Transcription of APPLICATION FOR COMBAT-RELATED SPECIAL …
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APPLICATION FOR COMBAT-RELATED SPECIAL compensation ( crsc )PRIVACY ACT STATEMENTAUTHORITY: 10 Code 1413a, as amended; 9397, November 1943 (SSN).PRINCIPAL PURPOSE(S): Used by career retirees to apply for COMBAT-RELATED SPECIAL compensation ( crsc ). APPLICATION isreviewed to determine eligibility. Information provided by the retiree is used to identify the individual and their service record,determine eligibility for COMBAT-RELATED SPECIAL compensation under 10 1413a, and determine the amount and effective dateof USE(S): Information may be provided to the Department of Veterans Affairs (VA) for these purposes; to the InternalRevenue Service with respect to matters relating to an individual's tax status, and to the Department of Justice or state or localgovernments when a question of conflicting interest is raised concerning a member's declaration and a
APPLICATION FOR COMBAT-RELATED SPECIAL COMPENSATION (CRSC) DD FORM 2860, APR 2006 Page 2 of 5 Pages SECTION I - PERSONAL IDENTIFICATION 1. NAME (Last, First, Middle Initial) 2.
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