Exchange Identification and Privilege Card Application

OMB 0702-0129

Dependents and Exchange Retirees wishing to obtain or maintain status as an Exchange authorized patron for shopping privileges submit applications for an approved patronage card.

The latest form for Exchange Identification and Privilege Card Application expires 2022-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Exchange Form 1100 Identification and Privilege Card Application Form
0702-0129_SSNJ Memo_2.1.2024.pdf Supplementary Document
0702-0129_DraftPIA_1.10.2025.pdf Supplementary Document
0702-0129_SSA_1.10.2025.docx Supporting Statement A
Identification and Privilege Card Application Form

All Historical Document Collections

202501-0702-003	Revision of a currently approved collection	2025-01-21
202112-0702-002 Approved without change	Revision of a currently approved collection	2021-12-30
201812-0702-001 Approved without change	Extension without change of a currently approved collection	2018-12-19
201511-0702-001 Approved with change	Existing collection in use without an OMB Control Number	2015-11-18