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Army Secondary Dependency Claim:

In Locos Parentis DD Form 137-3 Application Assistance

When filling out the DD Form 137-3 please include the following documentation as required by

regulations. Failure to do so will result in a rejected application and a delayed result of the approval/ 

denial process. NOTE: Only copies, not originals, of the below documentation need to be submitted. 

Secondary dependents claimed in this category are not entitled to a Uniformed Services Identification

and Privileges (USIP) Card or Travel Allowance.

1. DFAS FORM 9124- Affidavit by Member. (Downloadable on www.dfas.mil). Save a copy of the 

original DD Form 9124 by member for use when applying for recertification.

2. DFAS FORM 9124- Affidavit by claimed dependent. (Downloadable on www.dfas.mil). Save a 

copy of the original DD Form 9124 by claimed dependent for use when applying for 

recertification.

3. DFAS FORM 9125- TWO (2) third-party affidavits NOT completed by relatives of the member

or the claimed dependent. (Downloadable on www.dfas.mil). Save a copy of the original DD 

Form 9125 for use when applying for recertification.

4. Proof of Support: If applicable, this is required with every initial and recertification application 

submission to SDC. This applies if the dependent does NOT reside in the same household as the 

service member or if the home the dependent and member live in together is not owned or 

rented by the member. If the dependent resides with the service member or their spouse in a 

home owned or rented by the service member you can skip this documentation. If they do not,

see the following list for acceptable proof of support: (NOTE: Cash contributions or purchase

receipts are NOT acceptable forms of proof of support)

o AD (discretionary) allotment for the claimed dependent or claimed dependent’s courtappointed custodian. A copy of your current Leave and Earnings Statement (LES) includes this 

information.

o Canceled checks (front & back) to the claimed dependent or claimed dependent’s courtappointed custodian.

o Money order receipts to the claimed dependent or claimed dependent’s court- appointed 

custodian.

o Electronic transfers made out to claimed dependent or claimed dependent’s court- appointed 

custodian.

o Copies of bills paid on behalf of the dependent may also be used along with proof of payment.

o If your dependent does not reside with you but lives in a home owned/rented by you, a copy of 

mortgage statement or rental agreement may also be used.

o Joint accounts where the member is on the dependent’s account that is receiving the funds is 

permitted but we must have both the account providing the funds and the account receiving 

the funds along with all names and account numbers on both and be able to see all 

transactions from and to each account.
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5. Verification of Income: If the dependent has income proof is required with every initial and 

recertification application submission to SDC. Income verification for the dependent is the ONLY 

income verification that is required. The Service Member must provide any proof of income received 

by the dependent. The verification includes: 

o The most current pay stub if they are currently employed.

o If the dependent just started their job we need a letter or statement from the employer stating 

their start date.

o If they stopped working within the last 12 months then a letter or statement from the employer 

stating when employment ended is required. 

o If the letter or statement does not state how/why the employment ended then a letter from 

unemployment stating the weekly/monthly benefit amount or that they are not eligible is also 

required.

o If the dependent is employed then their most current tax return showing the amount refunded or 

owed must also be submitted. 

o State or federal aid with current dated documentation of the benefit amount the dependent(s) 

receive.

o If applicable a current letter from the Social Security Administration (aged 60/62 years or older)

stating the monthly benefit amount received for each month of the CURRENT year. 

 If the in locos parentis is the age of 60 or older and a widow or widower a letter from the 

Social Security Administration (SSA) stating they are not receiving benefits on behalf of their 

deceased spouse is required or stating the monthly benefit amount they receive as well as all 

deductions and other income social security counts.

 If the in locos parentis is the age of 62 or older, widow/widower or not, a letter from SSA is 

required stating they are not receiving any benefits or stating the monthly benefit amount 

they receive as well as all deductions and other income social security counts.

 If the in locos parentis is at or past the age of eligibility for full benefits a letter from SSA

stating they are not receiving any benefits and will not ever be eligible for themselves or 

deceased spouse (if applicable) is required.

o Funds provided to the dependent by another person that is not the member or member’s spouse.

 For funds that are provided to the dependent by someone other than the member or 

member’s spouse a signed, dated, and notarized statement from that person stating how 

much they provide and how often they provide it is required. The dependent must also sign 

and date this but their signature does not have to be notarized.

o Foreign Pension.

