Maintain a copy of this form with your records. Mail the completed form to the appropriate finance center listed below. Use of certified mail is recommended for proof of date of mailing and receipt. Item 3 - Enter date of commencement of retired pay. Read the statement carefully, then sign your name and indicate the date of your signature.
Concurrence is required only if the current beneficiary is a legal spouse or former spouse.
A photo bearing identification must be presented to the witness. Read the statement carefully, then sign your name and indicate the date of your signature in the presence of the witness. Former Spouse - a . Former spouse concurrence is not required for this situation. A photo bearing identification must be presented to the witness.