Edit, Download, and Sign the Survivor Benefit Plan Election Statement for Former Spouse

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How do I fill this out?

To effectively fill out the form, ensure you read the privacy statement and the instructions thoroughly. Complete the required sections based on your marital status and previous relationships. Double-check all entries for accuracy before submission.

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How to fill out the Survivor Benefit Plan Election Statement for Former Spouse?

  1. 1

    Read the Privacy Act Statement and instructions before completing the form.

  2. 2

    Complete Sections I, II, and III if you are a retired member.

  3. 3

    Indicate your marital status and the basis for your election.

  4. 4

    List dependent children if electing coverage that includes them.

  5. 5

    Ensure the form is signed and submitted with all necessary documents.

Who needs the Survivor Benefit Plan Election Statement for Former Spouse?

  1. 1

    Former spouses of retired service members need this form to elect survivor benefits.

  2. 2

    Retiring service members require this document to ensure their former spouse can receive benefits.

  3. 3

    Legal representatives involved in divorce proceedings use this form to finalize benefit elections.

  4. 4

    Family members wanting clarity on survivor benefits after a service member’s retirement need this documentation.

  5. 5

    Individuals seeking to understand their rights under the Survivor Benefit Plan will find this file useful.

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What are the instructions for submitting this form?

To submit this form, send it to the Defense Finance and Accounting Service, U.S. Military Retired Pay, 8899 E. 56th Street, Indianapolis, IN 46249-1200. You must include a certified copy of the divorce decree or relevant court documents indicating the election's validity. For inquiries, you can also contact osd.pentagon.ousd-p-r.mbx.forms@mail.mil for further clarification on the submission process.

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

The current version of the form expires on 08/31/2026. Make sure to submit it within this timeline to ensure coverage for eligible former spouses. Keep a lookout for any updates to the form or new requirements.

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What is the purpose of this form?

The purpose of this form is to allow retired servicemembers to elect survivor benefits for their former spouses. It ensures that former spouses are eligible to receive financial support in the event of the servicemember's passing. Proper completion and submission of the form is crucial for guaranteeing these benefits.

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

The form consists of essential fields necessary for processing the Survivor Benefit Plan election.
fields
  • 1. Former Spouse: Indicates whether the election is for the former spouse alone or includes children.
  • 2. Marital Status: Records the current marital status of the member.
  • 3. Dependent Children: Lists any dependent children if applicable for coverage.
  • 4. Former Spouse's Information: Includes personal information about the former spouse to validate the election.
  • 5. Witness Signature: Signatures from witnesses are required to confirm the authenticity of the form.

What happens if I fail to submit this form?

Failure to submit this form can result in ineligibility for the Survivor Benefit Plan. Without the necessary documentation, former spouses may lose their right to receive support. It is essential to ensure timely submission to avoid any disruptions in benefits.

  • Ineligibility for Benefits: If the form is not submitted, the former spouse may not receive any future benefits.
  • Delays in Processing: Incomplete or late forms can lead to delays, impacting the receipt of benefits.
  • Potential Legal Issues: Improper handling of the form and its requirements may lead to legal challenges.

How do I know when to use this form?

You should use this form when electing Survivor Benefit Plan coverage for a former spouse post-divorce. It is also necessary during the retirement process to ensure all benefits are clearly established. If there are changes in marital status or a court order regarding benefits, this form must be completed.
fields
  • 1. Post-Divorce Planning: Essential for former spouses seeking financial support after divorce.
  • 2. Retirement Procedures: Validates survivor benefits during the member's retirement.
  • 3. Court Mandated Benefits: Utilized when a court order determines benefits to be provided.

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