Secondary Dependency Application Form

OMB 0730-0014

Information is used to certify dependency or obtain information to determine entitlement to Basic Allowance for Housing (BAH) at the dependents rate, travel allowance, or Uniformed Services Identification and Privilege (USIP) card. Information regarding a parent, an incapacitated child over age 21, a full time student 21-22 years of age or a ward of a court is provided by the military member or by another individual who may be a member of the public.

The latest form for Secondary Dependency Application Form expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DD-137-7 Dependency Statement - Ward of a Court Form and Instruction
Form DD-137-6 Dependency Statement - Full Time Student 21-22 Years of Age Form and Instruction
Form DD Form 137 Secondary Dependency Application Form Form and Instruction
Form DD-137-3 Dependency Statement - Parent Form and Instruction
0730-0014_SSA_6.26.2024.docx Supporting Statement A
Dependency Statement - Ward of a Court Form and Instruction
Dependency Statement - Full Time Student 21-22 Years of Age Form and Instruction
Secondary Dependency Application Form Form and Instruction
Dependency Statement - Parent Form and Instruction

All Historical Document Collections

202406-0730-001 Approved without change	Revision of a currently approved collection	2024-06-27
202101-0730-001 Approved without change	Revision of a currently approved collection	2021-05-18
201712-0730-002 Approved with change	Reinstatement with change of a previously approved collection	2017-12-28
201406-0730-001 Approved with change	Reinstatement with change of a previously approved collection	2014-06-26
200709-0730-001 Approved without change	Extension without change of a currently approved collection	2007-09-28
200406-0730-001 Approved without change	Reinstatement without change of a previously approved collection	2004-06-22
200102-0730-001 Approved without change	New collection (Request for a new OMB Control Number)	2001-02-13