Dd Form 827 PDF Details

The Department of Defense (DoD) Form 827, "Authorization for the Release of Information from Individual Personnel Files," is a document used to authorize the release of information from an individual's military personnel file. The form can be used to request information for official or personal use, and must be signed by the individual whose records are being requested. The release of information may include military history, awards and decorations, education and training, employment history, disciplinary actions, and other information pertinent to the individual's service in the military. Requestors should be aware that not all information in a personnel file is released pursuant to a Form 827 request. The DoD Form 827 can be downloaded from the DoD website at: http://www

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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