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Below you will find the forms and instructions necessary to claim secondary dependents by category. Please insure to follow all instructions carefully.

Parents

     Forms:
          DD Form 137-3
     Instructions
          Instructions for claiming parents as secondary dependents 

Parents-In-Law

     Forms:
          DD Form 137-3
     Instructions: 
          Instructions for claiming parents-in-law as secondary dependents 

In Loco Parentis

     Forms:
          DD Form 137-3
          DFAS Form 9124 (Affadavit by member)
          DFAS Form 9124 (Affadavit by claimed dependent)
          DFAS Form 9125 (Two (2) third-party affadavits NOT completed by relatives of the member or the claimed dependent.)
     Instructions: 
          Instructions for in loco parentis secondary dependency claims

Incapacitated Child (21 years or over)

     Forms:
          DD Form 137-5
          A medical sufficiency letter signed by a Uniformed Services medical provider or civilian physician is also required. Use this example of a medical sufficiency letter to get started.
     Instructions: 
          Instructions for claiming incapacitated children (21 years or over) as secondary dependents 

Student (21 or 22 years old)

     Forms:
          DD Form 137-6
     Instructions: 
          Instructions for claiming students (21 or 22 years old) as secondary dependents 

Ward (Under 21 years old)

     Forms:
          DD Form 137-7
     Instructions: 
          Instructions for claiming wards (under 21 years old) as secondary dependents 

 

When you're ready.....

All packages can be submitted only via two ways. NOTE: NO FAX OR EMAIL IS ACCEPTED.

  1. Submit completed dependency packages to our secure AskDFAS Secondary Dependency Claims module. This will require documents to be scanned onto the computer and then uploaded to the ticket online. After a ticket is made, you will be emailed your ticket number for reference and updates on your application.
  2. By Mail: All packages maybe sent via mail to the address below:

    Attention JFLAKA DFAS INDIANAPOLIS
    8899 E 56th Street Indianapolis, IN 46249

For assistance, use our toll free phone: (888) 332-7411; when prompted select option 5, 2, 4, 1 and 1.

Page updated Nov. 6, 2018.