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Free DA 5960 Template

The DA 5960 form is a Department of the Army document used for requesting a waiver for certain financial obligations. This form is essential for service members seeking relief from specific debts or financial responsibilities. To get started on your application, fill out the form by clicking the button below.

Access DA 5960 Editor Here

Access DA 5960 Editor Here

Table of Contents

The DA 5960 form plays a crucial role in the military community, particularly for service members seeking to manage their financial obligations effectively. This form is primarily used to request a waiver of certain financial obligations, such as debts or loans, that may hinder a service member's ability to perform their duties. It serves as a vital tool for those looking to navigate the complexities of military finance, ensuring that personnel can focus on their responsibilities without the burden of overwhelming financial stress. Understanding the components of the DA 5960 form is essential for service members, as it outlines the necessary information required for submission, including personal details, the nature of the financial obligation, and supporting documentation. By utilizing this form, service members can initiate a process that may lead to relief from financial pressures, allowing them to maintain their readiness and commitment to their service. Proper completion and timely submission of the DA 5960 form can significantly impact a service member's financial stability and overall well-being.

Document Specifics

Fact Name	Details
Purpose	The DA Form 5960 is used by military personnel to request Basic Allowance for Housing (BAH) and other housing-related allowances.
Eligibility	Active duty members of the U.S. Armed Forces are eligible to use this form to apply for housing allowances.
Submission Process	The completed form must be submitted to the appropriate finance office for processing.
Governing Regulation	This form is governed by the Department of Defense Instruction 1340.22.
Required Information	Applicants must provide personal information, including duty station, marital status, and dependents.
Signature Requirement	A signature from the service member is required to validate the request.
Processing Time	Typically, the processing time for the DA Form 5960 can take several weeks, depending on the finance office's workload.
Impact on Pay	Approval of the DA Form 5960 can significantly affect the service member's monthly pay due to housing allowances.

Similar forms

The DA 5960 form is an important document used by service members to apply for basic allowance for housing (BAH) and other related benefits. It shares similarities with several other documents that serve various purposes within military and government contexts. Here are five documents that are similar to the DA 5960 form:

DD Form 214: This document is known as the Certificate of Release or Discharge from Active Duty. Like the DA 5960, it is essential for service members as it provides proof of military service and is often required when applying for benefits, including housing allowances.
DA Form 31: This is the Request and Authority for Leave form. Similar to the DA 5960, it is used by service members to request specific benefits—in this case, leave. Both forms require detailed information about the service member's status and are essential for processing requests efficiently.
SF 1199A: This is the Direct Deposit Sign-Up Form. While the DA 5960 focuses on housing allowances, the SF 1199A ensures that service members receive their pay directly into their bank accounts. Both documents aim to streamline financial processes for military personnel.
Ohio Medical Power of Attorney Form: To ensure your healthcare wishes are respected, consider the essential Medical Power of Attorney document that designates a trusted individual to make decisions on your behalf.
DA Form 1506: This is the Statement of Service. It serves to verify a service member's active duty status, much like the DA 5960 verifies eligibility for housing benefits. Both documents are crucial for ensuring that service members receive the benefits they are entitled to.
VA Form 21-526EZ: This is the Application for Disability Compensation and Related Compensation Benefits. Similar to the DA 5960, it is used to apply for benefits. While the focus is different, both forms require comprehensive information about the applicant's service and current status to determine eligibility for benefits.

Free DA 5960 File

DA 5960 Example

AUTHORIZATION TO START, STOP, OR CHANGE

PRIVACY ACT STATEMENT

BASIC ALLOWANCE FOR QUARTERS (BAQ),

AUTHORITY:

37 USC 403; Public Law 96-343; EO 9397.

AND/OR VARIABLE HOUSING ALLOWANCE (VHA)

PRINCIPLE PURPOSE:

To start, adjust or terminate military member's entitlement

For use of this form, see AR 37-104-4; the proponent agency is ASA(FM)

to basic allowance for quarters

(BAQ) and/or variable

housing allowance (VHA).

NAME

(Last, First, MI)

ROUTINE USE:

To adjust member's military pay record, information may

be disclosed to Army components, such as USAFAC,

major commands, and other Army installations; to other

DOD components; other federal agencies such as IRS,

SOCIAL SECURITY NUMBER

GRADE

Social Security Administration and VA, GAO, members of

Congress; State and local government; US and State

courts, and various law enforcement agencies. Social

Security Number (SSN) is used for positive identification.

TYPE OF ACTION

DISCLOSURE IS VOLUNTARY: Nondisclosure may result in nonpayment of BAQ and/or

START

CANCEL

CHANGE

REPORT

VHA. Disclosure of your SSN is voluntary. However, this

form will not be processed without your SSN because

the Army identifies you for pay purposes by your SSN.

CORRECT

STOP

RECERTIFICATION

DUTY LOCATION (Include Station, Name, City, State, and Zip Code)

6. DATE/ACTION

BAQ TYPE

(YYYYMMDD)

WITH DEPENDENTS

PARTIAL

WITHOUT DEPENDENTS

MARITAL/DEPENDENCY STATUS

QUARTERS ASSIGNMENT/AVAILABILITY

SINGLE

b. MARRIED

c. DIVORCED (see

ADEQUATE

INADEQUATE

(see blocks (1), (2) & (3))

blocks (1), (2) & (3))

(see block (1))

(see blocks (1), (2) & (4))

LEGALLY SEPARATED

DEPENDENT CHILD

TRANSIENT

NOT AVAILABLE

(see blocks (1), (2) & (3))

(see blocks (4), (5) & (6))

(see block (3))

(1)

Spouse/Former

(2)

Spouse/Former

(3)

Date of Marriage,

(1)

QUARTERS

(2) FAIR RENTAL

Spouse SSN

Spouse Duty Station

Divorce/Separation

NO.

