U.S. Army MWR

Quality Benefit Plans

Useful Benefits Forms for Employees

Life Insurance
Portability of Life Insurance Benefit Request Form

Military Service Forms
Military Service Purchase Instructions (PDF)
Estimated Earnings During Military Service (PDF)
Sources of Documentation of Military Earnings (PDF)
Statement of Intent to Purchase Military Service Credit (PDF)
Application to Make Deposit for Military Service (PDF)

Medical and RX Claims Forms (Print Aetna Claim Forms)
Mail Order Drug Form (PDF)
Medical Form (PDF)
Dental Form (PDF)
Rx Drug Form (PDF)
International Medical Clain Form (PDF)
International Dental Claim Form (PDF)
Same Sex Domestic Partner Certification Form (PDF)
Termination of Same Sex Domestic Partnership Form (PDF)

Living Benefits Life Plan
Living Benefit Disclosure Form (required only if participant is married) (PDF)
Accelerated Benefits Kit (PDF)

401(k) Savings Plan Forms
Fidelity Investments Rollover Form
(Rollover 401(k) Funds from another qualifed 401(k) savings plan TO Fidelity Investments Army NAF 401(k) Savings Plan)

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