Military Dependent Identification Renewal Request Form
Submit a request to renew a military dependent identification credential.
Applicant name
*
First Name
Last Name
Sponsor name
*
First Name
Last Name
Email address
*
example@example.com
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Branch of service
*
Please Select
Army
Navy
Air Force
Marine Corps
Space Force
Coast Guard
Other
Relationship to sponsor
*
Please Select
Spouse
Child
Other eligible dependent
What is the reason for your renewal request?
*
Credential is nearing its expiration
Credential has expired
Credential is damaged
Other
Current credential expiration month and year
*
Preferred renewal appointment date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Anything else the renewal office should know?
Submit Request
Should be Empty: