Memorandum Template For Certificate Of Military Service

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY
LAW FORM 12.912(a)
MEMORANDUM FOR CERTIFICATE OF MILITARY SERVICE (03/15)
When should this form be used?
This form should be used if you KNOW OR DO NOT KNOW whether the other party in your case is on
active duty in a branch of the military service of the United States. “Active duty” includes reserve
personnel of the Army, Navy, Air Force, Marine Corps, and Coast Guard, and members of the Florida
National Guard who have been called to active duty for more than thirty (30) days. Even if you believe
that the other party has never or would never join the military, you must show the court proof that he
or she is not a member of the military. Therefore, you may need to use this form to provide the court
with such proof. See the instructions for an Affidavit of Military Service, Florida Supreme Court
Approved Family Law Form 12.912(b), for additional information.
Servicemembers Civil Relief Act (SCRA) Certificates:
For information on obtaining certificates of service or non-service under the Servicemembers Civil Relief
Act (SCRA)(formerly known as Soldiers’ and Sailors’ Civil Relief Act of 1940), please refer to the following
websites:
or
You may also fill out this form and mail one copy to each of the military branches listed below. You may
be charged a service fee by each military service branch for their response. Please refer to the websites
and/or phone numbers listed below for help in determining the amount of each military branch’s fee
and to verify its current mailing address.
COAST GUARD: USCG Commander, Personnel Service Center, Attn: PSD-MR, 4200 Wilson Blvd.,
Suite 1100, Arlington VA 22203 Phone 1-866-772-8724 NOTE: All requests must be in writing.
AIR FORCE: HQ AFPC/DPDXIDL, Attn: World Wide Locator, 550 C Street, West, Suite 50, Randolph AFB,
TX 78150-4752, Phone: (210) 565-2660, NOTE: Requests will be taken by phone.
NAVY: Bureau of Naval Personnel, PERS-312E, 5720 Integrity Drive, Millington, TN 38055-3120,
Phone: (901) 874-5111
NOTE: Requests will be taken by phone.
MARINE CORPS: CMC HQ (MMSB17), 2008 Elliot Road, Room 201, Quantico, VA 22134
Phone (703)784-3941
NOTE: All requests must be in writing.
PUBLIC HEALTH SERVICE: Attn: Director, Division of Commissioned Corps Officer Support,
NOTE: Please direct all inquiries to the website.
ARMY: Army World Wide Locator Service, Enlisted Records and Evaluation Center, 8899 East 56th
Street, Indianapolis, IN 46249-5301, Phone: (1-866) 771-6357, fax (317) 510-3685
NOTE: All requests must be in writing.
Instructions for Florida Supreme Court Approved Family Law Form 12.912(a), Memorandum for Certificate of
Military Service (03/15)

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