DD Form 2792-1 at a glance
What it is: DD Form 2792-1, the Early Intervention / Special Education Summary, is completed to identify a family member with early intervention / special education needs.
Who signs: The sponsor, spouse, legal guardian, or student who has reached the age of majority signs Items 7.a. - d. and completes the form.
Where and when to file: If child is under 5 years of age, is not enrolled in school, a home school program, or engaged with an Early Intervention Services program, and does not have any identified needs, the parents or guardians can fill out and sign page 2 of the DD Form 2792-1 and return it to the requesting office. The completion of Page 3 is not required in this case.
Items 1 - 7 are to be completed by the sponsor, spouse, legal guardian, or student who has reached the age of majority.
A filled-in DD Form 2792-1 example: a parent completes page 2 for a seven-year-old
How to fill out DD Form 2792-1, box by box
1. Request
Item 1, Request: select one of EFMP Enrollment or Update, Request for Government Sponsored Travel and Request Change in EFMP Status.
EFMP Enrollment or Update is the first enrollment application for the family member or an update of a previous evaluation for the family member.
Request Change in EFMP Status: No longer requires IEP / IFSP, No longer qualifies as a dependent, Divorce / change in custody* or Family member deceased (*Provide documentation to change status).
2. Child / student information
Items 2.a. - h. Child / Student Information. Self-explanatory. 2. Child / Student Information (To be completed by sponsor, spouse, legal guardian, or student who has reached the age of majority): 2a. Child / Student Name and 2b. Sponsor Name, each as Last, First, Middle Initial.
2c. Enter the Child / Student Current Mailing Address: Street, Apartment Number, City, State, ZIP Code, APO / FPO.
2d. Family Member Prefix and 2e. Child / Student Date of Birth (YYYYMMDD).
2f. Child / Student Sex: select one, Male or Female.
2g. Family Home E-mail Address and 2h. Home Telephone Number (Include Country Code / Area Code).
3. Sponsor information
Items 3.a. - h. Sponsor Information. Self-explanatory. 3a. Sponsor Rank or Grade, 3b. Installation of Sponsor's Current Assignment (Include City, State, Country) and 3c. Sponsor's Official E-mail Address.
3d. Duty Telephone Number and 3e. Mobile Number, each including Country Code / Area Code.
3f. Status: select one of Regular Active Service Member, Active Reserve, Active Guard, Reserves, National Guard or Civilian.
3g. Branch of Service (Military Only): Army, Navy, Air Force, Marine Corps or Coast Guard.
3h. Does child reside with sponsor? Select one, Yes or No. If No, explain.
Item 3.i. Child / student enrolled in Defense Enrollment Eligibility Reporting System (DEERS) under another sponsor. Self-Explanatory. 3i. Is the child / student enrolled in DEERS under a sponsor other than the one listed in 3a. - 3h.? Select one, Yes or No. If Yes, provide name of sponsor.
4. Both spouses on active duty
Items 4a. - d. Self-explanatory. 4a. Are both spouses on active duty? (Military Only.) Select one, Yes or No. If Yes, complete 4b.- 4d.
4b. Active Duty Spouse's Name (Last, First, Middle Initial), 4c. Branch of Service and 4d. Rank / Rate.
5. Children from birth to age three only
Item 5. Completed for children age birth to 3. 5. For children from birth to age three only: select one, Yes or No. Is your child being evaluated for, or eligible for early intervention services on an Individualized Family Service Plan (IFSP)?
If No, sign Item 7 and return to the requesting office. If Yes, have early intervention professional complete page 3.
6. Education services for dependents 3 years and older
Item 6, Education Services for Dependents 3 Years and Older. Items 6.a. - c. Completed for children ages 3 to 21 only. Children who are ages 3 to 5 should have the DD Form 2792-1 completed at the school the child would normally attend for kindergarten. High school graduates, students who have passed the G.E.D., and college students are not required to complete the DD Form 2792-1. NOTE: For 6.c., students that are home-schooled are eligible to receive some form of special education services in the public school setting. Therefore they may have a private school service plan. Include a copy of the service plan as applicable.
6a. Is your child being home-schooled full-time or part-time? Select one: Yes, Part-Time, Yes, Full-Time or No. If Yes, complete 6a(1) and 6a(2).
6a(1). When did you start home-schooling? (YYYYMMDD) 6a(2). Name of home school program/title of courses.
6b. Is your child being evaluated for, or receiving, special education services on an IEP? Yes or No. If Yes, have the child's school (or primary care provider if school is not in session) complete page 3.
6c. List any special education-related services received in the last 3 years (include a copy of the service plan as applicable).
7. Release of information
7. Release of Information (To be completed by sponsor, spouse, legal guardian, or student who has reached the age of majority): I hereby authorize the release of information on the DD Form 2792-1, and the attached reports to appropriate personnel of the Department of War.
This information will be used to evaluate and document the child / student's needs for educational services for the purpose of assignment coordination, EFMP enrollment, or eligibility for other educationally related benefits.
Sign 7a. Signature, then enter 7b. Printed Name, 7c. Relationship to Child / Student and 7d. Date (YYYYMMDD).
8. Administrative review
8. Administrative Review (Completed after review of entire form by local MTF or office receiving form.)
More rules for DD Form 2792-1
DD Form 2792-1 is completed by the parents and school or early intervention staff. Only this form should be provided to school or early intervention staff. Do not include medical information forms that may be used for family member travel screening or EFMP enrollment.
Page 2, Items 1 - 7 to be completed by sponsor, parent, or legal guardian. Read Privacy Act Statement and Instructions before completing the form.
If your situation is different
The sponsor also completes Items 9 and 10 on page 3
9. Release of Information (To be completed by sponsor, spouse, legal guardian, or student who has reached the age of majority) on the DD Form 2792-1. Items 9.a. - d. Sponsor Information. Signature of sponsor, spouse, legal guardian, or student who has reached the age of majority is REQUIRED to authorize the school to release information. 9a. Printed Name, 9b. Signature (sign), 9c. Relationship to Child / Student and 9d. Date (YYYYMMDD).
Items 10.a. - d. Child / Student Information. Completed by sponsor, spouse, or legal guardian. 10a. Name of Child / Student (Last, First, Middle Initial).
10b. Current Grade Level (if school age), 10c. Date of Birth (YYYYMMDD) and 10d. Sex (Select one): Male or Female.
A school or early intervention program completes page 3
If applicable, attach a copy of the child's most recent active Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP).
Item 11, Early Intervention Services (EIS), for children under 3 years of age, is to be completed by EIS representative. Items 11.a. - e. Mark (X) Yes or No for each item. Include additional information as noted.
Item 12, School Information, for students ages 3 - 21, is to be completed by school representative - answer all questions. Items 12.a. - f. Completed by school personnel at the school the child attends. Mark (X) Yes or No for each item. Include additional information as noted.
Item 13, Eligibility Category for Children 3 to 21 Years of Age, is completed by school personnel. Mark (X) eligibility category. Mark only one.
Item 14, Related Services on IEP, is completed by school personnel. Mark (X) all related services provided and indicate total time services are provided.
Items 15.a - c. Completed by EIS and school personnel. Items 16.a - j. Completed by EIS provider / school official information completing the form.
Sources
[1] DD Form 2792-1 (FEB 2025), Early Intervention / Special Education Summary, Washington Headquarters Services (the Official source link on this page).