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DD Form 2866 — a Department of Defense document. Title of record: DD Form 2866, Retiree Change of Address Request/State Tax Withholding Authorization, 20120815 draft. Stated purpose: Retiree Change of Address Request/State Tax Withholding Authorization. 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.
The form reaches military personnel across the services, civilian employees of the Department, and the personnel and records specialists who receive it.
Submission follows the schedule set by not stated and by local implementing procedures. This page provides the blank form for download and general orientation only.
Formats offered: PDF. Length: 1 pages. Fillable field count: roughly 15.
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
- Part 1. Change of Address. 1. Member's Name. a. Last name.
- b. First name.
- c. Middle initial.
- 2. Social security number (do not include dashes).
- 3. New correspondence information. a. Other address information if applicable.
- 3.b. Number and street or route.
- 3.c. City.
- d. State.
- e. Zip code.
- 4. Press space bar to mark X in first box if wish to start state income tax withholding, second box if wish to change, or third box if wish to terminate.
- d. State.
- e. Withholding amount. Must be in whole dollars and not less than ten dollars.
- f. Signature.
- g. Date signed (4 digit year, 2 digit month, 2 digit day).
- Press this Reset button to clear the data from all fields.
Completion runs in the order printed on the page: identifying data at the head, the body of the entry next, certification at the foot. Header data frequently governs what belongs in the fields below it.
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.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
The completed document moves to the office named in not stated or in local guidance. A retained copy is conventional practice.
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.
A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.
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.
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 2866?
- DD Form 2866, Retiree Change of Address Request/State Tax Withholding Authorization, 20120815 draft
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?