DOD Form dod-dd-2656-5 RESERVE COMPONENT SURVIVOR BENEFIT PLAN (RCSBP) ELECTION CERTIFICATE PRIVACY -2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section I, where you will enter your personal information including your name, date of birth, social security number, rank, mailing address, and telephone number.
3. Proceed to Section II to indicate your marital status and whether you have dependent children by selecting 'Yes' or 'No'.
4. In Section III, provide details about your spouse and any dependent children if applicable. Fill in their names, social security numbers, dates of birth, and relationship.
5. Move to Section IV to select your coverage option. Choose between declining coverage or selecting either Option B (Deferred Annuity) or Option C (Immediate Annuity).
6. In Section V, specify the level of coverage based on your retired pay amount. Ensure that you understand the implications of each choice.
7. Complete Sections VI through IX as necessary for supplemental coverage and member signature. Make sure all required signatures are obtained.
8. Finally, submit the completed form to the appropriate service address listed in the instructions.

Start using our platform today for free to streamline your document editing and ensure a smooth completion of your RCSBP election certificate!