Dd Form 139 PDF Details

The DD Form 139, commonly known as the Pay Adjustment Authorization, plays a critical role in the financial administration within the United States military. This form is integral in the process of adjusting the pay records of service members across all branches, ensuring accuracy and fairness in compensation. It serves as an official request and authorization to either charge or credit a military member's pay record, based on a thorough examination of the individual's pay history and current standing. The document requires detailed input such as the member's full name, Social Security Number (SSAN), grade or rank, rate, branch of service, and the specific details related to the pay grade number and last pay record examined. Furthermore, it includes necessary appropriation data and authorization from the certifying officer, who must provide their name, rank or grade, and signature, ensuring accountability and transparency in the process. This form, authorized by the Comptroller General of the U.S. in April 1953 and with revisions made up until June 1969, marks an essential tool in the meticulous task of managing pay adjustments, reflecting the military's commitment to precision in all aspects of service member compensation.

QuestionAnswer
Form NameDd Form 139
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDisbursing, dd 139 form, dd139, dd form 139 fillable

Form Preview Example

PAY ADJUSTMENT AUTHORIZATION

 

NOTE: If member has been transferred, forward this authorization to the

 

 

 

 

 

 

 

officer currently maintaining the member's pay record.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEMBER (Last name)

(First)

(Middle)

SSAN

 

 

 

GRADE/RANK/RATE

 

BRANCH OF SERVICE

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAY GRADE NO.

LAST PAY RECORD EXAMINED

 

AMOUNT

 

 

APPROPRIATION DATA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

 

 

 

 

NAME OF ACCOUNTABLE D.O.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SYMBOL NO.

 

G.A.O. EXCEPTION CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOU ARE HEREBY AUTHORIZED TO

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHARGE

CREDIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE MILITARY PAY RECORD OF THE

 

 

 

 

 

 

 

 

 

 

 

MEMBER LISTED ABOVE

 

 

 

 

 

 

 

EXPLANATION AND/OR REASON FOR ADJUSTMENT

 

The above adjustment is based on a thorough examination of all available records. If the Disbursing Officer has knowledge that a previous adjustment has been made or why the adjustment should not be made for the same item, this authorization should be returned with a brief statement of the reason for failure to make adjustment.

FROM

CERTIFYING OFFICER (Name, rank/grade, and signature)

C

I CERTIFY that the adjustment indicated above has been entered on the above-named member's Military Pay Record. (If adjustment has not been

entered, give explanation on reverse over D.O.'s signature and symbol number.)

 

 

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R

 

 

TYPED NAME AND GRADE OF D.O.

T

 

 

 

 

 

I

 

 

 

 

 

F

 

 

 

 

 

I

 

 

D.O. SYMBOL NO.

 

DATE

TO

 

 

 

 

C

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

SIGNATURE

 

 

T

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

DD FORM 139, MAY 53

EDITION OF THIS FORM NOT HAVING SSAN IS OBSOLETE AFTER 30 JUN 69.

Form approved by Comp. Gen., U.S.

 

 

 

 

April 23, 1953

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