Dd 2648 1 Form PDF Details

If you are a small business owner, then you know that tax season can be a busy time. Between completing your federal income tax return and preparing state and local returns, there is a lot to do. The good news is that the Internal Revenue Service has made it easier than ever for small businesses to file their taxes. One of the tools the IRS provides is Form 2648, 1 or Employee Prototype Voucher for Withholding Taxes on Wages Paid to Corporate Officers. This form allows owners of small businesses to claim exemption from withholding on wages paid to themselves. Let's take a closer look at what this form does and how to complete it. ]

QuestionAnswer
Form NameDd 2648 1 Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesdd attend 5 online, tsp permissive shaded online, form 2648, dd form 2648 1

Form Preview Example

TRANSITION ASSISTANCE PROGRAM (TAP) CHECKLIST

FOR DEACTIVATING/DEMOBILIZING NATIONAL GUARD AND RESERVE SERVICE MEMBERS

(Please read Privacy Act Statement and Instructions in Section III before completing this form.)

SECTION I - PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C .1142, Preseparation Counseling; E.O. 9397, as amended (SSN).

PRINCIPAL PURPOSE(S): To record transition services and benefits requested by and provided to Service members; to identify transition counseling areas of interest as a basis for development of an Individual Transition Plan (ITP). The signed transition counseling checklist will be maintained in the Service member's official personnel file. Title 10, USC 1142, requires that not later than 90 days before the date of separation, for anticipated losses, transition counseling for Service members shall be made available. For unanticipated losses, transition counseling shall be made available as soon as possible.

ROUTINE USE(S): None.

DISCLOSURE: Disclosure of SSN is mandatory. Disclosure of other information in Section II is voluntary; however, it may not be possible to initiate preseparation counseling and other transition assistance services or develop an Individual Transition Plan (ITP) for a Service member if the information is not provided.

SECTION II - PERSONAL INFORMATION (To be filled out by all applicants)

1. NAME

 

c. Middle

a. Last Name

b. First Name

Initial

2. SSN

3. GRADE

4.DATE OF BIRTH

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. SERVICE (X one)

6.a. PLACE OF RELEASE FROM ACTIVE DUTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARMY NATIONAL GUARD

(1) MILITARY INSTALLATION/CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) STATE

(3) ZIP CODE

 

 

ARMY RESERVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAVY RESERVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARINE CORPS RESERVE

6.b. CIVILIAN PLACE OF RESIDENCE UPON RELEASE FROM ACTIVE DUTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AIR NATIONAL GUARD

(1) CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) STATE

(3) ZIP CODE

 

 

AIR FORCE RESERVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COAST GUARD RESERVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. ANTICIPATED DATE OF

8. DATE CHECKLIST

 

 

 

8.a. Place an X in this box ONLY if you have 89 days or less remaining on active duty

 

RELEASE FROM

 

 

PREPARED

 

 

 

 

 

 

prior to demobilization or deactivation. (Please read the following instructions: If you

 

 

 

 

 

 

ACTIVE DUTY

 

 

(YYYYMMDD)

 

 

 

 

 

 

have 89 days or less remaining on active duty before your demobilization or deactivation,

 

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

why was your transition counseling not conducted earlier? Please go to Section VI -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REMARKS and check the response that best describes the reason why transition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

counseling was not conducted earlier.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. IS YOUR SPOUSE/FAMILY MEMBER/LEGAL GUARDIAN/DESIGNEE PRESENT DURING TRANSITION COUNSELING? (X one)

YES

NO

N/A

9.a. Are you willing to be contacted after your demobilization or deactivation regarding the value of the transition assistance programs and services you received? (X one)

YES

 

NO

 

 

 

9.b. Applies only to personnel with multiple deployments and with documented transition counseling from a previous deployment. (X if applicable)

I decline transition counseling for this deployment. I hereby certify transition counseling was received in conjunction with a prior deployment and therefore decline additional transition counseling. I understand a copy of this DD Form 2648-1 will be filed in my military personnel records.

SECTION III - INSTRUCTIONS

All demobilizing/deactivating National Guard and Reserve Service members shall read these instructions before completing Sections IV, V, and VI of this form. After being counseled, Service member shall sign and date the form in items 28.a. and 28.b.

This form will be used for eligible deactivating/demobilizing National Guard and Reserve Service members.

(1)Items checked "YES" indicate that you require additional information or referral to a subject matter expert on the installation or to an appropriate person in another agency or organization outside of DoD or attendance at a scheduled employment or VA session (Section IV).

