The DD 2656 form, also known as the "Data for Payment of Retired Personnel," is essential for military retirees to establish their eligibility for benefits and payment options. This form collects vital information about the retiree's personal and financial details to ensure accurate and timely processing of retirement pay. Understanding how to complete this form can significantly affect your financial future; consider filling it out by clicking the button below.
The DD 2656 form plays a critical role for military personnel and their families as it facilitates the enrollment in the Survivor Benefit Plan (SBP). This plan ensures that members, upon retirement, can secure a financial safety net for their loved ones in the event of their passing. The form requires detailed information about the service member, including personal demographics and the selection of beneficiaries. Once completed, it must be submitted to the appropriate military branch. Additionally, the DD 2656 also allows for choices regarding payment options and coverage levels, which can significantly impact the financial future of survivors. Thus, understanding the nuances of this form is essential for service members, helping them make informed decisions that reflect their and their beneficiaries' best interests. Navigating the form correctly can streamline the enrollment process and enhance the benefits afforded to loved ones during challenging times.
DATA FOR PAYMENT OF RETIRED PERSONNEL
OMB No. 0704-0569 OMB approval expires: 20230731
The public reporting burden for this collection of information, 0704-0569, is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
AUTHORITY: 10 U.S.C. 71, Computation of Retired Pay; 10 U.S.C. 73, Annuities Based On Retired Or Retainer Pay; DoD Instruction 1332.42, Survivor Annuity Program Administration; and DoD Financial Management Regulation, 7000.14-R, Volume 7B, Chapter 42.
PRINCIPAL PURPOSE(S): To collect information needed to establish a retired/retainer pay account, including designation of beneficiaries for unpaid retired pay, state tax withholding election, information on dependents, and to establish a Survivor Benefit Plan election.
ROUTINE USE(S): To the Department of Veterans Affairs (DVA) regarding establishments, changes and discontinuing of DVA compensation to retirees and annuitants. To former spouses for purposes of providing information, consistent with the requirements of 10 U.S.C. 1450(f)(3), regarding Survivor Benefit Plan coverage. To spouses for purposes of providing information, consistent with the requirements of 10 U.S.C. 1448(a), regarding Survivor Benefit Plan coverage. Additional routine uses are available in the applicable system of records notice T7347b, Defense Military Retiree and Annuity Pay System Records, available at: http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570196/t7347b/
DISCLOSURE: Voluntary; however, failure to provide requested information will result in delays in initiating retired/retainer pay.
WARNING
Read the instructions at the end of this form in their entirety prior to completing.
PART I - RETIRED PAY INFORMATION
SECTION I - PAY IDENTIFICATION
1. NAME (Last, First, Middle Initial)
2. SSN
3. DATE OF BIRTH
4. RETIREMENT / TRANSFER
(YYYYMMDD)
DATE (YYYYMMDD)
5. RANK / PAYGRADE
6. BRANCH OF SERVICE
a. AIR FORCE
b. ARMY
c. NAVY
d. MARINE CORPS
e. COAST GUARD
7. MEMBER OR FORMER MEMBER OF THE
8. PARTICIPANT IN THE FOLLOWING RETIREMENT PLAN (See instructions, check only one)
a. ACTIVE COMPONENT
a. FINAL PAY (only those members who first joined the service prior to September 8, 1980)
b. RESERVE COMPONENT
b. HIGH-3 (also known as the "High 36")
c. CSB/REDUX (only members who elected the Career Status Bonus upon completion of 15 years of service)
(all members of the Reserves and
National Guard including Active Guard/
d. BLENDED RETIREMENT SYSTEM (BRS)
Reserve and Full-Time Support)
e. DISABILITY
9.CORRESPONDENCE ADDRESS (Ensure DFAS - Cleveland Center is advised whenever your correspondence address changes.)
a. STREET (Include apartment number)
b. CITY
c. STATE
d. ZIP CODE
e. TELEPHONE (Incl. area code)
f. EMAIL ADDRESS
g. PREFERRED CONTACT METHOD (check one)
TELEPHONE EMAIL
SECTION II - DIRECT DEPOSIT / ELECTRONIC FUND TRANSFER (DD/EFT) INFORMATION (See Instructions)
ACTIVE DUTY ONLY: Check here if you want to continue using financial information currently on file, otherwise fill out Items 10 through 13)
10. ACCOUNT TYPE (Check one)
11. ROUTING NUMBER (See Instructions)
12. ACCOUNT NUMBER (See Instructions)
CHECKING
SAVINGS
13. FINANCIAL INSTITUTION
a. NAME
b. STREET (Include apartment number)
c. CITY
d. STATE
e. ZIP CODE
SECTION III - SEPARATION PAYMENT INFORMATION
14. a. PAYMENT TYPE RECEIVED (Check one)
b. GROSS AMOUNT
NONE
SEVERANCE PAY (SE)
READJUSTMENT PAY (RP)
SEPARATION PAY (SP)
VOLUNTARY SEPARATION INCENTIVE (VSI)
SPECIAL SEPARATION BONUS (SSB)
OTHER
NOTE: If any payment type was selected, attach a COPY OF THE ORDERS which authorized the payment and a COPY OF THE DD FORM 214.
List Of Attachments
If Yes, Attach Page
DD FORM 2656, OCT 2018
PREVIOUS EDITION IS OBSOLETE.
