DD Form 2656-11, Statement Certifying Number of Months of Survivor Benefit Plan Premiums Paid is used if the individual disagrees with the number of months credited toward Paid-up Survivor Benefit Plan (SBP) by the Defense Finance and Accounting Service (DFAS).
This form was last revised by the Department of Defense (DoD) on April 1, 2009, and is part of a series of forms dealing with SBP coverage and termination. An up-to-date fillable version of the DD Form 2656-11 is available for download or digital filing below or can be found on the Executive Services Directorate website.
The number of months credited toward Paid-up SBP can be found on the retiree's personal Retiree Account Statement (RAS). DD 2656-11 does not require providing any additional documentation. The DFAS will notify retirees when and where to mail all supporting documentation if any will be required.
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