Da Form 2339 PDF Details

The DA Form 2339, otherwise known as the Application for Voluntary Retirement, plays a crucial role for service members contemplating leaving active duty under voluntary retirement conditions. Governed by AR 635-200, with the Military Personnel Center (MILPERCEN) acting as the proponent agency, this form initiates the administrative process required for members of the military to retire voluntarily. The form outlines a comprehensive range of information starting from personal identification details like name and social security number, to more specific data including desired retirement date, current and highest grades served, and unit assignment. Essential for determining a service member’s eligibility and processing their retirement, it also includes sections for recording military awards, total service time, and retirement preferences such as location and status in the retired reserve. Moreover, the form mandates applicants to acknowledge their understanding of certain retirement-related provisions, such as undergoing a medical examination before retirement and the Survivor Benefit Plan. Commanders also have a section to recommend approval or disapproval and to attest to the accuracy of the service shown. The DA Form 2339 thus encapsulates key elements of a service member’s military career and retirement intentions, serving as a vital document in transitioning from active duty to retired status.

QuestionAnswer
Form NameDa Form 2339
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesapplication voluntary retirement, da for retirement, form voluntary retirement, sample da form 2339

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APPLICATION FOR VOLUNTARY RETIREMENT

For use of this form, see AR 635-200; the proponent agency is MILPERCEN.

DATE

 

DATA REQUIRED BY THE PRIVACY ACT

AUTHORITY:

Title 10, United States Code, Chapters 61, 63 and 67.

PRINCIPAL PURPOSE:

To initiate necessary administrative action in regard to voluntary requests for retirement.

ROUTINE USES:

Data contained on the form is used to complete administrative actions incident to retirement.

DISCLOSURE:

Disclosure is voluntary. However, failure to disclose required information may result in service member not

 

being considered for voluntary retirement.

 

 

TO: (Include ZIP Code)

THRU: (Include ZIP Code)

SECTION I - (TO BE COMPLETED BY ALL APPLICANTS)

1. NAME (Last, First, Middle)

 

 

 

 

 

 

 

2. SSN

 

 

3. ETS

 

 

4. DESIRED RETIREMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. CURRENT GRADE, PAY GRADE, (Effective date of promotion)

6. HIGHEST GRADE SERVED ON ACTIVE DUTY AND BRANCH OF

 

AND MOS

 

 

 

 

 

 

 

SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. UNIT OF ASSIGNMENT - DUTY STATION - MAJOR COMMAND

8. DESIRE RETIREMENT AT CURRENT OVERSEA ASSIGNMENT

 

 

 

 

 

 

 

 

 

 

 

 

(CONUS Residents only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

NOT APPLICABLE

 

 

 

 

 

 

 

 

 

 

 

 

9. MAIL ADDRESS UPON RETIREMENT (Will not be considered as

10. NON-CONUS PERSONNEL STATIONED OVERSEAS DESIRE

 

home of selection) (Include ZIP Code)

 

 

 

RETIREMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOR

CONUS

CURRENT OVERSEAS STATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. REQUEST TRANSFER TO RETIRED RESERVE IN THE FOLLOWING STATUS

 

 

 

 

 

 

 

 

COMMISSIONED

 

WARRANT OFFICER

 

 

 

ENLISTED

 

 

 

 

 

 

 

 

 

 

 

 

12.

 

(TO BE COMPLETED ONLY BY RESERVE OFFICERS SERVING ON ACTIVE DUTY IN ENLISTED STATUS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. RESERVE COMMISSIONED STATUS

 

 

 

b. GRADE & PROMOTION

 

 

 

c. BRANCH

 

 

RETIRED

 

ACTIVE

 

 

 

ELIGIBILITY DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. AWARDS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEDAL OF HONOR

 

DISTINGUISHED SERVICE CROSS

NAVY CROSS

NONE

 

 

 

SOLDIERS MEDAL

DISTINGUISHED FLYING CROSS OR EQUIVALENT NAVY DECORATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

CHRONOLOGICAL DATES OF MILITARY SERVICE

 

TIME

ACTIVE FEDERAL

 

 

INACTIVE SERVICE

(Enlistment and Discharge dates and change in status from active to

 

LOST

 

SERVICE

 

 

 

inactive service and vice versa.) (Para 12-13, AR 635-200)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENL. WO.

