Dd Form 2648 - Preseparation Counseling Checklist For Active Component (Ac), Active Guard Reserve (Agr), Active Reserve (Ar), Full Time Support (Fts), And Reserve Program Administrator (Rpa) Service Members Page 3

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NAME
SSN
PRESEPARATION COUNSELING
(Last, First, Middle Initial)
CHECKLIST FOR AC, AGR, AR,
FTS, AND RPA SERVICE
MEMBERS
SERVICE
SECTION IV (Continued)
SPOUSE
MEMBER
REFERRED TO
YES
NO
YES
NO
12. RELOCATION ASSISTANCE
*NOTE: Status of Forces Agreement limitations apply to overseas Service members.
a. Permissive (TDY/TAD) and Excess leave
Command/Personnel Office
*b. Travel and Transportation Allowances (see Note above)
Disbursing/TMO/Relocation
Provided link
13. CONTACT INFORMATION FOR HOUSING COUNSELING ASSISTANCE
portal.hud.gov/portal/page/portal/HUD
14. EDUCATION/TRAINING
a. Education benefits (Post 9-11 GI Bill Chapter 33), (Montgomery GI Bill Chapter 30),
Provided link/VA
(Veterans Educational Assistance Program), (Vietnam-era, etc.)
b. U.S. Department of Education Federal Aid Programs
Provided link
c. Other Federal, State, or local education/training programs and options
15. PHYSICAL AND MENTAL HEALTH WELL-BEING
a. Information on availability of Healthcare and Mental Health Services (Post-traumatic
stress disorder, anxiety disorders, depression, suicidal ideations, combat
operational/stress, or other mental health conditions associated with service in the
1-800-827-1000
Armed Forces)
(1) Transitional Healthcare Benefit/TRICARE (for eligibility and additional information
Provided link/TRICARE
go to: or /Factsheets/browsetopic.cfm)
(click on Transitional Assistance Management Program)
(2) VA Health Administration www1.va.gov/health/index.asp
Provided link
(3) VA Vet Center
Provided link
(4) State and local healthcare and mental health services
Provided link
b. Describe healthcare and other benefits to which the member may be entitled under
the laws administered by the Secretary of Veterans Affairs -
/ VA Rep
(1) VA health care
/ VA Rep
(2) VA dental care
16. HEALTH AND LIFE INSURANCE
a. Continued Health Care Benefits Program - Option to purchase 18-month conversion
Provided link
health insurance. Concurrent pre-existing condition coverage with purchase of
conversion health insurance
/mybenefit/home/overview/SpecialPrograms/CHCBP
Provided link
b. Veterans Group Life Insurance (VGLI)
and websites
c. Servicemembers' Group Life Insurance (SGLI)
Provided link
and websites
d. Traumatic Injury Protection Program (TSGLI )
1-800-419-1473
and
websites
e. Family Servicemembers' Group Life Insurance (FSGLI)
Provided link
and websites
f. Service-Disabled Veterans Insurance (S-DVI)
Provided link
and
websites
g. Veterans' Mortgage Life Insurance (VMLI)
Provided link
and
websites
h. For more information on Veterans Life Insurance, visit:
Provided link
i. Transitional Health and Dental Care Benefit - for eligibility criteria and additional
Provided link
information, go to: and /dental/TRDP_Eligibility.cfm
17. FINANCES
a. Financial Management (TSP, Retirement, SBP, military vs. civilian pay and benefits)
b. Separation pay (Eligible Involuntary Separatees)
Personnel office
c. Unemployment Compensation
d. General money management (budgeting, debt reduction)
e. Personal savings and investing
DD FORM 2648 TEST, JAN 2011
Page 3 of 5 Pages

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