 If the in locos parentis’ country of origin is not in the United States and if the in locos parentis

is the age of 60 or older and a widow or widower, a foreign pension letter from their home 

country stating they are not receiving benefits on behalf of their deceased spouse is required 

or stating the monthly amount they receive as well as all deductions and other income foreign 

pension counts.
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 If the in locos parentis is the age of 62 or older, widow/widower or not, a foreign pension 

letter from their home country is required stating they are not receiving any benefits or stating 

the monthly amount they receive as well as all deductions and other income foreign pension 

counts.

 If the in locos parentis is at or past the age of eligibility for full benefits a foreign pension letter 

from their home country stating they are not receiving any benefits and will not ever be 

eligible for themselves or deceased spouse (if applicable) is required. 

 NOTE: We use the SSA ages and years for full eligibility for all countries since DFAS is not 

aware of all countries’ policies and requirements. If this information is known for the 

country included in your claim, please provide that information.

Help with completing DD Form 137-3

o Original documents are not required; legible copies are sufficient and preferred.

o Include all supporting documents listed under the BAH section on the form.

o All forms must be filled out completely! If a block does not apply, put “N/A” – failure to do so will 

result in the application being returned without action. If there are more boxes in a section than 

information you have to provide, the remaining boxes cannot be left empty. They must be filled with 

N/A or 0.00. (Example page 3 section 5: If only 2 people live in the home then all of the information 

blocks for them must be completed or filled with N/A and/or 0.00. The remaining blanks after the 2 

people are listed must also be filled with N/A and/or 0.00.

o Mark “X” for BAH in section 1 on page 1 to identify you are applying for BAH. In Locos Parentis are only 

eligible for the BAH entitlement.

o Mark “X” (Yes or No) yes if first application – If no, give the date of last application (this can be 

estimated if the date is unknown).

o Status (Active Duty, Reserve, National Guard, Retired) AND branch of service – both must be 

selected. If the member is retired, their In Locos Parentis is not eligible for any benefits as a retired 

member is no longer eligible for BAH.

o Service Member’s Residence address – where the service member lives. Also, provide a mailing

address if different from the physical address. 

o Service Member’s Military address – Their military address cannot be the same as their 

mailing/residence.

o Phone – identify as commercial or DSN.

o Email address, if available.

o Claimed dependent’s name and address of employer – Answer completely.

o Claimed dependent is married – If In Locos Parentis is married, the spouse’s information must still be 

listed and all blanks must be completed. If they are not being claimed, they do not sign page 5.

o Claimed parent and his/her spouse live apart – Provide complete reason and documentation that the 

in locos parentis’ spouse does not support your claimed in locos parentis.
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o List both the name and address of the owner of the dwelling where the claimed dependent resides. If 

the home is rented the owner cannot be the member or the dependent, it must be the name of the 

person or company that owns the home they are renting and the address for that person or company.

o Persons are living where claimed dependent lives – List all residing in that household including the 

claimed dependent and member.

o FRV (Fair Rental Value) – If the In Locos Parentis lives in the member’s home that is owned by the 

member FRV must be used, even if there is a mortgage. Please refer to the instructions on page 3 

section 6 of the DD Form 137-3. If FRV is used they must state where they obtained the FRV or provide 

the documents they used to get that amount. If FRV is used and the In Locos Parentis and member live 

in someone else’s home proof of no mortgage is required. If the In Locos Parentis lives in their own 

home mortgage free proof of no mortgage is required and NONE is written in the amount box in 

section 6 letter A. If there is a mortgage and FRV is used due to the requirement the mortgage or deed 

are still required to show who is responsible for that mortgage/deed.

o Rent/Lease – If the home is rented or leased, a copy of the rental or lease agreement is required 

showing who signed as responsible paying parties, the monthly amount paid, and if the home is 

subsidized housing or not.

o Mortgage – If the mortgage is claimed due to the requirement of it being the dependent’s home or 

someone else’s home, a copy of the mortgage statement showing the monthly payment and escrow if 

paid in mortgage is required.

o Household expenses – All expenses for the entire household is a requirement for the claimed 

dependents’ residence, not just the claimed dependent’s share regardless of who pays for the 

expenses. (See expenses breakdown for information specific to each expense type.)

