AER Form 57R PDF Details

AER Form 57R, the Army Emergency Relief Budget Planning Sheet, is required when applying for financial assistance through Army Emergency Relief. It gives counselors an accurate picture of your complete monthly financial situation.

The form covers all income sources: service member pay, VA disability benefits, civilian earnings, rental income, and spousal income. It tracks monthly expenses including housing, food, utilities, vehicle payments, insurance, child support, and installment loan repayments.

Active-duty soldiers, retirees, National Guard members, and their families are eligible. Those transitioning to medical retirement may list projected income rather than current figures.

For related financial documents, explore our financial planning worksheet or income and expense statement templates.

QuestionAnswer
Form NameAer Form 57R
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesaer form 57r, 57 r, form army sheet, aer budget sheet

Form Preview Example

Army Emergency Relief (AER) Budget Sheet

NAME: __________________________________________________

Client ID: ______________________________

Instructions: Use monthly averages for your income and expenses. Do not use current amounts due as this may not accurately reflect your budget. If you are in transtion to medical retirement - use projected income as provided by PEBLO.

1

MONTHLY INCOME

 

AMOUNT

 

2

MONTHLY EXPENSES

AMOUNT

 

Service Member's Income

 

 

 

 

Food

 

 

Military/Retired Pay (DFAS)

 

 

 

 

Rent

 

 

VA Disability

 

 

 

 

Mortgage

 

 

Civilian Salary/Earnings

 

 

 

 

Utilities:

 

 

CRSC

 

 

 

 

Electric

 

 

Social Security Disability

 

 

 

 

Water/Sewer

 

 

Social Security Retirement

 

 

 

 

Cable

 

 

GI Bill

 

 

 

 

Internet

 

 

VOCREHAB

 

 

 

 

Home Heating Oil/Gas

 

 

Child Support

 

 

 

 

Home Phone

 

 

Spouse's Income:

 

 

 

 

Trash

 

 

Social Security

 

 

 

 

Cell Phone

 

 

Social Security Disability

 

 

 

 

Vehicle Expenses:

 

 

Caretaker Stipend

 

 

 

 

Fuel

 

 

Dependency and Indemnity Comp (DIC)

 

 

 

 

Maintenance

 

 

Child Support

 

 

 

 

Payment - Vehicle 1

 

 

SBP

 

 

 

 

Payment - Vehicle 2

 

 

VA Widow Tax Pension

 

 

 

 

Meals Eating Out

 

 

Dependent Children Income:

 

 

 

 

Recreation

 

 

Civilian Salary/Earnings

 

 

 

 

Church/Charity

 

 

Social Security

 

 

 

 

Clothing

 

 

GI Bill

 

 

 

 

Incidentals/Supplies

 

 

Caretaker Stipend

 

 

 

 

Insurance:

 

 

Other Income:

 

 

 

 

Life

 

 

Help from other family members

 

 

 

 

Vehicle

 

 

Rental Property Income

 

 

 

 

Renter's/Home

 

 

Investment Income

 

 

 

 

Health Insurance

 

 

Food Stamps

 

 

 

 

Dental Insurance

 

 

WIC

 

 

 

 

Child Care

 

 

Other:

 

 

 

 

Child School Expenses

 

 

Other:

 

 

 

 

Child Support (Payments)

 

 

Notes:

 

 

 

 

Medical Bills

 

 

 

 

 

 

 

Dental Bills

 

 

 

 

 

 

 

Garnishment

 

 

 

 

 

 

 

Investments:

 

 

 

 

 

 

 

TSP/IRA

 

 

 

 

 

 

 

Mutual Funds/Stocks

 

 

 

 

 

 

 

Savings

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

Credit Cards:

 

 

 

 

 

 

 

Card #1

 

 

 

 

 

 

 

Card #2

 

 

 

 

 

 

 

Card #3

 

 

 

 

 

 

 

Personal Loans:

 

 

 

 

 

 

 

Loan #1

 

 

 

 

 

 

 

Loan #2

 

 

 

 

 

 

 

Loan #3

 

 

 

 

 

 

 

Student Loan

 

 

 

 

 

 

 

Taxes:

 

 

 

 

 

 

 

Federal Income tax

 

 

 

 

 

 

 

State Income tax

 

 

 

 

 

 

 

Medicare

 

 

 

 

 

 

 

Social Security

 

 

 

 

 

 

 

Other Taxes (City/Local)

 

 

 

 

 

 

 

Other:

 

1

TOTAL INCOME

 

 

 

 

Other:

 

 

 

 

 

 

 

Other:

 

2

TOTAL EXPENSES

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

BALANCE CIRCLE ONE ( + OR - )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AER Form 57R, dated June 2017, previous editions obsolete

How to Edit Aer Form 57R Online for Free

To fill out the AER Form 57R online, use our free PDF editor. No downloads needed. Follow these steps:

Step 1: Click the orange "Get Form" button above to open the PDF editor.

Step 2: Use the editor to add text, adjust existing content, and add your signature.

Here is what to fill in:

1. Complete the blanks in the first section carefully:

How one can fill out aer form 57r fillable step 1

2. Fill in Service Members Income, Food/Rent/Mortgage/Utilities, and TOTAL INCOME.

Guidelines on how to fill in aer form 57r fillable stage 2

Double-check the Service Members Income field before submitting.

3. Complete the TOTAL, TOTAL EXPENSES, BALANCE, and AER Form R dated fields.

The right way to complete aer form 57r fillable step 3

Step 3: Click "Done" when complete. Create a free 7-day FormsPal account to save, download, or email your form. Your data is never shared.

Frequently Asked Questions About AER Form 57R

What is AER Form 57R used for?

AER Form 57R is the Army Emergency Relief Budget Planning Sheet. Service members and families complete it when requesting AER financial assistance.

Who needs to complete AER Form 57R?

Active-duty soldiers, retirees, surviving spouses, and dependent children applying for AER assistance. Those transitioning to medical retirement may use projected income.

What information is required?

Monthly income (military pay, VA disability, civilian earnings) and monthly expenses (housing, food, utilities, transportation, loans). Use monthly averages.

See also: financial planning worksheet, SSI budget worksheet, and financial assistance application.