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The DA 5960 form plays a crucial role in the military community, serving as a key document for service members seeking to manage their financial responsibilities. This form is primarily used to request a waiver for certain debts, particularly in situations where a service member may face financial hardship due to circumstances beyond their control. By providing detailed information about one’s financial situation, the DA 5960 allows military personnel to communicate their needs effectively to their commanding officers and financial institutions. It includes sections for personal identification, a breakdown of income and expenses, and a clear statement of the reasons for the request. Understanding how to fill out this form accurately can significantly ease the financial burdens faced by service members and their families, ensuring they receive the support they need during challenging times.

DA 5960 Example

 

 

AUTHORIZATION TO START, STOP, OR CHANGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

 

 

 

 

 

 

 

 

 

 

 

BASIC ALLOWANCE FOR QUARTERS (BAQ),

 

 

AUTHORITY:

 

 

 

 

 

 

 

 

 

 

37 USC 403; Public Law 96-343; EO 9397.

 

 

 

AND/OR VARIABLE HOUSING ALLOWANCE (VHA)

 

PRINCIPLE PURPOSE:

 

 

 

 

 

To start, adjust or terminate military member's entitlement

 

 

 

 

For use of this form, see AR 37-104-4; the proponent agency is ASA(FM)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to basic allowance for quarters

 

(BAQ) and/or variable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

housing allowance (VHA).

 

 

 

 

 

 

 

 

1.

 

 

NAME

(Last, First, MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ROUTINE USE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To adjust member's military pay record, information may

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

be disclosed to Army components, such as USAFAC,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

major commands, and other Army installations; to other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOD components; other federal agencies such as IRS,

 

 

2.

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

3.

 

 

GRADE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Administration and VA, GAO, members of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Congress; State and local government; US and State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

courts, and various law enforcement agencies. Social

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Security Number (SSN) is used for positive identification.

 

 

4.

 

 

TYPE OF ACTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISCLOSURE IS VOLUNTARY: Nondisclosure may result in nonpayment of BAQ and/or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

START

 

 

CANCEL

 

 

 

 

CHANGE

 

 

REPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VHA. Disclosure of your SSN is voluntary. However, this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

form will not be processed without your SSN because

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the Army identifies you for pay purposes by your SSN.

 

 

 

 

 

 

 

CORRECT

 

 

STOP

 

 

 

 

RECERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

DUTY LOCATION (Include Station, Name, City, State, and Zip Code)

 

 

6. DATE/ACTION

7.

 

 

 

 

 

 

 

 

 

 

 

BAQ TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WITH DEPENDENTS

 

 

 

 

 

 

PARTIAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WITHOUT DEPENDENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

 

 

 

 

MARITAL/DEPENDENCY STATUS

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

 

 

QUARTERS ASSIGNMENT/AVAILABILITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

SINGLE

 

 

 

 

 

 

 

 

b. MARRIED

 

 

 

 

 

c. DIVORCED (see

 

 

 

 

 

 

a.

ADEQUATE

 

 

 

 

 

 

b.

 

INADEQUATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(see blocks (1), (2) & (3))

 

 

 

 

 

 

 

blocks (1), (2) & (3))

 

 

 

 

 

 

 

 

 

 

(see block (1))

 

 

 

 

 

 

(see blocks (1), (2) & (4))

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

LEGALLY SEPARATED

 

 

 

 

 

 

 

 

 

 

 

e.

DEPENDENT CHILD

 

 

 

 

 

 

 

 

 

 

 

 

c.

TRANSIENT

 

 

 

 

 

 

d.

 

NOT AVAILABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(see blocks (1), (2) & (3))

 

 

 

 

 

 

 

(see blocks (4), (5) & (6))

 

 

 

 

 

 

 

 

 

 

 

 

 

(see block (3))

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

 

Spouse/Former

 

 

(2)

 

 

 

Spouse/Former

 

 

(3)

 

 

Date of Marriage,

 

 

 

(1)

 

 

QUARTERS

 

 

(2) FAIR RENTAL

 

 

 

 

 

 

Spouse SSN

 

 

 

 

 

 

 

 

Spouse Duty Station

 

 

 

 

 

 

Divorce/Separation

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

VALUE $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

 

Child in

 

 

 

Member

 

 

 

 

Spouse

 

 

 

 

 

 

Former Spouse

 

 

 

 

 

Other

(3)

 

 

FROM:

 

 

TO:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Custody of:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

 

 

If you check "OTHER" above, prepare DD Form 137 to establish dependency.

