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DD 2656-5 2002 free printable template

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U.S. DOD Form dod-dd-2656-5 RESERVE COMPONENT SURVIVOR BENEFIT PLAN (RCS BP) ELECTION CERTIFICATE PRIVACY ACT STATEMENT AUTHORITY: Chapter 73, Title 10, U.S. Code, and EO 9397. PRINCIPAL PURPOSE(S):
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How to fill out DD 2656-5

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How to fill out DD 2656-5

01
Obtain a copy of DD Form 2656-5 from the official military website or your personnel office.
02
Start by filling in your personal information at the top of the form, including your name, Social Security number, and service details.
03
Indicate your marital status by checking the appropriate box.
04
Provide information about your spouse, if applicable, including their name and Social Security number.
05
Complete the sections related to your designated beneficiary, if you wish to designate someone other than your spouse.
06
Fill in the information regarding your current military retirement status.
07
Review all the information for accuracy before signing the form.
08
Sign and date the form at the bottom.

Who needs DD 2656-5?

01
Active duty service members who are retiring.
02
Retired service members who are enrolling in the Survivor Benefit Plan (SBP).
03
Survivors of deceased service members who are seeking 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.

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People Also Ask about

This form is used to change a Survivor Benefit Plan election. A retired member may change an election under certain circumstances when specific conditions are met. Section III of this form describes these conditions and instructs you what additional sections of the form to complete.
The Reserve Component Survivor Benefit Plan (RCSBP) enables people who served in Reserve Components to leave the people they care about with a benefit called an “annuity.” An annuity is a monthly payment that lasts the lifetime of your beneficiary after you pass away.
The Survivor Benefit Plan (SBP) allows a retiree to ensure, after death, a continuous lifetime annuity for their dependents. The annuity which is based on a percentage of retired pay is called SBP and is paid to an eligible beneficiary. It pays your eligible survivors an inflation-adjusted monthly income.
The DD Form 2656-7 is used to establish the Survivor Benefit Plan after the passing of an active, reserve, or retired military service member. This checklist is designed for use by the spouse (widow or widower), eligible former spouse, or child of a deceased military member/retiree.
First, you should review DD Form 2656: Data for Payment of Retired Personnel. It can be downloaded from our Forms webpage. The DD 2656 offers brief instructions regarding election options and requirements, but you also need to consider other implications.
Form SSA-10 | Information You Need to Apply for Widow's, Widower's or Surviving Divorced Spouse's Benefits. You can apply for benefits by calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.

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DD 2656-5 is a Department of Defense form used for the election of benefits by a member or former member of the Uniformed Services.
Members of the uniformed services or their eligible family members are required to file DD 2656-5 to enroll in certain benefits, such as the Survivor Benefit Plan.
To fill out DD 2656-5, provide personal information including service details, designated beneficiaries, and select desired coverage under the Survivor Benefit Plan.
The purpose of DD 2656-5 is to allow service members to make their elections regarding benefits and to ensure that eligible beneficiaries receive the appropriate coverage.
Required information includes the member's name, Social Security number, service details, beneficiary designations, and elected coverage choices.
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