Page 1 of 5
AEM LiveCycle Designer
MEMBER NAME (Last, First, Middle Initial)
SSN
SECTION IV - VETERANS AFFAIRS (VA) DISABILITY COMPENSATION INFORMATION
15. VA DISABILITY COMPENSATION
a. IN THE EVENT I AM AWARDED DISABILITY
b. HAVE YOU APPLIED FOR OR ARE
c. EFFECTIVE DATE OF
d. MONTHLY AMOUNT
COMPENSATION BY THE VA, I WILL NOTIFY
YOU RECEIVING VA COMPENSATION
PAYMENT (YYYYMMDD)
OF PAYMENT
DFAS OF THE AMOUNT OF ANY AWARD, AS IT
FOR A DISABILITY?
MAY IMPACT MY RETIRED PAY BENEFIT.
Agree
Yes
No
SECTION V - DESIGNATION OF BENEFICIARIES FOR UNPAID RETIRED PAY (See Instructions)
Check this box if you want to designate your spouse as 100% beneficiary of any unpaid retired pay upon death OR complete Item 16
16. BENEFICIARY OR BENEFICIARIES INFORMATION
Complete this section if you want to designate a beneficiary or beneficiaries to receive any unpaid retired pay you are due at death.
If you do not complete this section OR check the block above, it will cause significant delay in disbursement of remaining pay upon your death.
a. NAME (Last, First, Middle Initial)
b. SSN
c. ADDRESS (Street, City, State, ZIP Code)
d. RELATIONSHIP e. SHARE
(1)
%
(2)
(3)
SECTION VI - FEDERAL INCOME TAX WITHHOLDING INFORMATION (Submit information in Items 17 – 21 in lieu of IRS Form W-4 for tax purposes.)
17. MARITAL STATUS (Check one)
SINGLE MARRIED
MARRIED BUT WITHHOLD AT HIGHER SINGLE RATE
18.TOTAL NUMBER OF EXEMPTIONS CLAIMED
19.ADDITIONAL WITHHOLDING (Optional)
20.I CLAIM EXEMPTION FROM WITHHOLDING (Enter "EXEMPT")
21.ARE YOU A UNITED STATES CITIZEN?
No (See Instructions)
SECTION VII - VOLUNTARY STATE TAX WITHHOLDING INFORMATION (Complete only if monthly withholding is desired.)
22.STATE DESIGNATED TO RECEIVE TAX
23.MONTHLY AMOUNT
(Whole dollar amount not less than $10.00)
24.RESIDENCE ADDRESS (If different from address listed in Block 9)
Page 2 of 5
DO NOT COMPLETE PART II,
If you are not covered by the BLENDED RETIREMENT SYSTEM or do not want to elect a lump sum of retired pay
PART II - LUMP SUM ELECTION
This election must be made NO LATER THAN 90 days prior to the date in Part I, Section I, Item 4, in accordance with 10 U.S.C. §1415
For example, if the date in Block 4 is June 1, 2018, the date in Block 28b must be on or before March 3, 2018
SECTION VIII - BLENDED RETIREMENT SYSTEM LUMP SUM ELECTION
Members covered by the Blended Retirement System may, upon retirement (regular retirement), or upon reaching the age of eligibility to receive retired pay (non-regular retirement) elect to receive a portion of his or her retired pay as a lump sum. The lump sum is a discounted present value of a portion of that member’s retired pay; not the same amount that would be received otherwise. It is highly recommended that you consult with a financial counselor before electing a lump sum of retired pay.
25. LUMP SUM PERCENTAGE
(Check one only, if electing to receive a LUMP SUM; if no choice is indicated you will default to receiving your full retired pay on a monthly basis)
a. I elect to receive a 25 PERCENT lump sum that is a discounted
portion of my retired pay for the period from when I am eligible to begin receiving retired pay until I reach full social security retirement age.
b. I elect to receive a 50 PERCENT lump sum that is a discounted portion of my retired pay for the period from when I am eligible to begin receiving retired pay until I reach full social security retirement age.
26. LUMP SUM PAYMENTS
(Check one only. Complete Block 26 only, if electing a LUMP SUM in Block 25)
I ELECT TO RECEIVE THE LUMP SUM IN
a. ONE INSTALLMENT
b. TWO EQUAL ANNUAL INSTALLMENTS
c. THREE EQUAL ANNUAL INSTALLMENTS
d. FOUR EQUAL ANNUAL INSTALLMENTS
27.LUMP SUM CONSIDERATIONS (Read the following carefully before signing in Block 28.)
•You are only eligible to elect a lump sum if you are qualified for a Regular or Non-Regular retirement under the Blended Retirement System. If you are retiring with a disability retirement under 10 U.S.C., Chapter 61, you are not eligible to elect a lump sum.
•A lump sum election must be made NO LATER THAN 90 days prior to the date of your retirement (for Regular Retirement) or 90 days prior to the date you are eligible to begin receiving retired pay (for Non-Regular Retirement), as indicated in Part I, Section I, Block 4.
•You may elect to receive either a 25 percent or 50 percent discounted portion of your future estimated retired pay as a discounted lump sum in exchange for reduced monthly retired pay until you reach your full Social Security Retirement Age.
•As a result of electing a lump sum, your monthly retired pay will be reduced to either 75 or 50 percent of its normal amount depending on whether you elect to receive 25 or 50 percent. At Full Social Security Retirement Age, your monthly retired pay will be restored to its full amount.
•The discount rate used to calculate your lump sum is the rate published by the Department of Defense in June of the year prior to the year of your retirement or year you first become eligible for retired pay, based on the date in Part I, Section I, Block 4.
•A lump sum payment is earned income for purposes of Federal Income Tax – receipt of it may have significant tax implications.
