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E of self-support before age 18 (or 22 if a full time student). (Son, daughter, b. SOCIAL SECURITY c. DATE OF BIRTH d. RELATIONSHIP e. DISABLED? stepson, etc.) (Indicate "FS" if from a. CHILD'S NAME (Last, First, Middle Initial) (Yes/No) NUMBER (YYYYMMDD) previous marriage) IF YOU HAVE ADDITIONAL DEPENDENT CHILDREN, CONTINUE IN SECTION VII, REMARKS, AND X HERE DD FORM 2656-5, APR 2009 PREVIOUS EDITION IS OBSOLETE. Page 1 of 3 Pages Adobe Professional 8.0 MEMBER NAME (Last, First, Middle In.

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How to fill out the DD 2656-5 online

The DD 2656-5 form, also known as the Reserve Component Survivor Benefit Plan Election Certificate, is an essential document for Reserve Component members. This guide provides comprehensive, step-by-step instructions on how to fill out this form online, ensuring that you can make informed decisions regarding your survivor benefits.

Follow the steps to complete the DD 2656-5 online.

  1. Use the 'Get Form' button to acquire the DD 2656-5 and open it in your preferred editor.
  2. Begin by filling in Section I with your personal information, including your name, social security number, rank, date of birth, mailing address, and telephone number. Make sure to include a valid email address for any correspondence.
  3. In Section II, indicate your marital and dependency status by selecting 'Yes' or 'No' for being married and for having dependent children.
  4. If applicable, complete Section III with your spouse's details by entering their name, social security number, date of birth, and date of marriage. For dependent children, provide each child's name, social security number, date of birth, relationship to you, and indicate if they are disabled.
  5. In Section IV, choose your coverage option: Option A (decline election), Option B (deferred annuity), or Option C (immediate annuity). Be mindful that selecting either Option B or C requires spouse concurrence in Section IX.
  6. Select the type of coverage in Section IV by choosing from options such as spouse only, spouse and children, children only, former spouse, or a natural person with an insurable interest.
  7. In Section V, determine the level of coverage by selecting the amount of retired pay you wish to base the survivor annuity on. Ensure the amount is not less than $300.
  8. If applicable, complete Section VI by providing details for your insurable interest beneficiary, including their name, social security number, date of birth, mailing address, and relationship to you.
  9. Use Section VII for any additional remarks or comments you may have regarding your application.
  10. In Section VIII, provide your signature and the date signed. Ensure your signature is witnessed by someone who is not your spouse or beneficiary.
  11. Complete Section IX by having your spouse provide their signature, date signed, and ensure their signature is notarized in the designated area.
  12. Once all sections have been completed, review the form for accuracy, save your changes, and prepare to download, print, or share the completed DD 2656-5.

Complete your DD 2656-5 form online today to ensure your survivor benefits are properly managed.

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DD 2656-5
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