(2)Shaded areas on the form mean: (a) the information is not applicable (example: item 11.b. is shaded under "Spouse" because DD Form 2586, "Verification of Military Experience and Education - VMET", does not apply to spouses); or (b) the item is referring to a Web site address and URLs require no further explanation. URLs are provided so Service members can research information at their leisure on a given topic or subject.

(3)Department of Labor (DOL) TAP Employment Workshop: In accordance with DoDI 1332.35, all eligible demobilizing/deactivating National Guard and Reserve Service members who request attendance, by checking "YES" in item 11.a. on DD Form 2648-1, shall be released to attend the workshop in its entirety during normal duty hours. Units shall contact the Director Veterans Employment and Training (DVET) or the Department of Labor to schedule the appropriate employment workshop. Units are encouraged to schedule a DOL employment workshop in conjunction with the Yellow Ribbon Program during one of the 30, 60, 90 day reintegration events. Workshops shall take place at unit home stations or any other location mutually agreed upon by the Unit and the DVET or DOL official representative. The TAP services available include but are not limited to RC TAP and virtual TAP resources. In the event that a DOL workshop is unavailable, the Service member may attend a Reserve Component TAP or DOL equivalent employment workshop conducted by the Military Services. Service members shall be released to complete the workshop in its entirety and will be exempt from normal duty the full 24 hour period of each workshop day and the 12 hours immediately preceding and following workshop/briefing.

(4)Post Government (Military) Service Employment Restrictions Counseling (item 24). Service members are required to receive this counseling prior to release from Active Duty. Transition/Command Career Counselors shall refer demobilizing/deactivating National Guard and Reserve Service members to an installation legal office (Staff Judge Advocate or Counsel's Office) to ensure Service members receive guidance on post government (military) employment restrictions from an ethics official. Transition/Command Career Counselors can coordinate with their supporting Staff Judge Advocate or Solicitor General Office or an Ethics Official to ensure they provide this counseling at demobilization sites prior to National Guard and Reserves being released from active duty (item 23).

(5)Veterans Benefits Briefing: In accordance with DoDI 1332.35, all demobilizing/deactivating National Guard and Reserve Service members who check "YES" in item 19 shall be released to complete the Veterans Benefits Briefing sponsored and offered by the Department of Veterans Affairs (VA) in its entirety. Service members will be exempt from normal duty the full 24 hour period of each VA Benefits Briefing day and the 12 hours immediately preceding and following the VA Benefits Briefing.

DD FORM 2648-1 TEST, JAN 2011

PREVIOUS EDITION IS OBSOLETE.

PAge 1 of 5 Pages

Adobe Professional 8.0

TAP CHECKLIST FOR

DEACTIVATING/ DEMOBILIZING NATIONAL GUARD AND RESERVE SERVICE MEMBERS

NAME (Last, First, Middle Initial)

SSN

SECTION III - INSTRUCTIONS (Continued)

(6)Disabled Transition Assistance Program (DTAP): In accordance with DoDI 1332.35, all demobilizing/deactivating National Guard and Reserve Service members who check "YES" in item 20 (with special emphasis on Wounded, Ill, or Injured), who have or think they have a service-connected disability, are awaiting a medical discharge, or have incurred an injury or illness while on active duty, or aggravated a pre-existing condition, and those referred to a Physical Evaluation Board or placed in a medical hold status by their Service, shall be released to complete the DTAP Briefing sponsored by VA. Spouses/Family Member/Legal Guardian/Designee are encouraged to attend the DTAP briefing. Service members will be exempt from normal duty the full 24 hour period of each VA DTAP Briefing day and the 12 hours immediately preceding and following the VA DTAP Briefing.

(7)Uniformed Services Employment and Reemployment Rights Act (USERRA): Transition/Command Career Counselors shall ensure that a qualified subject matter expert provide information on employment and reemployment rights and obligations for National Guard and Reserve Service Members (Chapter 43, Title 38 U.S. Code) - www.dol.gov/elaws/userra.htm. Subject matter experts may be a DOL employee, a representative from the Employer Support of the Guard and Reserve, a military lawyer, etc.

SECTION IV

Please indicate (by checking either YES or NO) whether you (or if accompanied by your spouse/family member/legal guardian/designee if applicable) desire additional counseling for the following benefits and services to which you may be entitled. All benefits and services checked YES should be used to develop your Individual Transition Plan (ITP). The following benefits and services available to all Service members, unless otherwise specified, will be explained by the Transition/Command Career Counselor.

