary privileges

MWR

MWR privileges

E

exchange privileges

E4.A1.1. Dependents and Former Members
E4.A1.1.1. Dependents of active duty members or members entitled to retired pay
including former (discharged) members, who are 60 years of age or older, and who are in
receipt of retired pay for non-Regular service under Chapter 1223 of 10 U.S.C. (reference
(dd)) and their eligible dependents. (DD Form 1173 may be issued to a spouse in the
legal name by which the spouse is known, such as a maiden name.)
MC MS

C

MWR

Former Member (Self)

1

Yes 6

Lawful Spouse

2

Yes Yes&6 Yes&6 Yes&6

2

Yes 3&6

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of record of
female member, or illegitimate child of male member,
whose paternity has judicially determined
Illegitimate child of male member, whose paternity has not
been or illegitimate child of spouse
Ward
Pre-adoptive Child

6

E
6

4&6

4&6

2&3 3

3&6

4&6

4&6

2&3 3
2&7

3&6
3&6

4&6
4&6

4&6
4&6

Children, Unmarried, 21 Years and Over (If entitled above)

2,4
&5

4&5 3,5&6 4,5&6 4,5&6

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No

3

3&6

4&6

4&6

Notes:
1. a. Yes, if the former member is not entitled to Medicare Part A hospital insurance, or
b. No, if under 65 years of age, entitled to Medicare Part A hospital insurance, and not
enrolled in Medicare Part B supplemental medical insurance.
2. Yes, if the sponsor is, as follows:
a. On active duty; or
b. Retired and the dependent is not entitled to Medicare Part A hospital insurance through the
Social Security Administration.
c. Except a retired member's dependent is not entitled to MC if under 65 years of age, entitled
to Medicare Part A hospital insurance, and not enrolled in Medicare Part B supplemental medical
insurance.

57

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
3. Yes, if a member of a household maintained by or for an authorized sponsor and dependent
on that sponsor for over 50 percent of his or her support. Children residing in the household of a
separated spouse continue to be eligible for commissary privileges until there is a final divorce
decree. In the case of a divorce, children residing in the household of a former spouse are not
considered to be members of the authorized sponsor's household for commissary privileges,
except children who reside with a former spouse meeting requirements for commissary privileges
based on 20 years of marriage during a period the member or retired member performed 20
years of service, or the dependent is entitled to privileges as a result of sponsor abuse per 10
U.S.C. 1072(2)(H) (reference (r)).
4. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support. Children
of a sponsor residing in the household of a former spouse (20-20-20) or (10-20-10).
5. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
6. Former members who have reached age 60 and who are in receipt of retired pay for nonRegular service and their eligible dependents receive medical only; no commissary, exchange, or
morale, welfare, and recreation.
7. Yes, with respect to determinations of dependency made on or after October 5, 1994, an
unmarried person who is placed in the home of the member by a placement agency (recognized
by the Secretary of Defense) in anticipation of the legal adoption of the person by the member;
and who:
(a.) Has not attained the age of 21;
(b.) Has not attained the age of 23, is enrolled in a full-time course of study at an institution of
higher learning approved by the administering Secretary, and is in fact dependent on the member
or former member for over one-half of the child's support; or
(c.) Is incapable of self-support because of a mental or physical incapacity that occurs while a
dependent of a member under clause (a.) or (b.) and is, or was, at the time of the member's
death, in fact dependent on the member for over one-half of the child's support.

E4.A1.1.2. Abused dependents of active duty members entitled to retired pay based
on 20 or more years of service who are separated due to misconduct on or after October
23, 1992 and who lose their right to retired pay, 10 U.S.C. 1408(h) (reference (n)):
MC

MS

C

MWR

E

Lawful Spouse

1&2

2

2

2

2

Children, Unmarried, Under 18 Years
Legitimate, adopted, stepchild

1&3

3

4

4

4

Children, Unmarried, 18 Years and Over (If entitled above) 1,4&5 4&5 4&5 4&5

4&5

Notes:
1. Yes, if:

58

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
a. Not entitled to Medicare Part A hospital insurance through the Social Security
Administration.
b. Except is not entitled to MC if under 65 years of age, entitled to Medicare Part A hospital
insurance, and not enrolled in Medicare Part B Supplemental medical insurance.
2. Yes, if a court order provides for an annuity for the spouse.
3. Yes, if a member of the household where the abuse occurred.
4. Yes, if a member of the household where the abuse occurred and dependent on that sponsor
for over 50 percent of his or her support at the time the abuse occurred.
5. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Defense.
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and prior to age 18 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Defense prior to attaining the age of 23 (incapacitated children who
marry and who subsequently become unmarried through divorce, annulment, or death of spouse
may be reinstated for ID card benefits and privileges as long as they meet all other requirements).

E4.A1.1.3. Dependents of active duty members (over 30 days) not entitled to retired
pay who were separated from active duty under a court-martial sentence resulting from a
dependent abuse offense or administratively separated from active duty if the basis for
separation includes a dependent-abuse offense when separated on or after November 30,
1993, and when dependents are eligible for transitional privileges under DoD Instruction
1342.24 (reference (j)).

MC MS

C

MWR

E

Lawful Spouse

No 1

2,6

2,6

2,6

Former Spouse

No 1

3,6

3,6

3,6

Children, Unmarried, Under 18 Years
Legitimate, adopted, and stepchild.

No 1

2,6

2,6

2,6

Children, Unmarried, 18 Years and Over (If entitled above) No 1

2,4,5,6 2,4,5,6 2,4,5,6

Notes:
1. No. However, the abused dependent may request from the Secretary of the military
department concerned medical or dental care for an injury or illness resulting from the abuse.
2. Yes, if residing with the member at the time of the dependent-abuse offense and while
receiving transitional compensation for abused dependents.

59

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
3. Yes, if married to and residing with the member at the time of the dependent-abuse offense
and while receiving transitional compensation for abused dependents.
4. Yes, if eighteen years of age or older and is incapable of self-support because of a mental or
physical incapacity that existed before the age of 18 and who is (or, when a punitive or other
adverse action was carried out on the member, was) dependent on the member for over one-half
of the child's support.
5. Yes, if eighteen years of age or older, but less than 23 years of age, is enrolled in a full-time
course of study in an institution of higher learning approved by the Secretary of Defense and who
is (or, when a punitive or other adverse action was carried out on the member, was) dependent
on the member for over one-half of the child's support.
6. Provided the member does not reside in the same household as the spouse or dependent
child.

E4.A1.2. Benefits authorized for former spouses:
E4.A1.2.1. Twenty-Twenty-Twenty Former Spouse. Unremarried former spouse of
a member or retired member, married to the member or retired member for a period of at
least 20 years, during which period the member or retired member performed at least 20
years of service that is creditable in determining the member's or retired member's
eligibility for retired or retainer pay, or equivalent pay (10 U.S.C. 1408 and 1072(2)(F),
(references (o) and (p)). In the case of former spouses of Retired Reserve members or
former members, who are entitled to retired pay at age 60, but have not yet reached age
60, the DD Form 1173 may be issued only on the date the retired Reserve member or
former member attains, or would have attained, age 60. In the case of former spouses of
Reserve members or recalled to active duty Retired Reserve members under age 60, DD
Form 1173 shall be issued only if the Reserve member or recalled Retired Reserve
member is on active duty orders in excess of 30 days.

MC MS

C

MWR

E

Former Spouse
Unremarried

1&2 1

Yes Yes

Yes

Remarried

No

No No No

No

Unmarried

No

No Yes Yes

Yes

Notes:
1. Yes, only if former spouse certifies in writing that he or she has no medical coverage under an
employer-sponsored health plan.
2. Yes, except an individual is not entitled to MC if the individual is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.

60

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A1.2.2. Twenty-Twenty-Fifteen Former Spouse. Unremarried former spouse
described in paragraph E4.A1.2.1., above, except that the period of overlap of marriage
and the member's creditable service was at least 15 years, but less than 20 years:
MC

MS C MWR E

Former Spouse
Unremarried

1,2&3 1&3 No No

No

Remarried

No

No

No No

No

Unmarried

No

No

No No

No

Notes:
1. Yes, only if former spouse certifies in writing that he or she has no medical coverage under an
employer-sponsored health plan.
2. Yes, except an individual is not entitled to MC if the individual is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.
3. Yes, if the:
a. Final decree of divorce, dissolution, or annulment of the marriage was before April 1, 1985;
or
b. Marriage ended on, or after, September 29, 1988, entitlements shall exist for 1 year,
beginning on the date of the divorce, dissolution or annulment (10 U.S.C. 1076, and 1072(2)(H)
references (q) and (r)).

E4.A1.2.3. Ten-Twenty-Ten Former Spouse. Unremarried former spouse of a
member or retired member described in paragraph E4.A1.2.1., except that the period of
married to the member or retired member for a period of at least 10 years to a member or
retired member who performed at least 20 years of service that is creditable in
determining the member's or retired member's eligibility for retired or retainer pay when
the period of overlap of marriage and the member's creditable service was at least 10
years and the former spouse is in receipt of an annuity as a result of the member being
separated from the Service due to misconduct involving dependent abuse (10 U.S.C.
1408(h) (reference (n)):
MC

MS

C

MWR

E

Former Spouse
Unremarried

1,2&3 1&3

Yes Yes

Yes

Remarried

No

No No

No

Unmarried

1,2&3 1,2&3 Yes Yes

No

Yes

Notes:
1. Yes, only if former spouse certifies in writing that he or she has no medical coverage under an
employer-sponsored health plan.
2. Yes, except an individual is not entitled to MC if the individual is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.

61

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
3. Yes, if the final decree of divorce, dissolution, or annulment of the marriage was on or after
October 23, 1992.

E4.A1.3. Surviving dependents of members who died while on active duty under orders
that specified a period of more than 30 days or members who died while in a retired with
pay status:
MC
Widow or widower
Unremarried
Remarried
Unmarried
Children, Unmarried, or Under 21 Years (Including Orphans)
Legitimate, adopted, stepchild, illegitimate child of
record of female member, or illegitimate child of
male member, whose paternity has been judicially
determined.
Illegitimate child of male member, whose paternity
has not been judicially determined, or illegitimate
child of widow or widower
Ward
Pre-adoptive Child

MS

C

MWR

E

1
No
No

Yes Yes Yes
No No No
No Yes Yes

Yes
No
Yes

1

Yes 2

3

3

1&2

2

2

3

3

1&2
1&5

1&2 2
1&5 2

3
3

3
3

Children, Unmarried, 21 Years and Over (If entitled to above)

1,3&4 3&4 2&4 3&4

3&4

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No

3

2

2

3

Notes:
1. Yes, except a dependent is not entitled to MC if the dependent is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.
2. Yes, if at the time of death of the sponsor, the person was living in a home provided by, or for,
an authorized sponsor and was dependent on the sponsor for over 50 percent of his or her
support. Children residing in the household of the authorized sponsor at time of death, but not
the household of the sponsor's former spouse, are entitled to commissary privileges.
3. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support at the
time of the sponsor's death.
4. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

62

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
5. Yes, with respect to determinations of dependency made on or after October 5, 1994, an
unmarried person who is placed in the home of the member by a placement agency (recognized
by the Secretary of Defense) in anticipation of the legal adoption of the person by the member;
and who:
a. Has not attained the age of 21;
b. Has not attained the age of 23, is enrolled in a full-time course of study at an institution of
higher learning approved by the administering Secretary and was at the time of the member's or
death, in fact dependent on the member for over one-half of the child's support; or
c. Is incapable of self-support because of a mental or physical incapacity that occurs while a
dependent of a member under clause a. or b. and is, or was at the time of the member's death, in
fact dependent on the member for over one-half of the child's support.

E4.A1.4. Surviving dependents of Reserve members who died from an injury or illness
incurred or aggravated while on active duty for a period of 30 days or less, on active duty
for training, or on inactive duty training, or while traveling to or from the place at which
the member was to perform, or performed, such active duty, active duty for training, or
inactive duty training (10 U.S.C. 1076(a) and 1086(c)(2), reference (t)):

MC
Widow or widower
Unremarried
Remarried
Unmarried
Children, Unmarried, or Under 21 Years (Including Orphans)
Legitimate, adopted, stepchild, illegitimate child of record
female member, or illegitimate child of male member,
whose paternity has been judicially determined.
Illegitimate child of male member, whose paternity has not
been judicially determined, or illegitimate child of widow
or widower.
Ward
Pre-adoptive Child

MS

C

MWR

E

1,5&6
No
No

5&6
No
No

Yes Yes
No No
Yes Yes

Yes
No
Yes

1,5&6

5&6

2&5 3&5

3&5

1,2,5&6

2,5&6 2&5 3&5

3&5

1,2,5,6& 7
7
8
1,5,6&8

2&5 3&5
2&5 3&5

3&5
3&5

Children, Unmarried, 21 Years and Over (If entitled to above)

1,3,4,5,
&6

3,4,5, 2&4 3&4
&6

3&4

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No

2,5&6 2

3

3

Notes:
1. Yes, except a dependent is not entitled to MC if the dependent is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in

63

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
Medicare Part B supplemental medical insurance.
2. Yes, if at the time of death of the sponsor, the person: was living in a home provided by or for
an authorized sponsor and was dependent on the sponsor for over 50 percent of his or her
support. Children residing in the household of the authorized sponsor at time of death, but not
the household of the sponsor's former spouse, are entitled to commissary privileges.
3. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support at the
time of the sponsor's death.
4. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
5. Yes, if death occurred after September 30, 1985.
6. No medical, if death occurred on or before September 30, 1985.
7. Yes, if at the sponsor's death, dependency and residency were met effective on or after July 1,
1994, for legal custody wards.
8. Yes, with respect to determinations of dependency made on or after October 5, 1994, an
unmarried person who is placed in the home of the member or former member by a placement
agency (recognized by the Secretary of Defense) in anticipation of the legal adoption of the
person by the member or former member; and who:
a. Has not attained the age of 21;
b. Has not attained the age of 23, is enrolled in a full-time course of study at an institution of
higher learning approved by the administering Secretary and is, or was, at the time of the
member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support; or
c. Is incapable of self-support because of a mental or physical incapacity that occurs while a
dependent of a member or former member under clause a. or b. and is, or was at the time of the
member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support.

