 or Dependency Redetermination Download Pdf){kind=small}
1
2PRIVACY ACT STATEMENT
LODGING OFFICIAL
PART A - IDENTIFICATION & DUTY LOCATION
QUARTERS ARE NOT ASSIGNED
DATE:
3. GRADE
2. SSN
4. PHONE
TERMINATED
ASSIGNED
UNIT #
5A. DUTY LOCATION (Base, State, ZIP Code or Country)
TERMINATED
ASSIGNED
UNIT #
TRANSIENT QUARTERS OCCUPIED - UNIT #
5B. E-MAIL ADDRESS
EFFECTIVE DATES FROM:
TO:
PART B - MARITAL/DEPENDENT STATUS
TITLE
6
SINGLE, NO DEPENDENTS
SINGLE, CLAIMING DEPENDENT(S)
MARRIED - SPOUSE IS A
CIVILIAN
MILITARY MEMBER
SIGNATURE
Click to sign
DATE
DIVORCED
LEGALLY SEPARATED
(Date)
(Date)
7. NON-CUSTODIAL PARENTS: I PAY
THE FULL AMOUNT OF WITH-DEPENDENT RATE BAH, OR
.00
PER MONTH FOR DEPENDENT SUPPORT
$
BASED ON: a.
DIVORCE DECREE
b.
c.
COURT ORDER
LEGAL SEPARATION AGREEMENT, OR d.
WRITTEN AGREEMENT WITH CHILD'S
CUSTODIAN
8. I
CLAIM BAH FOR THE DEPENDENT
IN
NOT IN MY LEGAL AND PHYSICAL CUSTODY LISTED BELOW (Effective Date):
(c) RELATIONSHIP
(d) DOB
(b) ADDRESS, CITY, STATE, ZIP or COUNTRY
9. IF DEPENDENT NAMED ABOVE IS A CHILD WHOSE PARENT IS A MILITARY MEMBER, OR THE SPOUSE OF A MEMBER PROVIDE THE FOLLOWING
SSN
BRANCH OF SERVICE
STATION
NAME
PART C- MEMBER'S CERTIFICATION
(For members with dependents)
CERTIFICATION FOR MEMBERS RECEIVING BAH FOR SECONDARY DEPENDENTS (package must be sent to DFAS-IN for determination).
YES
If no, give date your last application was filed.
NO
I certify that this is my first application
I understand that my failure to comply with the applicable requirements may result in cancellation of my BAH. Furthermore, I understand that making a false
statement or claim against the US Government is punishable by court martial and that the penalty for willfully making a false claim, or false statement in
connection with a claim is a maximum fine of $10,000 or imprisonment for 5 years, or both. I will report any changes of dependent's status or residence, as
well as any changes in my housing arrangements immediately to the Financial Services Office (FSO). I also understand that my failure to comply with
appropriate requirements may cause involuntary collection of any resulting indebtedness retroactive to the date the entitlement became erroneous.
DATE
MEMBER'S SIGNATURE
Click to sign
PREVIOUS EDITION IS OBSOLETE
AF Form 594, 20130729
PRIVACY ACT STATEMENT
LODGING OFFICIAL
PART A - IDENTIFICATION & DUTY LOCATION
QUARTERS ARE NOT ASSIGNED
DATE:
3. GRADE
2. SSN
4. PHONE
TERMINATED
ASSIGNED
UNIT #
5A. DUTY LOCATION (Base, State, ZIP Code or Country)
TERMINATED
ASSIGNED
UNIT #
TRANSIENT QUARTERS OCCUPIED - UNIT #
5B. E-MAIL ADDRESS
EFFECTIVE DATES FROM:
TO:
PART B - MARITAL/DEPENDENT STATUS
TITLE
6
SINGLE, NO DEPENDENTS
SINGLE, CLAIMING DEPENDENT(S)
MARRIED - SPOUSE IS A
CIVILIAN
MILITARY MEMBER
SIGNATURE
Click to sign
DATE
DIVORCED
LEGALLY SEPARATED
(Date)
(Date)
7. NON-CUSTODIAL PARENTS: I PAY
THE FULL AMOUNT OF WITH-DEPENDENT RATE BAH, OR
.00
PER MONTH FOR DEPENDENT SUPPORT
$
BASED ON: a.
DIVORCE DECREE
b.
c.
COURT ORDER
LEGAL SEPARATION AGREEMENT, OR d.