•The amount of the lump sum is based on your calculated military retired pay, the discount rate in effect for the year in which you retire or become eligible to begin receiving retired pay, and the remaining amount of time until you reach full Social Security Retirement Age. Once distributed, you do not have the ability to seek review of or challenge the amount of the lump sum with regard to any assumptions or factors used to compute the amount of the lump sum.
•Survivor Benefit Plan premiums (Part III) will still be deducted from your remaining monthly retired pay should you elect the lump sum. The premiums and your beneficiary’s coverage will be based on the unreduced amount of your monthly retired pay, as if you had not elected a lump sum, unless you indicate otherwise in Block 35 of Part III.
•If you expect to receive a disability rating from the Department of Veterans Affairs, dependent upon your rating, your ability to receive disability compensation could be affected by the lump sum.
•It is important to understand that a lifetime of full monthly payments will most likely be worth more than the lump sum with reduced monthly retired pay. It is highly recommended that you consult with a financial counselor before electing a lump sum of retired pay.
COMPARE YOUR ESTIMATED RETIREMENT BENEFITS WITH OR WITHOUT THE LUMP SUM:
http://militarypay.defense.gov/Calculators/
28. LUMP SUM ACKNOWLEDGEMENT
By signing below, I am indicating that I am aware that I am electing to receive a discounted portion of my retired pay as a lump sum, and that this lump sum will likely be less than I would have received if I had not elected to receive it. I am aware that there are resources available to assist me in making this decision, and that I have reviewed a comparison of my retirement benefits with and without a lump sum. I am also aware that once accepted, I may not seek review of, or otherwise challenge the amount of the lump sum, particularly in regard to deviations from future cost of living adjustments, actuarial assumptions, or other factors used in computing this amount.
a. MEMBER SIGNATURE (Sign only if electing a lump sum in Block 25)
b. DATE SIGNED (YYYYMMDD)
Page 3 of 5
PART III - SURVIVOR BENEFIT PLAN
SECTION IX - DEPENDENCY INFORMATION (This section must be completed regardless of SBP Election.)
29. SPOUSE
c. DATE OF BIRTH
30. DATE OF MARRIAGE (YYYYMMDD)
31. PLACE OF MARRIAGE (See Instructions)
32. DEPENDENT CHILDREN
Indicate which child or children resulted from marriage to a former spouse by entering (FS) after relationship in column d.
Add rows or continue on separate paper if necessary.
d. RELATIONSHIP
e. DISABLED?
(Son, daughter, stepson, etc.)
SECTION X - SURVIVOR BENEFIT PLAN (SBP) ELECTION (You should consult a Survivor Benefit Plan counselor before making an election.)
If you make no election, maximum coverage will be established for your spouse and/or eligible dependent children
33.RESERVE COMPONENT ONLY (This section refers to the decision you previously made on the DD Form 2656-5 when you were notified of eligibility to retire, in most cases you do not have the right to make a new election on this form)
Reserve/National Guard members who achieve 20 qualifying years of service make the election to participate in the Reserve Component (RC) SBP on DD Form 2656-5 within 90 days of being notified of eligibility for a non-regular retirement not when applying for retired pay, unless that member previously elected to defer coverage. You must indicate your previous election in Block 33a through 33c before proceeding to Block 34. If you previously elected Option B or Option C, DO NOT enter an election in Block 34. (Check only one in Block 33a. through 33c.)
OPTION A - Previously declined to make an election until eligible to receive retired pay (Proceed to Block 34 to make election)
OPTION B - Previously elected coverage to begin at age 60 (Do not make an election in Block 34, you have already elected coverage.)
OPTION C - Previously elected or defaulted to immediate RC-SBP Coverage (Do not make an election in Block 34, you have already elected coverage.) NOTE: If you were married at the time you were notified of eligibility for non-regular retirement and did not complete DD Form 2656-5,
you defaulted to full coverage under OPTION C – do not make an election in Block 34
Marital status has changed since your initial election to participate in RC-SBP.
No If Yes, Attach Page with Explanation
34.SBP BENEFICIARY CATEGORIES (Check one only. See Instructions and Section X.)
a. I ELECT COVERAGE FOR SPOUSE ONLY I have Dependent Child(ren)
b. I ELECT COVERAGE FOR SPOUSE AND CHILD(REN)
c. I ELECT COVERAGE FOR CHILD(REN) ONLY I have a Spouse
d. I ELECT COVERAGE FOR THE PERSON NAMED IN BLOCK 37 WHO HAS AN INSURABLE INTEREST IN ME (See Instructions)
e.I ELECT COVERAGE FOR MY FORMER SPOUSE INDICATED IN BLOCK 38 (See Instructions) Complete DD 2656-1, "Survivor Benefit Plan (SBP) Election Statement for Former Spouse Coverage"
f. I ELECT COVERAGE FOR MY FORMER SPOUSE AND DEPENDENT CHILD(REN) OF THAT MARRIAGE
g. I ELECT NOT TO PARTICIPATE IN SBP
I have eligible dependents under the plan.
If ‘Yes’, spouse concurrence is required in Part V.
35.SBP LEVEL OF COVERAGE (Check one only. Complete UNLESS Option B or Option C was selected in 33 OR Check Box 34 d or 34 g was selected. See Instructions.)
a. I ELECT COVERAGE BASED ON FULL GROSS PAY
(If I elected the Career Status Bonus under REDUX or a lump sum of retired pay under the Blended Retirement System (Part II), full gross pay is the amount of retired pay I would have received had I NOT elected the Career Status Bonus or Lump Sum.)
b. I ELECT COVERAGE WITH A REDUCED BASE AMOUNT OF $ (Spouse concurrence is required in Part V)
c. CSB /REDUX MEMBERS ONLY
I elect coverage based on my actual Reduced Retired Pay Under REDUX.