E4.A1.5. Surviving dependents of Reserve members who died from an injury, illness, or
disease incurred or aggravated while performing, or while traveling to or from
performing, active duty for a period of 30 days or less, or active duty for training, or
inactive duty training (10 U.S.C. 1074a, reference (u)):
MC

MS

C

MWR

E

Widow or widower
Unremarried
Remarried
Unmarried

1,5&6 5&6
No
No
No
No

Yes Yes
No No
Yes Yes

Yes
No
Yes

Children, Unmarried, or Under 21 Years (Including Orphans)
Legitimate, adopted, stepchild, illegitimate child of record

1,5&6 5&6

2&5 3&5

3&5

64

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
female member, or illegitimate child of male member,
whose paternity has been judicially determined.
Illegitimate child of male member, whose paternity has not
been judicially determined, or illegitimate child of widow
or widower.

1,2,&
5

2,5&6

2&5 3&5

3&5

2&5 3&5
2&5 3&5

3&5
3&5

Children, Unmarried, 21 Years and Over (If entitled to above)

1,3,4, 3,4,5,&6 2&4 3&4
5,&6

3&4

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No

3

7
1,2,5, 8
6&7
1,5,6
&8

Ward
Pre-adoptive Child

2,5&6

2

3

Notes:
1. Yes, except a dependent is not entitled to MC if the dependent is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.
2. Yes, if at the time of death of the sponsor, the person was living in a home provided by or for
an authorized sponsor and was dependent on the sponsor for over 50 percent of his or her
support. Children residing in the household of the authorized sponsor at time of death, but not
the household of the sponsor's former spouse, are entitled to commissary privileges.
3. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support at the
time of the sponsor's death.
4. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
5. Yes, if death occurred after November 14, 1986.
6. No medical if death occurred on or before November 14, 1986.
7. Yes, if at the sponsor's death, dependency and residency were met effective on or after July 1,
1994 for legal custody wards.
8. Yes, with respect to determinations of dependency made on or after October 5, 1994, an
unmarried person who is placed in the home of the member or former member by a placement
agency (recognized by the Secretary of Defense) in anticipation of the legal adoption of the
person by the member or former member; and who:
a. Has not attained the age of 21;
b. Has not attained the age of 23, is enrolled in a full-time course of study at an institution of
higher learning approved by the administering Secretary and is, or was, at the time of the
member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support; or

65

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
c. Is incapable of self-support because of a mental or physical incapacity that occurs while a
dependent of a member or former member under clause a. or b. and is, or was at the time of the
member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support.

E4.A1.6. Surviving dependents of:
E4.A1.6.1. Reserve members who had earned 20 qualifying years for retirement and
received their notice of eligibility for retired pay at age 60, but HAD NOT transferred to
the Retired Reserve,
E4.A1.6.2. Retired Reserve members eligible for pay at age 60, and
E4.A1.6.3. former members who had met time-in-service requirements. These
members and former members died before reaching age 60 (the DD Form 1173 may be
issued only on, or after, the date on which the member would have been 60 years old had
he or she survived):
MC
Widow or widower
Unremarried
Remarried
Unmarried

MS

C

MWR

E

1
No
No

Yes Yes
Yes&5 Yes&5
No No
No
No
No Yes&5 Yes&5 Yes&5

1

Yes 2&5

3&5

3&5

1&2

2

2&5

3&5

3&5

1
1&6

Yes 2&5
1&6 2&5

3&5
3&5

3&5
3&5

Children, Unmarried, 21 Years and Over (If entitled to above) 1,3&4 3&4 2&5

3&5

3&5

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or No
Parent-by-Adoption

3&5

3&5

Children, Unmarried, or Under 21 Years (Including Orphans)
Legitimate, adopted, stepchild, illegitimate child
of record female member, or illegitimate child of
male member, whose paternity has been judicially
determined.
Illegitimate child of male member, whose
paternity has not been judicially determined, or
illegitimate child of widow or widower.
Ward
Pre-adoptive Child

2

2&5

Notes:
1. Yes, except a dependent is not entitled to MC if the dependent is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.
2. Yes, if at the time of death of the sponsor, the person was living in a home provided by or for
an authorized sponsor and was dependent on the sponsor for over 50 percent of his or her
support. Children residing in the household of the authorized sponsor at time of death, but not
the household of the sponsor's former spouse, are entitled to commissary privileges.
3. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support at the
time of the sponsor's death.
4. Yes, if the child:

66

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
5. For dependents of former members, medical only; no commissary, exchange, or morale,
welfare, and recreation.
6. Yes, with respect to determinations of dependency made on or after October 5, 1994, an
unmarried person who is placed in the home of the member or former member by a placement
agency (recognized by the Secretary of Defense) in anticipation of the legal adoption of the
person by the member or former member; and who:
a. Has not attained the age of 21;
b. Has not attained the age of 23, is enrolled in a full-time course of study at an institution of
higher learning approved by the administering Secretary and is, or was at the time of the
member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support; or
c. Is incapable of self-support because of a mental or physical incapacity that occurs while a
dependent of a member or former member under clause a. or b. and is, or was at the time of the
member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support.

E4.A1.7. Honorably discharged Veterans rated by the VA as 100 percent disabled from a
Uniformed Service-connected injury or disease and certified by VA as entitled to
commissary and exchange privileges, and Medal of Honor recipients and their
dependents:
MC MS

C

MWR

E

Self

No No Yes Yes

Yes

Lawful Spouse

No No Yes Yes

Yes

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child
of member, illegitimate child of spouse, or ward.

No No 1

2

Children, Unmarried, 21 Years and Over (If entitled to above)

No No 1&3 2&3

2&3

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or Parentby-Adoption

No No 1

2

2

2

Notes:
1. Yes, if a member of a household maintained by or for an authorized sponsor and dependent
on that sponsor for over 50 percent of his or her support. Children residing in the household of a
separated spouse continue to be eligible for commissary privileges until there is a final divorce
decree. In the case of a divorce, children residing in the household of a former spouse are not
considered to be members of the authorized sponsor's household for commissary privileges.
2. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.

67

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
3. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent AND before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

E4.A1.8. Surviving dependents of Medal of Honor recipients and surviving dependents
of honorable discharged veterans rated by the VA as 100 percent disabled from a
Uniformed Service-connected injury or disease at the time of his or her death:
MC MS
Widow or Widower
Unremarried, or unmarried
Remarried

C

MWR

E

No No Yes Yes
No No No No

Yes
No

Children, Unmarried, or Under 21 Years (Including Orphans)
Legitimate, adopted, stepchild, or illegitimate child of record of
member, widow, widower, or ward.

No No 1

2

Children, Unmarried, 21 Years and Over (If entitled to above)

No No 1&3 2&3

2&3

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or Parentby-Adoption

No No 1

2

2

2

Notes:
1. Yes, if at the time of death of the sponsor, the person was living in a home provided by or for
an authorized sponsor and was dependent on the sponsor for over 50 percent of his or her
support. Children residing in the household of the authorized sponsor at time of death, but not
the household of the sponsor's former spouse, are entitled to commissary privileges.
2. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support at the
time of the sponsor's death.
3. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

E4.A1.9. Benefits Authorized for Foreign Personnel:
68

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
Foreign personnel, active duty or retired, and their dependents, who are on leave or
attending school in the United States at their own convenience or convenience of their
government, who are representatives of the People's Republic of China (PRC) who are
present in the United States in connection with the purpose of U.S. defense articles or
services, for collection of information relating to foreign military sales (FMS) programs,
or for the sole purpose of receiving medical care at a Uniformed Services medical facility
as Secretarial designees, are not eligible to possess DD Form 1173 authorizing any
benefits and privileges. CHAMPUS/TRICARE coverage may vary annually, and some
restrictions may apply. However, for the purpose of this Entitlement Guide, (MC) shall
be shown, as indicated below:
E4.A1.9.1. Sponsored NATO and PFP Personnel in the United States. Active duty
officer and enlisted personnel of NATO and PFP countries serving in the United States
under the sponsorship or invitation of the Department of Defense or a Military Service
and their accompanying dependents living in the sponsor's U.S. household:
MC

MS

C

MWR

E

Self

No

4

Yes Yes

Yes

Lawful Spouse

3

4

Yes Yes

Yes

1&3

1&4

1

1

1

No

No

1

1

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of member, or
illegimate child of spouse.
Ward
Children, Unmarried, 21 Years and Over (If entitled to above)

1,2&3 1,2&4 1&2 1&2

1&2

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No

1

No

1

1

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
3. Yes, for outpatient care only.
4. Yes, for outpatient care no charge and for inpatient care at full reimbursable rate.

E4.A1.9.2. Sponsored Non-NATO Personnel in the United States. Active duty
officer and enlisted personnel of non-NATO countries serving in the United States under

69

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
the sponsorship or invitation of the Department of Defense or a Military Service and their
accompanying dependents living in the sponsor's U.S. household:
MC

MS

C

MWR

E

Self

No

3

Yes

Yes

Yes

Lawful Spouse

No

3

Yes

Yes

Yes

No

1&3

1

1

1

No

No

1

1

1

Children, Unmarried, 21 Years and Over (If entitled to
above)

No

1,2&3

1&2

1&2

1&2

Father, Mother, Father-in-Law, Mother-in-Law,
Stepparent, or Parent-by-Adoption

No

No

1

1

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of
member, or
illegitimate child of member, or
Ward

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children who
marry and who subsequently become unmarried through divorce, annulment, or death of spouse
may be reinstated for ID card benefits and privileges as long as they meet all other requirements).
3. Yes, for outpatient care only on a reimbursable basis.

E4.A1.9.3. Nonsponsored NATO Personnel in the United States. Active duty
officer and enlisted personnel of NATO countries who, in connection with their official
NATO duties, are stationed in the United States and are not under the sponsorship of the
Department of Defense or a Military Service and their accompanying dependents living
in the sponsor's U.S. household:

70

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997

MC

MS

C MWR E

Self

No

4

No 5

6

Lawful Spouse

3

4

No No

No

1&3

1&4

No No

No

No

No

No No

No

Children, Unmarried, 21 Years and Over (If entitled to above)

1,2&3 1,2&4 No No

No

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No

No

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of member, or
illegitimate child of spouse
Ward

No

No No

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
3. Yes, for outpatient care only.
4. Yes, for outpatient care no charge and for inpatient care at full reimbursable rate.
5. Yes, if exchange privileges are authorized.
6. Yes, if residing on a U.S. military installation, purchases are limited to items for personal use
only.

E4.A1.9.4. NATO and Non-NATO Personnel Outside the United States. Active
duty officer and enlisted personnel of NATO and non-NATO countries when serving
outside the United States and outside their own country under the sponsorship or
invitation of the Department of Defense or a Military Service, or when it is determined by
the major overseas commander that the granting of such privileges is in the best interests
of the United States and such personnel are connected with, or their activities are related
to, the performance of functions of the U.S. military establishment, and their
accompanying dependents living with the sponsor:

71

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997

MC

MS

C

MWR

E

Self

No 3

Yes Yes

Yes

Lawful Spouse

No 3

Yes Yes

Yes

No 1&3

1

1

1

No No

1

1

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of member, or
illegitimate child of spouse.
Ward
Children, Unmarried, 21 Years and Over (If entitled to above)

No 1,2&3 1&2 1&2

1&2

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No No

1

1

1

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
3. Yes, for outpatient care only on a reimbursable basis.

E4.A1.10. Benefits Authorized for Civilian Personnel:
Commissary, morale, welfare, and recreation, and exchange privileges may be authorized
by overseas commanders to persons designated in this "Entitlement Guide" when such
individuals are serving the Military Services exclusively, and when it is within the
capability of the facilities and it shall not impair the military mission. Overseas
commanders may never authorize benefits not authorized by this "Entitlement Guide,"
but they may deny privileges indicated when base support facilities cannot handle the
burden imposed. Medical care at Uniformed Services facilities shall be rendered in
accordance with Service instructions.

