Form DD 1746 DD 1746 Application for Assignment to Housing

CUI (when filled in)

(Updated YYYYMMDD)

APPLICATION FOR ASSIGNMENT TO HOUSING

OMB No. 0704-AFAH
Expires TBD

(Please read Privacy Act Statement and Instructions on Page 3 before completing form.)

SECTION I - APPLICANT INFORMATION
The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington
Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a
collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. TYPE OF HOUSING PREFERENCE (X as applicable) (See Instructions for definitions)
Community Housing

Privatized Housing

2. APPLICANT
a. NAME (Last, First, Middle Initial)

DoD Owned/Leased Housing

d. DoD COMPONENT/MILITARY SERVICE
DEPARTMENT

b. PAY GRADE c. DoD ID

3. MARITAL STATUS (X one)
Married

Single

Single with Dependent(s) (less than 50% time with)

Single with Dependent(s) (50% or more time with)

4b. CONTACT EMAIL ADDRESS(ES) (Duty
Preferred; Personal Optional)

4a. CURRENT ADDRESS (Street, City, State/Country, ZIP Code)

5. TELEPHONE NUMBERS (Include Area Code)
a. HOME

TEXT TO CELL PERMITTED? (X if yes)
b. DUTY (DSN or Commercial)

c. CELL PHONE

6. STATUS OF APPLICANT (X one)
Military Member

Military Spouse

DoD Civilian

Local / Foreign National

7. SEPARATED FROM DEPENDENTS: (X one)
Voluntarily

Involuntarily

8. REQUEST HOUSING FOR: (X one)
N/A

Self and Dependents

Self Only

9. DO YOU HAVE A NOTARIZED POWER OF ATTORNEY (POA) SPECIFIC TO OBTAINING HOUSING? (X one)
No
Yes (If Yes, be prepared to show the POA when applying for housing.)
10a. INSTALLATION/ORGANIZATION TRANSFERRED FROM
11a. INSTALLATION/ORGANIZATION TRANSFERRED TO
10b. LOSING UIC

11b. GAINING UIC

SECTION II - MEMBER INFORMATION
12. DATES (Enter dates in DDMMYYYY format)

(1) Member

(2) Military
Spouse

(1) Member

(Enter dates in DDMMYYYY format)

(2) Military
Spouse

a. Date of Rank

g. Date of Birth

b. Date Entered Active Service

h. Date of Marriage

c. Expiration of Obligated Service (EOS)

i. Projected Rotation Date (PRD)
j. Special Housing Needs (wounded warrior, medical provider, etc.)

d. Official Departure Date from losing duty station
e. Official Report/Arrival Date at gaining duty station
f. Estimated Family Arrival Date
13. AUTHORIZATION FOR RELEASE OF PERSONAL DATA

I authorize release of personal data herein to the Privatization Housing Partner at the base where I am applying for housing.

a. SIGNATURE OF APPLICANT

b. DATE (DD/MM/YYYY)

SECTION III - DUAL-MILITARY APPLICANT SPOUSE INFORMATION (If applicable)
14a. NAME (Last, First, Middle Initial)
14d. CELL PHONE NUMBER

14b. CONTACT EMAIL ADDRESS

14c. DoD ID

TEXT TO CELL PERMITTED? (X if yes)

14e. INSTALLATION/ORGANIZATION

14f. UIC

14g. PAY GRADE

SECTION IV - DEPENDENT INFORMATION
15. AUTHORIZED DEPENDENTS RESIDING WITH ME (Continue on plain paper if more space is needed.)
e. Remarks (Requested exceptions, access-related modifications needed,
b. Date of Birth c. Sex
Exceptional Family Member Program (EFMP) participation, expected
a. Name (Last, First, Middle Initial)
d. Relationship
(DDMMYYYY)
additions to family, etc. Additional documentation may be requested)

DD FORM 1746, 20250522 DRAFT
PREVIOUS EDITION IS OBSOLETE.

M

F

M

F

M

F

M

F

M

F

M

F

M

F

CUI (when filled in)

Controlled by: Military Housing Offices
CUI Category: PRVCY, MIL, HLTH
Distribution/Dissemination Control: FEDCON
POC: 703-693-5924 angela.m.major.civ@mail.mil

CUI (when filled in)

(Updated YYYYMMDD)

SECTION V - COMMUNITY HOUSING
16. COMMUNITY HOUSING DESIRED (X as applicable)
Purchase House

Rent House

Short Term

Purchase Condominium

Rent Apartment / Condominium

Other

17. MINIMUM PREFERENCES (X and complete as applicable)
b. Number of Bedrooms
c. Number of Full Baths
a. Furnished (X one)
Yes

d. Number of Half Baths

d. Other

No

18. SERVICE ANIMAL (X and complete as applicable)
b. Number of Service Animals
a. Have? (X one)
Yes

Other Details:

c. Type(s) of Service Animals

d. If Dog, Breed(s) and Weight(s)

No

19. PETS (X and complete as applicable)
a. Have Pets? (X one) b. Number of Pets

c. Type(s) of Pet(s)

d. If Dog, Breed(s) and Weight(s)