I understand that this represents a Reduced Base Amount and requires Spouse Concurrence. (See Instructions)
d. I ELECT COVERAGE BASED ON THE THRESHOLD AMOUNT IN EFFECT ON THE DATE OF RETIREMENT.
(Spouse concurrence is required in Part V)
Page 4 of 5
36.SPECIAL NEEDS TRUST (Check only if you intend to designate a special needs trust (SNT) as beneficiary for a child/children designated in Item 32e. as disabled. You must elect either 34b., 34c., or 34f. to be eligible to designate an SNT. See DoDI 1332.42 for procedures for designating an SNT.)
I INTEND TO DESIGNATE AN SNT AS BENEFICIARY FOR THE CHILD OR CHILDREN DESIGNATED AS DISABLED IN BLOCK 32.
(It is your responsibility to separately submit a written statement of the decision to have the annuity paid to the SNT, an attorney’s certification of that SNT, and the name and tax identification number for the SNT)
37.INSURABLE INTEREST BENEFICIARY (See instructions prior to completing this section - DO NOT complete if you have an ELIGIBLE SPOUSE or FORMER SPOUSE)
e. STREET (Include apartment number)
f. CITY
g. STATE h. ZIP CODE
i. TELEPHONE (Incl. area code)
j. EMAIL ADDRESS
38.FORMER SPOUSE INFORMATION (Complete only if you have a former spouse)
d. DATE OF DIVORCE
PART IV – CERTIFICATION
SECTION XI - CERTIFICATION
39. MEMBER
Under penalties of perjury, I certify that the number of withholding exemptions claimed does not exceed the number to which I am entitled, and that all statements on this form are made with full knowledge of the penalties for making false statements (18 U.S.C. §287 and §1001) provide for a penalty of not more than $10,000 fine, or 5 years in prison, or both). Also, I understand that if I elected less than full SBP coverage for my spouse, I will need my spouse’s notarized concurrence signed no earlier than the date of my signature and prior to the date of my retirement; otherwise, by law, I will automatically be covered at the maximum spouse coverage.
b. SIGNATURE
c. DATE SIGNED(YYYYMMDD)
40. WITNESS
d. UNIT OR ORGANIZATION ADDRESS (Include room number)
e. CITY/BASE OR POST
f. STATE g. ZIP CODE
PART V – SPOUSE SBP CONCURRENCE
Required ONLY when the member is married and elects either: (a) child only SBP coverage, (b) does not elect full spouse SBP coverage; or (c) declines SBP coverage. The date of the spouse's signature in Block 41c MUST NOT be before the date of the member's signature in Block 39c, or on or after the date of retirement listed in Part I, Section I, Block 4. The spouse's signature MUST be notarized.
SECTION XII - SBP SPOUSE CONCURRENCE
41. SPOUSE
I hereby concur with the Survivor Benefit Plan election made by my spouse. I have received information that explains the options available and the effects of those options. I know that retired pay stops on the day the retiree dies. I have signed this statement of my free will.
42. NOTARY WITNESS
On this
day of
, 20
, before me, the undersigned notary public, personally
appeared (Name of Spouse in Block 41a.)
provided to me through satisfactory evidence of identification, which were
,
to be the person whose name is signed in block 41.a. of this document in my presence.
Signature of Notary
My Commission Expires
NOTARY SEAL
Page 5 of 5
INSTRUCTIONS
GENERAL
1.Read these instructions and Privacy Act Statement carefully before completing the data form.
2.The Defense Finance and Accounting Service (DFAS)-Cleveland will establish your retired/retainer pay account based on the data provided on this form and your retirement/transfer orders. Your personnel office, disbursing/finance office, and SBP Counselor will assist you in the proper completion and submission of this form. You should maintain these instructions along with a copy of the form as a permanent record. Please complete the form electronically or by typing or printing in ink.
3.Ensure that you promptly advise DFAS-Cleveland of changes to your marital/family status and any changes to your correspondence address or direct deposit information. Gray Area retirees should contact their Reserve Component directly to report changes. Retired members of the Coast Guard should contact the Coast Guard Pay and Personnel Center.
4.If completed electronically, this form automatically disables certain fields based on information you entered. If one of the items listed below does not appear on the form, it is due to information you previously entered that indicates this item is not applicable to you.
SECTION I - PAY IDENTIFICATION.
ITEMS 1 through 3. Self-explanatory.
ITEM 4. If you are retiring from active duty, enter the date you will transfer to the Fleet Reserve or date of retirement. If you are a Reserve/National Guard member qualified to retire under 10 U.S. Code, Chapter 1223, enter either the date of your 60th birthday or, a later date on which you desire to begin receiving retired pay. If you are eligible for reduced age retirement earlier than your 60th birthday, you will need to enter that date.
ITEMS 5 and 6. Self-explanatory.
ITEM 7. Indicate whether you are (or were) a member of the Active Component (Regular Component) or a member of the Reserve Component. The Reserve Component includes all reserve and National Guard members, including full-time reservists on active duty, such as Active Guard/Reserves (AGR) and Full-Time Support (FTS).
ITEM 8. Indicate which retirement plan covers you:
If your Date of Initial Entry into Military Service (DIEMS) is prior to September 8, 1980, you should enter “Final Pay” UNLESS you elected to opt into the Blended Retirement System.
If your DIEMS is on or after September 8, 1980, but before January 1, 2018, you should enter “High-3” UNLESS you elected to participate in the CSB/ REDUX retirement plan or the Blended Retirement System (BRS).
