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SURVIVOR BENEFIT PLAN (SBP) ELECTION STATEMENT FOR FORMER SPOUSE COVERAGE (Please read Privacy Act Statement and Instructions on back BEFORE completing form.) SECTION I - ELECTION OF COVERAGE - RETIRED.

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How to fill out the DD Form 2656-1 Printable online

This guide provides clear instructions for completing the DD Form 2656-1, which is crucial for electing Survivor Benefit Plan coverage for a former spouse. Following these steps ensures that users can successfully navigate the form's sections and fields with confidence.

Follow the steps to complete the form accurately.

  1. Press the 'Get Form' button to access the DD Form 2656-1 and open it for editing.
  2. In Section I, indicate your election of coverage by marking the appropriate box for 'Former Spouse' or 'Former Spouse and Child(ren)'. If you choose child(ren) coverage, be sure to complete Item 11 with each child's information, including name, date of birth, and SSN.
  3. Move to Section II and specify whether you are currently married by selecting 'Yes' or 'No'. If 'Yes', fill in your current spouse's details such as their name, SSN, marriage date, and address.
  4. Answer Items 4, 5, and 6, indicating if the election is based on a court order or a written agreement related to divorce. Attach any necessary documentation to support your claims.
  5. Complete Items 7 to 10 regarding your former spouse's details, including their date of birth, marriage, and divorce information. If they have remarried, indicate the date accordingly.
  6. In Item 11, if applicable, provide details for dependent children. Collect names, dates of birth, SSNs, relationships, and whether any children are disabled.
  7. Proceed to Section III, and make sure both you and the former spouse sign in the required places. Include witness signatures and their respective details.
  8. Once your form is complete, review it for accuracy, and save your changes. You can download, print, or share the completed form as needed.

Start filling out your DD Form 2656-1 online now for a smooth completion process.

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The date of the spouse's signature in item 32. b MUST NOT be before the date of the member's signature in item 30. b, above.) The spouse's signature MUST be notarized.

Fax or Mail Forms Form NumberTitle/ DescriptionDD 2656Retirement Application - Data for Payment of Retired PersonnelDD 149Application for Correction of Military RecordBanking and Checking FormsFMS 2231Fast Start Direct Deposit68 more rows • Feb 3, 2023

Survivor Benefit Plan Enrollment 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.

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.

PRINCIPAL PURPOSE(S): Used by a former spouse to deem an election for Former Spouse SBP coverage or Former Spouse Reserve Component (RC) SBP.

PRINCIPAL PURPOSE(S): To establish a Survivor Benefit Plan election for the eligible former spouse of a servicemember. ROUTINE USE(S): To former spouses for purposes of providing information, consistent with the requirements of 10 U.S.Code, Section 1450(f)(3), regarding Survivor Benefit Plan coverage.

After verifying the information provided, please sign the form below and return it to: Defense Finance and Accounting Service, U.S. Military Annuitant Pay, 8899 E. 56th Street, Indianapolis, IN 46249-1300 or fax it to DFAS toll-free at 1-800-982-8459.

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