Dd Form 1173 PDF Details

Dd Form 1173 is a form used by the Department of Defense to request information about an individual. The form can be used for a variety of purposes, including employment verification and criminal history checks. Completing the form accurately is essential, as it will provide your contact information, education history, and other important details. Failure to provide accurate information may delay or impede the verification process.

Here is the details relating to the file you were looking for to fill out. It can tell you how long it will need to finish dd form 1173, what fields you will have to fill in and some additional specific facts.

QuestionAnswer
Form NameDd Form 1173
Form Length24 pages
Fillable?No
Fillable fields0
Avg. time to fill out6 min
Other namesdd form 1173 1 No Download Needed, dd 1173 card, dd form 1173 1 id card, avery 1173

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Manage Identity Credential

Authoritative Sources:

Department of Defense Instruction (DoDI) 1000.01

Identification (ID) Cards Required by the Geneva Conventions

April 16, 2012, Incorporating Change 1, June 9, 2014

Department of Defense Instruction (DoDI) 1000.13

Identification (ID) Cards for Members of the Uniformed Services, Their Dependents, and Other Eligible

Individuals

December 5, 1997

Business Process Standards:

A business process standard was not directed by law or DoD policy.

Business Rule Standards:

ID_Card_DD_ Form_1173_General_Former_Member_Definition

A former member must be taken to mean to be a person in receipt of retired pay for non-Regular service but discharged from the Service and maintains no military affiliation.

References:

DoDM 1000.13, Vol. 1, Glossary, Part II, former member

ID_Card_DD_Form_1173_1_Dependent_Authorization_Policy

The Service concerned must issue the Department of Defense Guard and Reserve Family Member Identification Card, Department of Defense (DD) Form 1173-1, to the dependents of a Reserve Component member for authorization of full benefits for a period not to exceed 270 days if each of the following is true:

-The DD Form 1173-1 is accompanied by the member's valid Active Duty orders.

-The member is called to Active Duty by congressional decree or Presidential call-up under 10 USC 1209.

References:

DoDI 1000.13, Para. 6.1.6

ID_Card_DD_Form_1173_1_Dependent_Identification_Policy

The Department of Defense Guard and Reserve Family Member Identification Card, Department of

Defense Form 1173-1, is used to identify individuals as dependents of the following:

-Ready Reserve members not on Active Duty in excess of thirty days

-Standby Reserve members

-Retired Reserve members who are entitled to retirement pay at age sixty who have not reached age sixty

References:

DoDI 1000.13, Para. 6.1.6

ID_Card_DD_Form_1173_1_Dependent_Issuance

The Department of Defense Guard and Reserve Family Member Identification Card, Department of

Defense Form 1173-1, must be issued to the following:

-A dependent of a Reserve Component member not on Active Duty in excess of thirty days.

-A dependent of a Retired Reserve member entitled to retired pay by age sixty but is not receiving retirement pay.

-An unremarried spouse and dependent(s) of a Reserve member who has earned twenty qualifying

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years for retirement and each of the following is true:

-The member was in receipt of Notice of Eligibility for Retirement pay at age sixty yet has not reached age sixty.

-The member has not transferred to the Retired Reserve.

-The member died before reaching age sixty.

-An unremarried spouse and dependent(s) of a Retired Reserve member entitled to retired pay at age sixty who died before reaching age sixty.

References:

DoDI 1000.13, Para. 6.2.7

CHRIS:

Dependent Residence Address

Dependent Residence Address Effective Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Birth Date

Person Department of Defense Identification Number

Person Family Relationship

Person Health Medical Condition Code Reference

Person Marital Status

Person Marital Status Effective Date

ID_Card_DD_Form_1173_1_Eligible_Dependent_Definition

An eligible dependent of a Reserve Component member for the Department of Defense Guard and Reserve Family Member Identification Card, Department of Defense Form 1173-1, must be taken to mean one of the following:

-spouse

-child

-stepchild

-ward

-dependent child twenty-one years of age or older if incapacitated

-dependent child up to twenty-three years of age if a student

References:

DoDI 1000.13, Encl. 5, Para. E5.2.17 DoDI 1000.13, Para. 6.2.7

ID_Card_DD_Form_1173_1_Issuance_Restriction

The Service concerned must not issue the Department of Defense Guard and Reserve Family Member Identification Card, Department of Defense Form 1173-1, to any of the following:

-a dependent child(ren) under age ten unless one of the following is true:

-The child does not reside in the household of an eligible adult family member.

-The child is a dependent of a joint Service married couple.

-The child is living with a sponsor who is a single parent.

-The child is over twenty-one and is incapacitated or a student.