72

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A1.10.1. Civilian personnel of the Department of Defense and the Uniformed
Services and their accompanying dependents, when required to reside in a household on a
military installation within the CONUS, Hawaii, and Alaska:
MC MS

C

MWR

E

Self

No No 1

Yes

2

Lawful Spouse

No No 1

Yes

2

No No 1&3

3

2&3

No No 1&3

3

2&3

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of employee,
or illegitimate child of spouse
Ward
Children, Unmarried, 21 Years and Over (If entitled to above)

No No 1,3&4 3&4

2,3&4

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No No 1&3

2&3

3

Notes:
1. Yes, but commissary privileges do not include the purchase of tobacco products in those
States, including the District of Columbia, that impose a tax on such products.
2. Yes, are entitled to limited exchange privileges, which include purchase of all items except
uniform articles and State tax-free items.
3. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
4. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education prior to attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

E4.A1.10.2. Civilian personnel of the Department of Defense, the Uniformed
Services, and other Government Agencies and civilian personnel under private contract to
the Department of Defense or a Uniformed Service, when stationed or employed in
foreign countries, and their dependents, when residing in the same household:

73

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997

MC

MS

C

MWR

E

Self

No

3

Yes

Yes

Yes

Lawful Spouse

No

3

Yes

Yes

Yes

No

1&3

1

1

1

No

No

1

1

1

Children, Unmarried, 21 Years and Over (If entitled to
above)

No

1,2&3

1&2

1&2

1&2

Father, Mother, Father-in-Law, Mother-in-Law,
Stepparent, or Parent-by-Adoption

No

1&3

1

1

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of
employee, or
illegitimate child of spouse.
Ward

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children who
marry and who subsequently become unmarried through divorce, annulment, or death of spouse
may be reinstated for ID card benefits and privileges as long as they meet all other requirements).
3. Yes, on a space-available, fully reimbursable basis.

74

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A1.10.3. Civilian personnel of the Department of Defense and the Uniformed
Services, and other Government Agencies and civilian personnel under private contract to
the Department of Defense or a Uniformed Service when stationed or employed in Puerto
Rico or Guam, and their accompanying dependents, when residing in the same
household:
MC

MS

C

MWR

E

Self

No 1

2

Yes

3

Lawful Spouse

No 1

2

Yes

3

No 1&4

2&4

4

3&4

No No

2&4

4

3&4

Children, Unmarried, 21 Years and Over (If entitled to above)

No 1,4
&5

2,4&5 4&5

3,4&5

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No 1&4

2&4

3&4

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of employee,
or illegitimate child of spouse.
Ward

4

Notes:
1. Yes, on a space-available, fully reimbursable basis only if residing in a household on a military
installation.
2. Yes, when hired in the CONUS under a transportation agreement. Puerto Rico and Guam are
considered overseas. Therefore, employees hired in the CONUS under a transportation
agreement for employment in Puerto Rico and Guam, are not required to reside on a military
installation to be eligible for commissary privileges.
3. Yes, are entitled to limited exchange privileges, which include purchase of all items except
articles of uniform and State tax-free items.
4. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
5. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

E4.A1.11. Contract Surgeons during the period of their contract:
MC MS C MWR
Self No No No Yes

75

E
Yes

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A1.12. Uniformed and non-uniformed full-time paid personnel of the Red Cross
assigned to duty with the Uniformed Services within the CONUS, Hawaii, Alaska, and
Puerto Rico and their accompanying dependents, when required to reside in the same
household on a military installation:
MC MS

C

MWR

E

Self

No No Yes Yes

1

Lawful Spouse

No No Yes Yes

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of employee,
illegitimate child of spouse, or ward.

No No 2

1&2

Children, Unmarried, 21 Years and Over (If entitled to above)

No No 2&3 2&3

1,2&3

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No No 2

1&2

2

2

Notes:
1. If authorized by installation commander, entitled to exchange privileges.
2. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
3. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

76

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A1.13. Uniformed and non-uniformed full-time paid personnel of the Red Cross
assigned to duty with the Uniformed Services in foreign countries and their
accompanying dependents, when residing in the same household:
MC

MS

C

MWR

E

Self

No 3

Yes Yes

Yes

Lawful Spouse

No 3

Yes Yes

Yes

No 1&3

1

1

1

No No

1

1

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of employee, or
illegitimate child of spouse.
Ward
Children, Unmarried, 21 Years and Over (If entitled to above)

No 1,2&3 1&2 1&2

1&2

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No 1&3

1

1

1

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
3. Yes, on a space-available basis at rates specified in Uniformed Services instructions.

77

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A1.14. Area executives, center directors, and assistant directors of the USO when
serving in foreign countries, and their accompanying dependents, when residing in the
same household:
MC

MS

C

MWR

E

Self

No 3

Yes Yes

Yes

Lawful Spouse

No 3

Yes Yes

Yes

No 1&3

1

1

1

No No

1

1

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of employee, or
illegitimate child of spouse.
Ward
Children, Unmarried, 21 Years and Over (If entitled to above)

No 1,2&3 1&2 1&2

1&2

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No 1&3

1

1

1

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
3. Yes, on a space-available, fully reimbursable basis.

E4.A1.15. USS personnel in foreign countries and their accompanying dependents, when
residing in the same household:
MC

MS

C

MWR

E

Self

No 3

Yes Yes

Yes

Lawful Spouse

No 3

Yes Yes

Yes

No 1&3

1

1

1

No No

1

1

1

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of employee, or
illegitimate child of spouse.
Ward
Children, Unmarried, 21 Years and Over (If entitled to above)

No 1,2&3 1&2 1&2

1&2

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No 1&3

1

1

1

Notes:
1. Yes, if dependent on an authorized sponsor for over 50 percent of his or her support.

78

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
2. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).
3. Yes, on a space-available, fully reimbursable basis.

E4.A1.16. MSC Civil Service marine personnel deployed to foreign countries on MSCowned and-operated vessels:
MC MS
Self No 2

C

MWR E

Yes Yes

1

Notes:
1. Entitled to limited exchange privileges, which include purchase of all items except distinctive
uniform items and State tax-free items.
2. Yes, on a space-available, fully reimbursable basis.

E4.A1.17. Ship's officers and members of the crews of vessels of the NOAA (33 U.S.C.
857-4, reference (u)). (Ship's officers are not commissioned officers; they are civilian
employees of the NOAA.):
MC MS

C

MWR E

Self No No Yes 1

1

Notes:
1. Privileges extend to ship's officers only.

E4.A1.18. Officers and crews of vessels, lighthouse keepers, and depot keepers of the
former Lighthouse Service:
MC MS

C

MWR

Self No No Yes Yes

E
Yes

E4.A1.19. Involuntarily separated members, not for cause, of the Army, the Navy, the
Air Force, or the Marine Corps on active duty or full-time National Guard duty before or
on September 30, 1990, and involuntarily separated from active duty on or after October
1, 1990, through September 30, 1999 (until October 1, 1999), and their dependents,
including dependents acquired after the member's separation (Chapter 58 of 10 U.S.C.,

79

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
reference (v)). Individuals entering on active duty on or after October 1, 1990, are not
eligible for TAMP benefits:
MC

MS

C

MWR

E

Involuntarily Separated Member

1

1

3

3

3

Lawful Spouse

1

1

3

3

3

1

1

2&3

3&4

3&4

1&2

1&2

2&3

3&4

3&4

1&2
1&6

1&2
1&6

2&3
2&3

3&4
3&4

3&4
3&4

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of record
of female member, or illegitimate child of male member,
whose paternity has been judicially determined.
Illegitimate child of male member, whose paternity has not
been judicially determined, or illegitimate child of
spouse.
Ward
Pre-adoptive Child

Children, Unmarried, 21 Years and Over (If entitled to above) 1,4&5 1,4&5 2,3,&5 3,4&5 3,4&5
Father, Mother, Father-in-Law, Mother-in-Law, Stepparent,
or Parent-by-Adoption

No

1&2

2&3

3&4

3&4

Notes:
1. Yes, entitlement shall be for 60 days when a member is separated with less than 6 years of
active service and 120 days when a member is separated with 6 or more years of active service
beginning on the date after the member separated, except an individual is not entitled to MC if the
individual is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.
2. Yes, if a member of a household maintained by or for an authorized sponsor and dependent
on that sponsor for over 50 percent of his or her support. Children residing in the household of a
separated spouse continues to be eligible for commissary privileges until there is a final divorce
decree. In the case of a divorce, children residing in the household of a former spouse are not
considered to be members of the authorized sponsor's household for commissary privileges,
except children who reside with a former spouse meeting requirements for commissary privileges
based on 20 years of marriage during a period the member or retired member performed 20
years of service.
3. Yes, if the member was separated beginning on October 1, 1990, but before October 1, 1999,
entitlement shall be for 2 years, beginning on the date the member separated.
4. Yes, if dependent on the authorized sponsor for over 50 percent of his or her support.
5. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before to attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

80

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
6. Yes, for determinations of dependency made on or after October 5, 1994, an unmarried
person who is placed in the home of the member or former member by a placement agency
(recognized by the Secretary of Defense) in anticipation of the legal adoption of the person by the
member or former member; and who:
a. Has not attained the age of 21;
b. Has not attained the age of 23, is enrolled in a full-time course of study at an institution of
higher learning approved by the administering Secretary and is, or was at the time of the
member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support; or
c. Is incapable of self-support because of a mental or physical incapacity that occurs while a
dependent of a member or former member under clause (a.) or (b.) and is, or was at the time of
the member's or former member's death, in fact dependent on the member or former member for
over one-half of the child's support.

E4.A1.20. Voluntarily separated members of the Army, the Navy, the Air Force, and the
Marine Corps who are eligible and approved for payment of a Special Separation Benefit
(SSB) or the Voluntary Separation Incentive (VSI); and have been on active duty for
more than 6 years, and have served at least 5 years of continuous active duty immediately
preceding the date of separation; and the date of separation is on or before September 30,
1999, and their dependents; including those dependents acquired after the member's
separation (10 U.S.C. 1174a and 1175, reference (w) and Pub. L. 102-484 (1992),
reference (bb)):
MC

MS

C

MWR

E

Voluntarily Separated Member

1

1

3

3

3

Lawful Spouse

1

1

3

3

3

2&3

3&4

3&4

2&3

3&4

3&4

2&3

3&4

3&4

Children, Unmarried, Under 21 Years
Legitimate, adopted, stepchild, illegitimate child of record of 1
1
female member, or illegitimate child of male member,
whose paternity has been judicially determined.
Illegitimate child of male member, whose paternity has not 1&2 1&2
been judicially determined, or illegitimate child of spouse.
Ward
1&2 1&2
Children, Unmarried, 21 Years and Over (If entitled to above)

1,4& 1,4&
5
5

2,3,&5 3,4&5 3,4&5

Father, Mother, Father-in-Law, Mother-in-Law, Stepparent, or
Parent-by-Adoption

No

2&3

81

1&2

3&4

3&4

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997

Notes:
1. Yes, entitlement shall be for 120 days when a member is separated with 6 or more years of
active service beginning on the date after the member separated, except an individual is not
entitled to MC if the individual is:
a. Entitled to Medicare Part A; or
b. Under 65 years of age, entitled to Medicare Part A hospital insurance, and not enrolled in
Medicare Part B supplemental medical insurance.
2. Yes, if a member of a household maintained by or for an authorized sponsor and dependent
on that sponsor for over 50 percent of his or her support. Children residing in the household of a
separated spouse continue to be eligible for commissary privileges until there is a final divorce
decree. In the case of a divorce, children residing in the household of a former spouse are not
considered to be members of the authorized sponsor's household for commissary privileges,
except children who reside with a former spouse meeting requirements for commissary privileges
based on 20 years of marriage during a period the member or retired member performed 20
years of service.
3. Yes, entitlement shall be for 2 years beginning on the date the member separated if the
member was separated on or before September 30, 1999;, has been on active duty for more than
6 years; and has served at least 5 years of continuous active duty immediately preceding the date
of separation.
4. Yes, if dependent on the authorized sponsor for over 50 percent of his or her support.
5. Yes, if the child:
a. Has not passed his or her twenty-third birthday and is enrolled in a full-time course of study
in an institution of higher learning as approved by the Secretary of Education;
b. Is incapable of self-support because of a mental or physical incapacity that existed while a
dependent and before age 21 (incapacitated children who marry and who subsequently become
unmarried through divorce, annulment, or death of spouse may be reinstated for ID card benefits
and privileges as long as they meet all other requirements); or
c. Is incapable of self-support because of a mental or physical incapacitation that existed while
a dependent and while enrolled in a full-time course of study in an institution of higher learning
approved by the Secretary of Education before attaining the age of 23 (incapacitated children
who marry and who subsequently become unmarried through divorce, annulment, or death of
spouse may be reinstated for ID card benefits and privileges as long as they meet all other
requirements).

