DD Form 2366-1 "Montgomery Gi Bill Act of 1984 (Mgib), Increased Contribution Program"

What Is DD Form 2366-1?

This is a form that was released by the U.S. Department of Defense (DoD) on June 1, 2002. The form, often mistakenly referred to as the DA Form 2366-1, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.

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Download DD Form 2366-1 "Montgomery Gi Bill Act of 1984 (Mgib), Increased Contribution Program"

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MONTGOMERY GI BILL ACT OF 1984 (MGIB)
(Chapter 30, Title 38, U.S. Code)
INCREASED BENEFIT CONTRIBUTION PROGRAM
PRIVACY ACT STATEMENT
AUTHORITY: Chapter 30, Title 38, U.S. Code, Sections 3011, 3012, 3018A, and 3018B; and EO 9397.
PRINCIPAL PURPOSE(S): To establish participation in the Montgomery GI Bill Increased Benefit Contribution Program.
ROUTINE USE(S): To the Department of Veterans' Affairs to verify an individual's participaton in the MGIB Increased
Contribution Program.
DISCLOSURE: Voluntary; however, failure to provide information will result in the individual not being enrolled in the
Increased Contribution Program.
1. SERVICE MEMBER DATA
a. NAME
b. SOCIAL SECURITY NUMBER (SSN)
(LAST, First, Middle Initial)
2. STATEMENT OF UNDERSTANDING FOR INCREASED BENEFIT OPTION
(1) I am eligible to contribute an additional amount to increase my MGIB benefits. Increased contributions cannot exceed
$600. For each $4 I contribute, I will receive an additional $1 per month in increased benefit for full-time training.
For example, if I contribute the entire $600, my monthly MGIB benefit will be increased by $150. If I contribute $300,
the monthly increased benefit is $75, etc. (Divide the amount contributed by 4 to obtain the increase to the full-time
monthly benefit.)
(2) I understand that MGIB increased benefit option contributions are non-refundable.
(3) I must contribute the desired amount while serving on active duty. Once I separate, I cannot contribute to this program.
(4) I must maintain copies of this document and all documents reflecting the amount of my additional contribution. The
Department of Veterans' Affairs will require proof of additional contributions when claiming benefits.
I am participating in this option to increase my monthly MGIB benefit by contributing any additional amount up to $600, in
increments of $20. Increased MONTHLY payment is equal to $1 for each $4 contributed. All contributions must be made
while on active duty and are NON-REFUNDABLE. Once I have separated, I cannot contribute to this program.
a. SERVICE MEMBER SIGNATURE
b. RANK/GRADE
c. DATE SIGNED
(YYYYMMDD)
3. CERTIFYING OFFICIAL
I have verified this member originally enrolled in the MGIB program upon initial entry into active duty and is eligible to
participate in the increased benefit option. Member has been advised that all contributions must be made while on active duty
and may be stopped or suspended at any time, but are not refundable.
a. TYPED OR PRINTED NAME
)
b. RANK/GRADE
c. SIGNATURE
d. DATE SIGNED
(LAST, First, Middle Initial
(YYYYMMDD)
DD FORM 2366-1, JUN 2002
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MONTGOMERY GI BILL ACT OF 1984 (MGIB)
(Chapter 30, Title 38, U.S. Code)
INCREASED BENEFIT CONTRIBUTION PROGRAM
PRIVACY ACT STATEMENT
AUTHORITY: Chapter 30, Title 38, U.S. Code, Sections 3011, 3012, 3018A, and 3018B; and EO 9397.
PRINCIPAL PURPOSE(S): To establish participation in the Montgomery GI Bill Increased Benefit Contribution Program.
ROUTINE USE(S): To the Department of Veterans' Affairs to verify an individual's participaton in the MGIB Increased
Contribution Program.
DISCLOSURE: Voluntary; however, failure to provide information will result in the individual not being enrolled in the
Increased Contribution Program.
1. SERVICE MEMBER DATA
a. NAME
b. SOCIAL SECURITY NUMBER (SSN)
(LAST, First, Middle Initial)
2. STATEMENT OF UNDERSTANDING FOR INCREASED BENEFIT OPTION
(1) I am eligible to contribute an additional amount to increase my MGIB benefits. Increased contributions cannot exceed
$600. For each $4 I contribute, I will receive an additional $1 per month in increased benefit for full-time training.
For example, if I contribute the entire $600, my monthly MGIB benefit will be increased by $150. If I contribute $300,
the monthly increased benefit is $75, etc. (Divide the amount contributed by 4 to obtain the increase to the full-time
monthly benefit.)
(2) I understand that MGIB increased benefit option contributions are non-refundable.
(3) I must contribute the desired amount while serving on active duty. Once I separate, I cannot contribute to this program.
(4) I must maintain copies of this document and all documents reflecting the amount of my additional contribution. The
Department of Veterans' Affairs will require proof of additional contributions when claiming benefits.
I am participating in this option to increase my monthly MGIB benefit by contributing any additional amount up to $600, in
increments of $20. Increased MONTHLY payment is equal to $1 for each $4 contributed. All contributions must be made
while on active duty and are NON-REFUNDABLE. Once I have separated, I cannot contribute to this program.
a. SERVICE MEMBER SIGNATURE
b. RANK/GRADE
c. DATE SIGNED
(YYYYMMDD)
3. CERTIFYING OFFICIAL
I have verified this member originally enrolled in the MGIB program upon initial entry into active duty and is eligible to
participate in the increased benefit option. Member has been advised that all contributions must be made while on active duty
and may be stopped or suspended at any time, but are not refundable.
a. TYPED OR PRINTED NAME
)
b. RANK/GRADE
c. SIGNATURE
d. DATE SIGNED
(LAST, First, Middle Initial
(YYYYMMDD)
DD FORM 2366-1, JUN 2002
Adobe Professional 7.0
Reset