-a child over twenty-one years of a Reserve or Retired Reserve member

-a former spouse

-a dependent of a Reserve Component sponsor executing Active Duty orders for more than thirty

days

-a former (discharged) member entitled to pay at age sixty, who has not reached the age of sixty or the member's eligible dependents

-an individual for the sole purpose of identification

References:

DoDI 1000.13, Para. 6.2.8.2

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CHRIS:

Dependent Residence Address

Dependent Residence Address Effective Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Birth Date

Person Department of Defense Identification Number

Person Family Relationship

Person Health Medical Condition Code Reference

Person Marital Status

Person Marital Status Effective Date

ID_Card_DD_Form_1173_Benefits_And_Privileges_Policy

The Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, is the property of the United States Government used to identify individuals eligible for benefits and privileges administered by the Services and the card must be:

-maintained in the personal custody of the individual to whom issued at all times

-surrendered for identification and investigation, if required by military authority

References:

DoDI 1000.13, Para. 6.1.5.1

ID_Card_DD_Form_1173_Benefits_And_Privileges_Policy

The Service concerned must provide a member's dependent(s) an identification card to be used as an authorization card for benefits and privileges.

References:

DoDI 1000.13, Para. 4

ID_Card_DD_Form_1173_Deceased_Member_With_20_Qualifying_Years

The Service concerned must issue a deceased Reserve Component member's dependent(s) a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, on or after the date the member would have been sixty years old, had the member survived, if each of the following is true:

-The member had at least twenty qualifying years for retirement.

-The member had not transferred to the Retired Reserve.

-The member was in receipt of the Notice of Eligibility for Retirement pay prior to death.

References:

DoDI 1000.13, Para. 6.2.5.7

CHRIS:

Full-time National Guard Duty Start Date

Full-time National Guard Duty Stop Date

Member Duty Status

Member Duty Status Effective Date-Time

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Birth Date

Person Death Date

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Person Department of Defense Identification Number

Person Marital Status

Person Marital Status Effective Date

Separation Reason

ID_Card_DD_Form_1173_Dependent_Deceased_Member_Died_On_AD_Or_Retired_With_Pay

The Service concerned must issue a deceased member's dependent(s) a Uniformed Services

Identification and Privilege Card, Department of Defense Form 1173, if each of the following is true:

-The member died while on Active Duty under orders that specified a period of more than thirty days.

-The member died while in a retired-with-pay status.

References:

DoDI 1000.13, Para. 6.2.5.3

CHRIS:

Full-time National Guard Duty Start Date

Full-time National Guard Duty Stop Date

Member Duty Status

Member Duty Status Effective Date-Time

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Death Date

Person Department of Defense Identification Number

Person Family Relationship

Person Identification Type

Person Identification Type Start Date

Person Identification Type Stop Date

Person Marital Status

Person Marital Status Effective Date

Retired/Retainer Pay Receipt Status

Retired/Retainer Pay Receipt Status Effective Date

Retirement Effective Date

ID_Card_DD_Form_1173_Dependent_Issuance

The Service concerned must issue the Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to dependents in each of the following categories:

-a dependent of an Active Duty member

-a dependent of a Reservist on Active Duty for more than thirty days

-a dependent of a retired member entitled to retired pay

-a dependent of a member who is eligible for retired pay, but separated due to misconduct involving dependent abuse (including dual status members)

-a dependent of an Active Duty member entitled to retired pay based on twenty or more years of service who is separated due to misconduct and a court order provides annuity from disposable retired pay to abused dependents.

-a dependent of a member not entitled to retired pay who was separated from Active Duty or forfeited all Pay and Allowances under a court-martial sentence resulting from a dependent abuse offense

-a dependent of a member who was administratively separated from Active Duty and at least one of the following is true:

-The basis for separation includes a dependent-abuse offense.

-The member was separated on or after November 30, 1993, when the dependent was eligible for transitional privileges.

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Manage Identity Credential

References:

DoDI 1000.13, Para. 6.2.5.1

CHRIS:

Dependent Residence Address

Dependent Residence Address Effective Date

Geneva Convention Category

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Birth Date

Person Department of Defense Identification Number

Person Eye Color

Person Family Relationship

Person Full Legal Name

Person Hair Color

Person Height

Person Marital Status

Person Marital Status Effective Date

Person Military Record Correction Discovery Date

Person Residence Address

Person Sex

Person Telephone Number

Person Telephone Number Type

Person Weight

Separation Reason

ID_Card_DD_Form_1173_Dependent_Of_Member_With_Service_Connected_Death

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to the dependent(s) of a member who died from a Service-connected injury or disease if one of the following is true:

-The member was a Medal of Honor recipient.

-The member was honorably discharged with a Veterans Administration disability rating of one hundred percent.

