Dd Form 827 PDF Details

At its core, the DD Form 827 serves a critical purpose in the administrative landscape for service members, former service members, and legal representatives of incompetents in the armed forces. This comprehensive application allows for the claim of arrears in pay that are believed to be owed. Such claims may arise due to a variety of reasons, including incomplete local records, separation from service before discrepancies can be addressed, loss of supporting documents, or retroactive entitlements due to legislative or administrative decisions. The form meticulously collects claimant data, details the period for which arrears are believed to be due, identifies the branch of service, and outlines the circumstances that form the basis of the claim. Furthermore, it includes provision for a Disbursing/Finance Officer's certification in cases where the claimant is still on active duty. With clear instructions to submit in triplicate and to accompany submissions with all available documentary evidence, the DD Form 827 underscores the seriousness of such claims. This is further highlighted by the warning against fraudulent claims, emphasizing the legal consequences of presenting false claims to any department or agency of the United States. Through these mechanisms, the DD Form 827 facilitates a process meant to ensure that service members or their representatives can pursue any pay arrears rightfully due to them in a structured and legally sound manner.

QuestionAnswer
Form NameDd Form 827
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to for arrears in, form 827 application, which arrears, form arrears

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INSTRUCTIONS

APPLICATION FOR ARREARS IN PAY

SUBM IT IN TRIPLICATE. TYPE OR PRINT. Form f or use

 

 

of service members, f ormer service members, or legal

(FOR SERVICE IN THE ARMED FORCES OF THE UNITED STATES)

represent at ives of incompet ent members, in claiming

 

 

arrears of pay, et c., believed t o be due. Claimant f ills

 

 

out It ems 1-7. Disbursing/Finance Of f icer f ills out It em 8.

 

 

 

 

PRIVACY ACT STATEM ENT

 

AUTHORITY:

GAO Manual, Tit le 2, Sect ion 5, (Revised 1978); and 5 U.S. Code 301.

PRINCIPAL PURPOSE:

Support s claim t o Finance Cent er f or pay w hich cannot be support ed by local records.

ROUTINE USES:

Claims are submit t ed because local records are incomplet e, or member is separat ed, or w ill be separat ed bef ore

 

missing inf ormat ion can be obt ained; or support ing document s are lost ; or legislat ion or administ rat ive decision

 

creat es ret roact ive ent it lement w hich cannot be paid locally.

 

DISCLOSURE:

Volunt ary. Claim init iat ed by member is only basis f or payment .

WARNING

WHOEVER M AKES OR PRESENTS TO ANY PERSON OR OFFICER IN THE CIVIL, M ILITARY OR NAVAL SERVICE OF THE UNITED STATES, OR ANY DEPARTM ENT OR AGENCY THEREOF, ANY CLAIM UPON OR AGAINST THE UNITED STATES, OR ANY DEPARTM ENT OR AGENCY

THEREOF, KNOWING SUCH CLAIM TO BE FALSE, FICTITIOUS OR FRAUDULENT,

WILL BE FINED NOT M ORE THAN $ 1 0 ,0 0 0 OR

IM PRISONED NOT M ORE THAN FIVE YEARS, OR BOTH. (6 2 STAT. 6 9 8 ) (1 8 U.S. CODE 2 8 7 )

 

 

 

 

 

 

 

 

1. CLAIMANT DATA

 

 

 

 

 

 

 

 

 

 

 

 

a. NAME (Last , First , Middle Init ial)

 

b. SOCIAL SECURITY NUMBER

c. PAY GRADE

d. RANK

 

 

 

 

 

 

e. SIGNATURE

f . DATE SIGNED

g. MAILING ADDRESS (St reet , PO Box, Cit y, St at e, Zip Code)

 

(YYMMDD)

 

 

 

 

 

 

 

 

 

 

 

2. PERIOD FOR WHICH ARREARS ARE BELIEVED TO BE DUE FROM THE U.S.

 

3. CLAIMANT SERVED IN (X one)

 

 

 

 

 

 

a. FROM (YYMMDD)

b. TO (YYMMDD)

 

 

ARMY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAVY

 

4. LAST DATE ENLISTED/ENTERED ON ACTIVE

5. LAST DATE DISCHARGED/RELEASED

 

 

 

 

 

 

DUTY YYMMDD)

FROM ACTIVE DUTY (YYMMDD)

 

 

 

 

 

 

AIR FORCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARINE CORPS

6. PLACE OF DISCHARGE (Cit y, St at e)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COAST GUARD

 

 

 

 

 

 

 

7. FACTS AND CIRCUMSTANCES ON WHICH CLAIM IS BASED (St at e in suf f icient det ail t o give a clear underst anding. Cont inue on reverse side if addit ional space is needed.)

8. DISBURSING/FINANCE OFFICER (Complet e only if claimant is on act ive dut y. Cont inue on reverse side if addit ional space is needed.)

I hereby cert if y t hat I have not and w ill not pay any port ion of t his claim f or t he f ollow ing reasons:

a.

NAME (Last , First , Middle Init ial)

b.

UNIT/COMMAND NAME

 

 

 

 

 

 

c.

SIGNATURE

d.

DATE SIGNED (YYMMDD)

e. DISBURSING OFFICER SYMBOL NO.

 

 

 

 

 

ATTACH ALL AVAILABLE DOCUMENTARY EVIDENCE IN SUPPORT OF CLAIM AND MAIL TO

ARM Y

NAVY

AIR FORCE

M ARINE CORPS

COAST GUARD

Commander

Commanding Of f icer

Commander

Commanding Of f icer

Commanding Of f icer (S&R)

U.S. Army

U.S. Navy Finance Cent er

HQAFAFC

USMC Finance Cent er

USCG Pay and Personnel

Finance & Acct g Cent er

Ant hony J. Celebrezze

Code: CC

Code: SEC

Cent er

(Dept . 70)

Federal Building

Denver, CO 80279-4000

Kansas Cit y, MO 64197-0001

444 S.E. Quincy St reet

Indianapolis, IN 46249-0865

Cleveland, OH 44199-2055

 

 

Topeka, KS 66683-0000

 

 

 

 

 

DD FORM 827, MAR 85

PREVIOUS EDITIONS ARE OBSOLETE.

ADOBE PROFESSIONAL 8.0

 

 

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