Civilian Job Survivor Benefit Program Income: Civil Service Retirement Pay - Trusts Other Total Sources of Retirement Pay Military Retirement Item Veteran Spouse, if applicable Receiving Military Retirement Pay (Check one) (Check one) □Yes □No □Yes □No Participating in Survivor (Check one) one) □Yes □No □Yes □No Benefit Plan (SBP) or Retired Serviceman’s Family Protection Program (RSFTP)? If yes to SBP or RSFTP $_________ month $_________ month participation, amount of monthly retirement pay prior to veteran’s death? ($/month) Anticipated amount of SBP or $_________ month $_________ month after death of the RSFTP pay veteran? ($/Month) If not participating in SBP or $_________ month $_________ RSFTP, current military retirement pay ($/Month) Retirement pay now being sent to: home address or bank/credit union address
Civilian Job Survivor Benefit Program Income: Civil Service Retirement Pay - Trusts Other Total Sources of Retirement Pay Military Retirement Item Veteran Spouse, if applicable Receiving Military Retirement Pay □Yes □No (Check one) □Yes □No (Check one) Participating in Survivor Benefit Plan (SBP) or Retired Serviceman’s Family Protection Program (RSFTP)? □Yes □No (Check one) □Yes □No one) If yes to SBP or RSFTP participation, amount of monthly retirement pay prior to veteran’s death? ($/month) $_________ month $_________ month Anticipated amount of SBP or RSFTP pay after death of the veteran? ($/Month) $_________ month $_________ month If not participating in SBP or RSFTP, current military retirement pay ($/Month) $_________ month $_________ Retirement pay now being sent to: home address or bank/credit union address
DAV%20SAG%20JUNE%202015.docx