Application for Surrogate Association for DoD Self-Service (DS) Logon

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 2027-12-31 and is listed under ICR 202409-0704-007.