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Defense Department form, series DD, number 2904. Full title: DD Form 2904, Application for Voluntary Separation Incentive Pay Under VSIP Phase II, October 2005. Function: Application for Voluntary Separation Incentive Pay Under VSIP Phase II. Edition in force: not stated. Publisher status: not stated.
Governing directive: not stated. Responsible office: not stated. The DD designation signals joint scope — all military departments, combatant commands and defense agencies draw on a single edition of the document.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
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.
The download set covers PDF. Document length is 1 pages with about 15 entry 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.
Xfdl is present in the set. The format belongs to IBM Lotus Forms — long the Defense standard for electronic forms — and needs the matching viewer; pdf applications will report the file as unreadable.
All formats download free of charge. Pdf files open in any modern reader; interactive fields behave most predictably in a desktop application, less so in browser viewers.
What the form asks for
- 1. Name (last, first, middle initial).
- 2. Social Security Number. Do not include dashes.
- 3. Organization.
- 4. Duty telephone number (include area code). Enter numbers only.
- 5. Job title.
- 6. Series.
- 7. Grade.
- 8. I am applying for the Voluntary Separation Incentive Pay Phase 2 Program under the following option: Press space bar to mark X in first box if Voluntary Early Retirement, second box if Optional Retirement, or third box if Resignation.
- 9.a. Employee signature.
- 10. Human Resources Office use only. a. Leave SCD (4 digit year, 2 digit month, 2 digit day, no separators).
- 9.b. Date (4 digit year, 2 digit month, 2 digit day, no separators).
- 10.b. Date application approved (4 digit year, 2 digit month, 2 digit day, no separators).
- 10.c. Date applicant notified of approval (4 digit year, 2 digit month, 2 digit day, no separators).
- 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.
Certification requires a signature in the designated block — ink on paper, or a digital signature where the receiving office supports one. Typing a name into the field does not constitute execution. CAC-based signing is the usual digital method for Defense forms.
Privacy Act Statements accompany DoD forms that gather personal identifiers. Content of the statement: legal authority, principal purpose, routine uses, and the effect of declining to provide the information. It is printed on the form for that reason.
Frequent defects: obsolete edition, unfilled required boxes, handwriting that fails on reproduction, non-conforming date format, and certification without a corresponding date.
Field-level instructions appear on the form itself and in not stated. The directive is the controlling text.
Once executed, routing follows not stated and the submitting organization's own instruction. Keeping a copy is standard.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 2904 is normally found by its number alone, without regard to service.
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.
Editions change because the underlying directive changes, because collection requirements are revised, or because Privacy Act language is updated. Checking the edition date at the point of download is the practical response.
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 2904?
- DD Form 2904, Application for Voluntary Separation Incentive Pay Under VSIP Phase II, October 2005
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?