Army Forms Archive

DD Form 2892 — DD Form 2892, Certificate of Eligibility for Retired Members, 20110106 draft

Certificate of Eligibility for Retired Members

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Defense Department form, series DD, number 2892. Full title: DD Form 2892, Certificate of Eligibility for Retired Members, 20110106 draft. Function: Certificate of Eligibility for Retired Members. Edition in force: not stated. Publisher status: not stated.

Issued under not stated, with not stated as proponent. A DD number marks a Department-wide instrument: the same blank form serves every military department and the defense agencies, rather than one service alone.

Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.

Timing of submission is fixed by not stated and by the implementing guidance of the submitting organization. What follows describes the blank document, not agency procedure.

Available formats: PDF. The form runs 1 pages and contains approximately 11 fillable fields.

Distribution centres on pdf. Two states exist: fillable, where field boxes accept keyboard input and retain it, and printable, a static blank produced for manual completion. Typed data reproduces cleanly across copies; handwritten data depends on the writer.

What the form asks for

  • 1. Retired member's name (last, first, middle initial).
  • 2. Social security number.
  • 3. Date of birth (4 digit year, 2 digit month, 2 digit day).
  • 4. Retirement date (4 digit year, 2 digit month, 2 digit day).
  • I certify that I am eligible to continue receiving retired pay. 5.a. Retired member's signature.
  • b. Date (4 digit year, 2 digit month, 2 digit day).
  • 6.a. Notary public's signature.
  • b. Date (4 digit year, 2 digit month, 2 digit day).
  • Seal of notary public.
  • Press this Reset button to clear the data from all fields.

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.

Verify the edition date against not stated before entry. Department-level revisions replace the blank across every service simultaneously, so an old copy in a desk drawer may no longer correspond to current field numbering.

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.

Associated forms are traced by number within the series. Because the DD sequence is common to all military departments, no service qualifier is needed to identify a referenced form.

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.

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 2892?
DD Form 2892, Certificate of Eligibility for Retired Members, 20110106 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?
PDF

Other forms in the series