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APPLICATION FOR COMBAT-RELATED SPECIAL …

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 APPLICATION for : Voluntary.

a. Do you have 20 or more years of service creditable for the computation of the amount of your retired pay? YES NO b. FOR NON-REGULAR (RESERVE) RETIREMENT ONLY (Retired pay beginning at age 60 based on points under 10 U.S.C. 12731). YES NO 10. ARE YOU IN A RETIRED STATUS (i.e., are you on the retired rolls, or have you been transferred to the

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