DoD Forms Management Program

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TO OBTAIN A COPY OF THIS FORM, PLEASE CONTACT THE UNDER SECRETARY OF DEFENSE FOR PERSONNEL AND READINESS (P&R)

FORM INFORMATION

Form Number:  DD 1173-S

Title:  United States Uniformed Services Identification and Privilege Card (Dependent) (TAN)

Edition Date:  10/01/1993  

Authority:  DoDI 1000.13

For use of this form please contact:  The Under Secretary of Defense for Personnel and Readiness (P&R)