DD Form 2891 "Authorization for Retired Serviceman's Family Protection Plan (RSFPP) and/or Survivor Benefit Plan (SBP) Costs Deduction"

What Is DD Form 2891?

DD Form 2891, Authorization for Retired Serviceman's Family Protection Plan (RSFPP) and/or Survivor Benefit Plan (SBP) Costs Deduction is a form filed by military members to grant permission to deduct the costs for RSFPP or SBP from their Department of Veterans Affairs (VA) monthly allowance or pension. The form comes in handy when the service member's retired pay cannot cover their SBP premiums and they wish to have deductions made from their monthly allowance.

An up-to-date DD Form 2891 fillable version was released by the Department of Defense (DoD) and is available for digital filing and download below or can be found through the Executive Services Directorate website.

The DD 2891 is related to the DD Form 2656 series - a nine-piece set of forms related to SBP enrollment. The Survival Benefit Plan - or SBP - is a life insurance policy with monthly payments to surviving dependent children or spouses of deceased servicemen. The newest edition of the form - sometimes incorrectly referred to as the DA Form 2891 - was issued by the DoD in October 2005 with all previous editions being obsolete.

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Download DD Form 2891 "Authorization for Retired Serviceman's Family Protection Plan (RSFPP) and/or Survivor Benefit Plan (SBP) Costs Deduction"