Yes
No
20. DATE HOUSING NEEDED (DD/MM/YYYY) 21. LOCATION PREFERENCE(S)

22. PRICE RANGE

23. REMARKS

SECTION VI - HOUSING REFERRAL CERTIFICATE
24. I have received a listing of the housing restrictions approved by the Installation Commander (if applicable) and I will not reside in any

property on the restricted list.
(Initial the applicable box)

Yes

No

N/A

25. I have been (1) briefed on the services provided by the Military Housing Office, (2) have been given the Plain Language Brief, (3) briefed

on the DoD program on equal opportunity for military personnel in off-base housing, and (4) briefed on non-discrimination based on
national, state and local laws. In addition, if any facility refuses to rent or sell to me or if I have reason to believe I am being discriminated
against, I will promptly notify the Military Housing Office who will advise me of next steps.
(Initial the applicable box)

Yes

No

SECTION VII - SIGNATURE AND DATE
26a. SIGNATURE OF APPLICANT

26b. DATE (DDMMYYYY)

SECTION VIII - DISPOSITION (To be completed by the Gaining Military Housing Office)
27. APPLICATION PLACEMENT
a. APPLICATION RECEIVED (DDMMYYYY)

b. APPLICANT HOUSING TYPE PLACEMENT (X one)
Government Owned

Government Leased

Privatized

Community

c. NUMBER OF BEDROOMS AUTHORIZED

d. REFERRAL DATE TO PRIVATIZATION PROPERTY MANAGEMENT OFFICE (DDMMYYYY) (if applicable)

e. APPLICANT PLACED ON WAITING LIST

f. WAITLIST ELIGIBILITY DATE (DDMMYYYY)

g. WAITLIST GRADE CATEGORY

i. ASSIGNED UNIT ADDRESS

j. NUMBER OF BEDROOMS ASSIGNED

(X one)

Yes

No

h. DATE UNIT ASSIGNED (DDMMYYYY)

k. GAINING MILITARY HOUSING OFFICE (Signature)

DD FORM 1746 (BACK), 20250522 DRAFT

l. DATE SIGNED (DDMMYYYY)

CUI (when filled in)

CUI (when filled in)

(Updated YYYYMMDD)

APPLICATION FOR ASSIGNMENT TO HOUSING
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 133b, Under Secretary of Defense for Acquisition and Sustainment (USD (A&S)); DoD Directive 5135.02, Under Secretary of
Defense for Acquisition and Sustainment (USD (A&S)); DoD Directive 5135.03, Deputy Under Secretary of Defense for Acquisition and Sustainment (DUSD
(A&S); DoDM 4165.63, DoD Housing Management.
PRINCIPAL PURPOSE(S): To apply for assignment to housing. This information may also be used to determine eligibility for housing as well as determine
the priority and appropriate waiting list.
ROUTINE USE(S): Disclosure of records are generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, as amended. See the applicable system
of records notice for a listing of the routine uses. NM 11101-1, family and Unaccompanied Housing Program, located at: https://pclt.defense.gov/
DIRECTORATES/Privacy-and-Civil-Liberties-Directorate/Privacy/SORNsIndex/DOD-Component-Notices/DOD-Wide-Article-List/
DISCLOSURE: Voluntary. However, failure to provide all information or correct information may result in our inability to assign you or your family to
appropriate living quarters or provide housing services.

INSTRUCTIONS
GENERAL INSTRUCTIONS.
This form provides the Military Housing Offices (MHO) with information that will be used to provide the applicant with community (off-base), privatized, or
DoD owned/leased housing.
SECTION I - APPLICANT INFORMATION
1. Type of Housing Preference (definitions).
Community Housing – Private-sector or off-base housing located within a defined market area. This does not include privatized housing units owned by
privatized housing Providers on Military installations.
Privatized Housing – Family or unaccompanied housing acquired or constructed by a DoD privatized Housing Provider. This housing may be located on
government owned land, or near military installations within the United States and its territories.
DoD Owned/Leased Housing – Family and unaccompanied housing that the DoD owns, leases, obtains by permit, or otherwise acquires. This is also
referred to as “Government-controlled housing”. It does not include privatized housing.
2. Applicant.
a. Enter applicant’s legal name.
b. Enter applicant’s pay grade.
c. Enter applicant’s DoD ID # (located on your CAC).
d. Enter DoD Component/Military Service Department.
3. – 11. Self-explanatory.
SECTION II – MEMBER INFORMATION.
12-13. Self-explanatory.
SECTION III – DUAL-MILITARY APPLICAANT SPOUSE INFORMATION
14. Self-explanatory.
SECTION IV – DEPENDENT INFORMATION
15. a-e. Self-explanatory.
SECTION V – COMMUNITY HOUSING
16-23. Self-explanatory.
SECTION VI – HOUSING REFERRAL CERTIFICATE
24-25. Self-explanatory.
SECTION VII – SIGNATURE AND DATE
26. Self-explanatory.
SECTION VIII – DISPOSTION
27. Self-explanatory.

DD FORM 1746 (INSTRUCTIONS), 20250522 DRAFT
CUI (when filled in)