How to Fill Out DD Form 2866

DD Form 2866 at a glance

What it is: DD Form 2866 is the Retiree Change of Address Request/State Tax Withholding Authorization.

Who signs: Sign in f and enter the date submitted in g in the form YYYYMMDD.

Deduction from military pay for state tax withholding is voluntary. Complete this form with or without a change of address if you wish to start, change, or terminate state tax withholding.

The form changes a member's address in the military retired pay system so that the information is current and accurate, and allows the member to start, stop, or change tax withholding information. Applicable SORNs: T7347b.

A filled-in DD Form 2866 example: a retiree moves and starts state tax withholding

DD Form 2866 example filled out, example: a retiree moves and starts state tax withholding
Sam Example, a military retiree, fills out DD Form 2866. Sam gives a new address and starts withholding, so boxes b and c stay empty. The picture shows the form, and every value in it is made up.

How to fill out DD Form 2866, box by box

Part I, change of address

DD Form 2866 example filled out, part I, change of address

Print or type all information in Part I, Change of Address.

Enter the member's name in box 1 (a. last, b. first, c. middle initial) and the SSN in box 2.

In box 3, enter the new correspondence address: other address information in a, number and street or route in b, city in c, state in d and zip code in e.

4. Mark only one box

DD Form 2866 example filled out, 4. Mark only one box

Mark (X) only one box below in box 4. This form must be signed and dated.

Mark box a if you wish to start state income tax withholding from your payments for the state and monthly amount indicated in d and e. The monthly amount must be in whole dollars and not less than $10.00 (checked November 1, 2026).

Mark box b if you wish to change your state and/or monthly amount for state tax withholding purposes as indicated in d and e.

Mark box c if you authorize that state income tax withholding deduction from your pay be terminated.

State, withholding amount, signature and date

DD Form 2866 example filled out, state, withholding amount, signature and date

Enter the state in d and the withholding amount in e.

Sign in f and enter the date submitted in g in the form YYYYMMDD.

More rules for DD Form 2866

Disclosure is voluntary; however, failure to furnish the requested information could result in non-receipt of payments/correspondence and/or incorrect deductions for tax purposes being made from your retired pay. The Social Security Number is required to identify the correct member/annuitant account information.

Common questions about DD Form 2866

Where do I file it?

Return the completed and signed form to Defense Finance and Accounting Service US Military Retired Pay, 8899 E. 56th Street, Indianapolis, IN 46249-1200.

Sources

[1] DD Form 2866 (APR 2017), Retiree Change of Address Request/State Tax Withholding Authorization (the Official source link on this page).

DD Form 2866 PDF Details

Deduction from military pay for state tax withholding is voluntary.

Boxes: mark (X) only one box below.

Signature: this form must be signed and dated.

Part I: change of address; please print or type all information.

Where to send: return completed and signed form to Defense Finance and Accounting Service US Military Retired Pay.

QuestionAnswer
Form NameDD Form 2866
Form Length1 page
Fillable?Yes
Fillable fields15
Avg. time to fill out3 min
EditionAPR 2017
Where to sendDefense Finance and Accounting Service US Military Retired Pay
Other namesDD Form 2866, DD 2866, DD2866, Form 2866, DD2866 form, Retiree Change of Address Request/State Tax Withholding Authorization
Official sourceDD Form 2866 (Rev APR 2017), Department of Defense