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Blank DA 5960 PDF Form

The DA 5960 form is a document used by the United States Army to request a waiver for the repayment of a service member's educational assistance. This form facilitates the process of obtaining financial relief for those who may face challenges in fulfilling their educational obligations. For more information on how to complete the DA 5960 form, please click the button below.

Article Guide

The DA 5960 form is an essential document for military personnel, specifically designed to facilitate the process of requesting and managing Basic Allowance for Housing (BAH) and other related housing benefits. This form plays a crucial role in ensuring that service members receive the appropriate financial support for their living arrangements, whether they are stationed on base or in the local community. It captures vital information such as the service member's duty station, marital status, and the number of dependents, which are all key factors in determining eligibility for housing allowances. Additionally, the DA 5960 serves as a means to update any changes in a service member's living situation, ensuring that their benefits reflect their current circumstances. By accurately completing and submitting this form, military personnel can help safeguard their housing benefits, ultimately contributing to their overall well-being and stability during their service. Understanding the importance of the DA 5960 is critical for service members and their families, as it directly impacts their financial security and quality of life.

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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).

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,

SOCIAL SECURITY NUMBER

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.

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

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

6. DATE/ACTION

BAQ TYPE

(YYYYMMDD)

WITH DEPENDENTS

PARTIAL

WITHOUT DEPENDENTS

MARITAL/DEPENDENCY STATUS

QUARTERS ASSIGNMENT/AVAILABILITY

SINGLE

b. MARRIED

c. DIVORCED (see

ADEQUATE

INADEQUATE

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

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

(see block (1))

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

LEGALLY SEPARATED

DEPENDENT CHILD

TRANSIENT

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

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.

Monthly Expenses:

Member

Dependent

Sharer/Lease Information

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

➤ PDF File

Form Specifications

Fact Name	Description
Purpose	The DA 5960 form is used to request a waiver for the repayment of advanced education benefits.
Eligibility	Service members who have received education benefits and are unable to fulfill their service obligations may apply.
Submission Process	The completed form must be submitted to the appropriate military education office for review and approval.
Governing Law	The form is governed by Title 10, United States Code, Section 16131, which outlines education benefits for service members.
Approval Timeframe	Typically, it can take several weeks to process the DA 5960 form, depending on the workload of the reviewing office.

DA 5960: Usage Guidelines

The DA 5960 form is a crucial document for service members seeking to request a dependency allowance. Completing this form accurately is essential for ensuring that the request is processed efficiently. Follow these steps to fill out the form correctly.

Begin by entering your personal information in the designated fields. This includes your name, rank, and Social Security number.
Provide your unit information. Include the name of your unit and its address.
Fill in the details of your dependents. List their names, relationship to you, and dates of birth.
Indicate the type of dependency you are claiming. Check the appropriate box that applies to your situation.
Complete the financial information section. This may include your income and any other relevant financial details.
Sign and date the form at the bottom. Ensure that you are the one completing the form and that all information is accurate.
Submit the form to your personnel office or the designated authority within your unit.

After submitting the DA 5960 form, you may need to follow up with your personnel office to check on the status of your request. Keeping a copy of the submitted form for your records is advisable.

Your Questions, Answered

What is the DA 5960 form?

The DA 5960 form, also known as the "Application for the Advance of Pay," is a document used by military personnel to request an advance on their pay. This form is essential for service members who may face unexpected financial challenges and need immediate assistance. By submitting this form, individuals can receive a portion of their upcoming pay to help manage their expenses.

Who is eligible to use the DA 5960 form?

Eligibility for the DA 5960 form generally includes active-duty service members, reservists, and National Guard members who are on active duty. Each branch of the military may have specific guidelines regarding eligibility, so it's important to check with your respective unit or finance office for details. Additionally, certain financial criteria may apply, depending on the circumstances surrounding the request.

How do I fill out the DA 5960 form?

Filling out the DA 5960 form requires careful attention to detail. Start by providing your personal information, including your name, rank, and service number. Next, indicate the amount of advance pay you are requesting and the reason for the request. Ensure that all sections are completed accurately, as incomplete forms may delay processing. After filling out the form, submit it to your commanding officer for approval.

What reasons can I provide for requesting an advance?

