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How do I fill this out?
To fill out this form, start by providing your personal information including your name and Social Security number. Follow the instructions carefully to complete all required sections. Finally, ensure the form is notarized before submission.

How to fill out the Certificate of Eligibility for Retired Members?
1
Read the instructions carefully.
2
Fill in your personal details and retirement information.
3
Sign the document as the retired member.
4
Have the form notarized.
5
Submit the form within the specified timeframe.
Who needs the Certificate of Eligibility for Retired Members?
1
Retired military personnel need this form to continue receiving their retirement pay.
2
Family members of retirees might require it for dependent benefits.
3
Veterans applying for additional military benefits must submit this form to verify eligibility.
4
Financial institutions seeking proof of a client's retired status may require this document.
5
Legal representatives of retired members might need it for settlement purposes.
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What are the instructions for submitting this form?
To submit this form, complete it in full and ensure you have all required signatures. You can mail it to the Defense Finance and Accounting Service at 8899 E. 56th Street, Indianapolis, IN 46249-1200. Additionally, you may contact customer service for inquiries about fax or email submission options.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure this form is submitted during your retirement anniversary month for timely pay continuation. Specific deadlines will be communicated through official channels.

What is the purpose of this form?
The Certificate of Eligibility is crucial for verifying that retired military members are eligible to receive their retirement pay. It serves as a formal declaration of the individual's retired status. Ensuring accurate completion of this form is essential for financial continuity and avoiding interruptions in benefits.

Tell me about this form and its components and fields line-by-line.

- 1. Retired Member's Name: Includes fields for last name, first name, and middle initial.
- 2. Social Security Number: A mandatory field to verify the retiree's identity.
- 3. Date of Birth: Should be entered in the format YYYYMMDD.
- 4. Retirement Date: Indicates when the retiree officially retired.
- 5. Retired Member's Signature: Signature of the retiree certifying the information.
- 6. Notary Public's Signature: Required signature from a notary public to validate the form.
What happens if I fail to submit this form?
Failure to submit this form in a timely manner may result in the suspension of benefits. It is crucial to adhere to the submission deadlines for continued receipt of retired pay.
- Loss of Pay: Not submitting could lead to the loss of retired pay.
- Delayed Benefits: Delay in processing may hinder timely benefits.
- Legal Issues: Failure to submit may affect eligibility for additional benefits.
How do I know when to use this form?

- 1. Change of Address: Use this form to report an address update.
- 2. Dependent Changes: File when there are changes to dependent status.
- 3. Annual Verification: Submit annually to confirm continued eligibility.
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