DD Form 2656-10 Survivor Benefit Plan (SBP) / Reserve Component (RC) SBP Request for Deemed Election

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DD Form 2656-10 for the current year.

DD Form 2656-10 Survivor Benefit Plan (SBP) / Reserve Component (RC) SBP Request for Deemed Election

What Is DD Form 2656-10?

DD Form 2656-10, Request for Deemed Election, is used by former spouses to provide information related to SBP coverage or Reserve Component SBP Coverage.

The DD 2656-10 is a part of a series of related documents used for actions related to the SBP, RSFPP, and RCSBP. The form was last released by the Department of Defense (DoD) on April 1, 2009 , with all previous editions being obsolete. An up-to-date fillable version of DD Form 2656-10 is available for download or electronic filing below or can be found on the Executive Services Directorate website.

The form is used strictly for purposes of providing information, following the requirements of 10 U.S.C. Section 1450(f)(3) on SBP coverage. The election is mailed via certified or registered mail to the appropriate Uniformed Servicedesignated agent.

Former spouses must submit DD Form 2656-10 to DFAS with a copy of the divorce decree and court order awarding former spouse SBP, or if a written agreement - if there was one - with the court order incorporating, ratifying, or approving that written agreement in order to request former spouse SBP coverage.

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DD Form 2656-10 Instructions

  1. DD 2656-10 consists of five sections. Section I, Member Identification, requires identifying information about the eligible service member. That information includes their name, social security number, retirement status and date of retirement, the branch of service, and type of duty.
  2. Section II is for former spouse identification and requires their name, SSN, date of birth, and home address. Box 10 is Section II is for marriage history. This includes the date of marriage, date of divorce, current marital status, and date of the current marriage.
  3. Section III, Authority to Request Deemed SBP Election, consists of three yes or no questions. Box 11 is for stating if the election is made according to the requirements of a court order. Box 12 asks if the election is being made due to a written agreement. Box 13 is for certifying that the written agreement mentioned in the previous question had been approved by a court order. Copies of all court orders, agreements, and supporting documentation must be attached to the form.
  4. Section IV is for listing all dependent children if required by the court order or written agreement (Box 14) and writing down any additional remarks (Box 15).
  5. Section V is for the signature of the former spouse and the date of filing.

DD 2656-10 Related Forms:

Download DD Form 2656-10 Survivor Benefit Plan (SBP) / Reserve Component (RC) SBP Request for Deemed Election

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