 

 

 

 

 

 

 

 

 

 

 

MEMBER ELECTION

 

 

 

 

 

 

 

COMMANDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Member

in

grade E7 and

 

 

 

 

 

 

 

 

 

DETERMINATION

 

 

(6)

 

 

If child support received from another military member, complete (1), (2) & (3).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

above)

 

 

 

 

 

 

 

 

 

 

 

 

(Attached)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEPENDENTS/SHARERS (Continue on back if required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF DEPENDENT/SHARER

 

 

COMPLETE CURRENT ADDRESS

(Include ZIP Code)

 

RELATIONSHIP

 

DOB OF CHILDREN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATION OF DEPENDENT SUPPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that I can provide, or willing to provide, adequate support for the above named dependents. I am aware that failure to support the above named

 

 

 

 

 

 

 

 

 

 

 

 

 

dependents may result in stopping BAQ and recouping BAQ for any prior periods/nonsupport.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IAW service regulations. I certify that the dependency status of my primary dependents, on whose behalf I am receiving BAQ, has not changed so as to affect

 

 

 

 

 

 

 

 

 

 

 

 

 

my entitlement thereto for the period.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPENSES, IF AUTHORIZED, I AM REQUESTING VHA BASED ON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

My permanent duty station:

 

 

 

 

 

 

 

My dependent's location:

 

 

 

 

 

 

 

 

Both my permanent duty station and dependent's location.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

 

 

Monthly Expenses:

 

 

 

Member

 

 

 

 

 

 

Dependent

 

 

 

b.

 

 

Sharer/Lease Information

 

 

 

c.

Address Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

 

Mortgage (PITI)

or Rent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

 

 

Rental/Residential Address:

(1)

 

Landlord's Name and Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

 

Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

 

Effective Date:

(3)

 

 

Expiration Date:

(2)

 

Landlord's Phone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

 

 

Number of Sharers

 

(show name(s) and address in block 10.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify ALL information regarding this authorization is correct. I will immediately notify the FAO/HRO of any changes in the information above, due to divorce,

 

 

marriage, death, living in government quarters etc, which could affect by BAQ or VHA entitlement.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IMPORTANT: Making a false statement or claim against the US Government is punishable by courts-martial. The penalty for willfully making a false claim or a false

 

 

statement in connection with claims is a maximum fine of $10,000 or imprisonment for 5 years, or both.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

 

 

MEMBER'S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. DATE

 

15.

CERTIFYING OFFICER'S SIGNATURE

 

 

 

 

 

 

 

 

 

16. DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 5960, SEP 1990

REPLACES DA FORM 3298, JUL 80 AND DA FORM 5545, JUL 86 WHICH ARE OBSOLETE

APD AEM v2.06ES

File Breakdown

Fact Name Details
Purpose The DA Form 5960 is used to request Basic Allowance for Housing (BAH) and other related entitlements for military personnel.
Eligibility Active duty service members, reservists on active duty, and certain members of the National Guard can use this form.
Governing Law Regulations governing BAH are outlined in Title 37 of the United States Code.
Submission Process Service members must submit the completed form to their unit’s administrative office for processing.
Required Information The form requires personal details, housing information, and any applicable supporting documentation.
Frequency of Use Service members may need to submit this form whenever there is a change in housing status or location.
State-Specific Considerations Some states may have additional regulations regarding housing allowances; consult state military codes for specifics.
Retention Period Approved forms should be retained in the member's official military personnel file for record-keeping purposes.

Guide to Using DA 5960

Filling out the DA 5960 form is an important step in your process. Make sure you have all necessary information at hand, as this will make completing the form easier and more efficient.

  1. Begin by entering your personal information at the top of the form. This includes your name, Social Security number, and contact details.
  2. Next, provide your military information. Fill in your rank, service number, and the branch of service you belong to.
  3. In the section for the type of request, clearly indicate what you are applying for. Be specific to avoid any confusion.
  4. Proceed to the financial information section. Here, you will need to list your income, expenses, and any other relevant financial details.
  5. After completing the financial section, review the form for accuracy. Ensure all entries are correct and legible.
  6. Sign and date the form at the bottom. This confirms that all information provided is true and complete.
  7. Finally, submit the form as directed. Make sure to keep a copy for your records.

Get Answers on DA 5960

What is the DA 5960 form?

The DA 5960 form, also known as the "Authorization to Start, Stop, or Change Basic Allowance for Housing (BAH)," is used by military personnel to request changes to their Basic Allowance for Housing. This form is essential for ensuring that service members receive the appropriate housing allowance based on their current living situation.

Who needs to fill out the DA 5960 form?

Service members who are eligible for BAH and need to make changes to their housing allowance must complete the DA 5960 form. This includes those who are moving to a new duty station, changing their marital status, or altering their housing arrangements.

What information is required on the DA 5960 form?

The form requires several key pieces of information, including:

  • Your name and rank
  • Your Social Security Number
  • Your duty station
  • Details about your current housing situation
  • Any changes you are requesting regarding your BAH

Make sure to provide accurate and complete information to avoid delays in processing.