82

ATTACHMENT 1, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A2. ATTACHMENT 2 TO ENCLOSURE 4
DD FORM 1173 EXPIRATION DATE AND MC EFFECTIVE DATE GUIDELINES

E4.A2.1. EXPIRATION DATE NOTES
When the member and his or her spouse are residing apart due to a legal separation or
interlocutory decree of divorce, the expiration date shall be 1 year from date of issue or
the date on which the divorce becomes final. When a dependent child will be residing
apart from the sponsor due to enrollment in a full-time course of study in an institution of
higher learning, the DD Form 1173 may be reissued at any time, regardless of whether or
not the current card has expired. The expiration date of the reissued card shall be as
indicated below (when there appears to be a choice of two or more expiration dates,
always choose the earliest date):
1. Date of expiration of sponsor's term of active service.
2. Four years from date DD Form 1172 is verified. In the event a reexamination
date is set for veterans who are not 100 percent permanently and totally disabled, the ID
card shall be issued with an expiration date 60-days beyond the scheduled reexamination
date.
3. Last day of month preceding the sixty-fifth birthday (if entitled to Medicare),
unless entitled to Medicare Part A, hospital insurance, and not enrolled in Medicare Part
B, supplemental medical insurance, at time of ID card issue.
4. Twenty-first birthday (if full-time student documentation is provided, refer to
5., 6., or 7., below).
5. Two years from date DD Form 1172 is verified.
6. Twenty-third birthday.
7. Expected date of graduation.
8. If over age 21 and incapacitation determination has been made by the parent
Uniformed Service:
8.1. INCP - Four years from date DD Form 1172 is verified.
8.2. INCT - Date of anticipated reevaluation.
9. Five years from the date sponsor was placed on the TDRL.

83

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
10. Indefinite.
11 Three years from date that DD Form 1172 is verified.
12. Date of expiration of sponsor's tour at the invitation or sponsorship of the
United States.
13. Date of termination of sponsor's entitlement to benefits.
14. If the marriage terminated on or after September 29, 1988, one year after
divorce, dissolution or annulment.
15. For medical benefits, 60 days from day after separation for members with less
than 6 years of active service and 120 days for members separated with 6 or more years
of active service. For commissary and exchange privileges, 2 years from member's
verification date.
16. For medical benefits, 120 days after separation date for members who are
eligible and approved for payment of a special separation benefit (SSB) or voluntary
separation incentive (VSI). For commissary and exchange privileges, 2 years from
member's verification date.
17. Abused dependents: For all benefits, issue temporary card expiring 6 months
from date of verification while waiting for dependent receipt of court ordered annuity.
Once annuity is being paid by the Defense Finance and Accounting System (DFAS),
reissue cards with expiration dates same as for dependents of retired members.

E4.A2.2. MC (CHAMPUS/TRICARE) EFFECTIVE DATE NOTES
The MC effective date is the date the beneficiary first became eligible for
CHAMPUS/TRICARE coverage. Once assigned, an MC effective date is permanent for
as long as the beneficiary is continually covered by CHAMPUS/TRICARE. The MC
effective date does not change on the sponsor's retirement or death, unless the retirement
or death occurred before January 1, 1967 (the initial date retirees and their dependents
became eligible for CHAMPUS/TRICARE). In this case, and in other instances not
covered above, when there appears to be a choice of two or more eligibility dates, always
choose the latest date. If there is a break in eligibility, the date CHAMPUS/TRICARE
eligibility resumes (using those guidelines to determine that date) shall be the MC
effective date.
A. Date of sponsor's entry on active duty or October 1, 1966 (the initial date active
duty dependents became eligible for CHAMPUS/TRICARE), if entry was on or before
that date. (If there is a break in service of more than 24 hours, use the most recent date of
entry on active duty.)
84

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
B. January 1, 1967, if the sponsor retired or died on, or before, that date.
C. Date of marriage.
D. Date of birth.
E. Date of final adoption.
F. August 31, 1972 (date illegitimate child of male member whose paternity has
been judicially determined, or illegitimate child of a female member became eligible for
CHAMPUS/TRICARE).
G. January 1, 1969 (date illegitimate child of a male member, whose paternity has
not been judicially determined, or illegitimate child of spouse became eligible for
CHAMPUS/TRICARE).
H. Date Reserve member or former member becomes, or would have become,
eligible for retired pay at the member or former member's sixtieth birthday.
I. Date entered the United States.
J. Date child's dependency on sponsor was established.
K. Refer to A., B., C., or H., above, if meeting 20-20-20 criteria and divorced on or
after February 1, 1983, or if meeting 20-20-15 criteria and divorced on, or after, April 1,
1985. If former spouse had an employer-sponsored health plan, use date the plan was
canceled.
L. January 1, 1985, if meeting 20-20-20 criteria and divorced before February 1,
1983, or if meeting 20-20-15 criteria and divorced before April 1, 1985. If former spouse
had an employer-sponsored health plan, use date the plan was canceled.
M. If Reserve member's death occurred after September 30, 1985, date Reserve
member died.
N. If Reserve member's death occurred after November 14, 1986, date Reserve
member died.
O. The MC effective date is the day after the member involuntarily or voluntarily
separated (TAMP) under Chapter 58 of 10 U.S.C. (reference (v)), voluntarily separated
(SSB) under 10 U.S.C. 1174a and 1175 (reference (w)), or voluntarily separated (VSI)
under Pub. L. 102-484 (1992) reference (bb).
P. If the unmarried former spouse's, widow's or widower's remarriage is legally
annulled, reinstatement of benefits is the day following the annulment.

85

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
Q. Retirees and the eligible spouse or children of living retirees who are Medicare
eligible under age 65 have their CHAMPUS/TRICARE entitlement restored effective
October 1, 1991, as long as they are enrolled in Medicare Part B on or before October 1,
1991. Eligible retirees and the spouse or children of living retirees who become
Medicare-eligible after October 1, 1991, will retain their original MC effective date as
long as they are enrolled in Medicare Part B at the time they become Medicare Part A
eligible.
R. Unremarried former spouses, and the survivors of retired-deceased, active dutydeceased, and Guard or /Reserve-deceased Service members who are Medicare-eligible
under age 65 have their CHAMPUS/TRICARE entitlement restored effective December
5, 1991, as long as they are enrolled in Medicare Part B before December 5, 1991.
Eligible unremarried former spouses, and the survivors of retired-deceased, active dutydeceased, and Guard or /Reserve-deceased Service members who become Medicareeligible after December 5, 1991, shall retain their MC effective date as long as they are
enrolled in Medicare Part B at the time they become Medicare Part A eligible.
S. October 23, 1992, for incapacitated students whose conditions pre-existed before
the enactment of the legislation.
T. October 23, 1992, or date dependents became eligible, whichever is later, for
abused spouses, former spouses, and eligible children.
U. July 1, 1994, or date dependency and residency is established, whichever is later
for wards of retired members, deceased active duty members, and deceased reserve
members.
V. October 5, 1994, or date dependency and residency is established, whichever is
later for wards of active duty and pre-adoptive children wards of members and former
members.

86

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997

E4.A2.3. DD FORM 1173
EXPIRATION
DATE

MC EFFECTIVE
DATE

1. Dependents, former spouses, and survivors of active
duty members, retirees, and Reserve members who retired
without pay, and who died before reaching age 60, but after
October 1, 1978:
Spouse:
Under age 65

1,2,3

A,B,C,H,Q

Age 65 and over

1,2

A,B,C,H

Under age 65

2,3

A,B,C,H,R

Age 65 and over

2

A,B,C,H,

2

NONE

Under age 65

2,3,1,

K,L,R

Age 65 and over

2,14

K,L

2

NONE

1,2,4

A,B,C,D,E,H,Q,R

student

5,6,7

A,B,C,D,E,H

incapacitated

8

A,B,C,D,E,H,Q,R,S

1,2,4

T,U,V

student

5,6,7

T,U,V

incapacitated

8

T,U,V

1,2,4

A,B,C,D,E,H,Q,R

student

5,6,7

A,B,C,D,E,H

incapacitated

8

A,B,C,D,E,H,Q,R,S

Unremarried Widow or Widower:

Unmarried Widow or Widower:
Unremarried Former Spouse:

Unmarried Former Spouse:
Child (Legitimate, Adopted, Stepchild, Former Stepchild):
Under age 21
Age 21 and over:

Ward:
Under age 21
Age 21 and over:

Illegitimate Child of Male Member Whose Paternity Has Not
Been Judicially Determined, or Illegitimate Child of Spouse:
Under age 21
Age 21 and over:

EXPIRATION
DATE

MC EFFECTIVE
DATE

Illegitimate Child Of Male Member, Whose Paternity Has
Been Judicially Determined or Illegitimate Child of Record
of Female Member:
Under age 21

1,2,4

A,D,F,Q,R

Age 21 and over:

87

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
student

5,6,7

A,D,F

incapacitated

8

A,D,F,Q,R,S

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption: 1,2

NONE

2. Dependents of members on the TDRL. Expiration
dates cannot exceed 5 years from date member is placed
on the TDRL:
Spouse:
Under age 65

3,9

A,B,C,Q

Age 65 and over

9

A,B,C

Under age 65

2,3,14

A,B,C,R

Age 65 and over

2,14

A,B,C

2

NONE

1,2,4

A,B,C,D,E,H,Q,R

student

5,6,7

A,B,C,D,E,H

incapacitated

8

A,B,C,D,E,H,Q,R,S

1,2,4

U,V

student

5,6,7

U,V

incapacitated

8

U,V

4,9

A,C,D,G,J,Q,R

student

5,6,7

A,C,D,G,J

incapacitated

8

A,C,D,G,J,Q,R,S

Unremarried Former Spouse:

Unmarried Former Spouse:
Child (Legitimate, Adopted, or Stepchild):
Under age 21
Age 21 and over:

Ward:
Under age 21
Age 21 and over:

Illegitimate Child of Male Member, Whose Paternity Has
Not Been Judicially Determined or Illegitimate Child of
Spouse, Illegitimate Child of Former Spouse:
Under age 21
Age 21 and over:

88

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997

EXPIRATION
DATE

MC EFFECTIVE
DATE

Illegitimate Child of Male Member, Whose Paternity Has Been
Judicially Determined or Illegitimate Child of Record of
Female Member:
Under age 21

4,9

A,D,F,Q,R

student

5,6,7

A,D,F

incapacitated

8

A,D,F,Q,R,S

2

NONE

Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

3. Surviving dependents of Reserve members whose death occurred after
September 30, 1985, from an injury or illness incurred or aggravated while on
active duty for a period of 30 days or less, on active duty for training, or on
inactive duty training or while traveling to or from the place at which the member
was to perform, or performed, such active duty, active duty for training, or inactive
duty training:
Unremarried Widow or Widower:
Under age 65

2,3

M,R

Age 65 and over

2

M

2

NONE

2,4

M,R

Unmarried Widow or Widower:
Child (Legitimate, Adopted, or Stepchild):
Under age 21:
Age 21 and over:
student

5,6,7 M

incapacitated

8

M,R,S

2,4

U,V

Ward:
Under age 21
Age 21 and over:
student

5,6,7 U,V

incapacitated

8

U,V

2,4

M,R

Illegitimate Child of Male Member Whose Paternity Has Not Been Judicially
Determined or Illegitimate Child of Spouse:
Under age 21
Age 21 and over:
student

5,6,7 M

incapacitated

8

89

M,R,S

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997

EXPIRATION
DATE

MC EFFECTIVE
DATE

Illegitimate Child of Male Member, Whose Paternity Has Been
Judicially Determined or Illegitimate Child of Record of Female
Member:
Under age 21

2,4

M,R

Age 21 and over:
student

5,6,7 M

incapacitated

8

M,R,S

2

NONE

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

4. Surviving dependents of Reserve members whose death occurred after
November 14, 1986, from an injury, illness, or disease incurred or aggravated while
performing, or while traveling to or from performing, active duty for a period of 30
days or less, or active duty for training, or inactive duty training:
Unmarried Widow or Widower:

2

NONE

2,4

N,R

Child (Legitimate, Adopted, or Stepchild):
Under age 21:
Age 21 and over:
student

5,6,7 N

incapacitated

8

N,R,S

2,4

U,V

Ward:
Under age 21
Age 21 and over:
student

5,6,7 U,V

incapacitated

8,

U,V

2,4

N,R

Illegitimate Child of Male Member, Whose Paternity Has Not Been Judicially
Determined or Illegitimate Child of Spouse:
Under age 21
Age 21 and over:
student

5,6,7 N

incapacitated

8

N,R,S

2,4

N,R

Illegitimate Child of Male Member, Whose Paternity Has Been Judicially Determined
or Illegitimate Child of Record of Female Member:
Under age 21
Age 21 and over:
student

5,6,7 N

incapacitated

8

N,R,S

2

NONE

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:
EXPIRATION
DATE

MC EFFECTIVE
DATE

5. Medal of Honor Recipients, l00 Percent Disabled
Veterans, and their dependents and survivors:

90

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
Medal of Honor Recipient:

10

NONE

permanent

10

NONE

temporary

2

NONE

Spouse:

2

NONE

Unremarried Widow or Widower:

2

NONE

Unmarried Widow or Widower:

2

NONE

2,4

NONE

student

5,6,7

NONE

incapacitated

8

NONE

2

NONE

Foreign Member:

11,12

NONE

Spouse:

11,12

I

4,11,12

I

student

5,6,7,12

I

incapacitated

8,12

I,S

11,12

NONE

100 Percent Disabled Veteran:

Child (Legitimate, Adopted, Stepchild, Ward, or Illegitimate):
Under age 21
Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:
6. Foreign personnel and eligible dependents:

Child (Legitimate, Adopted. Stepchild, Ward, or
Illegitimate):
Under age 21
Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

EXPIRATION
DATE

MC
EFFECTIVE
DATE

7. Civilians and their eligible dependents:
Authorized Civilian:

2,13

NONE

Spouse:

2,13

NONE

2,4,13

NONE

student

5,6,7,13

NONE

incapacitated

8,13

NONE

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

2,13

NONE

8. Contract Surgeons Overseas during the period of their
contract:

2,13

NONE

2,13

NONE

Child (Legitimate, Adopted, Stepchild, Ward, or Illegitimate):
Under age 21
Age 21 and over:

9. Uniformed and non-uniformed full-time paid personnel of the
Red Cross within the CONUS, Hawaii, Alaska, and Puerto Rico,
and their dependents, when required to reside in the same
household on a military installation:
Authorized Employee:

91

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
Spouse:

2,13

NONE

2,4,13

NONE

student

5,6,7,13

NONE

incapacitated

8,13

NONE

2,13

NONE

Child (Legitimate, Adopted, Stepchild, Ward, or Illegitimate):
Under age 21
Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

EXPIRATION
DATE

MC EFFECTIVE
DATE

10. Uniformed and non-uniformed full-time paid
personnel of the
Red Cross assigned to duty with the Uniformed
Services in foreign
countries accompanied with dependents in the same
household:
Authorized Employee:

2,13

NONE

Spouse:

2,13

NONE

2,4,13

NONE

Child (Legitimate, Adopted, Stepchild, Ward, or
Illegitimate):
Under age 21
Age 21 and over:
student

5,6,7,13

NONE

incapacitated

8,13

NONE

2,13

NONE

Authorized Civilian:

2,13

NONE

Spouse:

2,13

NONE

2,4,13

NONE

student

5,6,7,13

NONE

incapacitated

8,13

NONE

2,13

NONE

Parent, Parent-in-Law, Stepparent, or Parent-byAdoption:
11. Area Executives. Center Directors, and Assistant
Directors
of the USO, when serving in foreign countries and their
accompanying dependents in the same household:

Child (Legitimate, Adopted, Stepchild Ward, or
Illegitimate):
Under age 21
Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-byAdoption:

EXPIRATION
DATE

MC EFFECTIVE
DATE

12. USS personnel in foreign countries and their
accompanying dependents in the same household:
Authorized Civilian:

2,13

92

NONE

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
Spouse:

2,13

NONE

2,4,13

NONE

student

5,6,7,13

NONE

incapacitated

8,13

NONE

2,13

NONE

13. MSC Civil Service marine personnel deployed to foreign 2,13
countries on MSC-owned and -operated vessels:

NONE

14. Ship's Officers and members of the crews of vessels of
the NOAA:

2,13

NONE

15. Officers and crews of vessels, lighthouse keepers, and
depot keepers of the former Lighthouse Service:

2,13

NONE

Child (Legitimate, Adopted, Stepchild Ward or Illegitimate):
Under age 21
Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

EXPIRATION
DATE

MC EFFECTIVE
DATE

16. Involuntarily separated members under Chapter 58 of 10
U.S.C.
(reference (v)) Pub. L. 101-510 of the Army, the Navy, the Air
Force,
or the Marine Corps on active duty or full-time National Guard
duty on
September 30, 1990, but before October 1, 1999, and their
dependents:
Involuntarily Separated Member:

15

O

Under age 65

15,

C

Age 65 and over

15

C

15

C,D,E

student

15

C,D,E

incapacitated

15

C,D,E,S

15

U,V

student

15

U,V

incapacitated

15

U,V

15

C,D,G,J

student

15

C,D,G,J

incapacitated

15

C,D,G,J,S

Spouse:

Child (Legitimate, Adopted, or Stepchild):
Under age 21
Age 21 and over:

Ward:
Under age 21
Age 21 and over:

Illegitimate Child of Male Member Whose Paternity Has Not
Been Judicially Determined or Illegitimate Child of Spouse:
Under age 21
Age 21 and over:

93

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
Illegitimate Child of Male Member, Whose Paternity Has Been
Judicially Determined or Illegitimate Child of Record of
Female Member:
Under age 21

15

D,F

student

15

D,F

incapacitated

15

D,F

16

NONE

Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

EXPIRATION
DATE

MC
EFFECTIVE
DATE

17. Separated members of the Army, the Navy, the Air Force, and
the Marine Corps who are eligible and approved for payment of a
Special Separation Benefit (SSB); under 10 U.S.C. 1174a and
1175 (reference (w)), and have been on active duty for more than
6 years, and have served at least 5 years of continuous active
duty immediately preceding the date of separation; and the
member's date of separation is on or before September 30, 1999,
and their dependents:
Voluntarily Separated Member:

16

O

Under age 65

16

C

Age 65 and over

16

C

16,

C,D,E

student

16

C,D,E

incapacitated

16

C,D,E,S

16

U,V

student

16

U,V

incapacitated

16

U,V

16,

C,D,G,J

student

16

C,D,G,J

incapacitated

16

C,D,G,J,S

16,

D,F

Spouse:

Child (Legitimate, Adopted, or Stepchild):
Under age 21
Age 21 and over:

Ward:
Under age 21
Age 21 and over:

Illegitimate Child of Male Member Whose Paternity Has Not Been
Judicially Determined or Illegitimate Child of Spouse:
Under age 21
Age 21 and over:

Illegitimate Child of Male Member, Whose Paternity Has Been
Judicially Determined or Illegitimate Child of Record of Female
Member:
Under age 21
Age 21 and over:

94

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
student

16

D,F

incapacitated

16

D,F,S

EXPIRATION
DATE
Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

MC EFFECTIVE
DATE

16

NONE

Under age 65

1,2,3,17

A,B,C,H,Q

Age 65 and over

1,2,17

A,B,C,H

1,2,4,17

A,B,C,D,E,H,Q,R

student

5,6,7,17

A,B,C,D,E,H

incapacitated

8,17

A,B,C,D,E,H,Q,R

1,2,4,17

A,C,D,G,H,J,Q,R

student

5,6,7,17

A,C,D,G,H,J

incapacitated

8,17

A,C,D,G,H,J,Q,R

1,2,4,17

A,D,F,Q,R

student

5,6,7,17

A,D,F

incapacitated

8,17

A,D,F,Q,R

1,2,17

NONE

18. Abused dependents of active duty members entitled to
retired pay based on 20 or more years of service who are
separated due to misconduct, and a Court Order provides
annuity from disposable retired pay to abused dependents (10
U.S.C. 1408(h) (reference (n)):
Spouse:

Child (Legitimate, Adopted, or Stepchild):
Under age 18
Age 18 and over:

Illegitimate Child of Male Member Whose Paternity Has Not
Been Judicially Determined or Illegitimate Child of Spouse:
Under age 21
Age 21 and over:

Illegitimate Child of Male Member, Whose Paternity Has Been
Judicially Determined or Illegitimate Child of Record Of
Female Member:
Under age 21
Age 21 and over:

Parent, Parent-in-Law, Stepparent, or Parent-by-Adoption:

95

ATTACHMENT 2, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A3. ATTACHMENT 3 TO ENCLOSURE 4
DD FORM 1173-1 ENTITLEMENT AND EXPIRATION GUIDELINES

E4.A3.1. DD FORM 1173-1 ISSUE GUIDANCE
E4.A3.1.1. The DD Form 1173-1 is for identification purposes and in itself
authorizes exchange and morale, welfare, and recreation privileges as described in DoD
Directive 1330.9 and DoD Instruction 1015.10 (references (d) and (e)). However, it does
not extend full medical benefits and commissary privileges until such time as the sponsor
is called to active duty by congressional decree or Presidential call-up under Chapter
1209 of 10 U.S.C. Chapters (reference (k)). The card then authorizes benefits when
accompanied by a copy of the sponsor's activation orders and the pre-eligible dependent's
activation in the DEERS. During peacetime, appropriate additional identification for
benefits and privileges is described in Chapter 55 of 10 U.S.C. and DoD 1330.17-R
(references (c) and (f)).
E4.A3.1.2. The DD Form 1173-1 shall be issued to dependents of Reserve members
not on active duty in excess of 30 days and Reserve retirees, who are entitled to pay at
age 60, in the categories of spouse, child, stepchild, and ward. Issuance of DD Form
1173-1 is mandatory for dependents of Reserve members and Reserve retirees, as part of
the Guard and Reserve DEERS Enrollment Program. DD Form 1173-1 may be issued to
a spouse in the legal name by which the spouse is known, such as a maiden name.
E4.A3.1.3. DD Form 1173-1 shall also be issued to the unremarried surviving
spouse of Reserve members:
E4.A3.1.3.1. Who had earned 20 qualifying years for retirement and received
their Notice of Eligibility (NOE) for retired pay at age 60, but HAD NOT transferred to
the Retired Reserve;
E4.A3.1.3.2. Retired Reserve members entitled to pay at age 60; and
E4.A3.1.3.3. Who die before reaching age 60.
Eligible dependents in the categories of child, stepchild, and ward shall also be issued DD
Form 1173-1. The surviving dependents of these members shall be issued the DD Form
1173, instead of the DD Form 1173-1, on the sponsor's sixtieth birthday.
E4.A3.1.4. The DD Form 1173-1 shall not be issued to Reserve or Reserve retiree
dependent children under 10 years of age or 21 years of age or older unless:

96

ATTACHMENT 3, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E4.A3.1.4.1. The child under 10 years of age does not reside in the household
of an eligible adult family member; or
E4.A3.1.4.2. The dependent child 21 years of age or older is incapacitated or a
student.
E4.A3.1.5. The DD Form 1173-1 shall not be issued to dependents who qualify for
issuance of DD Form 1173, when the sponsor is executing active duty orders in excess of
30 days.
E4.A3.1.6. No individual shall be entitled to possess or be issued more than one ID
card at a time, except:
E4.A3.1.6.1. On the occasion when a Reserve member executes short tour
active duty orders (31 to 270 days) and their dependents require issuance of DD Form
1173. At that time, dependents may simultaneously possess the DD Form 1173-1 and
DD Form 1173, as prescribed by Uniformed Services regulations.
E4.A3.1.6.2. Dependents of sponsors separating under the VSI or SSB
program shall be issued two ID cards -- a DD Form 1173 overstamped "TA," which
indicates continued eligibility for various benefits for up to 2 years, and dependent's DD
Form 1173-1.
E4.A3.1.7. Selected Reserve Transition Program
E4.A3.1.7.1. Under the Selected Reserve Transition Program, sponsors who
are being discharged to civilian life and their eligible dependents shall be issued the DD
Form 1173-1 overstamped "TA," which will indicate eligibility for Reserve commissary
and exchange privileges for up to 2 years from the date of discharge of the member.
E4.A3.1.7.2. A member separating from the Selected Reserve under this
program, transferring to the Individual Ready Reserve with subsequent discharge to
civilian status before the end of his or her 2-year Reserve commissary and exchange
privilege period, and his or her eligible dependents, shall be issued the appropriate DD
Form 2(RES) and DD Form 1173-1 with the sponsor's discharge date as the expiration
date. The member and eligible dependents shall also be issued the DD Form 1173-1
overstamped "TA" for the period beginning the day after the member's discharge date and
expiring at the end of the original 2-year Reserve commissary and exchange entitlement
period.
E4.A3.1.8. Dependents of Guard and Reserve members called to, or extended on,
active duty by congressional decree or Presidential call-up under 10 U.S.C. 12304
(reference (k)), shall evidence their eligibility for medical benefits in addition to
commissary, exchange, and morale, welfare, and recreation privileges, by presenting their
DoD Guard and Reserve Family Member ID card (red) along with a copy of the sponsor's
97

ATTACHMENT 3, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
orders to active duty and the pre-eligible dependent's activation in the DEERS. However,
the 270 days provision may be extended by the Department of Defense as required. If
dependent eligibility is to be extended beyond 270 days, the dependent will normally be
issued DD Form 1173.

E4.A3.2. EXPIRATION DATES
The expiration dates for DD Form 1173-1 are the same as for the DD Form 1173
contained in enclosure 4, attachment 2. For Reserve retirees entitled to pay at age 60,
enter maximum 4 years from date of verification of DD Form 1172, dependent child's
twenty-first birthday, or sponsor's sixtieth birthday, whichever is earliest.

E4.A3.3. DEPENDENCY DETERMINATION
Dependency determination for pre-eligible Guard and Reserve dependents is the same as
for dependents of active duty and active duty retired members.

