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Dd form 2656-2026

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  1. Click ‘Get Form’ to open the dd form 2656 in the editor.
  2. Begin by filling out Section I, which requires your personal information including your name, Social Security number, date of retirement, and mailing address.
  3. In Section II, indicate your current coverage by selecting one of the options provided. Make sure to check the box that accurately reflects your situation.
  4. Proceed to Section III to specify the conditions that trigger your eligibility for a change in coverage. Mark all applicable boxes based on your circumstances such as marriage or divorce.
  5. In Section IV, select the requested change to your coverage by placing an X in the appropriate box. Ensure you complete any necessary sections based on your choice.
  6. If applicable, provide details about your spouse and dependent children in Section VI. This includes their names, Social Security numbers, and dates of birth.
  7. Finally, sign and date the form in Section VII. Remember that a witness must also sign this section; ensure they are not a beneficiary.

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dd 2656 march 2022 pdf

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