Attachment 4 

Crediting Service with a DoD or Coast Guard NAF for CSRS or FERS 

Immediate Retirement Under Public Law 107-107 

MODEL REQUEST FOR VERIFICATION OF NAF SERVICE
 

NAMES AND ADDRESSES OF NAF EMPLOYERS
 

VERIFICATION OF NAF SERVICE FORM
 

BAL 03-102 JANUARY 22, 2003 

ATTACHMENT 4 – REVISED FEBRUARY 11, 2003 
Appropriate NAF Employer’s Address 

Dear Nonappropriated Fund Employer: 

We are writing on behalf of employee’s name, employee’s date of birth,

employee’s Social Security Number, requesting verification of his/her service with 

the nonappropriated fund (NAF) instrumentality listed below. This employee is 

considering using that NAF service to qualify for immediate retirement under the Civil 

Service Retirement System (CSRS) / Federal Employees Retirement System (FERS) in 

accordance with Section 1132 of Public Law 107-107. 

Nonappropriated Fund Employer Beginning Date of 

Service 

Ending Date of 

Service 

Using the enclosed form, Verification of Nonappropriated Fund (NAF) Service Pursuant 

to an Election Under Section 1132 of Public Law 107-107, please: 

•	 verify the dates of the employee’s service for the period(s) listed above; 

•	 provide the total hours the employee worked if the employee did not work a fulltime schedule and can only get credit for time actually worked; 

•	 indicate whether or not the employee received a refund of his/her retirement 

monies (if the employee did not participate in a NAF retirement plan, indicate “not 

applicable”); and 

•	 indicate how an election to use the NAF service listed above to qualify for an 

immediate CSRS or FERS retirement would affect the employee’s rights to 

retirement benefits under the NAF retirement plan. (If the employee elects to use 

the NAF service listed above to qualify for an immediate CSRS or FERS 

retirement, that NAF service cannot be credited for any purpose under any 

retirement system provided for NAF employees.) 

If the employee elects to use the NAF service listed above to qualify for an immediate 

CSRS or FERS retirement, we will provide you with a copy of the employee’s election 

form. 

BAL 03-102 January 22, 2003 

Attachment 4 – Revised February 11, 2003 Page 2
 
Please send or fax your response to: 

Agency Address and Fax Number 

If you have any questions concerning this request please contact: name of agency 

contact, phone number, and email address. 

Thank you for your assistance. 

Sincerely, 

Signature of agency official 

Enclosure 

BAL 03-102 January 22, 2003 

Attachment 4 – Revised February 11, 2003 Page 3
 
NAMES AND ADDRESSES OF NAF EMPLOYERS 

To verify prior NAF service, contact the appropriate NAF Component 

Names of NAF Employers Address 

United States Army HQ, Department of the Army 

NAF Personnel Program Office 

200 Stovall Street, Room 1160 

Alexandria, VA 22332-0300 

Phone 703-325-7762 

United States Air Force HQ AFSVA/SVXH 

Human Resources Division 

10100 Reunion Place, Suite 502 

San Antonio, TX 78216-4138 

Phone: (210) 652-2826/2847 

Fax: (210) 652-7043 

United States Marine Corps NAF Human Resources Support Branch 

MRG Personnel and Family Readiness Division 

HQMC 3044 Catlin Ave. 

Quantico, VA 22134-5099 

Phone: 703-784-3880 

Bureau of Naval Personnel Navy Personnel Command PERS653 

5720 Integrity Drive 

Millington, TN 38055-6530 

Point of Contact: Eucile Ballenger 

Phone: (901) 874-6704 DSN 882 

Fax: (901) 874-6844 DSN 882 

Navy Exchange Service Command 

(NEXCOM) 

Navy Exchange Service Command 

3280 Virginia Beach Blvd 

Virginia Beach, VA 23452-5799 

Phone: 757-440-4734 

Army and Air Force 

Exchange Service (AAFES) 

Headquarters, Army and Air Force Exchange 

Service 

FA-T (Benefits) 

P.O. Box 650428 

Dallas, TX 75865-0428 

Phone: 1-800-519-3381 

FAX: (214) 312-3596 

E-mail: benefits@aafes..com 

United States Coast Guard Commandant (G-WPC-6) 

2100 2nd Street S.W. Room 6306 

Washington, D.C. 20593 

Phone: (202) 267-1342 

Fax: (202) 267-4580 

E-mail: cbozeman@comdt.uscg.mil 

BAL 03-102 January 22, 2003 

Attachment 4 – Revised February 11, 2003 Page 4
 
VERIFICATION OF NONAPPROPRIATED FUND (NAF) SERVICE
 

PURSUANT TO AN ELECTION TO CREDIT NAF SERVICE FOR IMMEDIATE CIVIL SERVICE 

RETIREMENT UNDER SECTION 1132 OF PUBLIC LAW 107-107 

(completed by appropriate NAF employer) 

Part 1 – Identifying Information 

Employee’s Name Date of Birth Social Security Number 

Other Names Used 

Part 2 – Verification of Service (mark the appropriate box) 

We are unable to locate any records of service with this component. 

The individual named in Part 1 performed the following service as an employee paid from 

nonappropriated funds. (Please note, we are only providing information about the service 

identified in the request for verification of service.) 

Actual Hours Retirement Monies 

Beginning Worked If Other Refunded? NAFI and Location Ending Date Date Than Full -Time (yes/no/not applicable) 

Part 3 – NAF Retirement Eligibility (mark the appropriate box) 

The employee is not eligible for a NAF retirement benefit (immediate or deferred), therefore the 

election to credit the service listed in Part 2 for CSRS or FERS retirement eligibility purposes does 

not affect eligibility for NAF benefits. 

The employee is eligible for a NAF retirement benefit (immediate or deferred) only if the service 

listed in Part 2 remains creditable for NAF retirement purposes. If the employee elects to credit that 

service for CSRS or FERS retirement eligibility purposes, the employee must request a refund of 

NAF retirement monies and give up his or her rights to the NAF retirement benefit. 

The employee is eligible for a NAF retirement benefit (immediate or deferred). Electing to use the 

service listed in Part 2 for CSRS or FERS retirement eligibility purposes does not affect the 

employee’s eligibility for the NAF retirement benefit. However, the election would reduce the 

amount of his or her NAF retirement benefit 

Part 4 – Certification 

Signature of Certifying Official Date 

Printed Name Title 

Phone Number Fax Number 

Address 

BAL 03-102 January 22, 2003 

Attachment 4 – Revised February 11, 2003 Page 5