AF Form 2037 "Request for Waiver of Spouse Concurrence in Survivor Benefit Plan (SBP) Election"

What Is AF Form 2037?

This is a legal form that was released by the U.S. Air Force on December 6, 2011 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 6, 2011;
  • The latest available edition released by the U.S. Air Force;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of AF Form 2037 by clicking the link below or browse more documents and templates provided by the U.S. Air Force.

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Download AF Form 2037 "Request for Waiver of Spouse Concurrence in Survivor Benefit Plan (SBP) Election"

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REQUEST FOR WAIVER OF SPOUSE CONCURRENCE IN SURVIVOR BENEFIT PLAN (SBP) ELECTION
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. Chapter 73, subchapters II and III; DoDI 1342.24, Transitional Compensation for Abused Dependents; DoD Financial
Management Regulation 7000.14-R, Volume 7B and Executive Order 9397 (SSN), as amended.
PURPOSE: To maintain pay and personnel information for use in the computation of military retired pay survivor annuity pay and to make payments to
spouses, former spouses and other dependents who are victims of abuse.
ROUTINE USES: May specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3), to Internal Revenue Service,
Department of Veterans Affairs (DVA), to individuals authorized to receive retired and annuitant payments on behalf of retirees and annuitants, Air
Force Assistance Fund, American Red Cross, to former spouses under 10 U.S.C.1450(f)(3) and spouses under 10 U.S.C. 1448(a) regarding Survivor
Benefit Plan coverage, to receive approved requests for those determined to be victims of abuse. DoD "Blanket Routine Uses" apply.
DISCLOSURE: VOLUNTARY. Without furnishing information the request for waiver cannot be processed.
SORN(s): T7347b, Defense Military Retiree and Annuity Pay System.
The spouse's written concurrence is required in any election that does not include maximum coverage for the spouse. As an exception, the spouse's
concurrence is not required in those cases in which the member establishes to the satisfaction of the Secretary of the Air Force that the spouse's
whereabouts cannot be determined or, due to exceptional circumstances, requiring the member to seek the spouse's concurrence would be otherwise
inappropriate. This request for waiver of the spouse concurrence requirement must be submitted to HQ AFPC/DPPTR, 550 C Street West, Suite 11,
Randolph AFB, TX 78150-4713, when the SBP election is made. Submission of request later than 60 days prior to the effective date of retirement may
result in the member's retired pay account being improperly established.
MEMBER INFORMATION
, request the Air Force waive the requirement for spouse concurrence in my SBP election
I,
which is reflected on the attached copy of DD Form 2656, Data for Payment of Retired
(Grade, Name)
Personnel.
My spouse,
, is unable to provide written concurrence because: (Complete Item a or b, below)
(Name)
a. My spouse is physically or mentally incapable of executing a concurrence statement. The attached statement(s) from my spouse's
physician or legal documentation by a court of competent jurisdiction verify that status.
b. The whereabouts of my spouse is unknown and has been unknown for at least 90 days. My last contact with my spouse occurred on
at
(Date)
(Location -- Include Zip Code if known)
If you checked item b above, you must also complete (1) or (2), below
(1) I have filed a missing persons report with the proper authorities and a copy is attached; or,
(2) I did not file a missing persons report. (Explain why you did not file a missing persons report. Also, explain the dates and
circumstances of your spouse's disappearance and your efforts to locate your spouse. You must include persons/agencies contacted
and the dates of contacts. Failure to provide complete information will delay the action on your request.) Continue on a blank sheet of
paper, if necessary.*
* (If you checked item b(2), above, you must include two notarized statements from disinterested parties such as neighbors, civil authorities, or
clergymen to substantiate your claim. The notarized affidavits should explain the relationship between the persons signing them and you and/or your
spouse.)
I understand that if action on this request is not final or if the request is denied before my retirement, maximum SBP coverage for spouse
only or spouse and children, whichever applies, will be implemented for me and the appropriate premium deducted from my retirement pay.
If this request is approved subsequent to my retirement, I understand I will be refunded any premiums deducted prior to approval.
I understand that if the statements contained in this request are later found to be untrue, spouse coverage will be established on the full
amount of my retired pay, with costs and interest collected retroactive to my date of retirement, unless my spouse consents otherwise. I
understand that any false statement or misrepresentations thereto is a violation of the law and is punishable by a fine of not more than
$10,000 or imprisonment of not more than 5 years, or both (18 U.S.C. 1001).
