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DD Form 2769 — a Department of Defense document. Title of record: DD Form 2769, Application for Annuity - Certain Military Surviving Spouses, October 2012. Stated purpose: Application for Annuity - Certain Military Surviving Spouses. Edition date 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.
The download set covers PDF. Document length is 2 pages with about 49 entry fields.
Free download applies to every format listed. Any current pdf reader opens the pdf files, though field behaviour is most reliable in a full desktop reader rather than a browser preview.
What the form asks for
- Section 1 - Information concerning deceased member. 1. Name of deceased retiree (last, first, middle).
- 2. Social security number or service number. Do not include dashes.
- 3. Date of birth (four digit year, two digit month, two digit day, no dividers).
- 4. Did the deceased member die before March 21, 1974, or, in the case of a reserve member, die before October 1, 1978? Press space bar to mark X in first box if no, second box if yes. If No, you are not eligible.
- If Yes, date of death (4 digit year, 2 digit month, 2 digit day).
- 5. Was the member retired, or in the case of a reserve member eligible for retirement by completing over 20 years of qualifying service? Mark X in first box if yes, second box if no. If no, you are not eligible.
- If Yes, date retired, or in the case of a reserve member, date of retirement eligibility (4 digit year, 2 digit month, 2 digit day).
- 6. Were you legally married to the deceased at the time of death? Mark X in first box if yes, second box if no. If no, you are not eligible.
- If Yes, date of marriage (4 digit year, 2 digit month, 2 digit day).
- 7. Have you ever remarried? Mark X in first box if yes, second box if no. If yes, your eligibility for accruing additional benefits ended on the date you remarried.
- If Yes, date of remarriage (4 digit year, 2 digit month, 2 digit day).
- 8.a. Are you receiving any other military survivor annuity of any kind on the record of this or any other deceased retiree? Mark X in first box if yes, second box if no.
- If yes, monthly amount:
- 8.b. Type of benefit. Mark X if SBP.
- Mark X if M I W.
- Mark X if D I C.
- Section 3 - Information concerning surviving spouse. 9. Name (last, first, middle initial).
- 10. Social security number. Do not include dashes.
- 11. Date of birth (four digit year, two digit month, two digit day).
- 12. Country of citizenship.
- 13. Address (Street, Apartment number, City, State, and Zip code).
- 14. Telephone number (Include area code).
- Section 4 - Electronic Funds Transfer. 15. Routing Transit Number (RTN) (9 digits).
- 16. Account number.
Order of completion: identification block first, substantive entries second, certification and signature last. The blank is laid out in that sequence and the sequence is not arbitrary — later entries often depend on data established in the header.
Edition in use: not stated. Because DD forms are revised at Department level and distributed to all services at once, an obsolete printing may not match the fields an office expects. The date is printed on the form face.
Instructions printed on the form or in not stated govern individual field entries. Where the two differ, the governing publication controls.
Once executed, routing follows not stated and the submitting organization's own instruction. Keeping a copy is standard.
Cross-referenced forms are found through the numbering system. The DD sequence is Department-level and unified, which means a number cited on the page identifies one document across the whole Department.
Where a DA form is cited alongside a DD form, the two belong to different systems: DA numbering is Army-specific and administered by an Army proponent, while DD numbering is Defense-wide under not stated or an equivalent Department office. Numbers do not translate between the systems.
Forms are reissued for several reasons: directive revision, changed data requirements, updated notice language. Confirming not stated at the moment of download covers the risk.
The material here is descriptive. Nothing on the page constitutes legal or procedural advice, and no statement here determines whether a submitted form will be accepted. Such questions go to not stated, a servicing administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 2769?
- DD Form 2769, Application for Annuity - Certain Military Surviving Spouses, October 2012
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?