Request for Verication of Spouse or Dependent Status
I certify that the individual listed is the spouse or dependent of a currently serving sponsor, Reserve sponsor or National Guard sponsor.
Sponsor’s Information
Name __________________________________________________________________________________
Command assigned _____________________________________________________________________
Sponsors component ____________________________________________________________________
Sponsors branch of service _______________________________________________________________
Spouse or dependent information
Name __________________________________________________________________________________
DoD identification card expiration date ____________________________________________________
Must be completed by a certifying official or Troy University employee validating the
above sponsor is actively serving in the U.S. Military, Reserve or National Guard
Certifying official’s name _________________________________________________________________
Certifying official’s title/rank _____________________________________________________________
Certifying official’s signature _____________________________________________________________
Date of signature _______________________________________________________________________
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