COM-

 

 

FROM

 

TO

 

 

 

TOTAL

 

 

 

TOTAL

COM

PONENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

 

MO

DAY

YEAR

 

MO

DAY

 

DAYS

YEARS

MONTHS

DAYS

YEARS MONTHS DAYS

(Indicate)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.TOTAL TIME LOST (If no time lost, enter "None")

16.TOTAL ACTIVE SERVICE CREDITABLE FOR RETIREMENT (Do not include time lost)

17.TOTAL INACTIVE SERVICE CREDITABLE FOR BASIC PAY ONLY

18. TOTAL SERVICE FOR BASIC PAY PURPOSES (Item 16 + 17)

DA FORM 2339, JUN 83

EDITION OF APR 78 WILL BE USED UNTIL EXHAUSTED.

USAPA V4.00

19. CONUS LOCATION OF CHOICE TRANSFER ACTIVITY

I ELECT TO BE PROCESSED FOR RETIREMENT AT:

I ATTEST THAT I HAVE BEEN COUNSELED AS SPECIFIED BY PARAGRAPH 2-18, AR 635-10. I ALSO FULLY UNDERSTAND THE PROVISIONS OF SECTION V, CHAPTER 2, AR 635-10 CONCERNING MY ENTITLEMENTS PERTAINING TO PER DIEM, TRAVEL AND TRANSPORTATION ALLOWANCES, BASED ON MY RETIREMENT AT A CONUS LOCATION OF CHOICE.

I DO NOT ELECT TO BE PROCESSED FOR RETIREMENT AT A CONUS LOCATION OF CHOICE.

I am familiar with the provisions of AR 635-200 pertaining to withdrawal of this application for retirement once it has been accepted by the retirement approval authority.

SIGNATURE OF APPLICANT

SECTION II - (TO BE COMPLETED BY COMMANDER HAVING CUSTODY OF PERSONNEL RECORDS)

TO: (Include ZIP Code)

FROM: (Include ZIP Code)

DATE

20. RECOMMEND

APPROVAL

DISAPPROVAL (Indicate reason(s) in Remarks)

21. AUTHORIZED TRANSFER ACTIVITY (If other than current installation, specify)

22. APPLICANT IS

IS NOT SUBMITTING REQUEST IN LIEU OF ELIMINATION OR FURTHER ELIMINATION PROCEEDINGS.

(If "YES" application must be attached to board proceedings.)

23. APPLICANT

HAS

HAS NOT INCURRED A SERVICE OBLIGATION (If "HAS"

indicate reason and expiration date in Remarks)

24. THIS ACTION IS IS NOT

IN CONTRAVENTION WITH AR 600-31

25.SERVICE SHOWN (Items 14-18) HAS BEEN VERIFIED AS CORRECT BY:

OTHER (Specify)

MPRJ AGPERSCEN:

(If other than MPRJ, attach verification)

26.DATE APPLICANT ARRIVED AT PRESENT ASSIGNMENT (Other than Oversea Command - see Item 27)

27.DATE APPLICANT OR DEPENDENT ARRIVED IN OVERSEA COMMAND (Whichever is later - specify applicant or dependent)

DATE:

NOT APPLICABLE

28.DATE OF RECEIPT OF ALERT (Nomination for assignment) OR ASSIGNMENT ORDERS (Not applicable for unit alert - see Item 31)

29.DATE MEMBERS OF UNIT WERE NOTIFIED OF UNIT ALERT

DATE:

NOT APPLICABLE

30. STATEMENT OF UNDERSTANDING

 

1. I have read Section V, Chapter 12, AR 635-200. I understand that I must undergo a medical examination prior to my retirement. I am responsible for insuring that the examination is scheduled not earlier than 4 months, nor later than 1 month prior to my approved retirement date (subject examination to be arranged through coordination with my unit of assignment). I am aware that the purpose of this examination is to provide a better health assessment of me and, in particular, to continue cardiovascular attention, to record as accurately as possible, my state of health on retirement and to protect my interests and those of the Government. I also understand that my retirement will take effect on the requested date and that I will not be held on active duty to complete this examination.

2.I have been briefed concerning the Survivor Benefit Plan. I understand that I will automatically be in the plan and will pay the full cost of coverage for my wife, and children if applicable, unless I submit an election form to the contrary prior to my retirement.

3.I am/am not (STRIKE THE INAPPROPRIATE WORDS) being considered by a HQDA Selection Board for promotion to the next higher grade.

(Signature of member)

31.REMARKS (Continue on additional sheet if necessary)

has requested and had approved days of transitional leave

(DDALV) to be taken in conjunction with the requested retirement action. This leave will begin

on

and end on

 

TYPED NAME, GRADE AND TITLE OF COMMANDER/PERSONNEL

SIGNATURE

 

OFFICER

 

 

 

 

DA FORM 2339, JUN 83

USAPA V4.00

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