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Navy: Complete Claims Package (by dependent type)

Your secondary dependent claim package should include the following documents and forms (based on dependent relationship). Be sute to include all the items and that forms are filled out completely with all required signatures. Be sure the forms are legible to minimize any delays in processing.

Make sure you send your secondary dependency claim to the correct office. Offices responsible for determining dependency based on the type of dependent is included below.

Check out our Helpful Hints page for use in filling out the forms required for your secondary dependency claims package.

NOTE: The forms listed in the tables below are linked to online official forms for your use.



NOTE
: Secondary dependency claims for Parents, Parents-in-LawIn Loco Parentis and Legal Custody Wards should be submitted to:

Mail:
  
DFAS - Cleveland
ATTN: Dependency Claims
1240 East 9th Street
Cleveland, OH 44199 
 
Toll Free Number:  1-888-332-7411
Commercial Phone: 216-204-4590
FAX:  216-367-3527
Email:  ccl-navy-secondary-dependency@dfas.mil

PARENTS, PARENTS-IN-LAW
FORMS/DOCUMENTS
DD Form 137-3
Verification of dependent's income
Copy of NAVPERS 1070/602 (Dependency Application/Record of Emergency Data): ACTIVE DUTY NAVY ONLY
Proof of relationship - Copy of spouses birth certificate and your marriage certificate.
DD 1172-2  (Application for Identification Card/DEERS Enrollment): RETIRED NAVY ONLY
NOTE: In loco parentis dependents are not eligible for USIP cards.

IN LOCO PARENTIS
FORMS/DOCUMENTS
DD Form 137-3
Verification of dependent's income
Copy of NAVPERS 1070/602 (Dependency Application/Record of Emergency Data): ACTIVE DUTY NAVY ONLY
DFAS Form 9124 (for initial application)
NOTE: In loco parentis dependents are not eligible for USIP cards.

LEGAL CUSTODY WARDS
FORMS/DOCUMENTS
DD Form 137-7
Guardianship documents on initial application - Must be signed by a judge of a U.S. court jurisdiction
Copy of birth certificate
Copy of NAVPERS 1070/602 (Dependency Application/Record of Emergency Data): ACTIVE DUTY NAVY ONLY
DD 1172-2  (Application for Identification Card/DEERS Enrollment): RETIRED NAVY ONLY



NOTE: Secondary Dependency claims for Incapacitated Children must be submitted to:

Mail:  
PERS 31-D   
Benefits and Eligibility Section
5720 Integrity Drive
Millington, TN 38055-3120

 
Toll Free Number:  1-866-827-5672
DSN: 822-3360
FAX:  901-874-2766
Email:  CSMailbox@navy.mil

INCAPACITATED CHILD (21 YEARS OR OVER)
FORMS/DOCUMENTS
DD Form 137-5
Medical sufficiency letter signed by a Uniformed Services medical provider or civilian physician.
Use our example of  a medical sufficiency letter to get started.
Verification of Income
Relationship documents (for initial application)
Copy of NAVPERS 1070/602 (Dependency Application/Record of Emergency Data): ACTIVE DUTY NAVY ONLY
DD 1172-2  (Application for Identification Card/DEERS Enrollment): RETIRED NAVY ONLY



NOTE: Secondary Dependency claims for Full-Time Students must be submitted to your local Personnel Support Detachment.

FULL TIME STUDENT (21 OR 22 YEARS OLD)
FORMS/DOCUMENTS
DD Form 137-6
Child's birth certificate showing parent(s) names - English translation if applicable
Verification of student's full-time enrollment in an accredited college or university
Verification of Income
Documentation of tuition and education-related expenses
Copy of NAVPERS 1070/602 (Dependency Application/Record of Emergency Data)
: ACTIVE DUTY NAVY ONLY
Page updated Aug. 22, 2013