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).
The form was last revised by the Department of Defense (DoD) in April 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). The 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.