98

ATTACHMENT 3, ENCLOSURE 4

DoDI 1000.13, December 5, 1997
E5. ENCLOSURE 5
INSTRUCTIONS FOR COMPLETION OF DD FORM 1172, "APPLICATION FOR
UNIFORMED SERVICES IDENTIFICATION CARD - DEERS ENROLLMENT"

E5.1. SECTION I - SPONSOR INFORMATION
E5.1.1. Block 1. Name. Enter the sponsor's LAST name first, enter the FIRST
name, and then enter the MIDDLE INITIAL or the full MIDDLE NAME. (Use no more
than 27 characters.) The name field can include a designation of JR, SR, ESQ, or the
Roman numerals I through X. To include that designation, enter the appropriate data
after the middle initial. The name cannot contain any special characters nor is any
punctuation permitted.
E5.1.2. Block 2. Sex. Enter the sex of the sponsor from the valid abbreviations
listed in the left column, below: (Use one character.)
E5.1.2.1. M - Male
E5.1.2.2. F - Female
E5.1.3. Block 3. Social Security Number (SSN). Enter the sponsor's SSN. In cases
where the sponsor does not have an SSN, enter the sponsor's Service Serial Number with
the addition of left-justified zeros, when the service number contains less than nine
digits. For example, serial number "12345" would be entered as "000012345." (Use nine
characters.) If the SSN or Service Serial Number is already registered on the DEERS
database for another individual, STOP processing and verify the number. If verification
confirms duplication of the SSN by the Social Security Administration, continue
processing and the system shall automatically generate a duplicate control number for the
additional sponsor.
E5.1.4. Block 4. Status. Enter the correct abbreviation for the status of the sponsor
from the valid abbreviations listed in the left column, below: (Use no more than six
characters.)
ACADMY Academy or Navy Officer Candidate School (OCS) Student
AD

Active duty (excluding Guard and Reserve on extended active duty for more than 30
days)

AD-DEC Active duty deceased
CIV

Civilian

DAVDEC 100-percent disabled veteran deceased (either temporary (TMP) or permanent (PRM))
DAVPRM 100-percent disabled veteran, permanent disability
DAVTMP 100-percent disabled veteran, temporary disability

99

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
FP

Foreign military personnel

FMRMR

Former member who is in receipt of retired pay for non-regular service under Chapter
1223 of 10 U.S.C. (reference (dd)) but who has been discharged from the Service and
maintains no military affiliation

FMRDEC A former member who qualified for retired pay for non-regular service under Chapter
1223 of 10 U.S.C. (reference (dd)) at his or /her sixtieth birthday, before his or/ her
discharge from the Service, but died while in receipt of retired pay
GRD

National Guard (all categories)

GRDDEC National Guard deceased
GRD-AD Guard on extended active duty for more than 30 days
MH

Medal of Honor recipient

MH-DEC Medal of Honor recipient deceased
OTHER

Non-DoD eligible beneficiaries (including credit union employees, or contractor
personnel, and other civilians employed in support of U.S. forces overseas, who are
authorized benefits and privileges)

PDRL

Retired member, on the Permanent Disability Retired List (PDRL)

PR-APL

Prisoner or /Appellate leave

RCL-AD

Recalled to active duty

RES

Reserve (all categories)

RES-AD

Reserve members on extended active duty for more than 30 days

RESDEC Reserve deceased
RESRET National Guard and Reserve members who retire, but are not entitled to retired pay
until age 60
RET

Retired member entitled to retired pay

RETDEC Deceased retired member entitled to retired pay. Code applies to active duty retired,
Retired Reserve beginning on their 60th birthday, the TDRL, and the PDRL.
SSB

Special Separation Benefits (SSB) recipient member with 120 days medical benefits
(CHAMPUS/TRICARE and MTF)

TDRL

Retired member, on the Temporary Disability Retired List (TDRL)

TA-RES

Selected Reserve Transition Assistance Management Program members and their
eligible dependents

TA-30

Involuntarily separated member of Reserve or Guard Component entitled to 30 days
medical benefits (CHAMPUS/TRICARE and MTF)

TA-60

Involuntarily separated member with 60 days medical benefits (CHAMPUS/TRICARE
and MTF)

TA-120

Involuntarily separated member with 120 days medical benefits (CHAMPUS/TRICARE
and MTF)

VSI

Voluntary Separation Incentive (VSI) recipient with 120 days medical benefits
(CHAMPUS/TRICARE and MTF)

E5.1.5. Block 5. Branch of Service. Enter the correct organization with which the
sponsor is affiliated from the valid abbreviations listed in the left column, below: (Use
no more than five characters.)
USA

- the U.S. Army

100

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
USAF

- the U.S. Air Force

USN

- the U.S. Navy

USMC - the U.S. Marine Corps
USCG

- the U.S. Coast Guard

USPHS - the United States Public Health Service
NOAA
OTHER

- the National Oceanic and Atmospheric Administration
- used when the sponsor is not affiliated with one of the Uniformed Services listed
above

E5.1.6. Block 6. Pay Grade. Enter the correct sponsor pay grade from the valid
abbreviations listed in the left column, below. (Use no more than four characters.)
E1-E9

-

Enlisted pay grades 1 through 9

W1-W5

-

Warrant officer pay grades 1 through 5

STDT

- Academy and/or Navy OCS student (ENTER PAY GRADE IF STDT RECEIVING
PAY)

001-011

-

Officer pay grades 1 through 11 (011 is reserved)

GS01GS18

-

Federal employees with General Schedule pay grades

OTHER

-

Other (non-Uniformed Service) pay grades not defined above

N/A

- Not applicable. Use this code with the Block 4 status codes "FMRMR" or
"FMRDEC."

E5.1.7. Block 7. Rank. Enter the Uniformed Service sponsor's correct rank from
the valid abbreviations listed, below. That block is left blank for all other sponsors. For
NOAA and USPHS sponsors, follow the Navy and/or Coast Guard officer ranks. Pay
grade 011 is reserved. (Use no more than six characters.)

101

ENCLOSURE 5

DoDI 1000.13, December 5, 1997

Pay Grade

Army Rank

Air Force Rank Marine Corps Rank Navy and/or Coast Guard Rank

010

GEN

GEN

GEN

ADM

009

LTG

LTGEN

LTGEN

VADM

008

MG

MAJGEN

MAJGEN

RADM

007

BG

BGEN

BGEN

RADM

006

COL

COL

COL

CAPT

005

LTC

LTCOL

LTCOL

CDR

004

MAJ

MAJ

MAJ

LCDR

003

CPT

CAPT

CAPT

LT

002

1LT

1STLT

1STLT

LTJG

001

2LT

2NDLT

2NDLT

ENS

W5

CW5

CWO-5

CWO5

CWO-5

W4

CW4

CWO-4

CWO4

CWO-4

W3

CW3

CWO-3

CWO3

CWO-3

W2

CW2

CWO-2

CWO2

CWO-2

W1

WO1

WO

WO

WO-1

E9

SMA

CMSAF

SMOFMC

MCPON/MCPOCG

E9

CSM

CMSGT

SGTMAJ

MCPO

E9

SGM

E8

1SG

E8

MSG

E7

SFC

MSGT

GCYSGT

CPO

E6

SSG

TSGT

SSGT

PO1

E5

SGT

SSGT

SGT

PO2

E4

CPL

SGT

CPL

PO3

E4

SPC

SRA

E3

PFC

A1C

E2

PV2

MGYSGT
SMSGT

1STSGT

SCPO

MSGT

AMN

LCPL1

NON-PO

1

NON-PO

1

NON-PO

PFC

E1

PV1

AB

PVT

STDT

CADET

CADET

PLC

STDT

OC

OC

OC

STDT

ROTC

ROTC

ROTC

STDT

AOC

N/A

FMRMR

MIDSHP/CADET

ROC
FMRMR

FMRMR

FMRMR

1

On the manually prepared card "NON-NCO" is used instead of the rank. When the machinereadable card is produced, "NON-NCO" is systematically added instead of the rank.

E5.1.8. Block 8. GEN CAT (Geneva Convention Category). Enter the sponsor's
appropriate Geneva Convention Category from the valid abbreviations listed in the left

102

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
column, below. That block is automatically generated for online systems. (Use no more
than three characters.)
I

Category I (pay grades El through E4)

II

Category II (pay grades E5 through E9)

III

Category III (pay grades W1 through 003 and/or Cadets and/or Midshipmen)

IV

Category IV (pay grades 004 through 006)

V

Category V (pay grades 007 through 011)

N/A Not applicable (non-protected personnel)

E5.1.9. Block 9. Type of Card Issued. If the transaction being performed results in
issue or reissue of the sponsor's Uniformed Services' ID card, enter the appropriate
abbreviation from the left column, below, to indicate which DD Form was issued to the
sponsor. (Use four characters.)
2ACT

- DD Form 2, Active (Green)

2RET

- DD Form 2, Retired (Blue)

2RES - DD Form 2, Reserve (Red)
1173

- DD Form 1173

1173-1 - DD Form 1173-1

E5.1.10. Block 10. ID No. (ID Card Number). If the transaction is to issue or
reissue an ID card to the sponsor, enter the serial number of the DD Form 2, DD Form
1173, or DD Form 1173-1. That block may be left blank. (Use no more than nine
characters.)
E5.1.11. Block 11. Last Update. No action required. That date is generated
automatically by the DEERS and indicates the date of the last online transaction or DD
Form 1172 submitted for that sponsor.
E5.1.12. Block 12. V/I (Verify and/or Issue). Enter the correct action abbreviation
to show the reason that the DD Form 1172 is being prepared. Select from the valid
values listed in the left column, below. For Ready Reserve members and Reserve retirees
entitled to pay at age 60, leave blank. (Use one character.)

103

ENCLOSURE 5

DoDI 1000.13, December 5, 1997

A - To indicate the addition of a new record on the DEERS.
C - To indicate a change or update transaction, when an ID card shall not be issued.
I

- To indicate the issue OR reissue of an ID card.

U - To indicate a sponsor and/or dependent(s) address update only. If the address update is for
dependents' addresses only, proceed to block 33.
T - Terminate.

E5.1.13. Block 13. Current Residence Address. Enter the number and street of the
sponsor's current residence address. When disclosure of the residence address would
violate the "Privacy Act" (5 U.S.C. 552a, (reference (aa)), and the sponsor is an active
duty or a Reserve member, enter the sponsor's military mailing address. If sponsor is
deceased or if address is unknown, leave blank. (Use no more than 27 characters.)
E5.1.14. Block 14. Supplemental Address Information. Enter supplemental
address information, such as an apartment number. Do not enter a duty address in
combination with a residence address. That field may be left blank. (Use no more than
20 characters.)
E5.1.15. Block 15. City. Enter the sponsor's current city of resident. If the
sponsor's address is an Army Post Office (APO) or a Fleet Post Office (FPO), enter the
designation APO or FPO. If the sponsor is deceased or city is unknown, leave blank.
(Use no more than 18 characters.)
E5.1.16. Block 16. State. Enter the correct U.S. postal abbreviation for the State of
the sponsor's residence from the valid abbreviations listed, below. If the sponsor's
address is an APO or FPO, enter the correct APO or FPO State. If the sponsor lives
outside of the 50 United States, the District of Columbia, or one of the listed trust
territories, enter a default value of "XX." If the sponsor is deceased or if State is
unknown, leave blank. (Use two characters.)

104

ENCLOSURE 5

DoDI 1000.13, December 5, 1997

Europe & Canada

AE

Alabama

AL

Pacific

AP

Alaska

AK

American Samoa

AS

Arizona

AZ

Arkansas

AR

California

CA

Colorado

CO

Connecticut

CT

Delaware

DE

District of Columbia

DC

Florida

FL

Georgia

GA

Guam

GU

Hawaii

HI

Idaho

ID

Illinois

IL

Indiana

IN

Iowa

IA

Kansas

KS

Kentucky

KY

Louisiana

LA

Maine

ME

Maryland

MD

Massachusetts

MA

Michigan

MI

Minnesota

MN

Mississippi

MS

Missouri

MO

Montana

MT

Nebraska

NE

Nevada

NV

New Hampshire

NH

New Jersey

NJ

New Mexico

NM

New York

NY

North Carolina

NC

North Dakota

ND

105

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
Ohio

OH

Oklahoma

OK

Oregon

OR

Pennsylvania

PA

Puerto Rico

PR

Rhode Island

RI

South and Central America

AA

South Carolina

SC

South Dakota

SD

Tennessee

TN

Federated States of Marshall Islands, Palau TT
Texas

TX

Utah

UT

Vermont

VT

Virginia

VA

Virgin Islands

VI

Washington

WA

West Virginia

WV

Wisconsin

WI

Wyoming

WY

E5.1.17. Block 17 ZIP Code. Enter the correct nine-digit ZIP Code of the
sponsor's current residence address in the following format:emsp;"123456789." If the
last four digits are unknown, enter four zeros (0000); e.g., "123450000." If the sponsor
does not reside in one of the 50 United States, the District of Columbia, or one of the
listed trust territories, enter the applicable foreign ZIP Code, or APO or FPO number. If
the sponsor is deceased or if ZIP Code is unknown, leave blank. (Use no more than nine
characters.)
E5.1.18. Block 18 Country. Enter the sponsor's correct country of residence from
the valid abbreviations listed, below. If the sponsor's address is an APO or FPO, the
country must be "US." If the sponsor is deceased or if country is unknown, leave blank.
(Use two characters.)

