Da Form 3715 R PDF Details

Da Form 3715 R is a Department of the Army form used to request classification of supplies and equipment. The form is also used to document requests for special handling or transportation of supplies and equipment. The completed form is then sent to an authorized agency for approval. The use of the Da Form 3715 R can ensure that your supplies and equipment are handled in a timely, safe, and efficient manner. By submitting a completed form, you will have the peace of mind knowing that your items are being taken care of properly.

QuestionAnswer
Form NameDa Form 3715 R
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 3715 retirement, da 3715 r, form 3715 pc, form 3715 form

Form Preview Example

US ARMY NONAPPROPRIATED FUNDS – DISPOSITION OF RETIREMENT BENEFITS

For use of this form, see AR 215-3; the proponent agency is DCSPER

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY:Internal Revenue Service Code, Section 401(a)

PRINCIPAL PURPOSE: The information you provide is for the purpose of preparing a refund of contributions or to process a retirement annuity

ROUTINE USES:For terminating employees, the information is used to prepare a refund or a deferred annuity as requested. For retirement employees,

the information is used to process am monthly annuity payment thereafter. For survivors, the information is used to process survivor benefits.

DISCLOSURE:Disclosure of your social security number and primary insurance amount is voluntary. Disclosure of other personal information is voluntary, however, failure to provide this information within one year of termination of employment will result in automatic refund of contributions and denial of annuity.

SECTION I - GENERAL INFORMATION

EMPLOYEE NAME (LAST, FIRST, MI)

SOCIAL SECURITY NUMBER

DATE OF BIRTH

 

 

 

 

COMPLETE MAILING ADDRESS (STREET, CITY, STATE, ZIP)

TELEPHONE #

 

 

 

 

 

SERVICE COMPUTATION DATE

DATE OF SEPARATION AND REASON

SICK LEAVE HRS

 

 

 

 

 

EMPLOYING NAFI

 

 

 

 

 

 

 

MARITAL STATUS

NAME OF LEGAL SPOUSE (LAST, FIRST, MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER OF LEGAL SPOUSE

DATE OF BIRTH OF LEGAL SPOUSE

DATE OF MARRIAGE

In the event there is no surviving legal spouse, list names and dates of birth of surviving children under age 18 on reverse side with a certified copy of the court document which appointed the legal guardian. The date of marriage and the date(s) of birth of the Survivor(s) have been verified by satisfactory evidence and the benefit authorized. A certified copy of the Death Certificate is attached.

Annually, Benefits resulting from the death of the employee are payable in accordance with the Army NAF Retirement Plan.

SECTION II - RETIREMENT FUND OPTIONS

CHECK ONE:

IN ACCORDANCE WITH AR 215-3

I REQUEST A REFUND OF MY CONTRIBUTIONS AND ACCUMULATED INTEREST IN FULL SATISFACTION OF ALL ANNUITY PAYABLE. I REQUEST MY CONTRIBUTIONS REMAIN ON DEPOSIT FOR A MAXIMUM OF 5 YEARS.

I REQUEST AN IMMEDIATE ANNUITY (NORMAL OR EARLY RETIREMENT)

I REQUEST A DEFERRED ANNUITY PAYABLE AT AGE 62.

I REQUEST DISABILITY RETIREMENT.

I REQUEST DISABILITY RETIREMENT DUE TO WORK RELATED INJURY/DISEASE.

I REQUEST SURVIVOR BENEFITS.

 

SECTION III - EMPLOYEE'S OR SURVIVOR SIGNATURE

SIGNATURE OF EMPLOYEE/SURVIVOR

DATE

 

 

 

SECTION IV - VERIFICATION

THE ABOVE INFORMATION HAS BEEN VERIFIED FROM THE EMPLOYEE'S PERSONNEL RECORDS AND DA FORM 3473 CODED 04 IS ATTACHED.

SECTION V - CPU MAILING ADDRESS

CPU

ADDRESS

CIVILIAN PERSONNEL OFFICER SIGNATURE

DATE

DA FORM 3715-R, NOV 85

EDITION OF FEB 85 IS OBSOLETE

How to Edit Da Form 3715 R Online for Free

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It is actually easy to finish the document following this practical guide! Here's what you must do:

1. It is important to fill out the da form 3715 r accurately, therefore take care while filling in the sections including all of these fields:

da form 3715 conclusion process outlined (portion 1)

2. Right after finishing the last part, go to the subsequent part and complete all required details in these fields - I REQUEST MY CONTRIBUTIONS REMAIN, I REQUEST AN IMMEDIATE ANNUITY, I REQUEST A DEFERRED ANNUITY, I REQUEST DISABILITY RETIREMENT, I REQUEST DISABILITY RETIREMENT, I REQUEST SURVIVOR BENEFITS, SECTION III EMPLOYEES OR SURVIVOR, SIGNATURE OF EMPLOYEESURVIVOR, DATE, SECTION IV VERIFICATION, THE ABOVE INFORMATION HAS BEEN, SECTION V CPU MAILING ADDRESS, CPU, ADDRESS, and CIVILIAN PERSONNEL OFFICER.

Step no. 2 for completing da form 3715

As to ADDRESS and CIVILIAN PERSONNEL OFFICER, be sure that you take a second look in this current part. Those two are the most important ones in this document.

Step 3: Always make sure that the information is correct and then simply click "Done" to complete the task. Get hold of your da form 3715 r when you join for a free trial. Easily access the pdf file within your personal cabinet, along with any edits and changes conveniently preserved! FormsPal guarantees risk-free document editing without data recording or distributing. Be assured that your information is safe here!

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