References:

DoDI 1000.13, Para. 6.2.5.10

CHRIS:

Disability Percentage

Member Duty Status

Member Duty Status Effective Date-Time

Member Military Award Name

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

OBE - Member Dependent Dependency Type

Person Casualty Circumstance Remark

Person Death Date

Person Department of Defense Identification Number

ID_Card_DD_Form_1173_Dependent_Of_RC_Member_Died_After_November_14_1986

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to the dependent(s) of a deceased Reserve Component member whose death occurred after November 14, 1986 if the member died as the result of injury, illness, or disease incurred or aggravated while the member was in one of the following statuses:

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Manage Identity Credential

-on Active Duty for a period of thirty days or less

-on Active Duty for training

-on inactive duty training

-traveling to or from a location in order to perform Active Duty, Active Duty for training, or inactive duty training

References:

DoDI 1000.13, Para. 6.2.5.6

CHRIS:

Member Duty Status

Member Duty Status Effective Date-Time

Member Inactive Duty Service Start Date-Time

Member Inactive Duty Service Stop Date-Time

Member Inactive Duty Service Type

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Casualty Circumstance Remark

Person Death Date

Person Department of Defense Identification Number

Person Family Relationship

Person Marital Status

Person Marital Status Effective Date

ID_Card_DD_Form_1173_Dependent_Of_RC_Member_Died_On_Or_Before_September_30_19

85 The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to the dependent(s) of a deceased Reserve Component member whose death occurred on or before September 30, 1985 if the member died as the result of injury or illness incurred or aggravated while the member was in one of the following statuses:

-on Active Duty for a period of thirty days or less

-on Active Duty for training

-on inactive duty training

-traveling to or from a location in order to perform Active Duty, Active Duty for training, or inactive duty training.

References:

DoDI 1000.13, Para. 6.2.5.5

CHRIS:

Member Duty Status

Member Duty Status Effective Date-Time

Member Inactive Duty Service Start Date-Time

Member Inactive Duty Service Stop Date-Time

Member Inactive Duty Service Type

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Casualty Circumstance Remark

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Person Death Date

Person Department of Defense Identification Number

Person Family Relationship

Person Marital Status

Person Marital Status Effective Date

ID_Card_DD_Form_1173_Dependent_Of_RC_Member_Retired_Without_Pay

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Form 1173, to the dependent(s) of a deceased Reserve Component member on or after the date on which the member would have been sixty years old had the member survived if each of the following is true:

-The member retired without pay.

-The member met time-in-service requirements for retirement.

-The member died before reaching age sixty.

References:

DoDI 1000.13, Para. 6.2.5.8

CHRIS:

Member Duty Status

Member Duty Status Effective Date-Time

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Death Date

Person Department of Defense Identification Number

Person Family Relationship

Person Marital Status Effective Date

ID_Card_DD_Form_1173_For_Dependent_Of_RC_Member_Died_After_September_30_1985

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to the dependent(s) of a deceased Reserve Component member whose death occurred after September 30, 1985 if the member died as the result of injury or illness incurred or aggravated while the member was in one of the following statuses:

-on Active Duty for a period of thirty days or less

-on Active Duty for training

-on inactive duty training

-traveling to or from a location in order to perform Active Duty, Active Duty for training, or inactive duty training

References:

DoDI 1000.13, Para. 6.2.5.4

CHRIS:

Member Duty Status

Member Duty Status Effective Date-Time

Member Inactive Duty Service Start Date-Time

Member Inactive Duty Service Stop Date-Time

Member Inactive Duty Service Type

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

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OBE - Member Dependent Dependency Type

Person Casualty Circumstance Remark

Person Death Date

Person Department of Defense Identification Number

Person Family Relationship

Person Marital Status

Person Marital Status Effective Date

ID_Card_DD_Form_1173_Former_Spouse_10_20_10

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to an unremarried former spouse of a member or a retired member based on the ten-twenty-ten status if each of the following is true:

-The unremarried former spouse was married to the member or retired member for at least ten years.

-The member or retired member performed at least twenty years of service that was creditable in determining the member's or retired member's eligibility for retired, retainer or equivalent pay.

-The period of overlap between the member's or retired member's creditable service and marriage to the unremarried former member is at least ten years.

-The member was separated from the Service due to misconduct involving spousal or child abuse.

-The divorce, dissolution or annulment of the marriage was after October 22, 1992.

-A court order provides annuity to the former spouse from the member's disposable retired pay.