How do I submit the DA 5960 form?

Once you have completed the DA 5960 form, submit it to your unit's finance office. They will review the request and process the changes accordingly. Ensure you keep a copy for your records.

What happens after I submit the DA 5960 form?

After submission, your finance office will review your request. They may reach out for additional information if needed. Once processed, you will receive confirmation of the changes to your BAH, which will reflect in your pay statements.

Can I appeal a decision regarding my BAH after submitting the DA 5960 form?

Yes, if you disagree with the outcome of your BAH request, you have the right to appeal. Contact your finance office for details on the appeals process and any necessary forms to submit.

Is there a deadline for submitting the DA 5960 form?

While there is no strict deadline, it is advisable to submit the form as soon as you know of any changes to your housing situation. Early submission helps ensure that your BAH adjustments are made in a timely manner.

What if I make a mistake on the DA 5960 form?

If you realize you made a mistake after submitting the form, contact your finance office immediately. They can guide you on how to correct the error and ensure your request is processed correctly.

Where can I find the DA 5960 form?

The DA 5960 form can be obtained from your unit's finance office, or it may be available online through official military websites. Always ensure you are using the most current version of the form to avoid any issues.

Common mistakes

Filling out the DA 5960 form can be a straightforward process, but many people make common mistakes that can lead to delays or complications. Understanding these pitfalls can help ensure that your application is processed smoothly.

One frequent error is not providing complete information. Each section of the form requires specific details. Omitting information or leaving fields blank can cause the application to be rejected or returned for correction. Always double-check that all required fields are filled out accurately.

Another mistake is failing to sign and date the form. The signature is a critical part of the application, as it certifies that the information provided is true and complete. Without a signature, the form is considered incomplete, which can lead to processing delays.

People often overlook the importance of using the correct version of the form. The DA 5960 form may be updated periodically, and using an outdated version can result in rejection. Always ensure you are using the most current form available on the official military website.

Additionally, not following the instructions can lead to errors. Each form comes with specific guidelines on how to fill it out. Ignoring these instructions can lead to confusion and mistakes, so it is essential to read them carefully before starting.

Many applicants also make the mistake of not keeping copies of their submissions. Having a record of what you submitted can be invaluable if there are questions or if the form is lost in processing. Always make a copy for your records.

Another common issue is miscalculating the amounts. Whether it’s related to pay or benefits, ensuring that all calculations are accurate is crucial. Double-checking your math can prevent unnecessary complications later on.

Finally, submitting the form without reviewing it can lead to overlooked mistakes. Taking a moment to review the completed form can catch errors that might otherwise go unnoticed. A thorough review can save time and frustration in the long run.

Documents used along the form

The DA 5960 form is a crucial document used by military personnel to apply for Basic Allowance for Housing (BAH) and other related benefits. However, it is often accompanied by several other forms and documents that help streamline the application process and ensure that all necessary information is provided. Below is a list of commonly used forms and documents that complement the DA 5960.

  • DD Form 214: This document serves as a certificate of release or discharge from active duty. It provides essential information about a service member's military service, including the duration and character of the discharge.
  • DA Form 31: This is a request and authority for leave. Service members use it to formally request leave from duty, and it must be approved by the appropriate authority before the leave is taken.
  • DA Form 4824: This form is used for the application for a military dependent identification card. It is essential for dependents to access various military services and benefits.
  • DD Form 1172-2: This is the application for a Uniformed Services Identification Card. It is necessary for obtaining ID cards for family members and other eligible individuals.
  • DA Form 3508: This document is the application for a military housing allowance. It provides details about the service member's housing situation, which is vital for determining eligibility for housing benefits.
  • SF 180: This is the request pertaining to military records. Service members or veterans use this form to request copies of their military records, which may be necessary for various applications.
  • DA Form 1506: This form is used to verify service for pay purposes. It helps ensure that service members receive the correct compensation based on their military service history.
  • DA Form 5695: This is the application for a military housing referral. It assists service members in finding suitable housing options in the area where they are stationed.
  • Form W-4: This is the employee’s withholding certificate. Service members use it to determine the amount of federal income tax to withhold from their paychecks.

Each of these forms plays a significant role in the overall process of applying for benefits and ensuring that military personnel and their families receive the support they need. Understanding the purpose and requirements of these documents can greatly enhance the efficiency of the application process.

