The DA 5960 form is a crucial document used by the U.S. Army to request a waiver for certain educational benefits. This form serves as a formal application for individuals seeking assistance in navigating the complexities of military education funding. Understanding its purpose and requirements can significantly aid service members in accessing the benefits they deserve.
Cadet Command - Students must indicate whether they are enrolled in a host school, extension center, or cross-enrolled.
In order to ensure a comprehensive evaluation of potential tenants, landlords often require the New York Rental Application form, which can be conveniently accessed at nytemplates.com/blank-rental-application-template. This document is crucial for collecting necessary personal details, rental history, and financial information, thereby facilitating a smooth rental process.
How Much Does a 4 Point Inspection Cost in Florida - The actual year the home was built must be provided in the form.
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
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
NOT AVAILABLE
(see blocks (4), (5) & (6))
(see block (3))
(1)
Spouse/Former
(2)
(3)
Date of Marriage,
QUARTERS
(2) FAIR RENTAL
Spouse SSN
Spouse Duty Station
Divorce/Separation
NO.
VALUE $
(4)
Child in
Member
Spouse
Former Spouse
Other
FROM:
TO:
Custody of:
(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.
Monthly Expenses:
Dependent
Sharer/Lease Information
Address Information
Mortgage (PITI)
or Rent
Rental/Residential Address:
Landlord's Name and Address:
Insurance
Effective Date:
Expiration Date:
Landlord's Phone No.
TOTALS
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
BASIC ALLOWANCE FOR QUARTERS
(BAQ),
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).
Social Security Administration and VA, GAO, members
of Congress; State and local government; US and State
FAIR RENTAL
I certify that I provide, or am will to provide adequate support for the above named dependents. I am aware that failure to support the above named
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
The DA 5960 form, used primarily for requesting a basic allowance for housing (BAH) for service members, is often accompanied by several other important documents. These additional forms help ensure that the request is processed smoothly and accurately. Below are four commonly used forms and documents that complement the DA 5960.
When submitting the DA 5960 form, including these accompanying documents can significantly enhance the chances of a smooth approval process. Each document plays a unique role in providing a comprehensive view of the service member's housing situation and eligibility for allowances.