106

ENCLOSURE 5

DoDI 1000.13, December 5, 1997

Afghanistan

AF

Albania

AL

Algeria

AG

America Samoa

AQ

Andorra

AN

Angola

AO

Anguilla

AV

Antarctica

AY

Antigua and Barbuda

AC

Argentina

AR

Armenia

AM

Aruba

AA

Ashmore and Cartier Islands

AT

Australia

AS

Austria

AU

Azerbaijan

AJ

Bahamas, The

BF

Bahrain

BA

Baker Island

FQ

Bangladesh

BG

Barbados

BB

Bassas Da India

BS

Belarus

BO

Belgium

BE

Belize

BH

Benin

BN

Bermuda

BD

Bhutan

BT

Bolivia

BL

Bosnia and Herzegovina

BO

Botswana

BC

Bouvet Island

BV

Brazil

BR

British Indian Ocean Territory

IO

British Virgin Islands

VI

Brunei

BX

Bulgaria

BU

Burkina

UV

107

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
Burma

BM

Burundi

BY

Cambodia

CB

Cameroon

CM

Canada

CA

Cape Verde

CV

Cayman Islands Central African

CJ

Republic

CT

Chad

CD

Chile

CI

China

CH

Christmas Island

KT

Clipperton Islands

IP

Cocos (Keeling) Islands

CK

Colombia

CO

Comoros

CN

Cook Islands

CW

Coral Sea Islands

CR

Costa Rica

CS

Cote Dtvoire

IV

Croatia

HR

Cuba

CU

Cyprus

CY

Czech Republic

EZ

Denmark

DA

Djibouti

DJ

Dominica

DO

Dominican Republic

DR

Ecuador

EC

Egypt

EG

El Salvador

ES

Equatorial Guinea

EK

Eritrea

ER

Estonia

EN

Ethiopia

ET

Europa Island

EU

Falkland Islands (Islas Malvinas)

FK

Faroe Islands

FO

Federated States of Micronesia

FM

Fiji

FJ

108

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
Finland

FI

France

FR

French Guiana

FG

French Polynesia

FP

French Southern and Antarctic Lands

FS

Gabon

GB

Gambia, The

GA

Gaza Strip

GZ

Georgia

GG

Germany

GM

Ghana

GH

Gibraltar

GI

Glorioiso Islands

GO

Greece

GR

Greenland

GL

Grenada

GJ

Guadeloupe

GP

Guam

GQ

Guatemala

GT

Guernsey

GK

Guinea

GV

Guinea-Bissau

PU

Guyana

GY

Haiti

HA

Heard Island and McDonald Islands

HM

Honduras

HO

Hong Kong

HK

Howland Island

HQ

Hungary

HU

Iceland

IC

India

IN

Indonesia

ID

Iran

IR

Iraq

IZ

Ireland

EI

Israel

IS

Italy

IT

Ivory Coast

IV

Jamaica

JM

Jan Mayen

JN

109

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
Japan

JA

Jarvis Island

DQ

Jersey

JE

Johnston Atoll

JQ

Jordan

JO

Juan De Nova Island

JU

Kazakhstan

KZ

Kenya

KE

Kingman Reef

KQ

Kiribati

KR

Korea, Democratic Peoples Republic

KN

Korea, Republic of

KS

Kuwait

KU

Kyrgyzstan

KG

Laos

LA

Latvia

LG

Lebanon

LE

Lesotho

LT

Liberia

LI

Libya

LY

Liechtenstein

LS

Lithuania

LH

Luxembourg

LU

Macau

MC

Macedonia

MK

Madagascar

MA

Malawi

MI

Malaysia

MY

Maldives

MV

Mali

ML

Malta

MT

Man, Isle of

IM

Marshall Islands

RM

Martinique

MB

Mauritania

MR

Mauritius

MP

Mayotte

MF

Mexico

MX

Midway Islands

MQ

Moldova

MD

110

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
Monaco

MN

Mongolia

MG

Montenegro

MW

Montserrat

MH

Morocco

MO

Mozambique

MZ

Namibia

WA

Nauru

NR

Navassa Island

BQ

Nepal

NP

Netherlands

NL

Netherlands Antilles

NA

New Caledonia

NC

New Zealand

NZ

Nicaragua

NU

Niger

NG

Nigeria

NI

Niue

NE

Norfolk Island

NF

Northern Mariana Islands

CQ

Norway

NO

Oman

MU

Pakistan

PK

Palmyra Atoll

LQ

Panama

PM

Papua New Guinea

PP

Paracel Islands

PF

Paraguay

PA

Peru

PE

Philippines

RP

Pitcairn Islands

PC

Poland

PL

Portugal

PO

Puerto Rico

RQ

Qatar

QA

Reunion

RE

Romania

RO

Russia

RS

Rwanda

RW

St. Kitts and Nevis

SC

111

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
St. Helena

SH

St. Lucia

ST

St. Pierre and Miquelon

SB

St. Vincent and the Grenadines

VC

San Marino

SM

Sao Tome and Principe

TP

Saudi Arabia

SA

Senegal

SG

Serbia

SR

Seychelles

SE

Sierra Leone

SL

Singapore

SN

Slovakia

LO

Slovenia

SI

Solomon Islands

BP

Somalia

SO

South Africa

SF

South Georgia and the South Sandwich Islands SX
Spain

SP

Spratly Islands

PG

Sri Lanka

CE

Sudan

SU

Surinam

NS

Svalbard

SV

Swaziland

WZ

Sweden

SW

Switzerland

SZ

Syria

SY

Taiwan

TW

Tajikstan

TI

Tanzania

TZ

Thailand

TH

Togo

TO

Tokelau

TL

Tonga

TN

Trinidad and Tobago

TD

Tromelin Island

TE

Trust Territory of the Pacific Islands (Palau)

PS

Tunisia

TS

Turkey

TU

112

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
Turkmenistan

TX

Turks and Caicos Islands

TK

Tuvalu

TV

Uganda

UG

Ukraine

UP

United Arab Emirates

TC

United Kingdom

UK

United States

US

Uruguay

UY

Uzbekistan

UZ

Vanuatu

NH

Vatican City

VT

Venezuela

VE

Vietnam

VM

Virgin Islands

VQ

Wake Island

WQ

Wallis and Futuna

WF

West Bank

WE

Western Sahara

WI

Western Samoa

WS

Yemen (Aden)

YM

Zambia

ZA

Zimbabwe

ZI

E5.1.19. Block 19. UIC (Unit Identification Code). No action required. Leave this
block blank. This is an eight character (Air Force), six character (Army) or five character
(Navy) restricted field entered by each Uniformed Service personnel system that
interfaces with DEERS. UIC equals PAS code for Air Force, RUC-MCC for Marine
Corps, or OPFAC for Coast Guard personnel.
E5.1.20. Block 20. Home Telephone Number. Enter the sponsor's current
residence, duty, or business telephone number beginning with the area code. Do not use
punctuation to separate area code, prefix, and basic number. This block may be left
blank. (Use no more than 10 characters.)
E5.1.21. Block 21. Date of Birth. Enter the sponsor's date of birth in four-digit
year, three alpha-character month, and two-digit day format (YYYYMMMDD). Date of
birth must also be entered, when using "U" code (block 12.) for off-line entry. (Use nine
characters.)
E5.1.22. Block 22. Blood Type. Enter the sponsor's blood type from the valid list
of abbreviations listed in the left column, below. This block may be left blank for other

113

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
than AD, RCL-AD, ACADMY, GRD, or RES sponsors. (Use no more than three
characters.)
A+

A Positive

A-

A Negative

B+

B Positive

B-

B Negative

AB+ AB Positive
AB- AB Negative
O+

O Positive

O-

O Negative

E5.1.23. Block 23. Color Eyes. Enter the sponsor's correct eye color from the valid
abbreviations listed in the left column, below. If sponsor is deceased, or if eye color is
unknown, leave blank. (Use two characters.)

114

ENCLOSURE 5

DoDI 1000.13, December 5, 1997

BR Brown
GR Green
BL Blue
HZ Hazel
BK Black
GY Gray
VI

Violet

E5.1.24. Block 24. Color Hair. Enter the sponsor's correct hair color from the valid
abbreviations listed in the left column, below. If sponsor is deceased, of if hair color is
unknown, leave blank. (Use two characters.)
BR Brown
GY Gray
RD Red
AU Auburn
BK Black
BN Blonde
WH White
BD Bald

E5.1.25. Block 25. Height. Enter the sponsor's height in inches. The valid range is
48 to 96 inches. If the sponsor is deceased, or if height is unknown, leave blank. (Use
two characters.)
E5.1.26. Block 26. Weight. Enter the sponsor's weight in pounds. The valid range
is 0 to 999. If the sponsor is deceased, or if weight is unknown, leave blank. (Use up to
three characters.)
E5.1.27. Block 27. Medicare. Enter the sponsor's entitlement status for Medicare
Part A hospital insurance through the Social Security Administration. For Ready Reserve
members and Reserve retirees, who are entitled to pay at age 60, leave blank. (Use one
character.)

115

ENCLOSURE 5

DoDI 1000.13, December 5, 1997

D - Dual entitlement to Medicare and CHAMPUS/TRICARE.
Q - Eligible, under age 65. Medicare start date before attainment of age 65.
E - Eligible, over age 65. Medicare start date is on, or after, attainment of age 65.
N - Not eligible, has not attained age 65.
S - Not eligible, has attained age 65.
P - Other insurance purchased (either Medicare or non-Medicare).
O - Over age 65. Eligibility for Medicare Part A hospital insurance started after age 65.
L - Eligible for Medicare Part A, due to end state renal disease.

E5.1.28. Block 28. Marital Status. Enter the sponsor's marital status from the valid
abbreviations listed in the left column, below. (Use three characters.)
ANL Annulled
DIV

Divorced

INT

Interlocutory decree

JSM Joint-Service marriage
LSP Legally separated
MAR Married
SGL Single (never been married)
WID Widow or widower

E5.1.29. Block 29. ELIG ST/MC EFF DATE. (Eligibility Start Date and/or
Civilian Health Care Effective Date or Medicare Part A Hospital Insurance Start Date
and/or Guard and/or Reserve-Start Date.) (Use nine characters.)
For active duty sponsors, enter the date that the sponsor commenced active duty. A break
in service that lasted more than 24 hours results in a new eligibility start date.
For RET, FMRMR, TDRL, or PDRL sponsors, enter the date the sponsor became eligible
to receive retired pay. If the sponsor became eligible for Medicare Part A hospital
insurance benefits before attaining age 65, enter the Medicare Part A start date and a "Q"
or "D" in block 27, above.
For Reserve component RET sponsors qualifying for retired pay at age 60, enter the
sponsor's sixtieth birthday. If the sponsor became eligible for Medicare Part A hospital
insurance after age 60, but before attaining age 65, enter the Medicare Part A start date
and enter a "Q" or "D" in block 27, above. After attaining age 65, enter the Medicare
Part A hospital insurance start date and enter an "O" in block 27, above.
For Reserve members enter the date the sponsor commenced his or her current Reserve
commitment. For Reserve retirees entitled to pay at age 60, enter the date Reserve

116

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
retirement began.
For CIV, DAVTMP, DAVPRM, or MH, enter the date the sponsor's qualifying status
began.
E5.1.30. Block 30. CARD EX/ELIG END DATE. (Card Expiration Date and/or
Eligibility End Date and/or Guard/Reserve End Date.) Enter the appropriate sponsor
effective end date for DD Form 2, as prescribed in enclosure 3, attachment 2; or for DD
Forms 1173 or 1173-1, as prescribed in enclosure 4, attachments 2 and 3.
E5.1.31. Block 31. Privileges Authorized. In the spaces provided, enter the correct
abbreviation to show the benefits and privileges that the sponsor is authorized to receive.
(Use one character for each privilege category.)

MC

If the sponsor is entitled to medical care under the CHAMPUS/TRICARE, enter "C". If the
sponsor is not entitled to the CHAMPUS/TRICARE, enter "N".

MS

If the sponsor is authorized health care at Uniformed Services facilities (MS), enter "Y". If
the sponsor is not authorized MS, enter "N".

C

If the sponsor is authorized commissary privileges, enter "Y". If the sponsor is not
authorized commissary privileges, enter "N".

MWR If the sponsor is authorized morale, welfare, and recreation privileges, enter "Y". If the
sponsor is not authorized morale, welfare, and recreation privileges, enter "N".
EU

If the sponsor is authorized unlimited exchange privileges, enter "Y". If the sponsor is not
authorized unlimited exchange privileges, enter "N".

EL

If the sponsor is authorized limited exchange privileges, enter "Y". If the sponsor is not
authorized limited exchange privileges, enter "N".

