This version of the form is not currently in use and is provided for reference only.
Download this version of DD Form 2656-5 for the current year.
DD Form 2656-5, RCSBP Election Certificate, is used by Reserve Component Members to make an election for the Reserve Component Survivor Benefit Plan during the 90-day period after receiving notification of eligibility to claim Reserve retired pay.
An up-to-date fillable version of the DD Form 2656-5 is available for download or digital filing below or can be found on the Executive Services Directorate website. The DD 2656-5 is a part of a series of related documents used for actions related to the SBP, the RSFPP, and the RCSBP. The form was last released by the Department of Defense (DoD) on August 1, 2011, with all previous editions being obsolete.
Filing and disclosing personal information within the form is voluntary. However, failure to provide the information requested may result in an incorrect election of the SBP or a delay of payments in the event of the service member's death.
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