Similar forms

  • DD Form 214 - This form serves as a certificate of release or discharge from active duty. Like the DA 5960, it provides essential information about a service member's time in the military, including their discharge status and service dates.
  • DA Form 31 - Used for requesting leave, this form parallels the DA 5960 in that it requires approval from a commanding officer. Both forms are essential for managing personnel actions within the military.
  • SF 86 - The Standard Form 86 is used for security clearance applications. Similar to the DA 5960, it collects personal information and requires verification for eligibility, ensuring the safety and security of military operations.
  • DA Form 3349 - This form is for profiles that outline a soldier's physical limitations. Like the DA 5960, it addresses the needs of service members and helps in managing their assignments based on their health status.
  • DD Form 149 - This form is utilized to apply for a change in discharge status. Similar to the DA 5960, it requires detailed information and justification to support the request, emphasizing the importance of accurate documentation in military processes.
  • DA Form 1059 - This is the academic evaluation report for soldiers completing military training. Like the DA 5960, it provides a formal record that reflects a service member's performance and qualifications.
  • DA Form 5500 - Used for body fat content worksheets, this form is similar in that it assesses a soldier's physical readiness and compliance with military standards, paralleling the DA 5960's focus on personnel management.
  • DA Form 2-1 - This form is the personnel qualification record. Similar to the DA 5960, it contains vital information about a soldier's career, including assignments, training, and qualifications.
  • SF 117 - The Request for Employment Information form is used to verify employment for benefits. Like the DA 5960, it serves as an official document that supports claims for various military-related benefits.
  • DA Form 7000 - This form is for the request for financial assistance. It is akin to the DA 5960 in that it seeks to address the financial needs of service members, requiring documentation to substantiate the request.

Dos and Don'ts

When filling out the DA 5960 form, it’s important to follow certain guidelines to ensure accuracy and completeness. Here’s a helpful list of things you should and shouldn’t do:

  • Do read the instructions carefully before starting.
  • Do provide accurate personal information, including your full name and Social Security number.
  • Do double-check all entries for spelling and numerical accuracy.
  • Do sign and date the form before submission.
  • Don’t leave any required fields blank.
  • Don’t use correction fluid or tape on the form; it’s best to start over if a mistake is made.

By following these tips, you can help ensure that your DA 5960 form is filled out correctly and submitted without issues.

Misconceptions

The DA 5960 form is important for military personnel, but there are several misconceptions surrounding it. Here’s a list of ten common misunderstandings, along with explanations to clarify each point.

  • It’s only for active-duty service members. Many believe that only active-duty personnel need to fill out the DA 5960. In reality, reservists and National Guard members may also need to use this form.
  • It’s a one-time form. Some think that once they submit the DA 5960, they’re done. However, changes in circumstances, like a move or a change in dependents, may require resubmission.
  • It’s not necessary if you have a housing allowance. Even if you receive a housing allowance, the DA 5960 may still be required to document dependents and housing status.
  • Filling it out is optional. This form is often seen as optional, but it’s actually a requirement for many military benefits and entitlements.
  • It’s only for financial purposes. While the DA 5960 does relate to financial matters, it also serves to establish eligibility for certain benefits and housing situations.
  • There’s no deadline for submission. Some individuals believe they can submit the form whenever they want. However, there are specific timelines for submission that must be followed.
  • It can be filled out by anyone. Many think that anyone can complete the DA 5960. In fact, it must be completed by the service member or an authorized representative.
  • It’s the same as other military forms. The DA 5960 is often confused with other forms, but it has unique requirements and purposes that set it apart.
  • Submitting it electronically is not allowed. Some people think they can only submit the DA 5960 in paper form. Many installations now accept electronic submissions, making it easier to file.
  • Once submitted, it cannot be changed. There’s a belief that once you submit the form, it’s set in stone. In fact, you can request updates or corrections as needed.

Understanding these misconceptions can help ensure that military personnel handle the DA 5960 form correctly and efficiently. Always check with your unit for the most accurate guidance.

Key takeaways

The DA 5960 form is essential for military personnel seeking to apply for a Basic Allowance for Housing (BAH) or other housing-related benefits. Here are some key takeaways to keep in mind when filling it out:

  • Eligibility: Ensure you meet the eligibility criteria before completing the form. This typically applies to active duty members and certain reservists.
  • Accurate Information: Fill in all required fields with accurate and up-to-date information. Mistakes can lead to delays in processing your application.
  • Supporting Documentation: Be prepared to provide supporting documents, such as orders or a lease agreement, to substantiate your claim.
  • Signature Requirement: Don’t forget to sign and date the form. An unsigned form may be considered incomplete and could be rejected.
  • Submission Process: Know where to submit the completed form. This is typically your unit’s administrative office or the appropriate housing office.
  • Follow Up: After submission, follow up to ensure your application is being processed. This can help catch any issues early on.
  • Timeliness: Submit the form as soon as possible. Delays can affect your housing allowance and financial planning.
  • Review Policies: Familiarize yourself with the policies regarding BAH and housing allowances, as they can change and may affect your benefits.

By keeping these points in mind, you can navigate the DA 5960 form process more effectively and ensure you receive the benefits you are entitled to.