You have arrived looking for DD Form 2947-4. Before you download, confirm this is the right document: TRICARE Young Adult Application (NORTH). Full title: DD 2947, Sep 2016, "TRICARE Young Adult Application".
Next, check the edition. You want not stated, currently carried as not stated by the publisher. Then confirm the form applies to you — this is a Department of Defense form, so you use it whether you serve in the Army, Navy, Air Force, Marine Corps, Space Force or Coast Guard under Defense jurisdiction.
Once you know the form fits, find out when you file it. not stated sets the requirement, and not stated maintains the form itself. Your own command or agency adds local timing on top of that, so ask your administrative office if the deadline matters to you.
Last in this stage, choose your method: complete it on screen, or print the blank form and fill it out in pen. The sections below take each route step by step.
Start at the header. Complete your identification before anything else, then work through the main entries, then finish at the certification. Skipping around causes contradictions between the top of the form and the bottom.
Your first action is verification. Find the edition date on the form and match it against not stated. A mismatch means you are working from a superseded printing, and because DD forms change Department-wide rather than service by service, the office receiving it will notice.
If a particular field puzzles you, read the instructions printed on the form first, then go to not stated. When the two disagree, follow the directive.
Download the form
First, look at what you can download. The set covers PDF, the form runs 4 pages, and you will complete roughly 114 fields.
All of it downloads free. When you are ready to work, do this: save the file locally, then open it in a full pdf application. Browsers often ignore field properties, and you can lose everything you typed.
What the form asks for
- Contractor's name
- Telephone or fax for OCONUS
- Contractor website.
- Servicing contractor information: Name, mailing address, web address and service fees..
- TRICARE Young Adult option desired. Press space bar to mark X in first box if TRICARE Standard, second box if TRICARE Prime, third box if TRICARE Overseas Program Prime, or fourth box if Uniformed Services Family Health Plan.
- Section I - Sponsor information. 1. Sponsor name (last, first, middle initial) (must match DEERS).
- 3. Sponsor is: X first box if active duty, second if retired, third if Selected Reserve, fourth if Retired Reserve, or fifth if deceased.
- 4. Sponsor's work telephone number (include area code/extensions).
- Residential telephone number(s).
- 5. Sponsor's email address.
- X this box to receive TRICARE e-mails.
- X if new address.
- 6. Sponsor's residence address (street, apartment number, city, state, zip code, country).
- X if same as residence address.
- X if new address.
- 7. Sponsor's mailing address (provide APO or FPO if stationed overseas).
- 8. Sponsor's military assignment. a. Unit.
- b. Unit identification code (if known).
- c. State, zip code and country of work address.
- Section II - Enrolling TRICARE Young Adult family member information or PCM change. 9. Family member name (last, first, middle initial) (must match DEERS).
- 10. Date of birth (4 digit year, 2 digit month, 2 digit day).
- 11. Requested action. X first box if enroll, second if transfer enrollment, third if PCM change, or fourth if disenroll.
- Effective date.
- 12. Residence address. X if same as sponsor.
Now that it is complete, send it where not stated or your local procedure says it goes. Before you do, make yourself a copy — scan it or save the file elsewhere. It costs you nothing and saves you the whole exercise if the original goes missing.
Should you need a related form, look it up by its number. The DD sequence is Department-wide, which makes your search simple: no service qualifier, no branch-specific variant to track down.
Watch out for one trap here. If your instructions cite a DA form as well, do not assume the numbers are connected. DA numbering belongs to the Army alone; DD numbering belongs to the Department and is administered by not stated or another Department office. The same number in each system means two unrelated forms, so read the prefix before you download.
Come back and check the edition next time you need this form. Editions change when the prescribing directive is reissued, when the information collected changes, or when the required notice language is updated, and none of those events reaches you directly. Verifying not stated at the moment you download is the whole defence.
One thing this page does not do: tell you whether your submission will be accepted. We publish the document and explain how to complete it, and that is where our role ends. Nothing here is legal advice. Take questions about eligibility, applicability or procedure to not stated, to your servicing personnel office, or to the office named in not stated.
Questions and answers
- What is DD Form 2947-4?
- DD 2947, Sep 2016, "TRICARE Young Adult Application"
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?