If your DIEMS is on or after August 1, 1986, AND you elected to receive the Career Status Bonus (CSB) upon completion of 15 years of service, you should enter “CSB/REDUX.”
If you elected to opt into the Blended Retirement System, OR your DIEMS is on or after January 1, 2018, you should enter “Blended Retirement System.”
If you are retiring with a disability retirement, regardless of your DIEMS enter “Disability.”
ITEM 9. Self-explanatory.
SECTION II - DIRECT DEPOSIT/ELECTRONIC FUND TRANSFER INFORMATION.
ITEMS 10 through 13. Enter the routing and account information for your bank or financial institution. Indicate whether your account is (S) for Savings or
(C)for Checking account in Item 10. Also, provide the nine digit Routing Transit Number (RTN) of your financial institution in Item 11, your account number in Item 12, and your financial institution name and address in Item 13. This section must be completed. Your net retired/retainer pay must be sent to your financial institution by direct deposit/electronic fund transfer (DD/EFT).
ACTIVE COMPONENT RETIREES ONLY: If you are directing your retired pay to the same account number and financial institution to which you directed your active duty pay, check the box immediately below “Section II”. If you have a copy of the Direct Deposit Authorization form used to establish your DD/EFT for your active duty pay, attach a copy to this form.
SECTION III - SEPARATION PAYMENT INFORMATION.
ITEM 14. Indicate in 14.a if you previously received separation or severance pay. If you mark one of the boxes in 14.a, complete 14.b by entering the gross amount for Severance, Separation and Special Separation Bonus payments and the annual installment gross amount for Voluntary Separation Incentive payments. Attach a copy of the orders that authorized the payment and a copy of previous DD Form 214.
SECTION IV - VA DISABILITY COMPENSATION.
ITEM 15. All retirees must read and acknowledge Item 15.a. Note that if you later apply for and are awarded VA disability compensation, you must notify DFAS of the amount of the award. Indicate in Item 15.b if you are currently, or have previously, received VA disability compensation. If you mark YES in 15.b, complete 15.c, and 15.d.
SECTION V - DESIGNATION OF BENEFICIARIES FOR UNPAID RETIRED PAY.
ITEM 16. Upon your death, 10 U.S.C. §2771 provides that any pay due and unpaid will be paid to the surviving person highest on the following list: (1) beneficiary(ies) designated in writing; (2) your spouse; (3) your children and their descendants, by representation; (4) your parents in equal parts, or if either is dead, the survivor; (5) the legal representative of your estate, and (6) person(s) entitled under the law of your domicile. You may choose to designate your spouse as the primary beneficiary for 100% of your unpaid retired pay by checking the box directly below “Section V” and leaving blocks 16.a through 16.e blank. If you choose to designate a different beneficiary or beneficiaries, you must complete Items 16.a through 16.e. If you designate multiple beneficiaries, you can either provide a SHARE percentage to be paid to each person or leave the SHARE percentage blank. If you leave the SHARE percentage blank, any retired pay you are owed when you die will be divided equally among your designated beneficiaries. If you list more than one person with a 100% SHARE, the beneficiaries will be paid in the order as you list them on the form. If, for example, you designate two beneficiaries, then the SHARE percentage must either be 100% for each beneficiary, or the SHARE percentages when added together must equal 100%. If you designate more than one person, and the total percentage designated is greater than 100%, the person listed first is considered the primary beneficiary. If you check the box designating your spouse as 100% beneficiary, that election will take precedence over any designation made in Item 16a through 16e.
If you do not designate a beneficiary or beneficiaries in Item 16, or all designated beneficiaries have died before the date of your death, any unpaid retired pay will be paid to the living person or persons in the highest category of beneficiary listed above, as required by law.
SECTION VI - FEDERAL INCOME TAX WITHHOLDING INFORMATION. Complete this section after determining your allowed exemptions with the aid of your disbursing/finance office, or from the instructions available on IRS Form W-4, or other available IRS publications. Leave Items 17 through 19 blank if completing Item 20.
ITEM 17. Mark the status you desire to claim.
DD FORM 2656 INSTRUCTIONS, OCT 2018
Page 1 of 3
ITEM 18. Enter the number of exemptions claimed.
PART III - SURVIVOR BENEFIT PLAN.
ITEM 19. Enter the dollar amount of additional Federal income tax you desire
It is very important that you are counseled and are fully aware of your options
under the Survivor Benefit Plan (SBP). SBP pays your eligible beneficiary or
withheld from each month's pay. Leave blank if you do not desire additional
beneficiaries an inflation-protected annuity, based on your retired pay, in the
withholding.
event of your death. The cost of SBP is subsidized by the government, but you
ITEM 20. Enter the word "EXEMPT" in this item only if you meet all the
will be required to pay a portion of the cost of SBP through deductions from
your retired pay. All retiring active duty members and all members of the
following criteria: (1) you had no Federal income tax liability in the prior year;
Reserves / National Guard who complete 20 qualifying years of service are
(2) you anticipate no Federal income tax liability this year; and (3) you therefore
automatically fully covered under the SBP or the Reserve Component SBP
desire no Federal income tax to be withheld from your retired/retainer pay.
(RC-SBP) unless electing to reduce or decline this coverage. There are
NOTE: You must file a new exemption claim form with DFAS - Cleveland by
special requirements for reducing or declining coverage that are covered in
February 15th of each year for which you claim exemption from withholding.
Part III.
