Dd Form 1746 - Application For Assignment To Housing Page 2

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APPLICATION FOR ASSIGNMENT TO HOUSING
PRIVACY ACT STATEMENT
AUTHORITY:
5 USC 5911 & 5912.
PRINCIPAL PURPOSE:
To identify customer needs for assistance and housing requirements.
ROUTINE USE:
None.
DISCLOSURE:
Voluntary; however, failure to provide the requested information will result in our inability to assist you.
GENERAL INSTRUCTIONS
This form provides the Housing Office with information that will be used to provide you with military and/or community housing. All items not listed are
self-explanatory. SECTION I (APPLICANT INFORMATION), SECTION II (MILITARY CAREER INFORMATION), SECTION III (DEPENDENT DATA), AND
SECTION VI (HOUSING DATA) are to be completed by the applicant. Information on military spouses is now being requested for Basic Allowance for
Quarters (BAQ) entitlement which must be included on your Military Pay Order that is forwarded to your respective financial center.
SECTION III - DEPENDENT DATA
1. TYPE SERVICE DESIRED
15. DEPENDENTS RESIDING WITH ME
Military Applicants: If temporary community housing is
desired while awaiting military housing, mark both boxes in
a. through d. List requested data for all authorized dependents
Item 1, and answer all questions.
who will be residing with you.
Civilian Applicants: Mark the box "Housing Referral"
e. Provide the Housing Office with information regarding any
services in Item 1b, and answer all questions.
handicapped dependent or special family health problems that
might influence your preference for a particular type of housing;
i.e., single level vs. two story, ramps for wheelchairs, expected
additions to family, etc.
SECTION I - APPLICANT INFORMATION
SECTION IV - HOUSING DATA
5. DOD COMPONENT
16 - 21. Self-explanatory.
Army, Navy, Air Force, etc.
22. SIGNATURE
6. ADDRESS
The applicant must sign the DD Form 1746.
Enter complete current address (street number and name,
apartment number, city, state/country and the 9-digit ZIP code).
23. DATE SUBMITTED
12. INSTALLATION/ORGANIZATION TRANSFERRED
Enter the date the application was submitted to the Housing
FROM
Office.
Enter the name of the installation you transferred from.
SECTION V - DISPOSITION (To be completed by the
Housing Office)
13. INSTALLATION/ORGANIZATION TRANSFERRED TO
24. MILITARY HOUSING
Enter the name of the installation to which you are applying
for housing. Include the name of the Organization/Department
a. Application Received. Enter the year, month, day and
you will be assigned to.
time the application was received in the Housing Office.
SECTION II - MILITARY CAREER INFORMATION
b. Application Effective. Enter the date of change of duty
station (Line 14d) or other date that will be the effective (control)
14. DATES (Military Applications/Military Spouse Only)
date.
Enter dates in order of YYMMDD. (May 17, 1993, would
c. DD Form 1747 Provided. Enter the date that the DD
be entered as 930517).
Form 1747 was sent to the military applicant.
a. Enter the date your current rate/rank was effective.
d. Housing Availability. Enter the item letter for the
applicable box(es) marked under Item 4 of the DD Form 1747
b. Enter your active duty service computation date.
returned to the applicant.
c. Enter the time (in months) that you have remaining on active
e. Applicant Placed on Waiting List. Enter the identification
duty.
of the assignment waiting list(s) to which the applicant is placed.
d. Enter the effective date you were dropped from
f. Effective Placement. The effective date and time of the
accountability at your previous duty station and gained on the
applicant's placement on the list(s).
rolls at your new duty station for record purposes. For overseas
assignment, enter your date of departure from CONUS.
g. Bedrooms Requirement. Enter the number of bedrooms
required, based on dependent data in Item 15.
e. Enter your official report date (from your PCS orders).
h. Date Unit Assigned. Enter the date the unit was assigned.
f. Enter your estimated arrival date.
DD Form 1746, SEP 93

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