I request that the United States Defense Finance and Accounting Service ("DFAS") "deem" an election by_____________________________ (name of Member),_____________________________
(Social Security Number of Member), that I,_____________________________ (name of Former Spouse),_____________________________ (Social Security Number of Former Spouse) be the beneficiary of_____________________________ 's (name of Member) survivor annuity under the Survivor Benefit Plan ("SBP") as set forth under the Court Order dated_____________________________. By order of the_________________________________________
(Name of Court), dated_____________________________ , a court of competent jurisdiction, the_____________________________
(Final Judgment of Divorce, Property Settlement Agreement, Separation Agreement, etc.) of the parties was approved. In accordance with 10 U.S.C. Section 1450 (f), I request that DFAS name me as the beneficiary of_____________________________'s (name of Member) survivor benefit annuity.
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