Verification Of A Military Retiree'S Service In Nonwartime Campaigns Or Expeditions
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1
2Verification of a Military Retiree’s Service
In NonWartime Campaigns or Expeditions
(See Instructions on reverse before completing form.)
PRIVACY ACT STATEMENT
To:
(Select appropriate address from reverse.)
Solicitation of this information is authorized by sections
3502, “Retention Order," and 6303, “Leave Accrual,” of title
5, United States Code, and solicitation of the Social
Security Number (SSN) is authorized by Executive Order
9397, “Using Social Security Number as Identifier.” This
information, including the SSN, will be used to verify
periods of creditable service in all campaigns and
expeditions claimed. Furnishing this information, including
the SSN, is voluntary, but failure to comply may make it
difficult or impossible to verify periods of creditable service.
1. Name used during Military Service
2. Service Number (If Retired prior to 1970)
3. Social Security Number
6. Date of Request (mm/dd/yyyy)
4. Branch of Service
5. Date of Military Retirement (mm/dd/yyyy)
Service Claimed
FOR RECORDS CENTER USE ONLY
(Provide at least each month and year of
If not correct, give the dates (from and to) of the
If
participation in a campaign/expedition)
active duty the person performed in the period
correct
covered by the campaign badge or medal.
7. Nonwartime Campaigns and Expeditions
check
From
To
here
From
To
Month
Day
Year
Month
Day
Year
Month
Day
Year
Month
Day
Year
8. Requesting Agency’s Remarks
9. Records Center’s Remarks
10. Requesting Official’s Name, Telephone Number and/or Email Address
Items checked were verified by our records. Items
which do not correspond with dates shown in records
have been corrected.
11. Requesting Agency (Name, Address, and ZIP Code)
Printed Name and Title of Records Center certifying
Official
Signature
Date Signed
Form approved for local reproduction.
U.S. Office of Personnel Management
Previous editions not usable.
The Guide to Processing Personnel Actions
SF 813 (Revised April 2013)
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