ITEM 21. If you are not a U.S. citizen, provide, on an additional sheet, a list of
SECTION IX - DEPENDENCY INFORMATION.
all periods of ACTIVE DUTY served in the continental U.S., Alaska, and
Hawaii. Indicate periods of service by year and month only. List only service at
ITEM 29. Provide your spouse's name, SSN, and date of birth. If no current
shore activities; do not report service aboard a ship.
spouse, enter "N/A" and proceed to Item 32.
For example:
DUTY STATION
TO (Year/Month)
ITEMS 30 and 31. Enter the date and location of your marriage to your current
FROM (Year/Month)
spouse. In Item 30, if marriage occurred outside the United States, include city,
1994/02
NAVSTA, Norfolk, VA
1995/01
province, and name of country.
NOTE: This information may affect the portion of retired/retainer pay which is
ITEM 32. If you do not have dependent children, enter "N/A" in this item. If you
taxable in accordance with the Internal Revenue Code if you maintain a
do have dependent children, provide the requested information. Designate
permanent residence outside the U.S., Alaska, or Hawaii.
which children resulted from marriage to a former spouse, if any, by indicating
SECTION VII - VOLUNTARY STATE TAX WITHHOLDING.
(FS) after the relationship in Item 32.d.
Complete this section only if you want monthly state tax withholding. If you
ITEM 32.e. Enter YES or NO as appropriate. A disabled child is an unmarried
choose not to have a monthly deduction, you remain liable for state taxes, if
child who meets one of the following conditions: a child who has become
applicable.
incapable of self-support before the age of 18, or, a child who has become
ITEM 22. Enter the name of the state for which you desire state tax withheld.
incapable of self-support after the age of 18 but before age 22 while a full-time
student. If answering yes, attach documentation.
ITEM 23. Enter the dollar amount you want deducted from your monthly retired/
SECTION X - SURVIVOR BENEFIT PLAN (SBP) ELECTION.
retainer pay. This amount must not be less than $10.00 and in whole dollars
In this section, you will be able to indicate your desired SBP election and
(Example: $50.00, not $50.25).
designate the beneficiary for SBP in the event of your death. If you make no
ITEM 24. Enter only if different from the address in Item 9.
election, you will automatically receive maximum coverage for all eligible family
members (spouse and/or children). If you elect to reduce or decline your
PART II - LUMP SUM ELECTION.
coverage, your spouse will have to concur with that decision. You may
discontinue your SBP participation within one year after the second
OPTIONAL. Only complete Part II if you are:
anniversary of the commencement of retired/retainer pay. Termination of SBP
is effective the first of the month after DFAS-Cleveland receives the SBP
Covered under the Blended Retirement System; AND,
disenrollment request. There will be no refund of SBP costs paid for the period
Want to elect a partial lump sum of retired pay
before the SBP disenrollment. You are advised to consult with a SBP
If you are not covered under the Blended Retirement System or do NOT want
Counselor or Retirement Services Officer prior to completing this section.
to elect a partial lump sum, proceed to PART III of the form.
ITEM 33. RESERVE COMPONENT ONLY. Information to complete this
SECTION VIII - BLENDED RETIREMENT SYSTEM LUMP SUM ELECTION.
section can be found on the DD Form 2656-5 you submitted when you were
first notified that you had completed 20 years of creditable service, known as
ITEM 25. Indicate in Item 25.a OR 25.b whether you intend to receive a 25
your “Notification of Eligibility.” Reserve or National Guard members who
previously completed 20 qualifying years of service are automatically covered
percent or 50 percent lump sum of retired pay.
under the RC-SBP unless electing, within 90 days of receiving their Notification
ITEM 26. If indicating in Item 25.a or 25.b that you desire to receive a lump
of Eligibility, to decline this coverage. Indicate in Item 33.a., 33.b., or 33.c. your
previous election. If you elected immediate coverage (Item 33.c, or “Option
sum of retired pay, indicate in 26.a through 26.d whether you would like that in
C”), elected coverage to begin at age 60 (Item 33.b, or “Option B”) or made no
one payment or a series of equal, annual installments over 2, 3, or 4 years.
election previously, this remains your coverage and cannot be changed.
ITEM 27. Before signing in Item 28, you must read the considerations listed in
However, Reserve/National Guard members who declined to make an election
until reaching the age of eligibility to receive retired pay (Item 33.a, or “Option
Item 27. You are highly encouraged to review your options with a financial
A”), or who were unmarried and had no eligible children at initial RC-SBP
professional and compare your estimated retirement benefits with or without a
election and made no subsequent RC-SBP election must complete Items 34
lump sum using the online calculator located at
and 35 (and Items 36 through 38 if applicable). If you elected either Immediate
http://militarypay.defense.gov/calculators/BRS.
(Option C) or Deferred (Option B) RC-SBP coverage and the elected
ITEM 28. If you mark Items 25 and Items 26, you must sign in the block at
beneficiary is no longer eligible, provide supporting documentation with this
form.
28.a, and indicate the date you are signing in 28.b. The date in 28.b must be
at least 90 days prior to the date of your retirement or the date you transfer to
ITEM 34. Enter your desired coverage in Items 34.a through 34.g. You may
the Fleet Reserve (shown in Item 4, this is also the same date indicated on
only select one item. If you elect 34.a, 34.c, or 34.g, you MUST also indicate
your DD 108 request for retirement). If you are a Reserve/National Guard
whether you are declining coverage for other eligible dependents.
member qualified to receive retired pay with a non-regular retirement, the date
in 28.b must be 90 days prior to the date upon which you will be eligible to
begin receiving retired pay (shown in Item 4, this is also the same date
indicated on your DD 108 request for retirement).