Leave blank for Reserve members and Reserve retirees entitled to pay at age 60, but
who have not reached their sixtieth birthday.
E5.1.32. Block 32. END ELIG REASON. (End Eligibility Reason.) No longer
used.

E5.2. SECTION II - DEPENDENT INFORMATION
E5.2.1. Block 33. Name. Enter the dependent's name, as prescribed in block 1
above. A spouse may be issued an ID card in the legal name by which the spouse is
known, such as a maiden name.
E5.2.2. Block 34. Sex. Enter the sex of the dependent, as prescribed in block 2,
above.

117

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
E5.2.3. Block 35. Relationship. Enter the correct abbreviation to show the
dependent's relationship to the sponsor from the valid abbreviations listed in the left
column below: (Use no more than six characters.)
CH

Child

SC

Stepchild

URW

Unremarried widow(er) (never remarried)

UMW

Unmarried widow(er)

PL

Parent-in-law

SPL

Stepparent-in-law

PAR

Parent

STP

Stepparent

SP

Spouse

WARD

Legal ward

URFS02 Unremarried former spouse (meets 20-20-20 criteria)
URFS03 Unremarried former spouse (meets 20-20-15 criteria and marriage terminated before
April 1, 1985)
URFS04 Unremarried former spouse (meets 20-20-15 criteria and marriage terminated on or
after April 1, 1985)
URFS05 Unremarried former spouse (meets 10-20-10 criteria and marriage terminated on or
after October 23, 1992)
UMFS

Unmarried former spouse (meets 20-20-20 criteria and remarriage terminated by death
or divorce)

For Reserve members and Reserve retirees entitled to pay at age 60, only codes SP,
CH, SC, or WARD shall be used.
E5.2.4. Block 36. SSN. (Social Security Number.) Enter the dependent's SSN. In
cases where the dependent does not have a SSN, this block may be left blank. (Use nine
characters.)
E5.2.5. Block 37. ID No. (ID Card Number.) If a manually prepared DD Form
1173 or a manually prepared DD Form 1173-1 is being issued to the dependent, enter the
serial number in that block. If the transaction being performed is to terminate the
dependent's eligibility, that block need not be updated except to identify a card that may
be in the possession of an individual no longer entitled to the card. Such card should be
retrieved for destruction. (Use no more than nine characters.)
E5.2.6. Block 38. Last Update. Refer to block 11., above. No action required.
E5.2.7. Block 39. V/I. (Verify and/or Issue.) Enter the correct action, as
prescribed in block 12., above. For dependents of active duty sponsors who are no longer
eligible for benefits or for Guard and Reserve DEERS Enrollment Program dependents
who are no longer eligible for future benefits on mobilization of the sponsor, enter code
118

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
"T" and the appropriate code in block 60., below. For all other Reserve members and
Reserve retirees entitled to pay at age 60, leave blank.
E5.2.8. Block 40. Current Residence Address. Enter the number and street of the
dependent's residence address. If address is unknown, leave blank. (Use no more than
27 characters.)
E5.2.9. Block 41. Supplemental Address Information. Enter supplemental address
information, as prescribed in block 14., above.
E5.2.10. Block 42. City. Enter the dependent's current city of residence, as
prescribed in block 15., above.
E5.2.11. Block 43. State. Enter the correct postal abbreviation for the dependent as
prescribed in block 16., above.
E5.2.12. Block 44. ZIP Code. Enter the correct 9-digit ZIP Code of the
dependent's current residence address, as prescribed in block 17., above.
E5.2.13. Block 45. Country. Enter the dependent's correct country of residence, as
prescribed in block 18., above.
E5.2.14. Block 46. Home Telephone Number. Enter the dependent's current
residence telephone number, as prescribed in block 20., above.
E5.2.15. Block 47. Date of Birth. Enter the dependent's date of birth, as prescribed
in block 21., above.
E5.2.16. Block 48. MBI (Multiple Birth Indicator). Enter the applicable value to
identify dependents, whose dates of birth are within 10 months of each other. That value
is required even when those dependents are not twins, triplets, etc. (Use one character.)
Y - Yes, there are multiple birth dependents.
N - No, there are no multiple birth dependents.
E5.2.17. Block 49. STU (Student). If the dependent child is 21 or 22 years of age
and meets the criteria for entitlement as a fulltime student, enter "Y." If the dependent
child is 21 or 22 years of age and is not a student, enter "N" and make the necessary entry
in block 50., below. (Use one character.)

119

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
E5.2.18. Block 50. INCAP (Incapacitation Status). An entry must be made in that
block for each child over 21 years of age, who has been determined by the sponsor's
parent Uniformed Service to be entitled to benefits and privileges as an incapacitated
dependent. Enter the appropriate value from the left column, below: (Use one
character.)
N - Not incapacitated
P - Permanently incapacitated
T - Temporarily incapacitated
Verification of entitlement must be reestablished by the sponsor's parent Service for each
subsequent renewal or replacement of ID cards for temporarily incapacitated children.
E5.2.19. Block 51. Medicare. Enter the dependent's entitlement status for
Medicare Part A hospital insurance through the Social Security Administration, as
prescribed in block 27., above. Dependents of Reserve retirees, entitled to pay at age 60
and issued DD Form 1173-1, are not entitled to medical benefits. That block shall be left
blank.
E5.2.20. Block 52. Color Eyes. Enter the dependent's correct eye color, as
prescribed in block 23., above.
E5.2.21. Block 53. Color Hair. Enter the dependent's correct hair color, as
prescribed in block 24., above.
E5.2.22. Block 54. Height. Enter the dependent's height in inches. The valid range
is 00 to 96 inches. (Use two characters.)
E5.2.23. Block 55. Weight. Enter the dependent's weight in pounds, as prescribed
in block 26., above.
E5.2.24. Block 56. Marital Status Date (YYYYMMMDD). If the dependent's
relationship is SP, URW, UMW, URFS02, URFS03, URFS04, URFS05, or UMFS, enter
the date of marriage or marital status change. (Use nine characters.)
E5.2.25. Block 57. ELIG ST/MC EFF DATE (Eligibility Start Date and/or Civilian
Healthcare Effective Date or Medicare Part A Hospital Insurance Start Date). Enter the
effective start date of the dependent's eligibility for benefits and privileges, as prescribed
in enclosure 4, attachment 2. For dependents eligible for Medicare Part A, before age 65,
enter the date Medicare eligibility began. A "Q" or "D" must be entered in block 51.,
above, or block 79., below, if applicable to second dependent listed. (Use nine
characters.) After attaining age 65, enter the Medicare Part A hospital insurance start
date and enter an "0" in block 51., above, or block 79., below, if applicable to dependent
listed. For 20-20-20 former spouse not entitled to medical benefits because of enrollment
in employer-sponsored health plan, enter date that eligibility for health plan began and
120

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
indicate "N" in the MC block. For Reserve dependents and dependents of Reserve
retirees entitled to pay at age 60, who are issued Reserve dependent ID cards, that block
shall be left blank.
E5.2.26. Block 58. CARD EX/ELIG END DATE (Card Expiration Date and/or
Eligibility End Date). Enter the correct eligibility end date or card expiration date, as
prescribed in enclosure 4, attachment 2. (Use nine characters.) For Reserves, enter
maximum 4 years from date of verification of DD Form 1172, sponsor's expiration of
service date, or dependent's twenty-first birthday, whichever is earliest. For Reserve
retirees entitled to pay at age 60, enter maximum 4 years from date of verification of DD
Form 1172, dependent's twenty-first birthday, or sponsor's sixtieth birthday, whichever is
earlier. For students or incapacitated children see enclosure 4, attachment 2. If card is
not being issued to a newborn child, the eligibility end date is 10-1/2 year birthday.
E5.2.27. Block 59. Privileges Authorized. Enter the dependent's correct benefits
and privileges, as prescribed in block 31., above.
E5.2.28. Block 60. END ELIG REASON (End Eligibility Reason). If the
dependent's eligibility for benefits and privileges is to be terminated, enter the most
appropriate end eligibility reason abbreviation from the list in the left column, below.
When terminating eligibility, a "T" must also be entered in block 31., or block 67.,
below. (Use three characters.)
ACD Dependent entered active duty
DIV

Divorce and/or annulment

DMG Dependent married
DTH Death
EEN Active duty separation and/or discharge and/or premature loss and/or deserter and/or endof-entitlement and/or Reserve affiliation for Reserve members
ESS End of student status
ETI

Temporary incapacitation ends

TWF Twenty-first birthday (used with online system)
TWT Twenty-third birthday (used with online system)
UIS

Unauthorized issue

For Guard and Reserve DEERS Enrollment Program departments, only codes ACD,
DIV, DMG, DTH, ESS, ETI, TWF, and TWT apply.
E5.2.29. Blocks 61. through 88. Enter, as prescribed in blocks 33. through 60.,
above.

121

ENCLOSURE 5

DoDI 1000.13, December 5, 1997

E5.3. SECTION III - SPONSOR DECLARATION AND REMARKS
E5.3.1. Block 89. Remarks. Enter the method of verification and further
explanation of entitlement status, such as marriage certificate, birth certificate, or court
order for adoption. Enter a statement that the former spouse has not remarried since the
date of divorce from the member and does or does not have medical coverage under an
employer-sponsored health plan. The former spouse must initial this statement. For
issuance of DD Form 1173-1 to a Reserve family member, include a statement that this is
for issuance of DD Form 1173-1, only. Indicate other appropriate comments, such as
sponsor provides over 50-percent support, sponsor will not sign, or sponsor unavailable
to sign. (That block may contain up to five typed lines of information.)
E5.3.2. Block 90. Signature. Block must contain the sponsor's signature, with the
following exceptions: (Signature is required.)
E5.3.2.1. Unmarried or unremarried former spouses shall sign for themselves.
E5.3.2.2. When the sponsor is deceased the survivors shall sign for themselves.
E5.3.2.3. When the military sponsor is unavailable for signature, the verifying
official shall ensure that the dependency between the sponsor and family member exists.
Verifying official shall follow the guidance in the applicable Uniformed Service
regulation.
E5.3.2.4. When the DD Form 1172 is prepared for terminating eligibility and
the verifying official has viewed the appropriate documentation, the verifying official
may sign.
E5.3.2.5. A valid power of attorney is acceptable.
When the DD Form 1172 is not signed in the presence of the verifying official, the
signature must be notarized. The notary seal and signature should be placed in the right
margin of section III., above.
E5.3.3. Block 91. Date Signed (YYYYMMMDD). Enter the date that block 90.
was signed on the DD Form 1172.

E5.4. SECTION IV - VERIFIED BY
E5.4.1. Block 92. Type Name (Last, First, Middle). Enter the information
pertaining to the verifying official. (Use no more than 27 characters.)

122

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
E5.4.2. Block 93. Pay Grade. Enter the pay grade of the verifying official. (Use no
more than four characters.)
E5.4.3. Block 94. Unit and/or Command Name. Enter the unit and/or command
name for the verifying official. (Use no more than 26 characters.)
E5.4.4. Block 95. Title. Enter the verifying official's title. (Use no more than 24
characters.)
E5.4.5. Block 96. UIC (Unit Identification Code). Enter the unique identifier (UIC,
PAS code, RUC-MCC, or OPFAC) for the verifying office, as prescribed in block 19.,
above.
E5.4.6. Block 97. Duty Phone Number. Enter the verifying official's duty
telephone number. (Use no more than 14 characters.)
E5.4.7. Block 98. Unit and/or Command Address (Street, City, State, and ZIP
Code). Enter the mailing address for the verifying official. (Use no more than 28
characters.)
E5.4.8. Block 99. Signature. The verifying official must sign in that block. (That
block must contain the verifying official's signature.)
E5.4.9. Block 100. Date Verified (YYYYMMMDD). Enter the date of
verification. (Use nine characters.)

E5.5. SECTION V - ISSUED BY
E5.5.1. Blocks 101. through 109. Enter in the same manner as the verifying
official, as prescribed in section IV, above.

E5.6. SECTION VI - RECIPIENT'S ACKNOWLEDGMENT
E5.6.1. Block 110. Recipient's Signature. Each recipient must sign in that block.
If any recipient is incapable of signing or is an infant, the condition must be indicated in
that block. That block may contain multiple signatures.

123

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
E5.6.2. Block 111. Date Signed (YYYYMMMDD). Enter the date of recipient's
acknowledgment. (Use nine characters.)
Attachments - 2
E5.A1. DD Form 1172, "Application for Uniformed Services Identification Card DEERS Enrollment"
E5.A2. Sample Completed DD Form 1172

124

ENCLOSURE 5

DoDI 1000.13, December 5, 1997
E5.A1. ATTACHMENT 1 TO ENCLOSURE 5

125

ATTACHMENT 1, ENCLOSURE 5

DoDI 1000.13, December 5, 1997

126

ATTACHMENT 1, ENCLOSURE 5

DoDI 1000.13, December 5, 1997
E5.A2. ATTACHMENT 2 TO ENCLOSURE 5

127

ATTACHMENT 2, ENCLOSURE 5