Dd form 1561 dec 2017-2025

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  1. Click ‘Get Form’ to open the DD Form 1561 in the editor.
  2. Begin by filling in your personal information in Section 1, including your name, grade, social security number, and branch of service.
  3. In Part I, indicate the type of Family Separation Allowance (FSA) you are applying for by marking the appropriate box. Provide the current addresses of your dependents.
  4. Complete the certification section by checking all applicable boxes that confirm your dependency status and relationship to your dependents.
  5. Ensure you sign and date the form at the end of Part I to validate your application.
  6. If applicable, complete Part II with details regarding your temporary duty assignments or deployments as required.

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A servicemember with dependents who serves an unaccompanied tour of duty or is away from their homeport may be entitled to a Family Separation Allowance (FSA) of up to $250 a month. For your personalized pay and allowance computation check out our Military Pay Calculator.
FSA is payable at the rate of $250 per month (pro-rated to $8.33 per day for periods less than a month). To apply for FSA, you should submit a completed DD Form 1561, Statement to Substantiate Payment of Family Separation Allowance (FSA), to your servicing personnel office.
FSA-Ship (FSA-S): Requires duty aboard a ship that has been away from the home port for more than 30 consecutive days. The service member's dependents must live near the sailor's home port. FSA-Temporary (FSA-T): Requires that the service member is on temporary duty for more than 30 consecutive days.

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DD Form 1561, Statement to Substantiate Payment of Family Separation Allowance (FSA), November 2006.
FSA-Ship (FSA-S): Requires duty aboard a ship that has been away from the home port for more than 30 consecutive days. The service member's dependents must live near the sailor's home port. FSA-Temporary (FSA-T): Requires that the service member is on temporary duty for more than 30 consecutive days.
DOD also publishes forms that are used for a variety of internal purposes and for members of the public to request information and services. These documents may be found on the DOD Washington Headquarters Services issuance website.
FSA is payable at the rate of $250 per month (pro-rated to $8.33 per day for periods less than a month). To apply for FSA, you should submit a completed DD Form 1561, Statement to Substantiate Payment of Family Separation Allowance (FSA), to your servicing personnel office.
Servicemembers must complete a DD Form 1561 (Statement to Substantiate Payment of Family Separation Allowance) to substantiate entitlement to FSA.

dd form 1561 fillable pdf