RETIRED PAY COURT ORDER CHECKLIST MILITARY
RETIREMENT SYSTEM (ARMY, AIR FORCE, NAVY, MARINES, COAST GUARD, NOAA, US PUBLIC HEALTH SERVICE)
First Name:
Last Name:
Is This Person an Attorney?YesNo
Firm Name:
Mailing Address:
City:
County:
State:
Zip:
Telephone:
Fax:
E-mail:
2. Information for Caption:
Plaintiff/Petitioner:
Defendant/Respondent:
Name of Court:
State:
County:
Division:
Docket Number:
3. Factual Information:
PARTICIPANT: (Military Member)
Name of Participant:
Sex:
Date of Birth:
Last Known Mailing Address:
City:
State:
Zip:
Social Security Number:
ALTERNATE PAYEE: (Former Spouse)
Name of Alternate Payee:
Sex:
Date of Birth:
Last Known Mailing Address:
City:
State:
Zip:
Social Security Number:
4. Marriage Date:
5. Divorce Date:
6. Date Marriage Ended:
(Cut-off date used to determine marital coverture fraction)
7. Branch of Service:
Date Participant Joined The Plan:
If Participant has Retired, the retirement date was:
Were the Plaintiff and Defendant married for at least 10 years of the Participants' service in the military?
Yes
No
If the answer is no, the Former Spouse cannot receive direct payment from the Military Retirement System as Marital Property. Should we structure the order to make direct payments for support?
Yes
No
8. Percent or Dollar Amount of Military Member's benefits to be paid directly to the Former Spouse?
Percent: %
The Plan will not make a direct payment to a Former Spouse that is greater than 50% of the Disposable Retired Pay.
Dollar Amount: $
The Plan will not make a direct payment to a Former Spouse that is greater than 50% of Disposable Retired Pay.
If a percent is chosen, how will the Marital Property Component be determined?
Option #1 -
( ONLY APPLICABLE FOR FULL-TIME PERSONNEL )
The Marital Property Component shall be determined by a fraction, the numerator of which is the number of months of the Participant's participation inthe Plan earned during the marriage and the denominator of which is the total number of months of the Participant's participation in the Plan through Retirement.
Option #2 -
( ONLY APPLICABLE FOR RESERVE PERSONNEL )
The Marital Property Component shall be determined by a fraction, the numerator of which is the number of points accumulated by the Participant during the marriage and the denominator of which is the total number of points accumulated by the Participant at the time of Retirement.
Number of points accumulated during marriage:
9. Should the Former Spouse receive a pro-rata share of any Cost of Living Adjustments?
Option #1 - Yes
Option #2 - No
10. When will Former Spouse's benefits start?
As soon as administratively feasible following the date the Order is found to be a Retired Pay Court Order or on the date the Military Member begins receiving Disposable Retired Pay, if later. ( Only Option )
11. Length of time benefits will be paid by the Plan to the Alternate Payee.
Payments to the Alternate Payee stop when either the Participant or Alternate Payee dies. (Only option)
12. Should the Former Spouse be entitled to a Survivor Benefit Plan (SBP) Annuity?
Option #1 - Yes
Option #2 - No
13. Credit Card & Billing Information:
The below credit card will be charged $395.00. If more than one QDRO is requested, an additional $395.00 will be charged to the credit card provided for each additional Order required. The QDRO(s) will be sent from our office regular mail within 5 business days following the request. If you require same day service, an additional $95.00 will be charged to the credit card provided below. Our staff will then draft the QDRO(s) upon receipt of all information, and return the Order(s) to you via fax within 24 hours.
Credit Card Number:
(be sure to double check your number)
Expiration Date:
(format: month/year)
Credit Card Type:
Name on Card:
Billing Address:
Do you want same day service?
(Additional $95.00)
YesNo
Fax Number:
(For 24 hour same day service only)
(Before submitting your order, please double check all the information you have entered to make sure it is correct).
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