Application for Identification Card/DEERS Enrollment

OMB 0704-0415

OMB 0704-0415

This information collection requirement is necessary to validate eligibility for all individuals applying for DoD benefits and privileges. These benefits and privileges include but are not limited to, medical coverage, DoD identification cards, access to DoD installations, buildings or facilities, and access to DoD computer systems and networks. This information collection is required to obtain the necessary data elements to determine eligible individual's benefits and privileges, to provide a proper identification card reflecting those benefits and privileges, and to maintain a centralized database of the eligible population.

The latest form for Application for Identification Card/DEERS Enrollment expires 2023-04-30 and can be found here.


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