SERVICE

SPOUSE

 

MEMBER

REFERRED TO

 

 

 

YES NO YES NO

 

10.EFFECTS OF A CAREER CHANGE

11.EMPLOYMENT ASSISTANCE

a.Do you want to attend the Department of Labor sponsored Transition Assistance Employment Workshops or Service sponsored Transition workshops/seminars?

b.Verification of Military Experience and Training (VMET) (DD Form 2586). Do you want a copy of your VMET document? If yes, go to www.dmdc.osd.mil/vmet to print your VMET document and cover letter.

c.Counselor will provide information on civilian occupations corresponding to Military occupations (see Occupational Information Network (O*NET website) at www.online.onetcenter.org/crosswalk and related assistance programs) and civilian occupations related to assistance programs.

(1)Licensing, Certifications and Apprenticeship Information.

(a)Department of Labor - www.careeronestop.org/CREDENTIALING/CredentialingHome.asp

(b)U.S. Army Credentialing On-line https://www.cool.army.mil

(c) U.S. Military Apprenticeship Program - https://usmap.cnet.navy.mil/usmapss

(d)DANTES www.dantes.doded.mil/dantes_web/danteshome.asp

(e)Navy Cool Website https://www.cool.navy.mil

d.TurboTAP.org (www.TurboTAP.org) and other programs, tools, and resources

(1)Employment Hub - www.turboTAP.org/portal/transition/resources/Employment_Hub

(2)Hire Vets First www.hirevetsfirst.dol.gov/realifelines/index.asp

(3)State Job Boards www.careeronestop.org/jobsearch/cos_jobsites.aspx

(4)DOL REALifelines www.hirevetsfirst.dol.gov/realifelines/index.asp

e.Public and Community Service Opportunities www.turboTAP.org/portal/transition/lifestyles/Employment/Public_and_Community_Service PACS_Registry_Program

f.Teacher and Teacher's Aide Opportunities/Troops to Teachers www.proudtoserveagain.com

g.Federal Employment Opportunities

(1)www.usajobs.opm.gov

(2) www.go-defense.com

(3)Information on Veterans Preference in Federal Employment

(4)Information on Veterans Federal Procurement Opportunities

(5)Office of Personnel Management (OPM) Special Hiring Authorities

h.Hiring Preference in Non-Appropriated Fund (NAF) jobs (Eligible Involuntary Separatees)

i.State Employment Agencies

(1)Career One Stop Centers - www.careeronestop.org/jobsearch/cos_jobsites.aspx

(2)Workforce Investment Act (WIA)

j.Information concerning veterans small business ownership and entrepreneurship programs

(1)Small Business Administration www.sba.gov/aboutsba/sbaprograms/ovbd/

and www.score.org SBA Patriot Express Loan

(2) National Veteran's Business Development Corporation www.veteranscorp.org

DD FORM 2648-1 TEST, JAN 2011

PAge 2 of 5 Pages

TAP CHECKLIST FOR DEACTIVATING/

 

NAME (Last, First, Middle Initial)

 

 

 

 

 

 

 

SSN

DEMOBILIZING NATIONAL GUARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AND RESERVE SERVICE MEMBERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION IV (Continued)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERVICE

SPOUSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEMBER

 

 

 

REFERRED TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

YES

NO

 

 

 

 

 

 

 

 

 

 

 

11.

EMPLOYMENT ASSISTANCE (Continued)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

k. Uniformed Services Employment and Reemployment Rights Act (USERRA)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

l. Information on "Priority of Service" for veterans in receipt of employment, training,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and placement services provided under qualified job training programs of the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department of Labor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

RELOCATION ASSISTANCE

*NOTE: Status of Forces Agreement limitations apply to overseas Service members.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Permissive (TDY/TAD) and Excess leave

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*b. Travel and Transportation Allowances (see Note above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. CONTACT INFORMATION FOR HOUSING COUNSELING ASSISTANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

portal.hud.gov/portal/page/portal/HUD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. EDUCATION/TRAINING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Education benefits (Post 9-11 GI Bill Chapter 33), (Montgomery GI Bill for Selected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reserve), Veterans Educational Assistance Program (REAP)), (MGIB Active

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duty Eligibility for National Guard and Reserves) www.gibill.va.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. U.S. Department of Education Federal Aid Programs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.FederalStudentAid.ed.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Other Federal, State, or local education/training programs and options

