Tip for DD Form 1172-2

The sponsor MUST be present, or the dependent must have a notarized DD-1172-2 signed by the sponsor

Tip for DD Form 1172-2

Schedule an appointment at the RAPIDS office — walk-ins may face long wait times

Tip for DD Form 1172-2

Bring original documents, not copies — the RAPIDS office needs to verify originals

Military / TRICAREmoderate

DEERS Enrollment Application

DD Form 1172-2 · Department of Defense

Application for Department of Defense Common Access Card (CAC) or DEERS Enrollment. Establishes beneficiary status for TRICARE eligibility.

Form Details

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Where to Submit This Form

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Submit at a DEERS/RAPIDS office on any military installation

https://www.dmdc.osd.mil/rsl/

Both the sponsor and dependent must be present (or sponsor can provide a DD-1172-2 signed in advance).

Filing Deadline

Must be completed to register dependents in DEERS for TRICARE eligibility. No specific deadline, but dependents cannot receive TRICARE benefits until registered.

Required Attachments

📎 Completed DD Form 1172-2 signed by the sponsor
📎 Sponsor's military ID (CAC)
📎 Dependent's birth certificate, marriage certificate, or adoption decree
📎 Dependent's Social Security card
📎 Two forms of ID for the dependent (if age 10 or older)

Processing Time

Same-day processing at the RAPIDS office. A military dependent ID card is issued on the spot.

What Happens Next

The dependent will be registered in DEERS and issued a military dependent ID card. They can then enroll in a TRICARE plan.

Tips for This Form

✓ The sponsor MUST be present, or the dependent must have a notarized DD-1172-2 signed by the sponsor
✓ Schedule an appointment at the RAPIDS office — walk-ins may face long wait times
✓ Bring original documents, not copies — the RAPIDS office needs to verify originals
✓ Update DEERS within 30 days of any qualifying life event (marriage, birth, divorce, etc.)

More Military / TRICARE Forms

TRICARE DoD/CHAMPUS Medical Claim

DD Form 2642 · Department of Defense

TRICARE medical claim form for beneficiaries seeking reimbursement when providers do not file claims directly. Must attach itemized bill on provider letterhead. Used by active duty, retirees, and family members.

TRICARE Enrollment (milConnect/DEERS)

Online enrollment · Defense Health Agency

Enrollment in TRICARE plan options (Prime, Select, etc.) through milConnect or DEERS update. Requires valid military ID.

TRICARE Referral / Pre-Authorization Request

Contractor-specific · TRICARE managed care contractors

Referral or prior authorization for specialty care, certain procedures, and medications under TRICARE Prime. Not required for TRICARE Select.

TRICARE Pharmacy Prior Authorization

Express Scripts PA form · Express Scripts (TRICARE pharmacy contractor)

Prior authorization for non-formulary medications or formulary drugs with utilization management requirements under TRICARE.

Post-Deployment Health Assessment

DD Form 2796 · Department of Defense

Post-Deployment Health Assessment completed by service members within 30 days of returning from deployment. Screens for deployment-related health concerns including mental health, environmental exposures, and injuries.

Post-Deployment Health Reassessment

DD Form 2900 · Department of Defense

Post-Deployment Health Reassessment completed 90-180 days after return from deployment. Follow-up screening for emerging health issues including PTSD, TBI, and other delayed-onset conditions.

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Department of Defense or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.