Download the form
The scope here is Department-wide. DD Form 2947-4 — DD 2947, Sep 2016, "TRICARE Young Adult Application" — exists to TRICARE Young Adult Application (NORTH), and it applies across the services rather than inside one. That is what the DD prefix encodes: joint issue, single edition, every branch and defense agency working from identical paper.
Requirement traces to not stated; the form belongs to not stated. Everything about schedule sits below that in local instruction, which is where to ask if a date matters.
Use not stated, status not stated. Older printings circulate widely and lose their currency Department-wide the moment a new edition issues.
Available: PDF, across 4 pages, roughly 114 fields. That is the whole scope of the download decision.
Default to fillable pdf, print only when you must. The fillable file stores what you type; the printable file is a blank picture. A Department form often travels further than a service form — scanned, emailed, forwarded to an agency that never saw the original — and typed text is what survives that.
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.
Start by matching the printed date to not stated. Old blanks accumulate in shared folders for years. Because the Department reissues to all services in one action, nobody is still accepting the previous layout by local custom.
For anything ambiguous in a specific field, the form's own instructions come first and not stated controls where the two differ.
Route it where not stated or local procedure directs, and keep a copy first. On a Department form the receiving office is frequently outside your own chain — another service, a defense agency, a joint command — which makes recovering a lost original slower than it would be internally.
A number is a complete address in the DD series. Because the sequence is Department-level and not duplicated per service, there is nothing further to specify.
Do not read across from a service number. DA numbering is Army-specific under an Army proponent; DD numbering is Department-wide under not stated or an equivalent Department office. The sequences are unrelated, so identical digits in each identify two different documents. Read the prefix, not the digits.
Revision follows directive changes, changed data requirements and amended notice language, unannounced. Verify not stated each time rather than trusting a saved copy — the cost of the check is seconds.
Limits of this page: it distributes a published Department of Defense document and describes it. No legal advice, no procedural ruling, no statement about whether any submission will be accepted. Applicability, eligibility and procedure belong to not stated, to a 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?