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Dd 2656 1-2026
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- Click ‘Get Form’ to open the DD Form 2656-1 in the editor.
- In Section I, select your coverage option by marking the appropriate box for 'Former Spouse' or 'Former Spouse and Child(ren)'. If you choose the latter, ensure to list eligible children in Item 10.
- Proceed to Section II. Indicate your marital status by selecting 'Yes' or 'No' for whether you are currently married. Answer questions regarding court orders and agreements related to your divorce.
- Complete Items 6 through 9 with relevant dates and information about your former spouse, including their date of birth and marriage details.
- If applicable, fill out Item 10 with details of dependent children, including names, dates of birth, SSNs, and any disabilities.
- In Section III, provide names and signatures for both the member and former spouse along with their addresses. Ensure all fields are completed accurately.
- Once finished, review all entries for accuracy before submitting the form as instructed.
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dd 2656 1 fillable form
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SECTION I - ELECTION OF COVERAGE - RETIRED MEMBERS ONLY. RETIRED MEMBERS changing from spouse or spouse and child(ren) coverage to former spouse or former