TYPED OR PRINTED FIRST NAME, MIDDLE INITIAL, LAST NAME OR REQUESTER
GRADE
RETIREMENT DATE
SIGNATURE OF REQUESTER
DATE
SSN
SBP COUNSELOR'S NAME
MILITARY ADDRESS
PHONE NUMBER
PREVIOUS EDITIONS ARE OBSOLETE
PRIVACY ACT INFORMATION: The information in this form is
AF FORM 2037, 20111206
FOR OFFICIAL USE ONLY. Protect IAW the Privacy Act of 1974.
REQUEST FOR WAIVER OF SPOUSE CONCURRENCE IN SURVIVOR BENEFIT PLAN (SBP) ELECTION
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. Chapter 73, subchapters II and III; DoDI 1342.24, Transitional Compensation for Abused Dependents; DoD Financial
Management Regulation 7000.14-R, Volume 7B and Executive Order 9397 (SSN), as amended.
PURPOSE: To maintain pay and personnel information for use in the computation of military retired pay survivor annuity pay and to make payments to
spouses, former spouses and other dependents who are victims of abuse.
ROUTINE USES: May specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3), to Internal Revenue Service,
Department of Veterans Affairs (DVA), to individuals authorized to receive retired and annuitant payments on behalf of retirees and annuitants, Air
Force Assistance Fund, American Red Cross, to former spouses under 10 U.S.C.1450(f)(3) and spouses under 10 U.S.C. 1448(a) regarding Survivor
Benefit Plan coverage, to receive approved requests for those determined to be victims of abuse. DoD "Blanket Routine Uses" apply.
DISCLOSURE: VOLUNTARY. Without furnishing information the request for waiver cannot be processed.
SORN(s): T7347b, Defense Military Retiree and Annuity Pay System.
The spouse's written concurrence is required in any election that does not include maximum coverage for the spouse. As an exception, the spouse's
concurrence is not required in those cases in which the member establishes to the satisfaction of the Secretary of the Air Force that the spouse's
whereabouts cannot be determined or, due to exceptional circumstances, requiring the member to seek the spouse's concurrence would be otherwise
inappropriate. This request for waiver of the spouse concurrence requirement must be submitted to HQ AFPC/DPPTR, 550 C Street West, Suite 11,
Randolph AFB, TX 78150-4713, when the SBP election is made. Submission of request later than 60 days prior to the effective date of retirement may
result in the member's retired pay account being improperly established.
MEMBER INFORMATION
, request the Air Force waive the requirement for spouse concurrence in my SBP election
I,
which is reflected on the attached copy of DD Form 2656, Data for Payment of Retired
(Grade, Name)
Personnel.
My spouse,
, is unable to provide written concurrence because: (Complete Item a or b, below)
(Name)
a. My spouse is physically or mentally incapable of executing a concurrence statement. The attached statement(s) from my spouse's
physician or legal documentation by a court of competent jurisdiction verify that status.
b. The whereabouts of my spouse is unknown and has been unknown for at least 90 days. My last contact with my spouse occurred on
at
(Date)
(Location -- Include Zip Code if known)
If you checked item b above, you must also complete (1) or (2), below
(1) I have filed a missing persons report with the proper authorities and a copy is attached; or,
(2) I did not file a missing persons report. (Explain why you did not file a missing persons report. Also, explain the dates and
circumstances of your spouse's disappearance and your efforts to locate your spouse. You must include persons/agencies contacted
and the dates of contacts. Failure to provide complete information will delay the action on your request.) Continue on a blank sheet of
paper, if necessary.*
* (If you checked item b(2), above, you must include two notarized statements from disinterested parties such as neighbors, civil authorities, or
clergymen to substantiate your claim. The notarized affidavits should explain the relationship between the persons signing them and you and/or your
spouse.)
I understand that if action on this request is not final or if the request is denied before my retirement, maximum SBP coverage for spouse
only or spouse and children, whichever applies, will be implemented for me and the appropriate premium deducted from my retirement pay.
If this request is approved subsequent to my retirement, I understand I will be refunded any premiums deducted prior to approval.
I understand that if the statements contained in this request are later found to be untrue, spouse coverage will be established on the full
amount of my retired pay, with costs and interest collected retroactive to my date of retirement, unless my spouse consents otherwise. I
understand that any false statement or misrepresentations thereto is a violation of the law and is punishable by a fine of not more than
$10,000 or imprisonment of not more than 5 years, or both (18 U.S.C. 1001).
TYPED OR PRINTED FIRST NAME, MIDDLE INITIAL, LAST NAME OR REQUESTER
GRADE
RETIREMENT DATE
SIGNATURE OF REQUESTER
DATE
SSN
SBP COUNSELOR'S NAME
MILITARY ADDRESS
PHONE NUMBER
PREVIOUS EDITIONS ARE OBSOLETE
PRIVACY ACT INFORMATION: The information in this form is
AF FORM 2037, 20111206
FOR OFFICIAL USE ONLY. Protect IAW the Privacy Act of 1974.