When requesting an advance using the DA 5960 form, you should provide a clear and valid reason. Common reasons include unexpected medical expenses, urgent home repairs, or other financial emergencies. It's advisable to be honest and straightforward in your explanation, as this can impact the approval process. Documentation supporting your request may also be required.

How long does it take to process the DA 5960 form?

The processing time for the DA 5960 form can vary depending on several factors, including the workload of the finance office and the completeness of your application. Generally, you can expect a response within a few days to a couple of weeks. To avoid delays, ensure that your form is filled out correctly and that all necessary approvals are obtained before submission.

Will I need to repay the advance I receive?

Yes, any advance received through the DA 5960 form must be repaid. The repayment is typically deducted from your future paychecks, and the exact terms will be outlined in the approval process. It's essential to understand the repayment schedule to avoid any surprises in your pay. Failure to repay the advance may lead to financial penalties or other consequences.

Can I submit multiple DA 5960 forms?

Submitting multiple DA 5960 forms is generally discouraged unless you have a valid reason for each request. Each advance is intended to address specific financial needs, and multiple requests may raise concerns about your financial management. If you find yourself in a situation where multiple advances are necessary, consult with your finance office for guidance on how to proceed.

What should I do if my DA 5960 form is denied?

If your DA 5960 form is denied, you should first seek feedback from your commanding officer or the finance office to understand the reasons behind the decision. Depending on the circumstances, you may have the option to appeal the decision or submit a revised request. It's important to address any issues raised during the initial review to improve your chances of approval in the future.

Where can I obtain a DA 5960 form?

The DA 5960 form can typically be obtained from your unit's administrative office or finance office. Many military installations also provide access to forms online through official military websites. Ensure you are using the most current version of the form to avoid any complications during the application process.

Is there a deadline for submitting the DA 5960 form?

While there may not be a strict deadline for submitting the DA 5960 form, it is advisable to submit your request as soon as you identify a financial need. Early submission can help ensure that you receive the funds in a timely manner, allowing you to address your financial situation without unnecessary delays. Always check with your unit for any specific timelines that may apply.

Common mistakes

Not providing accurate personal information. Double-check your name, Social Security number, and other identifying details. Mistakes here can lead to delays.
Forgetting to include all dependents. Make sure to list all eligible dependents to avoid issues with benefits.
Neglecting to sign the form. A missing signature can render the form invalid, so remember to sign and date it.
Using the wrong version of the form. Always ensure you are using the most current version of the DA 5960 form.
Not providing supporting documents. If required, include necessary documentation to support your claims.
Failing to follow instructions. Each section of the form has specific guidelines. Read them carefully to avoid errors.
Not keeping a copy for your records. Always make a copy of the completed form for your personal records.
Ignoring deadlines. Submit the form on time to ensure you receive the benefits without interruption.
Rushing through the form. Take your time to fill it out carefully. Hasty mistakes can lead to complications later.

Documents used along the form

The DA 5960 form is essential for service members seeking to establish or modify their Basic Allowance for Housing (BAH). However, several other forms and documents often accompany it to ensure a smooth process. Below is a list of these important documents, each serving a unique purpose.

DD Form 214: This document is a Certificate of Release or Discharge from Active Duty. It provides a summary of a service member's military service and is crucial for verifying eligibility for various benefits.
DA Form 31: Also known as the Request and Authority for Leave, this form is used to request leave from duty. It helps ensure that all leave is properly documented and authorized.
BAH Rate Chart: This chart outlines the current Basic Allowance for Housing rates based on location and dependency status. It serves as a reference for service members to understand their potential housing allowance.
Dependency Application: This document is used to establish or update a service member's dependency status. It is essential for determining eligibility for certain benefits, including BAH.
Lease Agreement: A copy of the lease or rental agreement is often required to verify housing expenses. This document helps substantiate the need for BAH based on actual living arrangements.
Pay Stubs: Recent pay stubs may be requested to verify income and ensure that the service member qualifies for specific allowances and benefits.
Housing Allowance Application: This form is specifically designed to apply for housing allowances and may be required to provide additional details about the housing situation.
Service Member’s Statement: A personal statement from the service member may be requested to clarify specific circumstances related to their housing situation or dependency claims.

Gathering these documents can streamline the process of applying for or modifying BAH. Each form plays a vital role in providing necessary information and supporting claims, ultimately ensuring that service members receive the benefits they deserve.

