Dd Form 2558 - Authorization To Start, Stop Or Change An Allotment

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AUTHORIZATION TO START, STOP OR CHANGE AN ALLOTMENT

PRIVACY ACT STATEMENT

AUTHORITY: 37 U.S.C. Section 701, Members of the Army, Navy, Air Force, and Marine Corps; contract surgeons.

PRINCIPAL PURPOSE: To permit starts, changes, or stops to allotments. To maintain a record of allotments and ensure starts, changes, and

stops are in keeping with member's desires.

ROUTINE USES: To the Federal Reserve banks to distribute payments made through the direct deposit system to financial organizations or their

processing agents authorized by individuals to receive and deposit payments in their accounts. It may also be disclosed to the Treasury

Department, Internal Revenue Service, Social Security Administration, Department of Veterans Affairs, Federal, state and local agencies for civil

or criminal law enforcement. Additional routine uses may be found in the applicable system of records notices: T7340, Defense Joint Military Pay

System-Active Component; M01040-3, Marine Corps Manpower Management Information System Records; and T7347b, Defense Military Retiree

and Annuity Pay System Records. They can be found at

DISCLOSURE: Voluntary; however, failure to provide the requested information may result in the member not being able to start, change, or

stop allotments.

TO BE COMPLETED BY ALLOTTER

3. DoD ID NUMBER

2. NAME OF ALLOTTER (Last, First, Middle Initial)

4. PAY GRADE

1. BRANCH OF SERVICE (X one)

(Print or type)

AIR FORCE

MARINE CORPS

ARMY

NAVY

5. ADDRESS OF ALLOTTER (Street or Box Number, City, State,

6. DAYTIME TELEPHONE

7. EFFECTIVE

8. MONTHLY AMOUNT

ZIP Code)

NUMBER (Include Area

DATE

OF ALLOTMENT

Code)

(YYYYMM)

9. NAME OF ALLOTTEE (First, Middle Initial, Last)

10. ALLOTMENT ACTION

11. TERM IN MONTHS

(X one)

START

STOP

CHANGE

13. ALLOTMENT CLASS AUTHORIZED (X one)

12. CREDIT LINE (If applicable)

C - CHARITY/CFC

D - DISCRETIONARY ALLOTMENTS (Includes dependent support, payment

14. ALLOTTEE'S MAILING ADDRESS (Street or Box Number,

to financial institution, insurance, repayment of home loan, rent, etc.

(Notes 1 and 2))

City, State, ZIP Code)

F - CHARITY - EMERGENCY/ASSISTANCE FUND CONTRIBUTION

L - REPAYMENT OF LOAN TO SERVICE ORGANIZATION (Red Cross, Relief

Society, etc. - Navy and Marine Corps only)

15. IF FOREIGN ADDRESS COMPLETE AS FOLLOWS (Province,

N - NSLI OR USGLI INSURANCE PREMIUM

Country)

T - PAYMENT OF DEBTS TO U.S., DELINQUENT STATE OR LOCAL INCOME/

EMPLOYMENT TAXES

16. REMARKS

- OTHER (Specify)

17. COMPANY CODE/FINANCIAL INSTITUTION/ROUTING

18. ACCOUNT NUMBER/POLICY NUMBER

CHECKING

TRANSIT NUMBER

SAVINGS

19. TOTAL CLASS L AMOUNT

20. TOTAL CLASS T AMOUNT

STATEMENT OF UNDERSTANDING

I understand that this allotment is legal and that by voluntarily completing this form, I am responsible for:

- Ensuring that the information is correct;

- Reviewing my Leave and Earnings Statement to ensure the allotment stops, starts, or changes as directed including amount and payee;

- Collecting overpayments from the receiver (payee) of the allotment, if I do not change or stop the allotment after a loan is repaid;

- Contacting the receiver (payee) of the allotment, at my expense, to obtain monthly statements for my personal records.

I also understand that any problems once the allotment is delivered to the receiver (payee) are beyond the control of the Defense Finance and

Accounting Service (DFAS) and that DFAS is only responsible for ensuring proper delivery of any voluntary allotment for the period directed.

I further understand that pursuant to conditions listed in the DoD 7000.14-R, Volume 7A, changes can be made by DFAS to an allottee's

name, address, or account number.

Under penalty of the Uniform Code of Military Justice, I certify that this allotment is NOT for the purchase, lease, or rental of personal property or

payment toward personal property.

21. SIGNATURE OF ALLOTTER

22. DATE (YYYYMMDD)

NOTE 1. Must be different address than allotter. Each dependent allotment must have a different credit line. Only one support allotment per

dependent is allowed.

NOTE 2. This is a voluntary allotment and can be to any payee you desire.

DD FORM 2558, DEC 2017

PREVIOUS EDITION IS OBSOLETE.

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