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Department of Defense form 2656-10. Official designation: DD Form 2656-10, SBP/RC SBP Request for Deemed Election, April 2009. Purpose: Survivor Benefit Plan (SBP) / Reserve Component (RC) SBP Request for Deemed Election. Current edition not stated, status not stated.
Prescribing authority: not stated. Proponent: not stated. Unlike service-specific publications, DD forms carry Department-level authority and apply across the Army, Navy, Air Force, Marine Corps, Space Force and Coast Guard when operating under Defense jurisdiction.
Users include uniformed members of any branch, DoD civilian employees, contractor personnel where authorized, and the administrative staff who process the completed record.
When the form is filed is a matter of not stated and local instruction. The description here covers the document itself and how to obtain a copy.
Available formats: PDF. The form runs 2 pages and contains approximately 56 fillable fields.
The pdf is the primary distribution format. A fillable pdf accepts typed entries in defined field boxes and stores them in the file; a printable pdf is a flat image of the blank, meant for pen entry after printing. The distinction matters for legibility and for records that pass between offices.
What the form asks for
- 3.a. Branch of service.
- b. Press space bar to mark X in first box if active duty, second box if reserve, or third box if National Guard.
- 4. Is member retired? X first box if yes, second box if no.
- 5. If yes, date of retirement (4 digit year, 2 digit month, 2 digit day, no dividers).
- Section 2 - Former spouse information. 6. Former spouse name (last, first, middle initial).
- 7. Social Security number.
- 8. Address (include zip code).
- 9. Date of birth (4 digit year, 2 digit month, 2 digit day).
- 10. Marriage history. a. Date married to member (4 digit year, 2 digit month, 2 digit day).
- b. Date of divorce (4 digit year, 2 digit month, 2 digit day).
- c. Are you currently married? X first box if yes, second box if no.
- d. If yes, date of current marriage (4 digit year, 2 digit month, 2 digit day).
- Section 1 - Member information. 1. Member name (last, first, middle initial).
- 2. Social Security number. Do not include dashes.
- 11. Is election made pursuant to requirements of court order? X first box if yes, second box if no.
- 12. Is election being made pursuant to written agreement previously entered into voluntarily as part of or incident to a proceeding of divorce, dissolution or annulment? X first box if yes, second box if no.
- 13. If "yes" to question 12, was such voluntary written agreement incorporated in, ratified, or approved by a court order? X first box if yes, second box if no.
- Section 4 - Dependent Children information. 14.a. Name (last, first, middle initial), line 1 of 7.
- b. Date of birth (4 digit year, 2 digit month, 2 digit day).
- c. Social security number.
- d. Relationship (son, daughter, stepson, etc.).
- e. Disabled? (Yes or no.)
- a. Name, line 2.
- b. Date of birth.
The document is filled from the top down. Identification precedes substance, substance precedes certification. Fields lower on the page are commonly keyed to entries made above them.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
Instructions printed on the form or in not stated govern individual field entries. Where the two differ, the governing publication controls.
The completed document moves to the office named in not stated or in local guidance. A retained copy is conventional practice.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 2656-10 is normally found by its number alone, without regard to service.
Some procedures pair a DD form with a service form. The two numbering systems are separate — service forms answer to a service proponent, DD forms to not stated or another Department office — and a matching number in each system means nothing.
Revision occurs when the prescribing directive is reissued, when the data collected changes, or when statutory notice language is amended. Verification of the edition date at download addresses all three.
This page distributes a published Department of Defense document and describes it. It is not a source of legal advice and makes no representation about acceptance of any completed form. Questions of applicability, eligibility or procedure belong to not stated, the servicing personnel office, or the office named in not stated.
Questions and answers
- What is DD Form 2656-10?
- DD Form 2656-10, SBP/RC SBP Request for Deemed Election, April 2009
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?