Rule If the status is... then eligibility is verified by..
1 Guard and Reserve Commissioning oaths, enlistment contracts, DD Form 214, Separation Orders, Air Force Personnel Data System (PDS), or the ROTC unit commander (see note 1).
2 Retired with Pay A retirement order or DD Form 214 (see note 3)
3 100 percent DAV a DD Form 214 and a letter from the VA stating that the honorably discharged veteran is 100-percent disabled from a service-connected injury or disease, whether a reevaluation is necessary, and that commissary and exchange are authorized. (The applicant must present a letter for issue, reissue, or renewal of a card if their status is DAVTMP.)
4 Medal of Honor Recipient A departmental order or citation
5 Lawful spouse, including common law, widow, or widower A photo ID, a marriage certificate or SJA statement certifying common-law marriage, a death certificate or DD Form 1300, Report of Casualty (see notes 4 and 7). A widow or widower of a Reserve member who was eligible to receive a retired pay at age 60 (gray-area retiree) must present a marriage certificate, a death certificate, and either the sponsor's notification of eligibility for retired pay at age 60 (20-year letter), or the sponsor's retired pay order. A spouse or widow of a Philippine Scout must present a letter from the Department of Veterans' Affairs indicating eligibility to commissary, exchange privileges and that the member separated and applied for benefits under Public Laws 77-140 and 79-51, DD Form 2698, Application for Transitional Compensation.
6 Former spouse:
a. Unremarried 20-20-20 and 20-20-15
a marriage certificate (or statement from the SJA certifying common-law marriage) and divorce decree (see note 7) In addition, DD Form 1172, block 89, must contain a statement that the former spouse has not remarried and does not have an employer-sponsored health care plan. (For renewal or reissue, the former spouse certifies in item 89 of DD Form 1172 that he or she has not remarried and is not enrolled in an employer-sponsored health plan.), DD Form 2698, Application for Transitional compensation
  b. Remarried none--not eligible for benefits and privileges.
  c. Unremarried (20-20-20) one or more marriage certificates (or a statement from the SJA certifying one or more common-law marriages), prior divorce decrees, or death certificates. In addition, DD Form 1172, block 89, must contain a statement that the former spouse is not currently married (see note 7). Abused former spouses who remarry and become unmarried may reinstate full benefits and privileges. They do not have to qualify as a 20-20-20.
7 Child, unmarried under age 21:
  a. Legitimate parents' marriage certificate ad a birth certificate (see note 7).
  e. male member's illegitimate child
(the father's name on the birth certificate does not establish paternity for ID card entitlements.)
 
  e1.) Whose paternity has been judicially determined child's birth certificate and legal documents showing paternity was judicially determined (see note 7).
  e2.) Whose paternity has not been judicially determined and who does not live in the sponsor's household child's birth certificate and favorable dependency determination (see notes 5 and 7).
  e3.) Who lives in the sponsor's household and depends on the sponsor for more than 50 percent support child's birth certificate and statement of dependency and residency in Item 89 of DD Form 1172 (see note 7).
  e4.) Whose blood parents subsequently marry a marriage certificate and child's birth certificate (see note 7).
  f. Spouse's illegitimate child (the sponsor's illegitimate step-child) a marriage certificate, child's birth certificate, and statement of dependency and residency in block 89 of DD Form 1172 (see note 7).
  g. Ward
g1.) Entrusted to sponsor through court order.
child's birth certificate, legal decree from a United States court of competent jurisdiction. In addition, sponsor certifies in block 89 of the DD Form 1172 that he or she has had legal custody for 12 consecutive months or will have custody for at least 12 consecutive months. The sponsor must also certify in item 89 on DD Form 1172 that dependency and residency is met.
  g2.) Placed in legal custody through a placement agency document from Placement Agency (recognized by the Secretary of Defense) in the United States or a US territory licensed for the purpose of adoption by the state or territory in which the adoption procedures will be complete, which reflects child is in a pre-adoptive stage. In all other locations, a request for recognition must be approved by the appropriate Assistant Secretary of the Military Department concerned or an appropriate official to whom he or she has delegated approval authority; child's birth certificate.
  g3.) Pre-Adoptive Wards document from Placement Agency (recognized by the Secretary of Defense) in the United States or a US territory licensed for the purpose of adoption by the state or territory in which the adoption procedures will be complete, which reflects child is in a pre-adoptive stage. In all other locations, a request for recognition must be approved by the appropriate Assistant Secretary of the Military Department concerned or an appropriate official to whom he or she has delegated approval authority; child's birth certificate.
8 Children, unmarried over 21 years of age:
  a. Incapacitated the parents' marriage certificate, the child's birth certificate, a medical sufficiency statement, or physician's statement from a uniformed services medical treatment facility, a favorable dependency determination, letter from the Social Security Administration indicating that the child is not eligible for Medicare, Part A, and a statement that the child is unmarried (see note 6). Incapacitated children of honorably discharged members rated 100 percent disabled by the Department of Veterans' Affairs or Medial of Honor recipients are not required to present a dependency determination since medical care is not authorized through the Uniformed Services.
  b. Student (age 21 to 23) the parents' marriage certificate; the child's birth certificate; a letter from the school registrar certifying enrollment in a full-time course of study leading to an associate degree or higher, and anticipated graduation date. In addition, DD Form 11721, block 89, must contain a statement that the sponsor is (or was at time of death) providing more than 50 percent of the student's support (see note 7).
  c. Incapacitated Student (age 21-22) the parents' marriage certificate, the child's birth certificate, a letter from the school certifying full-time status at the time the incapacitation took place, a medical sufficiency statement, and a favorable dependency determination, letter from the Social Security Administration indicating that the child is not eligible for Medicare, Part A, and a statement that the child is unmarried. If the sponsor is deceased, a copy of the death certificate is also required (see notes 6 and 7). Incapacitated students of the honorably discharged members rated 100 percent disabled by the Department of Veteran's Affairs and Medal of Honor recipients are not requires to present a dependency determination since medical care through Uniformed Services is not authorized.

