Part II: certifying officer completes the appropriate section(s) below.
Notify: I must notify my commanding officer immediately upon any change in dependency status.
Visits: notify if dependent(s) visit at or near this station for more than 90 continuous days (more than 30 continuous days in the case of FSA-T (Temp) or FSA-S (Ship)).
FSA-T: member has been ordered to and has performed temporary duty (TDY) at the location(s) shown below for more than 30 continuous days.
Commuting: a distance of 50 miles, one way, is normally considered to be within a reasonable commuting distance of a PDS or HOR.
Disclosure: voluntary; however, if requested information is not provided, FSA will not be considered.
| Question | Answer |
|---|---|
| Form Name | DD Form 1561 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 61 |
| Avg. time to fill out | 11 min |
| Other names | DD Form 1561, DD 1561, DD1561, Statement to Substantiate Payment of Family Separation Allowance |
| Edition | DEC 2017 |
| Authority | 37 U.S.C. 427, Family separation allowance |
| Official source | DD Form 1561 (Rev DEC 2017), Department of Defense |
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