Use this form to update your address information in both the US Family Health Plan computer system and the Defense Enrollment Eligibility Reporting System (DEERS) database. Once you have entered all your current information, click the CONTINUE button at the bottom of the form to submit.
Change: Mailing Address Residence Address                   You must complete all fields marked with *
 
 Member Info:
Name:  

Address Changes Apply to:
Sponsor Dependents

Name(s):

Sponsor's ID: *  

Email: 		 *
         
 Old Address:    New Address:
Street Address 1:   Street Address 1:
Street Address 2:   Street Address 2:
City:   City:
State:   State:
ZIP Code:   ZIP code:
         
 Old Phone Number:    New Phone Number:
Work: Extension:   Work: Extension:
Home: *   Home: *