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DD 2656-5 2011-2024 free printable template

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Son daughter e. DISABLED stepson etc. Indicate FS if from a. CHILD S NAME Last First Middle Initial Yes/No previous marriage IF YOU HAVE ADDITIONAL DEPENDENT CHILDREN CONTINUE IN SECTION VII REMARKS AND X HERE DD FORM 2656-5 AUG 2011 PREVIOUS EDITION IS OBSOLETE. Page 1 of 3 Pages Adobe Professional 8. RESERVE COMPONENT SURVIVOR BENEFIT PLAN RCSBP ELECTION CERTIFICATE PRIVACY ACT STATEMENT AUTHORITY 10 U.S.C. INSTRUCTIONS The decision you make regarding participation in the Reserve Component...
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How to fill out dd form 2656 5

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How to fill out DD Form 2656-5:

01
Begin by downloading and printing out a copy of DD Form 2656-5 from the official Department of Defense website.
02
Fill in the personal information section, including your full name, Social Security number, and contact information.
03
Provide details about your military service, such as your branch of service, rank, and date of retirement or separation.
04
Indicate whether you are electing to participate in the Survivor Benefit Plan (SBP). If you choose to participate, provide information about your designated beneficiary and the coverage options you desire.
05
If you are already participating in the SBP, indicate any changes you wish to make to your coverage or beneficiary designation.
06
Sign and date the form, and have your signature notarized if required.
07
Ensure all required supporting documents, such as marriage certificates or birth certificates, are attached to the form.
08
Submit the completed form to the appropriate personnel office or retirement center for processing.

Who needs DD Form 2656-5:

01
Active-duty service members who are approaching retirement or separation from the military.
02
Retired service members who wish to make changes to their Survivor Benefit Plan coverage or beneficiary designation.
03
Surviving family members of deceased service members who are entitled to receive SBP benefits.

What is DD Form 2656-5?

DD Form 2656-5 is known as the Reverse Component Survivor Benefit Plan Election Certificate. Everyone wishing to participate must submit this form. Guard or Reserve members must file this document.

What is DD Form 2656-5 for?

This form is designed to make one of three choices. They are Option A, Option B and Option C. The Guard and Reverse members, when they approach retirement, may choose to wait till their pay status to decide on the coverage. It is Option A. Option B implies no interim coverage and Option C does not require any written spousal consent for the benefits. If the member fails to choose the option personally, they offer the default one which is Option C.

When is DD Form 2656-5 Due?

This certificate must be filed within three months after the member was notified of eligibility for retirement pay at the age of 60.

Is DD Form 2656-5 Accompanied by Other Forms?

No, you do not have to attach any additional documents to your DD Form 2656-5.

What Information do I Include in DD Form 2656-5?

The member information must be provided first: name, address, SSN, date of birth, telephone number and e-mail address. The next step is to indicate the marital status and provide the information about the spouse or dependent (name, SSN, date of birth and date of marriage). If the applicant has children, it is necessary to provide information about them (name, SSN, date of birth, relationship to the applicant). After having indicated all these details, provide the information about the coverage. You choose the option, type and level of coverage. The form includes the space for remarks. If needed, provide the information about the coverage beneficiary.

Where do I Send DD Form 2656-5?

The form must be filed with your army service, navy service, air national guard or marine corps reverse service. You may check form instructions as they include all addresses.

