Dd Form 2903 3 – Fill Out and Use This PDF

The DD Form 2903-3, also known as the Voluntary Separation Incentive Payment Agreement, plays a crucial role for Department of Defense (DoD) employees considering voluntary separation under specific terms. This legal document outlines the agreement between the DoD and the employee, confirming the voluntary nature of the separation, the understanding of conditions attached to the incentive pay, and the important privacy aspects involved. If you’re a DoD employee looking into voluntary separation incentives, it's important to fully understand and correctly fill out this form.

Ready to proceed with your voluntary separation? Click the button below to fill out your DD Form 2903-3.

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Dd Form 2903 3 PDF Details

The DD Form 2903-3 formalizes a Voluntary Separation Incentive Payment (VSIP) buyout between a Department of Defense civilian employee and the DoD. It is authorized under Title 5, United States Code, Section 9902(i), and serves as a legally binding record of the employee's informed consent to all conditions of the buyout program.

The form captures the total buyout amount, paid in two installments of six months each following the employee's separation date. The employee must acknowledge two critical restrictions: a five-year repayment obligation if they return to any federal government employment, and a one-year bar on reemployment within the Department of Defense.

Before signing, the employee certifies that their Human Resources Office has counseled them on every term, making the decision irrevocable once executed. The form also records the employee's SSN, position title, grade, and the DoD component involved in the separation.

Question	Answer
Form Name	Dd Form 2903 3
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	HRO, dd form 2903 1 fillable form, SSN, dss form 2903

How to Edit Dd Form 2903 3 Online for Free

How to Fill Out DD Form 2903-3

Follow these steps to complete your Voluntary Separation Incentive Payment Agreement accurately before your separation date.

Step 1 – Enter your personal information. Provide your full name, Social Security Number, position title, pay grade, and step in Section I of the form.

Step 2 – Review the VSIP buyout terms. Confirm the total VSIP amount and verify the two six-month payment installments listed in Section II. These payment amounts are set by your DoD component and cannot be negotiated after approval.

Step 3 – Read the repayment and reemployment conditions. The form states that you must repay the entire buyout if you accept any federal government position within five years, and that you cannot return to the DoD for one year. Review both restrictions carefully before you sign.

Step 4 – Confirm HR counseling. Your signature certifies that your Human Resources Office has counseled you on all terms. Do not sign this section until that counseling has occurred.

Step 5 – Get the authorized official's co-signature. A designated DoD official must sign and date Section III for the agreement to be binding. Return the completed form to your servicing HR office before your separation effective date.

Who Is Eligible to Use This Form?

This agreement is required for Department of Defense civilian employees who have been offered and accepted a Voluntary Separation Incentive Payment. If your DoD agency is conducting a reduction in force or workforce restructuring and is offering VSIP buyouts, you will complete this form before your departure is processed.

This form does not apply to uniformed military members, employees leaving for involuntary reasons, or individuals participating in a Voluntary Early Retirement Authority (VERA) without a cash incentive payment. Related forms you may need include DD Form 2656 for retirement payment data, DD Form 93 for emergency contact records, and the Separation Notice for state-level documentation requirements.

Frequently Asked Questions

What happens if I return to any federal job within five years? You must repay the full VSIP buyout amount to the federal government. The repayment obligation applies to any federal position, not only DoD roles.

How is the VSIP amount paid after I sign? The total is divided into two equal installments paid six months apart, beginning after your official separation date, as specified in Section II.

What is the difference between DD Form 2903-1 and DD Form 2903-3? DD Form 2903-1 is the election form you complete when applying for the buyout. DD Form 2903-3 is the binding payment agreement you sign once your application is approved and you are ready to finalize your separation.