This form is submitted to DoD to establish a Defense Enrollment Eligibility Reporting System (DEERS) record and surrogate association for issuance of a DoD Self-Service (DS) Logon. A surrogate may be established: (1) As the custodian of an unmarried minor child(ren) of a deceased Service member who is under age 18, who is at least 18 but under 23 and attending school full-time, or who is incapacitated. (2) As the agent of an incapacitated dependent (e.g., spouse, parent). (3) As the agent of a wounded, ill, or incapacitated Service member.
The latest form for Application for Surrogate Association for DoD Self-Service (DS) Logon expires 2021-09-30 and can be found here.
Document Name |
---|
Form |
Supplementary Document |
Supporting Statement A |
Supplementary Document |
Revision of a currently approved collection | 2024-11-14 | ||
Approved without change |
Revision of a currently approved collection | 2021-09-28 | |
Approved without change |
Existing collection in use without an OMB Control Number | 2018-07-27 | |
Comment filed on proposed rule |
New collection (Request for a new OMB Control Number) | 2016-10-07 |