Video instructions and help with filling out and completing dd form 2656 5

Instructions and Help about dd form 2656 5 instructions

Hello I'm Staff Sergeant Travis Reed, and today I'm going to go over with you how to fill out the DD two six five six which is simply your retirement application form this is a two part form, so this video will seem a little longer however it is worth your time in section one pay identification you have blocked one name this is in last name first name middle initial format so for me, it would be read comma Travis space J the next block moving to the right is SSN which is simply your social security number with or without dashes the next block is block 3 retirement slash transfer date this will be the same date that you put on the DD Form 108 which will be the date you turn 60 or the RPE d date retirement pay eligibility date and block 4 to the right you have rain pay grade this will be for myself Staff Sergeant which is SSG backslash e6 the next base to the right is date of birth and that is year month date format back to the left you have six correspondence address again this will be wherever you receive your mail be it a physical address or P o box so in 6a you have Street or P o box 6b you have the city 6c you have the state which is abbreviated 6d you have the zip code and 6e you have the telephone number ensure that you put your area code in section 2 you have direct deposit / electronic fund transfer information so in section 2 seven you have your routing number every routing number will have nine digits ensure that you have nine digits in your routing number moving to the right you have blocked 8 type of account this will be checking or savings if you decide to use a money market account put s for savings moving over to the right you have 9 account number this will be simply your account number ensure that you use all the numbers and double-check your work going back to the left you have the financial institution in number 10 so 10 an is the financial institution name I use State Employees Credit Union, so I will use ecu as the abbreviation 10 B is the street address 10 C the city 10 D the state again abbreviated and 10 e the zip code in section 3 you have separation payment information this information is simply in the form of a yes or no answer and depending on your answer will determine if you have to put anything in Block B and C so in section 3 separation payment information 11 a question is this did you receive severance pay readjustment phase separation paid voluntary separation incentive or special separation bonuses if you did not you will put an X in the no block, and you will not have to fill out B or C type of payment and gross amount if you did receive this payment you will put an X in the yes block you'll put in Block B the type of payment by the abbreviated format so if it is a severance pay it will be SC if it was a readjustment pay it will be RP if it was a separation pay it will be SP if it was a voluntary separation incentive you will put V is and if it was special separation bonus it will be SS b and black C you will...

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DD Form 2656-5 is a form used by the U.S. Department of Defense to document the military retirement of members of the Armed Forces. It is an application for retired pay and must be completed and submitted to the appropriate office.
DD Form 2656-5 is used by uniformed service members and their families to apply for the Survivor Benefit Plan (SBP). The form must be completed and submitted by the service member.
DD Form 2656-5 is the application for Survivor Benefit Plan (SBP) Annuity. This form is used by surviving spouses of retired military personnel to apply for benefits. To complete the form, you will need to provide your personal information, such as your name, address, Social Security number, and date of birth. You will also need to provide information about your deceased spouse, such as their service information, Social Security number, and date of death. You will also need to select which payment option you would like to receive and indicate the amount of your benefit payment. Once the form is complete, you must sign the form and provide any additional information required by the Department of Defense.
The purpose of DD Form 2656-5, "Reserve Component Survivor Benefit Plan (RCSBP) Election Statement for Former Spouse Coverage" is to allow a retired member of the military to elect former spouse coverage under the Survivor Benefit Plan (SBP) for their former spouse. This form is used to provide information about the retired member, the former spouse, and the coverage options chosen, including the level of coverage and eligibility criteria.
DD Form 2656-5, "Survivor Benefit Plan (SBP) Election Statement for Former Spouse Coverage," is used to elect coverage as a former spouse under the Survivor Benefit Plan. The information that must be reported on this form includes: 1. Personal Information: - Full name of the former spouse. - Social Security Number (SSN). - Date of birth. - Current mailing address. - Phone number. 2. Marital Information: - Date of marriage. - Date of divorce. - Reason for termination of marriage (divorce, annulment, etc.). 3. Spousal Benefit Election: - The former spouse must select the desired coverage option, which may include full coverage, no coverage, or a reduced coverage percentage. - If a reduced coverage option is selected, the former spouse needs to specify the desired reduction. 4. Supporting Documentation: - Verification of the court order or other legal document that grants the former spouse eligibility for SBP coverage. - A certified copy of the divorce decree, annulment, or settlement agreement. 5. Notary and Witness Information: - The form must be notarized by a notary public. - The notary public must fill in the appropriate section of the form. - A witness must also be present during the notarization process. It is important to note that this information is subject to change, and it is recommended to refer to the most recent version of the DD Form 2656-5 and follow any instructions provided with the form.
The specific deadline to file DD Form 2656-5 in 2023 may vary based on individual circumstances and requirements. To get the most accurate information, it is recommended to consult with the appropriate military personnel or the Defense Finance and Accounting Service (DFAS) to determine the specific deadline for your situation.
The penalty for the late filing of DD Form 2656-5 (Retirement Application - Survivor Benefit Plan) may vary depending on the specific circumstances and policies of the relevant military branch. However, typical consequences for late filing could include a delay in the commencement of survivor benefits, potential loss or reduction of eligible benefits, or the need to provide additional documentation or evidence to support the late application. It is important to consult with a military benefits advisor or the appropriate military personnel office for the most accurate and up-to-date information regarding the penalties for late filing of DD Form 2656-5.
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