o Utilities – Always itemize the utilities by listing the utilities claimed and the monthly amount for each 

on page 5 of the DD Form 137-3 and for each utility that is over $200 per month a current bill with 

dates supporting the expense is required.

o Household Other – Always itemize household other expenses by listing the items claimed and the 

monthly amount for each on page 5 of the DD Form 137-3 and for each expense that is over $200 per 

month a current bill or receipt with dates supporting the expense is required.

o Personal expenses – List all expenses for the claimed dependent only, regardless of who pays for 

them. (See expenses breakdown for information specific to each expense type.)

o USIP (Uniform Services Identification and Privilege Card) – USIP expense cannot be claimed because 

In Locos Parentis are only eligible for BAH. Fill with 0.00 or N/A.

o Transportation – Always itemize the transportation expense by listing the items claimed and the 

monthly amount for each on page 5 of the DD Form 137-3 and for each expense that is over $200 per 

month a current bill or receipt with dates supporting the expense is required.

o Vehicle Payment – If a vehicle payment is claimed proof of the vehicle payment through the most 

current loan statement for the car along with a copy of the vehicle’s registration is required. If the 

dependent is not listed on the registration then the car payment cannot be claimed.

o School – If there are any school expenses either for the In Locos Parentis or a dependent of the In 

Locos Parentis listed then a current dated bill is required to support those expenses. Loans due to a 

school bill cannot be used. 
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o Personal Expenses | Other Expenses – Always itemize personal other expenses by listing the items 

claimed and the monthly amount for each on page 5 of the DD Form 137-3 and for each expense that 

is over $200 per month a current bill or receipt with dates supporting the expense is required.

o Income – List all income and monetary support received by dependent from any source other than 

from yourself.

o Remarks – Identify the block number from the form that the comment relates to. If you are requesting 

BAH state the start date that you request in this block as well and be sure all supporting documents support 

this date also.

o Signatures/Notaries – make sure all signatures are completed. All notary blocks must be notarized. 

Failure to have the documents notarized will result in the return of the application without action. The

notary signature relates to the name of the dependent or guardian. The member must also sign and 

date at the bottom. If a POA signs for the In Locos Parentis then a medical statement from their doctor 

stating why they cannot sign is required.

o All foreign documents must be translated to English.

Avoid common mistakes

• Don’t submit an Illegible or incomplete application package

o Type or print, legibly, on all forms.

o Ensure you read the printed instructions carefully and thoroughly.

o All blocks on the various forms must be completed or marked “N/A” to ensure nothing is 

missed.

o All foreign documents must be translated to English.

• Don’t miss important forms and documentation

o Proof of member’s support – If applicable to your situation then evidence of support is required. 

A dependent support allotment, canceled checks, money order receipts, electronic transfer

receipts, etc. are acceptable proof ofsupport. See above for full details.

o Unacceptable documents – For proof ofsupport: ATM withdrawal receipts, bank 

statements showing withdrawals, or purchase receipts.

o Relationship documents – Two (2) 9124s and Two (2) 9125s as stated above are required.

o Medical statement – NOT ALWAYS REQUIRED: If the In Locos Parentis is ill or incapable of 

caring for themselves it is an option to include a medical statement that states all Activities of 

Daily living the parent cannot do at all and/or requires assistance with as this COULD assist with 

your application. This IS required if the In Locos Parentis CANNOT sign the form for themselves. 

The statement must be signed by a licensed medical doctor, psychologist, nurse practitioner, or 

physician’s assistant only.
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ALL DOCUMENTATION SUBMISSIONS

All packages can be submitted only via two ways. Note: No fax or email submissions are accepted.

1. Online submission through the DFAS askDFAS module. (Direct link to make a ticket is: 

https://corpweb1.dfas.mil/askDFAS/custMain.action?mid=5340. This will require documents 

to be scanned onto the computer and then uploaded to the ticket online. After a ticket is 

created, you will be emailed your ticket number for reference and updates on your 

application. This is the preferred method.

2. By Mail: All packages may be sent via mail to the address below: 

Attention ARMY SECONDARY DEPENDENCY TEAM DFAS 

8899 East 56th Street

Indianapolis, IN 46249.