If you are NOT electing a lump sum of retired pay, DO NOT SIGN Item 28.
Page 2 of 3
ITEM 34.d. Mark if you are not married and desire coverage for a person with an insurable interest in you, and provide the requested information about that person in Item 37. An election of this type must be based on your full gross retired/retainer pay. If the person is a non-relative or as distantly related as a cousin, attach evidence that the person has a financial interest in the continuance of your life. Under provisions of Public Law 103-337, you are permitted to withdraw from insurable interest coverage at any time. Such a withdrawal will be effective on the first day of the month following the month the request is received by DFAS - Cleveland. Therefore, no refund of SBP costs collected before the effective date of withdrawal will be paid.
ITEMS 34.e and 34.f. Mark Item 34.e if you elect coverage for a former spouse. Mark Item 34.f if you desire coverage for a former spouse and dependent child(ren) of that marriage, and provide the requested information about these children in Item 32 as appropriate. Provide a certified photocopy of final decree that includes separation agreement or property settlement which discusses SBP for former spouse coverage. The DD Form 2656-1, "Survivor Benefit Plan (SBP) Election Statement for Former Spouse Coverage," must also be completed and accompany the completed DD Form 2656 to DFAS - Cleveland.
ITEM 34.g. Mark if you decline coverage under SBP. If married and declining coverage, Items 41 and 42 of Part V, Section XI MUST be completed.
ITEM 35. This item allows you to designate the amount of your retired pay that will be the “base amount” for determining your SBP premiums and the resulting SBP annuity. If you make no entry, you will default to the full base amount.
ITEM 35.a. Mark if you desire the coverage to be based on your full gross retired/retainer pay. For members who previously elected the Career Status Bonus (CSB) or members covered by the Blended Retirement System who elect a lump sum of retired pay, the full gross retired/retainer pay is what your retired pay would have been had you not elected (CSB) or the lump sum.
ITEM 35.b. Mark if you desire the coverage to be based on a reduced portion of your retired/retainer pay. This reduced amount may not be less than $300.00. If your gross retired/retainer pay is less than $300.00, the full gross pay is automatically used as the base amount. Enter the desired amount in the space provided to the right of this item.
ITEM 35.c. Used by a REDUX member who wants coverage based on actual retired pay received under REDUX. If this option is selected, proceed to Section XII, if married.
ITEM 35.d. Mark if you desire the higher threshold amount in effect on the date of your retirement to be used as your base amount.
ITEM 36. You may elect payment of the SBP benefit, for beneficiary categories designated in Items 34.b, 34.c, or 34.f, to a special needs trust (SNT) who meets the criteria of a disabled child for SBP, and is indicated as such in Item 32.e of these instructions. You must provide to DFAS-Cleveland a copy of the SNT established for the child, documents to support the child is incapable of self-support, age when incapacitated, and if temporary or permanent, and separate statement from an actively licensed attorney certifying that the Trust is a SNT created for the benefit of the child and is in compliance with all applicable federal and state laws. Additional procedures for establishing an SNT as SBP beneficiary is in DoDI 1332.42.
ITEM 37. Enter the information for insurable interest beneficiary. See instruction for Item 34.e
ITEM 38. Enter the information for your former spouse, if applicable.
PART IV - CERTIFICATION.
ITEM 39. Read the statement carefully, then sign your name and indicate the date of signature. For your SBP election to be valid, you must sign and date the form prior to the effective date of your retirement/transfer, or the date you are eligible to begin receiving retired pay. (Note: if you elected a lump sum of retired pay in Part II, this form must be signed and dated no later than 90 days prior to your retirement/transfer date, or the date you are eligible to begin receiving retired pay).
ITEM 40. A witness to your signature must also sign and provide their information in Items 40.a through 40.g. A witness cannot be named as beneficiary in Sections V, IX or X.
PART V - SPOUSE SBP CONCURRENCE
SECTION XII - SBP SPOUSE CONCURRENCE.
Completion of this section is required only in certain circumstances if you declined to elect SBP coverage, elected less than the maximum coverage, or elected child-only coverage while having an eligible spouse. If you are completing this form electronically and this section does not appear, you do not have to obtain spousal concurrence.
ITEM 41. 10 U.S.C. §1448 requires that an otherwise eligible spouse concur if the member declines to elect SBP coverage, elects less than maximum coverage, or elects child-only coverage. Therefore, a member with an eligible spouse upon retirement, who elects any combination other than items 34.a or 34.b AND 35.a must obtain the spouse's concurrence in Section XI. By signing Item 41, you are concurring with the Survivor Benefit Plan election made by your spouse.
ITEM 42. A Notary Public must witness the signature of the spouse in Item 41. This witness cannot be a named beneficiary in Section V, IX, or X. The spouse's concurrence must be obtained and dated on or after the date of the member's election, but before the retirement / transfer date. If concurrence is not obtained when required, maximum coverage will be established for your spouse and child(ren) if appropriate.
Page 3 of 3
After obtaining the DD 2656 form, you will need to complete it accurately to ensure that your information is processed correctly. Taking your time and following the steps carefully will help maintain clarity and prevent mistakes. Below are the steps to fill out the DD 2656 form.
Following these steps thoroughly will help ensure that your form is filled out correctly. Double-checking your entries is always advisable to prevent any potential issues with processing.
The DD Form 2656 is used for applying for retired pay and election of survivor benefits for members of the U.S. military and their eligible beneficiaries. This form is essential for ensuring that current and future payments are processed correctly.
Active-duty personnel, reservists, and retired members who wish to establish or continue their retirement pay and survivor benefits must complete this form. Eligible family members may also need it to access benefits.
