DD Form 1172-2 Instructions
The DD 1172-2 Form is divided into six sections. These sections provide information about the employee or sponsor, sponsoring agency and benefits eligibility. All the information being input must be valid and accurate. The penalty for false claims or statements is a fine of up to $10,000, a prison sentence of up to five years or both.
Section I is filled by the applicant and contains personal identifying information including the name, social security number, gender, pay grade, status, and detailed contact information of the individual.
Section II requires additional information regarding the current assignment and the benefits the individual is eligible for and is completed by the applicant or their department or agency.
The third section contains all details and lists contact information regarding the applicant's sponsoring group or agency. This part provides details about the applicant's position and assignment and further information about the sponsoring official: their name, pay grade and title. The section is then signed by a qualified official for authorization.
All personal and contact information about any dependents is listed in the fourth section of the DD 1172-2. The standard form allows listing of two individuals.
The applicant must then acknowledge the receipt of their ID Card in Section V.
A copy of the DD Form 1172-2 must be kept on hand for further reference or to use when filing amended DD 1172-2 Forms in the future.