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DD 2656-6 2009-2024 free printable template

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Exception In the event of divorce and the member is required to provide former spouse coverage. DD FORM 2656-6 APR 2009 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8. Use DD Form 2656-1 Former Spouse Election Certificate. SECTION I - MEMBER INFORMATION 1. NAME Last First Middle Initial 2. SOCIAL SECURITY NUMBER 3. DATE OF RETIREMENT YYYYMMDD 5. MAILING ADDRESS Street Apartment Number City State and ZIP Code 4. DATE OF BIRTH 6. TELEPHONE NUMBER Include area code SECTION II - CURRENT...
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How to fill out dd form 2656 6

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Point by point instructions on how to fill out dd form 2656 6:

01
Start by obtaining a copy of dd form 2656 6 from the appropriate source, such as the official Department of Defense website or your HR department.
02
Fill in your personal information accurately, including your full name, Social Security Number, and contact details.
03
Provide the necessary information regarding your spouse or former spouse, including their full name, Social Security Number, and date of birth.
04
Indicate your desired election regarding the Survivor Benefit Plan (SBP) by checking the appropriate box.
05
If you choose to participate in the SBP, make sure to specify the coverage level and beneficiary information.
06
Complete the sections related to the Dependency Information and Spousal Consent, if applicable.
07
Sign and date the form in the designated spaces.
08
Submit the completed dd form 2656 6 to the appropriate authority as instructed.

Who needs dd form 2656 6?

01
Active duty service members who wish to make an election regarding the Survivor Benefit Plan (SBP) for their spouse or former spouse.
02
Retirees or individuals who are about to retire from the military and want to enroll or make changes in their SBP coverage.
03
Spouses or former spouses of military personnel who have been notified about their potential eligibility for SBP benefits.

Who needs a DD Form 2656-6?

The DD form 2656-6 is the US Department of Defense otherwise known as the Survivor Benefit Plan Election Change Certificate. It should be submitted if it is necessary to change a Survivor Benefit Plan election. A retired member may change an election under certain circumstances when specific conditions are met. It should be noted that the form may not file for the purpose of terminating the Survivor Benefit Plan (SVP) coverage.

What is the purpose of DD form 2656-6?

Submission of the completed form is the only accepted way to claim the retired member’s desire to change the previous made election.

Is the Survivor Benefit Plan Election Change Certificate form accompanied by any other forms?

Copies of any relevant legal documents that can explain the reason for election change request should be provided along with the form. These documents can include a marriage certificate, birth certificate, etc.

When is the DD Form 2656-6 due?

The form does have any particular deadline for submission and should be filed when the need arises.

How do I fill out the Survivor Benefit Plan Election Change Certificate Form?

The completed form should give the following information:

  • Personal details of the Member (full name, SSN, date of retirement, DOB, mailing address, telephone number)

  • Type of current coverage

  • Basis for requesting coverage change (marriage, remarriage, acquiring a dependent child, divorce, death of spouse)

  • Type of the coverage requested

  • Level of coverage

  • Spouse and child(men) information (if relevant)

  • Date and signature of the applying member

Where do I send the filled DD Form 2656-6?

The completed Survivor Benefit Plan Election Change Certificate Form should be sent to the most appropriate address of those indicated below:

a) For Army, Navy, Air Force and Marine Corps accounts — Defense Finance and Accounting Service, US Military Retirement Pay, PO Box 7130, London, KY 40742-7130.

b) For Public Health Service accounts — U.S. Public Health Service/Commissioned Corps, 5600 Fishers Lane, Room 4-50, Rockville, MD 20857-0001.

Video instructions and help with filling out and completing dd form 2656 6

Instructions and Help about 2656 6 form

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 2656-6 is a form used by the Department of Defense to document a Soldier's retirement eligibility. The form is used to document a Soldier's retirement points and eligibility for retired pay.
There is no specific penalty for filing DD Form 2656-6 late. However, if you fail to file this form on time, you may be subject to other penalties, such as late fees or interest, depending on the situation.
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