Ebb Form Ri 20 97 PDF Details

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QuestionAnswer
Form NameEbb Form Ri 20 97
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform ri 20 97, NAF, ri 20 97 block 5, RI

Form Preview Example

ESTIMATED EARNINGS DURING MILITARY SERVICE

INSTRUC TIO NS:

SUBMITTHIS FO RM TO THE APPRO PRIATE MILITARY FINANC E C ENTER FO R YO UR BRANC H O F MILITARY SERVIC E. IF YO U HAVE SERVIC E IN MO RE THAN O NE BRANC H O F THE MILITARY, YO U MUSTREQ UEST

EARNING S FO R EAC H PERIO D FRO M THE APPRO PRIATE BRANC H. ATTAC H DD 214 O R EQ UIVALENT AND ANY AVAILABLE REC O RDS O F PAY O R PRO MO TIO NS. IF YO U DO NO THAVE A DD 214 O R EQ UIVALENT,

O BTAIN A SF 180 (Re q ue st Pe rta ining to Milita ry Re c o rd s), FRO M YO UR PERSO NNEL O FFIC E AND HAVE YO UR SERVIC E VERIFIED BEFO RE FO RWARDING THIS FO RM TO THE PAY C ENTER. THE PAY C ENTER C ANNO T PRO VIDE ESTIMATED EARNING S UNLESS VERIFIC ATIO N IS ATTAC HED.

TO:

Employee Name (Last, First, Middle)

 

 

 

 

Other Names Used

 

 

 

 

 

Social Security Number

Date of Birth

 

 

 

 

Military Service Number

 

 

 

 

 

Branch of Service

 

 

 

 

The unifo rm e d se rvic e s m ust p ro vid e e stim a te d p a y b y No na p p ro p ria te d Fund Em p lo ye e s (NA F) fo r m ilita ry se rvic e

a fte r De c e m b e r 31, 1956, fo r the p urp o se o f m a king a d e p o sit to the U.S. A rm y NA F Em p lo ye e Re tire m e nt Pla n fo r re tire m e nt se rvic e c re d it. Ple a se p ro vid e the e stim a te d b a sic p a y e a rne d b y the a b o ve na m e d e m p lo ye e .

Do no t inc lud e (c o m b a t p a y, flig ht p a y e tc .)

Signature of Requestor

 

 

 

Relationship to employee

 

Date

 

 

 

 

 

Employee is requestor

 

 

 

 

 

 

 

Survivor is requestor

 

 

 

 

 

 

 

Other

 

 

 

Ac tive milita ry se rvic e a fte r

TO BE C O MPLETED BY A UTHO RIZED O FFIC IA L

 

 

 

 

 

De c . 31, 1956 (Da te s b e lo w

Estima te d Ea rning s (Ba se Pa y)

 

 

 

 

 

must b e b a se d o n DD 214

(Do No t p ro vid e e stima te d e a rning s fo r a ny p e rio d o f se rvic e

 

 

 

o r e q uiva le nt c e rtific a tio n)

p rio r to Ja nua ry 1, 1957)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

To

From

To

Rate of Basic

Earnings

Type of Discharge

(Mo, Day, Yr)

(Mo, Day, Yr)

(Mo, Day, Yr)

(Mo, Day, Yr)

Pay

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

1. If p e rio d o f se rvic e b e g a n

2. Lost time

 

 

 

 

None

 

 

b e fo re & e nd e d a fte r 12/ 31/ 56,

 

 

 

 

 

Number of Days ___________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e nte r d a te se rvic e a c tua lly

 

Inclusive

FROM (MO, DAY, YR)

TO (MO, DAY, YR)

FROM (MO, DAY, YR)

TO (MO, DAY, YR)

b e g a n (Mo , Da y, Yr)

 

Dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of authorized official furnishing estimate

Date

Telephone Number including area code

Typed Name of Authorized Official

 

 

Title of Authorized Official

 

 

Return Completed Form to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (Last, First, Middle)

 

Address

 

Street

City

St Zip

EBB FORM RI 20-97

 

 

 

 

 

 

 

 

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entering details in 1957 part 1

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Finishing 1957 stage 2

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