Retirement Application Form

Name (Full Name): Service Number: Rank: Date of Birth: Contact Information (Address, Phone Number, Email): Date of Enlistment: Total Service Years: Current Unit/Station: Military Occupational Specialty (MOS): Type of Retirement (Voluntary, Involuntary, Medical): Retirement Date (Requested): Retirement Benefits (Pension, Healthcare, etc.): Reason for Retirement (Optional): Signature: Date: Additional Requirements:

Copy of Service Record (DD Form 214)
DD Form 2656 (Data for Payment of Retired Personnel)
DD Form 2657 (Survivor Benefit Plan (SBP) Election)
Proof of Residency
Verification of Service (DD Form 220)
Retirement Points Statement (for Reserve/National Guard personnel)
Certificate of Release or Discharge from Active Duty (DD Form 214)

Please ensure all information is accurate and complete to avoid delays in processing. Additional documentation may be required based on individual circumstances. Retirement benefits and eligibility will be determined in accordance with U.S.ARMY regulations.