References:

DoDI 1000.13, Para. 6.2.5.2.3

CHRIS:

Full-time National Guard Duty Start Date

Full-time National Guard Duty Stop Date

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Reserve Retirement Anniversary Date

Member Reserve Retirement Qualifying Year Quantity

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Birth Date

Person Department of Defense Identification Number

Person Family Relationship

Person Identification Type

Person Identification Type Start Date

Person Identification Type Stop Date

Person Marital Status

Person Marital Status Effective Date

Reserve Retirement Point Quantity

Retirement Effective Date

ID_Card_DD_Form_1173_Former_Spouse_10_20_10_Reissue_Policy

The Service concerned must reissue the Uniformed Services Identification and Privilege Card, Department of Defense (DD) Form 1173, to a former spouse of a member or a retired member who previously had a DD Form 1173 based on ten-twenty-ten status if the former spouse's remarriage ends in annulment, divorce or death.

References:

DoDI 1000.13, Para. 6.2.5.2.3

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ID_Card_DD_Form_1173_Former_Spouse_20_20_15

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to an unremarried former spouse of a member or retired member based on the twenty-twenty-fifteen status if each of the following is true:

-The unremarried former spouse was married to the member or retired member for at least twenty years.

-The member or retired member performed at least twenty years of service that was creditable in determining the member's or retired member's eligibility for retired, retainer or equivalent pay.

-The period of overlap between the member's or retired member's creditable service and marriage to the unremarried former spouse is at least fifteen years but less than twenty years.

-The divorce, dissolution or annulment of the marriage was before April 1, 1985.

References:

DoDI 1000.13, Para. 6.2.5.2.2

CHRIS:

Full-time National Guard Duty Start Date

Full-time National Guard Duty Stop Date

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Reserve Retirement Anniversary Date

Member Reserve Retirement Qualifying Year Quantity

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Department of Defense Identification Number

Person Family Relationship

Person Marital Status

Person Marital Status Effective Date

Reserve Retirement Point Quantity

Retirement Effective Date

ID_Card_DD_Form_1173_Former_Spouse_20_20_20

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to an unremarried former spouse of a member or retired member based on the twenty-twenty-twenty status if each of the following is true:

-The unremarried former spouse was married to the member or retired member for at least twenty years.

-The member or retired member performed at least twenty years of service that was creditable in determining the member's or retired member's eligibility for retired, retainer or equivalent pay.

-The period of overlap between the member's or retired member's creditable service and marriage to the unremarried former spouse is at least twenty years.

References:

DoDI 1000.13, Para. 6.2.5.2.1

CHRIS:

Full-time National Guard Duty Start Date

Full-time National Guard Duty Stop Date

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Reserve Retirement Anniversary Date

Member Reserve Retirement Qualifying Year Quantity

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

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Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Department of Defense Identification Number

Person Family Relationship

Person Marital Status

Person Marital Status Effective Date

Reserve Retirement Point Quantity

Retirement Effective Date

ID_Card_DD_Form_1173_Former_Spouse_Reserve_20_20_15

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to an unremarried former spouse of a Reserve or recalled Retired Reserve member based on the twenty-twenty-fifteen status during the period the member is on Active Duty when each of the following is true:

-The Reserve member or recalled Retired Reserve member is under age sixty.

-The Reserve member or recalled Retired Reserve member is on Active Duty in excess of thirty days.

-Less than one year has passed since the divorce, dissolution or annulment of marriage.

References:

DoDI 1000.13, Para. 6.2.5.2.6

CHRIS:

Member Reserve Component Active Duty Start Date

Member Reserve Component Active Duty Stop Date

Member Uniformed Service Branch

Member Uniformed Service Branch Start Date

Member Uniformed Service Branch Stop Date

Member Uniformed Service Component Type

Member Uniformed Service Component Type Start Date

Member Uniformed Service Component Type Stop Date

OBE - Member Dependent Dependency Type

Person Birth Date

Person Contractual Agreement Effective Date

Person Contractual Agreement Type

Person Department of Defense Identification Number

Person Family Relationship

Person Marital Status

Person Marital Status Effective Date

Retirement Effective Date

ID_Card_DD_Form_1173_Former_Spouse_Reserve_20_20_20

The Service concerned must issue a Uniformed Services Identification and Privilege Card, Department of Defense Form 1173, to an unremarried former spouse of a Reserve member or recalled Retired Reserve member during the period the member is on Active Duty if each of the following is true:

-The unremarried former spouse was married to the Reserve member or recalled Retired Reserve member for at least twenty years.

-The Reserve member or recalled Retired Reserve member performed at least twenty years of service that was creditable in determining the Reserve member's or recalled Retired Reserve member's eligibility for retired, retainer or equivalent pay.

-The period of overlap between the Reserve member or recalled Retired Reserve member's creditable service and marriage to the unremarried former spouse is at least twenty years.

-The Reserve member or recalled Retired Reserve member is on Active Duty in excess of thirty days.

-The Reserve member or recalled Retired Reserve member is under the age of sixty.

References:

DoDI 1000.13, Para. 6.2.5.2.5

As of September 30, 2014

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