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AUTHORIZATION FOR RETIRED SERVICEMAN'S FAMILY PROTECTION PLAN (RSFPP)
AND/OR SURVIVOR BENEFIT PLAN (SBP) COSTS DEDUCTION
PRIVACY ACT STATEMENT
AUTHORITY: Executive Order 9397; 10 U.S.C. Sections 1438 and 1452(d).
PRINCIPAL PURPOSE(S): The purpose is to obtain the military member's authorization to deduct the costs for either RSFPP or
SBP from the member's Department of Veterans Affairs (VA) monthly compensation or pension payments. These payments
are to be sent to the Defense Finance and Accounting Service by the VA.
ROUTINE USE(S): The information on this form may be disclosed as generally permitted under 5 U.S.C. Section 552(a)(b) of
the Privacy Act of 1974, as amended. It may also be disclosed outside of the Department of Defense to the Department of
Veterans Affairs (VA) relating to payments for RSFPP or SBP costs, to the spouses or former spouses who are designated
either by the member or by a court order or filing order under 10 U.S.C. Sections 1448(a) or 1450(f)(3) to be the recipient of
the retiree's SBP or RSFPP annuity, so they can determine if coverage is in effect or has been implemented. In addition, other
Federal, State, or local government agencies, which have identified a need to know, may obtain this information for the
purpose(s) identified in the DoD Blanket Routine Uses as published in the Federal Register.
DISCLOSURE: Disclosure is voluntary; however, failure to provide the information may result in a significant delay in the
processing of your request to deduct the RSFPP or SBP costs from your VA compensation or pension payments.
SECTION I - TO BE COMPLETED BY MEMBER
$
1. I hereby authorize the Department of Veterans Affairs (VA) to deduct
for SBP and/or
$
for RSFPP costs, beginning 1
,
and each month thereafter
from any compensation or pension payments due me. I also understand that when there is a cost-of-living increase for SBP,
the SBP cost will increase accordingly. The Defense Finance and Accounting Service - Cleveland Center will inform the VA
office, listed in Section II of this form, of the new rate of deduction and the month in which the increase becomes effective.
The premium cost is required under the authority of 10 U.S. Code, Section 1438 or 1452(d). Deductions are to be forwarded
each month to: Defense Finance and Accounting Service, DFAS-CL, SBP and RSFPP Remittance, P.O. Box 979013, St. Louis,
MO 63197-9013.
a. SIGNATURE
b. DATE (YYYYMMDD)
SECTION II - TO BE COMPLETED BY THE VA
FOR VA ONLY: To assist in the identification of this deduction amount for proper deposit, please annotate the voucher which
accompanies the check payment with the purpose "SBP" or "RSFPP" separately listed and each member's full name and Social
Security number. Deductions are to be forwarded to: Defense Finance and Accounting Service, DFAS-CL, SBP and RSFPP
Remittance, P.O. Box 979013, St. Louis, MO 63197-9013.
1. MEMBER'S NAME (Last, First, Middle)
2. SOCIAL SECURITY NUMBER
3. VA CLAIM NUMBER
C
4. VA OFFICE NAME AND ADDRESS
5. SBP MONTHLY DEDUCTION
$
6. RSFPP MONTHLY DEDUCTION
$
7. SUBMISSION DATE
(YYYYMMDD)
DD FORM 2891, OCT 2005
PREVIOUS EDITION IS OBSOLETE.
Reset
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AUTHORIZATION FOR RETIRED SERVICEMAN'S FAMILY PROTECTION PLAN (RSFPP)
AND/OR SURVIVOR BENEFIT PLAN (SBP) COSTS DEDUCTION
PRIVACY ACT STATEMENT
AUTHORITY: Executive Order 9397; 10 U.S.C. Sections 1438 and 1452(d).
PRINCIPAL PURPOSE(S): The purpose is to obtain the military member's authorization to deduct the costs for either RSFPP or
SBP from the member's Department of Veterans Affairs (VA) monthly compensation or pension payments. These payments
are to be sent to the Defense Finance and Accounting Service by the VA.
ROUTINE USE(S): The information on this form may be disclosed as generally permitted under 5 U.S.C. Section 552(a)(b) of
the Privacy Act of 1974, as amended. It may also be disclosed outside of the Department of Defense to the Department of
Veterans Affairs (VA) relating to payments for RSFPP or SBP costs, to the spouses or former spouses who are designated
either by the member or by a court order or filing order under 10 U.S.C. Sections 1448(a) or 1450(f)(3) to be the recipient of
the retiree's SBP or RSFPP annuity, so they can determine if coverage is in effect or has been implemented. In addition, other
Federal, State, or local government agencies, which have identified a need to know, may obtain this information for the
purpose(s) identified in the DoD Blanket Routine Uses as published in the Federal Register.
DISCLOSURE: Disclosure is voluntary; however, failure to provide the information may result in a significant delay in the
processing of your request to deduct the RSFPP or SBP costs from your VA compensation or pension payments.
SECTION I - TO BE COMPLETED BY MEMBER
$
1. I hereby authorize the Department of Veterans Affairs (VA) to deduct
for SBP and/or
$
for RSFPP costs, beginning 1
,
and each month thereafter
from any compensation or pension payments due me. I also understand that when there is a cost-of-living increase for SBP,
the SBP cost will increase accordingly. The Defense Finance and Accounting Service - Cleveland Center will inform the VA
office, listed in Section II of this form, of the new rate of deduction and the month in which the increase becomes effective.
The premium cost is required under the authority of 10 U.S. Code, Section 1438 or 1452(d). Deductions are to be forwarded
each month to: Defense Finance and Accounting Service, DFAS-CL, SBP and RSFPP Remittance, P.O. Box 979013, St. Louis,
MO 63197-9013.
a. SIGNATURE
b. DATE (YYYYMMDD)
SECTION II - TO BE COMPLETED BY THE VA
FOR VA ONLY: To assist in the identification of this deduction amount for proper deposit, please annotate the voucher which
accompanies the check payment with the purpose "SBP" or "RSFPP" separately listed and each member's full name and Social
Security number. Deductions are to be forwarded to: Defense Finance and Accounting Service, DFAS-CL, SBP and RSFPP
Remittance, P.O. Box 979013, St. Louis, MO 63197-9013.
1. MEMBER'S NAME (Last, First, Middle)
2. SOCIAL SECURITY NUMBER
3. VA CLAIM NUMBER
C
4. VA OFFICE NAME AND ADDRESS
5. SBP MONTHLY DEDUCTION
$
6. RSFPP MONTHLY DEDUCTION
$
7. SUBMISSION DATE
(YYYYMMDD)
DD FORM 2891, OCT 2005
PREVIOUS EDITION IS OBSOLETE.
Reset
Adobe Professional 7.0
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How to Fill Out DD Form 2891?

The authorization form is made up of a single page with filing guidelines provided by the DoD. DD Form 2891 instructions are as follows:

  1. The first section of the form is completed by the service member. They should indicate the amount of the deduction and its purpose and specify the date when the deductions need to start. The provided information should be certified with a signature before the form is dated. Any DD 2891 Forms without dates or signatures will not be processed.
  2. The second section is completed by a Veterans' Affairs representative. The provided information will be used to assist in the identification of the specified deduction amount for proper deposit.
  3. The completed form should be returned to Defense Finance and Accounting Service - U.S. Military Retirement Pay, 8899 E 56th Street Indianapolis, IN 46249-1200.