Edit, Download, and Sign the Dependency Statement - Parent for Military Benefits

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How do I fill this out?

To fill out this form, first complete Items 1 and 2, and sign and date the form. The parent or parent(s) representative must complete Items 3 through 12 and have the form notarized. Include necessary verifications and use the Remarks section for additional information.

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How to fill out the Dependency Statement - Parent for Military Benefits?

  1. 1

    Complete Items 1 and 2 with member information and sign the form.

  2. 2

    Have the parent or representative complete Items 3 through 12.

  3. 3

    Ensure the form is notarized if required.

  4. 4

    Include verification of all income and proof of member's contribution.

  5. 5

    Submit the completed form to your local serving personnel/payroll office.

Who needs the Dependency Statement - Parent for Military Benefits?

  1. 1

    Active Duty military members who need to declare a parent as a dependent to receive authorized benefits.

  2. 2

    Retired military members who need to update their dependent status for benefits.

  3. 3

    National Guard members who require documentation of a parent's dependency for allowances.

  4. 4

    Reservists who want to ensure their parent is recognized as a dependent for housing benefits.

  5. 5

    Surviving family members managing the affairs of a deceased military member and need to update dependency records.

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How do I edit the Dependency Statement - Parent for Military Benefits online?

On PrintFriendly, you can edit this PDF by opening it in our easy-to-use editor. Fill in the necessary fields, make adjustments, and customize the form as needed. Save and download the edited PDF for your records.

  1. 1

    Open the PDF in PrintFriendly's editor.

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    Fill in all required fields with accurate information.

  3. 3

    Make necessary adjustments and include any additional remarks.

  4. 4

    Use the signature tool to sign if required.

  5. 5

    Save and download the edited PDF for submission.

What are the instructions for submitting this form?

Submit the completed Dependency Statement - Parent form to the local serving personnel/payroll office. Ensure that all sections are accurately filled and verifications are included. For further instructions, contact the Department of Defense using the provided email: whs.mc_alex.esd.mbx.dd-dod-information-collections@mail.mil.

What are the important dates for this form in 2024 and 2025?

OMB approval expires June 30, 2024. Ensure to submit the completed form before this date to avoid suspension of dependent entitlements.

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What is the purpose of this form?

The purpose of this form is to establish the dependency status of a parent for military personnel, ensuring they receive appropriate authorized benefits. The form collects detailed information about the member and the parent, including personal details, financial information, and living arrangements. Accurate completion and timely submission of this form are crucial for maintaining dependent entitlements and benefits.

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

This form consists of several sections that collect specific information required to determine dependency status.
fields
  • 1. Entitlements Requested: Details about the type and status of the application for benefits.
  • 2. Member Information: Personal and contact details of the member, including name, DoD ID, rank, and status.
  • 3. Parent(s) Information: Information about the parent or parents, including names, addresses, occupations, and marital status.
  • 4. Parent's Residence: Details about the parent's living arrangements, including the type of residence and ownership details.
  • 5. Persons Living in Household with Parent: A list of all individuals living in the household with the parent.
  • 6. Household Expenses: Monthly and annual expenses for the household where the parent resides.
  • 7. Parent's Personal Expenses: Personal expenses of the parent and their spouse, including clothing, medical, and transportation costs.

What happens if I fail to submit this form?

Failure to submit this form will result in a suspension of dependent entitlements until the required information is provided.

  • Loss of Benefits: Delay in receiving dependent-related benefits and allowances.
  • Incomplete Records: Inaccurate dependency records affecting entitlement reviews.

How do I know when to use this form?

Use this form to establish or update the dependency status of a parent for military benefit entitlements.
fields
  • 1. New Dependency Declaration: When declaring a parent as a new dependent for the first time.
  • 2. Update Dependency Information: To update previously submitted information about a parent's dependency status.
  • 3. Reapplying for Benefits: Required when reapplying for benefits after a change in dependency status.

Frequently Asked Questions

How do I fill out the Dependency Statement - Parent form?

Complete the required sections, including Items 1 and 2 by the member, and Items 3 through 12 by the parent or representative. Ensure the form is notarized and submit it with necessary verifications.

Can I edit the form online?

Yes, you can easily edit the form online using PrintFriendly's PDF editor.

How do I sign the form?

Use the signature tool in PrintFriendly's editor to digitally sign the form. Save the signed document for submission.

Where do I submit the completed form?

Submit the completed form to your local serving personnel/payroll office or follow the submission instructions provided in the form.

What information do I need to gather?

Gather all income verification, proof of the member's contribution, and any additional information required for Items 3 through 12.

Can I save my progress and continue later?

Yes, you can save the edited PDF on PrintFriendly and continue filling it out later.

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