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DD 2656-5 free printable template

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1 2 3 Lowell Finley, SBN 104414 LAW OFFICES OF LOWELL FINLEY 1604 SOLANO AVENUE BERKELEY, CALIFORNIA 94707-2109 TEL: 510-290-8823 FAX: 510-526-5424 4 Attorney for Plaintiffs and Petitioners 5 SUPERIOR
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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.

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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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