Similar forms

The DA Form 5960 is a critical document used by the United States Army for various purposes, particularly in relation to housing allowances and other financial matters. Several other forms serve similar functions, each addressing specific needs within military or governmental operations. Below are four documents that share similarities with the DA Form 5960:

DD Form 139: This form is used for the request for a waiver of overpayment of pay and allowances. Like the DA 5960, it addresses financial adjustments within military pay, ensuring that service members receive accurate compensation.
DA Form 3685: This form pertains to the application for a Basic Allowance for Housing (BAH). Similar to the DA 5960, it is utilized to determine and request housing allowances, helping service members manage their living expenses.
DD Form 214: This document serves as a certificate of release or discharge from active duty. While it is primarily used for record-keeping, it also contains information regarding a service member's eligibility for various benefits, including housing allowances, paralleling the purpose of the DA 5960.
DA Form 5500: This form is related to the body fat content worksheet. While it may seem unrelated at first glance, it can impact a service member's eligibility for certain allowances, including housing, as it ties into overall fitness and readiness standards.

Each of these forms plays a vital role in ensuring that service members receive the appropriate financial support and benefits they deserve. Understanding their functions can help navigate the complexities of military compensation.

Dos and Don'ts

When filling out the DA 5960 form, it is important to follow certain guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do.

Do read the instructions carefully before starting.
Do use black or blue ink to fill out the form.
Do provide accurate and complete information.
Do double-check your entries for any errors.
Don't leave any required fields blank.
Don't use white-out or correction fluid on the form.
Don't submit the form without signing and dating it.

By adhering to these guidelines, you can help ensure that your DA 5960 form is processed smoothly and efficiently.

Misconceptions

The DA 5960 form is a crucial document for military personnel, specifically concerning the request for a basic allowance for housing. However, there are several misconceptions that can lead to confusion. Here are five common misunderstandings about the DA 5960 form:

It is only for active-duty service members.
Many believe that only active-duty personnel can use the DA 5960 form. In reality, this form is also applicable to reservists and certain members of the National Guard who are on active duty or who meet specific eligibility criteria.
Filing the form guarantees an allowance increase.
Some individuals think that submitting the DA 5960 form will automatically result in an increase in their housing allowance. However, the approval of the request depends on various factors, including eligibility and current housing rates.
It can be submitted at any time without consequences.
While the form can be submitted at various times, there are deadlines and specific periods when requests are more favorable. Delays or incorrect timing can affect the allowance amount or eligibility.
Only one form submission is needed for the entire service period.
Many assume that once they submit the DA 5960 form, they do not need to do so again. In fact, changes in personal circumstances, such as a change in marital status or a new duty station, may require a new submission.
It is a simple form that requires little information.
Some people underestimate the complexity of the DA 5960 form. It requires accurate and detailed information to ensure that the request is processed correctly, and any errors can lead to delays or denials.

Understanding these misconceptions can help military personnel navigate the process more effectively and ensure they receive the benefits they are entitled to.

Key takeaways

The DA 5960 form is an essential document for service members seeking to apply for or manage their Basic Allowance for Housing (BAH) and related benefits. Here are some key takeaways to consider when filling out and using this form:

Understand the Purpose: The DA 5960 is primarily used to request a Basic Allowance for Housing for service members with dependents or to update housing information.
Eligibility Requirements: Ensure you meet the eligibility criteria for BAH, as this will impact your ability to successfully complete the form.
Accurate Information: Fill out the form with precise and truthful information. Any discrepancies can lead to delays or denials of benefits.
Documentation: Be prepared to provide supporting documents, such as marriage certificates or birth certificates, to verify your dependents.
Submission Process: Submit the completed form to the appropriate personnel office or finance office. Follow up to confirm receipt and processing.
Timeliness: Complete and submit the form as soon as possible to avoid delays in receiving your housing allowance.
Updates: If your situation changes—such as a change in marital status or dependents—update the form promptly to reflect these changes.
Review Policies: Familiarize yourself with the policies regarding BAH to understand how your allowance is calculated and any potential impacts on your finances.
Seek Assistance: If you have questions or need help, reach out to your unit’s administrative office or a financial counselor.
Keep Copies: Always retain a copy of the submitted form and any supporting documents for your records.

Taking these steps seriously can help ensure that you receive the housing benefits to which you are entitled. The process may seem daunting, but being thorough and proactive will make a significant difference.