You can download the DD Form 2656 from the official Department of Defense website or obtain a physical copy from your branch of service. It is advisable to have the most current version, as updates may have been made since previous editions.
The DD Form 2656 requires personal identification details such as your Social Security number, military status, and information about your eligible beneficiaries. You will also need to indicate your choice regarding retirement pay options and survivor benefits.
The information collected on the DD Form 2656 is used to calculate your retirement pay and ensure that appropriate beneficiary elections for survivor benefits are processed. This is necessary for maintaining financial support for dependents after a service member's death.
Yes, under certain conditions, you can change your survivor benefit elections. However, there are time limitations and specific procedures that you must follow to make these changes. It is advisable to consult with a legal advisor or the appropriate military office for guidance.
You should submit the DD Form 2656 as soon as you are eligible for retirement or if you need to make changes to benefits. Early submission can help ensure there are no delays in processing your benefits.
While there isn't a strict universal deadline, submitting the form within specified time frames related to your retirement date is important. Failure to do so may impact your benefits. Check with your service branch for detailed deadlines.
If an error is discovered after submission, it is necessary to correct it promptly. You may need to file a new form or provide written clarification regarding the mistake. Contact the appropriate retirement service office for assistance in addressing the issue.
The completed DD Form 2656 should be sent to the designated retirement points of contact for your service branch. Make sure to check the instructions on the form or your branch's official resources for accurate submission details.
Filling out the DD 2656 form can be a critical step for service members and their families, particularly as it relates to the Survivor Benefit Plan. However, mistakes can happen, and those errors might impact future benefits. Understanding common pitfalls can reduce the chances of making an error.
One frequent mistake is overlooking the importance of accuracy in personal details. For example, when entering names or Social Security numbers, even a small typo can lead to significant delays in processing. Taking time to double-check these entries can prevent future issues.
Another common error involves failing to provide the required signatures. The DD 2656 requires multiple signatures, including one from the service member and another from the spouse, if applicable. Omitting a signature can result in the form being returned, causing frustration. Be sure to review every page to ensure all necessary signatures are included.
Some people make the mistake of not consulting with a benefits advisor. The form can be complex, and seeking assistance can clarify various sections. It is crucial to understand the implications of your selections on the benefits you are choosing. A knowledgeable advisor can provide clarity on the selections available.
Additionally, many overlook the deadline for submitting the form. There might be time limits related to retirement or other events that can affect eligibility for certain benefits. Being aware of these deadlines ensures timely processing and can prevent missing out on essential benefits.
Another mistake is neglecting to review the dependent information. This section can often be confusing, and errors here may lead to incorrect benefit distributions. Including accurate details about dependents ensures proper calculations and distributions from the Survivor Benefit Plan.
Some people fail to keep copies of the completed form. Retaining a copy is essential for personal records and can serve as a reference in case questions arise later. Without a copy, service members may find it challenging to track their submissions and resolve issues if they occur.
Furthermore, misunderstanding the options for payout is another common mistake. The DD 2656 form offers various payout options for beneficiaries. It's crucial to understand these options and their implications to make an informed decision that meets familial needs.
Inaccurate financial information is another pitfall. Providing correct financial data is essential in determining the eligible amounts for benefits. Carefully review the financial data before submission to avoid discrepancies that could cause delays.
Finally, not periodically updating the form can lead to complications. Life changes, such as marriage, divorce, or the birth of a child, may necessitate an update. Staying proactive about any life events ensures that the information on your DD 2656 form remains current and accurately reflects your situation.
When navigating benefits related to military service, various forms work in conjunction with the DD 2656 form, which is essential for reporting information regarding retired pay and associated benefits. Understanding these documents can streamline the process and ensure that all necessary information is gathered effectively.
Each form plays a vital role in ensuring that the benefits process is thorough and accurate. It is crucial for service members and their families to familiarize themselves with these documents to facilitate a smoother transition into retirement and the receipt of benefits.
When filling out the DD 2656 form, it’s important to be careful and thorough. Here are some dos and don’ts to keep in mind:
The DD Form 2656, also known as the "Data for Payment of Retired Personnel," is essential for those transitioning to retirement within the U.S. military. While many understand its significance, several misconceptions about this form persist. Below are some common misunderstandings clarified.
This form is not exclusively for those nearing retirement. It can also be used by service members who are eligible for retirement benefits, even if they aren’t close to retiring yet.
Filling out this form does not automatically ensure that an individual will receive retirement pay. Proper processing and approval of the request are also necessary.
While it can be beneficial to submit the form in person for immediate assistance, electronic submissions or mailing are also acceptable. Convenience is essential, and there are various options for submission.
Active duty members nearing retirement, or those transitioning out of service, should also be familiar with this form. Understanding it now can ease the process later.
Incorrectly assuming that the form has no bearing on survivor benefits can be dangerous. Choices made on this form can undeniably affect what benefits are available to beneficiaries after the member's passing.
While the form may appear straightforward, it involves substantial legal and financial implications. Individuals should review their choices and seek advice if needed; clarity can prevent future complications.
This is a common myth. While changes may require additional steps, it’s certainly possible to amend information if circumstances or decisions change post-submission.
Understanding these misconceptions can lead to a smoother transition and ensure that service members are fully informed about their retirement options.
Understanding the DD 2656 Form is crucial for service members and their dependents when managing benefits related to retirement and survivor issues.
Minor Travel Consent Letter - The completion of this form is necessary for a child's participation in certain events.
Roof Warrenty - Improper construction of the home can void the warranty if it affects the roof.