NOTES

1 A retired Reserve member awaiting pay at age 60 (gray-area retiree) must present either a notification of eligibility for retired pay (20-year letter) or an order that assigns him or her to the retired Reserve. the order must reflect the member's eligibility for retired pay at age 60.
2 Refer questions to parent service.
3 For a member on TDRL who is receiving the second 30-month blue card to receive CHAMPUS entitlement, DD Form 1172, block 89, must contain a statement that the member is not receiving Medicare, Part A. (EXCEPTION: see paragraph 2.25). Reserve retired members who retire at age 60 must present a letter from the appropriate Reserve Center or a retired pay order showing they are retired with pay on their 60th birthday or later. former members are entitled to the DD Form 1173 and must present a discharge order relieving them from assignment from the Reserve and a letter from the appropriate Reserve Center or a retired pay order showing they are retired with pay on their 60th birthday or later.
4 For a card reissue to a widow or widower, DD form 1172, block 89, must contain a statement that he or she has not remarried.
5 Require a dependency determination each time you issue a card.
6 Permanent Incapacitation. Do not require a current medial sufficiency statement or physician's statement when renewing an ID card for a permanently incapacitated child. Do not require a current dependency determination. The initial letter issued by the appropriate Service Finance Center that established dependency and residency may be used provided sponsor certifies in block 89 of the DD form 1172 that dependency and residency are still met, by using the following statement: I certify that I am providing over 50 percent support for the person who is, by virtue of this application, receiving an ID card. I understand that I am financially responsible for any medical care or other benefits which this person receives, effective the date of ID card issue, if it is subsequently determined that I was not providing over 50% support to this person. NOTE: A letter of approval from the Bureau of Naval Personnel is required when renewing ID cards for black or Marine dependents.

Temporary Incapacitation. Require a current medical sufficiency statement or physician's statement from a Uniformed Service Medical Treatment Facility and a current dependency determination when renewing an ID card for a child whose incapacitation is temporary.
7 Marriage certificates, divorce decrees, and marriage dissolutions or annulments must be certified. Birth certificates must be properly certified or certificate of live birth authenticated by the attending physician or other responsible person from a United States hospital or medical treatment facility. Birth certificates must also show the name of at least one parent. Copies are permissible. A temporary ID card may be issued until the certified copy of the marriage certificate or birth certificate is received. NOTE: For certified documents, this includes official copies of documents (whether called certified copies or not), as long as they qualify under the laws of the state where made to be introduced into evidence in court. Usually such copies will be accompanied by a statement (either attached or on the copy itself) of the records custodian attesting to the copy's authenticity and will be assigned by the custodian.

7.1. Require an English translation when foreign documents are presented.

7.2. All but children require photo ID.