Form Advance Pay – Fill Out and Use This PDF

ADVANCE PAY CERTIFICATION/AUTHORIZATION

Privacy Act Statement

AUTHORITY:37 U.S.C. 1006 et seq; E.O. 9397 November 1943 (SSN).

PRINCIPAL PURPOSES: To document a member's request for, and subsequent authorization of, an advance of pay to meet extraordinary expenses incident to a PCS move. It is also used to inform the member of the purposes and restrictions of such advances, and to establish repayment schedules.

ROUTINE USES: Information collected on this form becomes part of the Joint Uniform Military Pay System (JUMPS), and Reserve component pay systems and is subject to all of the routine disclosures which are more fully described in Service regulations. Routine recipients of JUMPS disclosures include, but are not limited to, Red Cross, State and local government for tax and welfare purposes.

DISCLOSURE: Voluntary; however, failure to provide the SSN will result in denial of payment since it is used to identify you for pay purposes.

PART I. REQUEST

PART II. CERTIFICATION OF EXPENSES (Act ual or Ant icipat ed) (Cont inue in It em 23 on reverse if necessary.)

PART IV. MEMBER CERTIFICATION

Penalty: The penalt y f or w illf ully making a f alse claim/st at ement is a maximum of $10,000 or maximum imprisonment of five years, or both (U.S. Code, Tit le 18, Sect ion 287).

If I am separat ed prior t o my ETS, I consent t o w it hholding f rom current pay, f inal pay, or any ot her money due me t o sat isf y this indebt edness. I f urt her consent t o such w it hholding at a rat e suf f icient t o sat isf y t his indebt edness no lat er t han my separat ion, and underst and t hat t his could result in t he w it hholding of 100% of any current pay, f inal pay, or ot her money due me.

Ihave read and underst ood t he policy on advance pay incident t o a PCS cont ained on t he reverse of t his f orm. I hereby cert if y t hat t he int ended use of t hese f unds meet s t he st at ed purpose. I have at t ached one copy of my PCS orders or assignment not if icat ion.

PART V. APPROVAL OF MEMBER' S COMMANDER

23 . REMARKS

POLICY GUIDANCE

The purpose of an advance of pay incident t o PCS is t o provide a Servicemember w it h f unds t o meet t he ext raordinary expenses of a Government -ordered relocat ion, per DODPM Part 4 .

An advance of pay shall not be aut horized f or t he specif ic out -of -pocket expenses covered by advances of ot her pays and ent it lement s if such advances are used. The Servicemember may be aut horized an advance of pay t o t he ext ent t hat incurred or ant icipat ed expenses exceed t hose covered by t he f ollow ing advances or reimbursement s, or are out side t he scope of t hose ent it lement s:

a.Overseas st at ion housing allow ance;

b.Servicemember and/or dependent t ravel allow ances and per diem;

c.Dislocat ion allow ance;

d.Basic allow ance f or quart ers and/or variable housing allow ance.

An advance of pay f or a PCS move in t he same geographic area of a Servicemember' s prior dut y st at ion, or place f rom w hich ordered t o act ive dut y, is only aut horized w hen t he Servicemember moves his/her household ef f ect s at Government expense. Proof of HHG shipment is required bef ore advance pay f or PCS moves in t he same geographic area is paid.

An advance is not int ended t o provide f unds f or such it ems as invest ment s, vacat ions, or t he purchase of consumer goods t hat are not t he result of direct expenses result ing f rom t he Servicemember' s PCS orders. Except under ext raordinary condit ions, an advance pay must be repaid bef ore an advance f or a subsequent PCS may be paid.

Servicemembers should consult appropriat e Service regulat ions concerning grade levels requiring Command- er' s approval of a PCS advance t hat does not exceed 1 mont h' s pay.

AIR FORCE MEMBERS ONLY: E4/SRA and below must have Commander' s approval f or all PCS advance pay payment s.

DD Form 2560 Reverse, MAR 90