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Loan Relief for Military Personnel Called to Active Duty:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.defenselink.mil/ra/mobil/pdf/sections.pdf (See Section 8 of this document,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

go to page 21 and read section under Students on Loan Relief for Military

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personnel Called to Active Duty)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. PHYSICAL AND MENTAL HEALTH WELL-BEING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Information on availability of Healthcare and Mental Health Services (Post-traumatic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stress disorder, anxiety disorders, depression, suicidal ideations, combat

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

operational/stress, or other mental health conditions associated with service in the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Armed Forces)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) Transitional Healthcare Benefit/TRICARE (for eligibility and additional information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

go to: www.tricare.mil or www.tricare.mil/Factsheets/browsetopic.cfm)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(click on Transitional Assistance Management Program)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) TRICARE Reserve Select (for eligibility and additional information go to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.tricare.mil/mybenefit/home/overview/Plans/LearnAboutPlansAndCosts/TRICAREReserveSelect)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3) VA Health Administration www1.va.gov/health/index.asp

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4) VA Vet Center www.vetcenter.va.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5) State and local healthcare and mental health services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Describe healthcare and other benefits to which the member may be entitled under

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the laws administered by the Secretary of Veterans Affairs - www.va.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) VA health care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) VA dental care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

HEALTH AND LIFE INSURANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Continued Health Care Benefits Program - Option to purchase 18-month conversion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

health insurance. Concurrent pre-existing condition coverage with purchase of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

conversion health insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.tricare.mil/mybenefit/home/overview/SpecialPrograms/CHCBP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Veterans Group Life Insurance (VGLI) www.insurance.va.gov/sglisite/vgli.htm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and www.turboTAP.org websites

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Servicemembers' Group Life Insurance (SGLI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.insurance.va.gov/sglisite/default.htm and www.turboTAP.org websites

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Traumatic Injury Protection Program (TSGLI )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.insurance.va.gov/sglisite/tsgli/expandedbenefits.htm and www.turboTAP.org

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

websites

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Family Servicemembers' Group Life Insurance (FSGLI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.insurance.va.gov/sglisite/fsgli/sglifam.htm and www.turboTAP.org websites

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f.

Service-Disabled Veterans Insurance (S-DVI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.insurance.va.gov/inForceGliSite/buying/SDVI.htm

and www.turboTAP.org

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

websites

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

g. Veterans' Mortgage Life Insurance (VMLI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.insurance.va.gov/inForceGliSite/buying/VMLI.htm

and www.turboTAP.org

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

websites

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h. For more information on Veterans Life Insurance, visit: www.insurance.va.gov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

i. Transitional Health and Dental Care Benefit - for eligibility criteria and additional

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

information, go to: www.tricare.mil and www.tricare.mil/dental/TRDP_Eligibility.cfm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DD FORM 2648-1 TEST, JAN 2011

Page 3 of 5 Pages

TAP CHECKLIST FOR

NAME (Last, First, Middle Initial)

 

 

 

 

 

 

 

SSN

DEACTIVATING/ DEMOBILIZING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NATIONAL GUARD AND RESERVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERVICE MEMBERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION IV (Continued)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERVICE

SPOUSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MEMBER

 

 

 

REFERRED TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.FINANCES

a. Financial Management (TSP, Retirement, SBP, military vs. civilian pay and benefits)

b. Separation pay (Eligible Involuntary Separatees)

c.Unemployment Compensation

d.General money management (budgeting, debt reduction)

e.Personal savings and investing

18.DO YOU WANT TO ATTEND THE VETERANS BENEFITS BRIEFING? (See Instructions, Section III, item 5)

19.DISABLED VETERANS BENEFITS

a.Do you want to attend the Disabled Transition Assistance Program (DTAP) Briefing? See Section III - Instructions, item 6 and VA Vocational Rehabilitation and Employment Service at www.vba.va.gov/bln/vre

b.VA Disability Benefits www.vba.va.gov/VBA/benefits/factsheets

c. Benefits Delivery at Discharge and Quick Start www.vba.va.gov/predischarge

20.SERVICEMEMBERS CIVIL RELIEF ACT (SCRA)

usmilitary.about.com/od/sscra/Servicemembers_Civil_Relief_Act.htm

21.STATE VETERANS BENEFITS

22.2-YEAR COMMISSARY AND EXCHANGE PRIVILEGES (Eligible Involuntary Separatees)

