2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
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How to fill out a DD 2656-5 online?
Follow these steps to complete your DD 2656-5 form online.
Step 01
Read the instructions for Form DD 2656-5 carefully.
Step 02
Provide your personal details such as name, Social Security number, and address.
Step 03
Select your election option based on your dependency status.
Step 04
Choose the desired level of coverage for your beneficiaries.
Step 05
Verify that all information is accurate and complete.
Step 06
Submit the completed form to the appropriate office within your Branch of Service.
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