WRITTEN AGREEMENT WITH CHILD'S
CUSTODIAN
8. I
CLAIM BAH FOR THE DEPENDENT
IN
NOT IN MY LEGAL AND PHYSICAL CUSTODY LISTED BELOW (Effective Date):
(c) RELATIONSHIP
(d) DOB
(b) ADDRESS, CITY, STATE, ZIP or COUNTRY
9. IF DEPENDENT NAMED ABOVE IS A CHILD WHOSE PARENT IS A MILITARY MEMBER, OR THE SPOUSE OF A MEMBER PROVIDE THE FOLLOWING
SSN
BRANCH OF SERVICE
STATION
NAME
PART C- MEMBER'S CERTIFICATION
(For members with dependents)
CERTIFICATION FOR MEMBERS RECEIVING BAH FOR SECONDARY DEPENDENTS (package must be sent to DFAS-IN for determination).
YES
If no, give date your last application was filed.
NO
I certify that this is my first application
I understand that my failure to comply with the applicable requirements may result in cancellation of my BAH. Furthermore, I understand that making a false
statement or claim against the US Government is punishable by court martial and that the penalty for willfully making a false claim, or false statement in
connection with a claim is a maximum fine of $10,000 or imprisonment for 5 years, or both. I will report any changes of dependent's status or residence, as
well as any changes in my housing arrangements immediately to the Financial Services Office (FSO). I also understand that my failure to comply with
appropriate requirements may cause involuntary collection of any resulting indebtedness retroactive to the date the entitlement became erroneous.
DATE
MEMBER'S SIGNATURE
Click to sign
PREVIOUS EDITION IS OBSOLETE
AF Form 594, 20130729
ADDITIONAL INFORMATION
OFFICIAL USE ONLY - FINANCE
START
CHANGE
CANCEL
REPORT
STOP
PARTIAL
WITHOUT DEPENDENT
WITH DEPENDENT
Spouse
Single member claiming legitimate child in custody of another
Legitimate child in single member's custody
Stepchild
Adopted Child
Illegitimate child or
Child, member to member marriage
SECONDARY DEPENDENT DETERMINATION/REDETERMINATION
Parents
Parents-in-law
Stepparents
Parents-by-adoption
In-Loco-Parentis
Students 21 and 22 years of age
Incapacitated children over age 21
Ward of a court
I have verified that member is E-7 or above and there is no military necessity that requires the member to reside on base
SIGNATURE
OFFICE ADDRESS
DATE
TITLE OF CERTIFYING OFFICIAL
Click to sign
PREVIOUS EDITION IS OBSOLETE
AF Form 594, 20130729
Download AF Form 594 Application and Authorization to Start, Stop or Change Basic Allowance for Quarters (BAQ) or Dependency Redetermination
How to Fill Out AF Form 594?
AF Form 594 instructions are as follows:
- Part A is for providing information on the Service Member's identification and duty location.
- Block 1, Name. Enter your full name;
- Block 2, SSN. Enter your social security number;
- Block 3, Grade. Enter your grade;
- Block 4, Phone. Provide your phone number;
- Block 5a, Duty station. Enter the location of your duty station, include ZIP code;
- Block 5b, Email address. Enter your email address.
- Part B is for specifying marital and dependent status.
- Block 6. Check the appropriate box indicating your marital and dependent status. If your spouse is a service member, provide their name, social security number, the branch of service, duty station and date of marriage. If you are divorced or legally separated, provide the date of the divorce of separation. Provide the originals of the supporting documentation that proves the information you entered in this block;
- If you are married, provide a marriage certificate. If you have dependents, provide the youngest child's birth certificate;
- If you are divorced and want to certify custodial dependency, provide the divorce decree showing custody and the youngest child's birth certificate. If you are divorced and certifying non-custodial dependency, provide the divorce decree showing child support amount and the youngest child's birth certificate;
- If you are legally separated, provide the legal separation decree and the youngest child's birth certificate;
- Block 7, Non-custodial parents. This block is applicable only for service members certifying non-custodial dependency. Indicate, whether you pay the full amount of dependent support or a certain sum per month. Indicate the supporting document type as well;
- Block 8. Provide information about your civilian dependents, both in your and not your custody. Enter the following information in the table: the name of the dependent, the address, relationship to you, and date of birth;
- Block 9. This block is applicable if a child mentioned in Block 8 is a child of your spouse who is a service member. This block should contain the spouse's name, their SSN, the branch of service, and the station.
- Part C is applicable only for service members with dependents. This part should contain a certification of the provided supporting documentation.
- If this form is not the first application submitted, enter the date of the last application you filed. Sign and date the form.
- Any additional commentary, if any, should be entered in the "Additional Information" block. The box in the bottom of the sheet is for official uses only, leave it blank.