23.LEGAL ASSISTANCE

24.POST GOVERNMENT (MILITARY) SERVICE EMPLOYMENT RESTRICTION COUNSELING

Information on post government (military) employment counseling (restrictions on employment, imposed by statute and regulation) shall be conducted by the Military Services as appropriate. Transition/Command Career Counselors shall refer eligible National Guard and Reserve Service members to an installation legal office (Staff Judge Advocate or Counselor's Office) to ensure they receive a post government (military) employment restrictions briefing or counseling from an ethics official. Transition/Command Career Counselors can coordinate with their supporting Staff Judge Advocate or Solicitor General Office or an Ethics Official to ensure they provide this counseling at demobilization sites prior to National Guard and Reserves being released from active duty.

25.INDIVIDUAL TRANSITION PLAN (ITP)

a.As a separating Service member, after receivingTransition Counseling information and completing this checklist, you and your spouse/

family member/legal guardian/designee (if applicable) are entitled to receive assistance in developing an Individual Transition Plan (ITP) based on the areas of interest you have identified on this checklist. TheTransition Counseling Checklist addresses a variety of transition

services and benefits to which you may be entitled. Each individual is strongly encouraged to take advantage of the opportunity to develop an ITP. The purpose of the ITP is to identify educational, training, and employment objectives and to develop a plan to help you achieve these objectives. It is the Military Department's responsibility to offer Service members the opportunity and assistance they need to develop an ITP. It is the Service member's responsibility to develop an ITP based on his/her specific objectives and the objectives of his or her spouse, if appropriate.

 

SERVICE

SPOUSE

Based upon information received during Transition Counseling, do you and/or your spouse/family member/

MEMBER

 

 

legal guardian/designee desire assistance in developing your ITP? If YES, the Transition staff/counselor/

YES

NO

YES

NO

Command Career Counselor is available to assist you (see www.TurboTap.org website).

 

 

 

 

 

 

 

 

 

 

 

 

 

b. To assist your transition counselor, choose the answer that best describes your post-military goal(s): (X all that apply)

I already have post-military employment.

I plan to get a job and start work as soon as possible.

Other (please describe/write in)

I plan to go to school and use my VA education benefits.

I don't know what I plan to do.

DD FORM 2648-1 TEST, JAN 2011

Page 4 of 5 Pages

TAP CHECKLIST FOR

DEACTIVATING/ DEMOBILIZING NATIONAL GUARD AND RESERVE SERVICE MEMBERS

NAME (Last, First, Middle Initial)

SSN

SECTION V - LANGUAGE SKILLS/REGIONAL EXPERTISE

Counselors will ensure all transitioning Service members, Active, Guard and Reserves with language skills and/or regional expertise complete

Item 26.

26.The Department of Defense and other Federal agencies have placed a high level of importance on critical foreign language skills and regional expertise to meet emerging requirements during times of need, crisis, and/or national emergency. The Department of Defense and other Federal agencies may want to contact you in the future to determine if you would be willing to volunteer your services or to offer you potential employment that would take advantage of your language proficiency and/or regional expertise.

a. Do you consent to being contacted by the Department of Defense for such purposes?

 

YES

 

NO

 

 

 

 

 

b. Do you consent to having the Department of Defense share your information with other Federal agencies

 

YES

 

NO

for such purposes?

 

 

 

 

 

 

 

 

 

 

 

SECTION VI - REMARKS (Attach additional pages if necessary)

Complete the following ONLY if you placed an X in Item 8.a. (See page 1, Section II, Item 8.a.)

27. MY COUNSELING WAS CONDUCTED 89 DAYS OR LESS BEFORE MY TRANSITION BECAUSE OF: (X one)

Mission requirements

Personal reasons

Medical separation/discharge

Legal separation

Change in career decision

Other (Please provide a brief explanation)

28.SERVICE MEMBER ACKNOWLEDGEMENT

By signing and dating this form, you, the Service member, are acknowledging that you received Transition Counseling on the date below (item 28.b.), and that you understand the transition benefits and services available to assist you in your transition as required by Title 10, U.S.C., Chapter 58, Section 1142.

a. SERVICE MEMBER SIGNATURE

b. DATE (YYYYMMDD)

c. TRANSITION COUNSELOR SIGNATURE d. DATE (YYYYMMDD)

DD FORM 2648-1 TEST, JAN 2011

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Step no. 1 of filling out tap demobilizing download

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YES, SECTION IV Continued, and DEMOBILIZING NATIONAL GUARD AND of tap demobilizing download

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