VALUE $

(4)

Child in

Member

Spouse

Former Spouse

Other

(3)

FROM:

TO:

Custody of:

(4)

(5)

If you check "OTHER" above, prepare DD Form 137 to establish dependency.

MEMBER ELECTION

COMMANDER

(Member

grade E7 and

DETERMINATION

(6)

If child support received from another military member, complete (1), (2) & (3).

above)

(Attached)

10.

DEPENDENTS/SHARERS (Continue on back if required)

NAME OF DEPENDENT/SHARER

COMPLETE CURRENT ADDRESS

(Include ZIP Code)

RELATIONSHIP

DOB OF CHILDREN

11.

CERTIFICATION OF DEPENDENT SUPPORT

I certify that I can provide, or willing to provide, adequate support for the above named dependents. I am aware that failure to support the above named

dependents may result in stopping BAQ and recouping BAQ for any prior periods/nonsupport.

IAW service regulations. I certify that the dependency status of my primary dependents, on whose behalf I am receiving BAQ, has not changed so as to affect

my entitlement thereto for the period.

12.

EXPENSES, IF AUTHORIZED, I AM REQUESTING VHA BASED ON

My permanent duty station:

My dependent's location:

Both my permanent duty station and dependent's location.

Monthly Expenses:

Member

Dependent

Sharer/Lease Information

Address Information

(1)

Mortgage (PITI)

or Rent

(1)

Rental/Residential Address:

(1)

Landlord's Name and Address:

(2)

Insurance

(3)

Other

(2)

Effective Date:

(3)

Expiration Date:

(2)

Landlord's Phone No.

TOTALS

(4)

Number of Sharers

(show name(s) and address in block 10.)

I certify ALL information regarding this authorization is correct. I will immediately notify the FAO/HRO of any changes in the information above, due to divorce,

marriage, death, living in government quarters etc, which could affect by BAQ or VHA entitlement.

IMPORTANT: Making a false statement or claim against the US Government is punishable by courts-martial. The penalty for willfully making a false claim or a false

statement in connection with claims is a maximum fine of $10,000 or imprisonment for 5 years, or both.

13.

MEMBER'S SIGNATURE

14. DATE

15.

CERTIFYING OFFICER'S SIGNATURE

16. DATE

DA FORM 5960, SEP 1990

REPLACES DA FORM 3298, JUL 80 AND DA FORM 5545, JUL 86 WHICH ARE OBSOLETE

APD AEM v2.06ES

AUTHORIZATION TO START, STOP, OR CHANGE

PRIVACY ACT STATEMENT

BASIC ALLOWANCE FOR QUARTERS

(BAQ),

AUTHORITY:

37 USC 403; Public Law 96-343; EO 9397.

AND/OR VARIABLE HOUSING ALLOWANCE (VHA)

PRINCIPLE PURPOSE:

To start, adjust or terminate military member's entitlement

For use of this form, see AR 37-104-4; the proponent agency is ASA (FM)

to basic allowance for quarters (BAQ) and/or

variable housing allowance

(VHA).

NAME

(Last, First, MI)

ROUTINE USE:

To adjust member's military pay record, information may

be disclosed to Army components, such as USAFAC,

major commands, and other Army installations; to other

DOD components; other federal agencies such as IRS,

SOCIAL SECURITY NUMBER

GRADE

Social Security Administration and VA, GAO, members

of Congress; State and local government; US and State

courts, and various law enforcement agencies. Social

Security Number (SSN) is used for positive identification.

TYPE OF ACTION

DISCLOSURE IS VOLUNTARY: Nondisclosure may result in nonpayment of BAQ and/or

START

CANCEL

CHANGE

REPORT

VHA. Disclosure of your SSN is voluntary. However, this

form will not be processed without your SSN because

the Army identifies you for pay purposes by your SSN.

CORRECT

STOP

RECERTIFICATION

DUTY LOCATION (Include Station, Name, City, State, and Zip Code)

6. DATE/ACTION

BAQ TYPE

(YYYYMMDD)

WITH DEPENDENTS

PARTIAL

WITHOUT DEPENDENTS

MARITAL/DEPENDENCY STATUS

QUARTERS ASSIGNMENT/AVAILABILITY

SINGLE

b. MARRIED

c. DIVORCED (see

ADEQUATE

INADEQUATE

(see blocks (1), (2) & (3))

blocks (1), (2) & (3))

(see block (1))

(see blocks (1), (2) & (4))

LEGALLY SEPARATED

DEPENDENT CHILD

TRANSIENT

NOT AVAILABLE

(see blocks (1), (2) & (3))

(see blocks (4), (5) & (6))

(see block (3))

(1)

Spouse/Former

(2)

Spouse/Former

(3)

Date of Marriage,

(1)

QUARTERS

(2)

FAIR RENTAL

Spouse SSN

Spouse Duty Station

Divorce/Separation

NO.

VALUE $

(4)

Child in

Member

Spouse

Former Spouse

Other

(3)

FROM:

TO:

Custody of:

(4)

(5)

If you check "OTHER" above, prepare DD Form 137 to establish dependency.

MEMBER ELECTION

COMMANDER

(Member

grade E7 and

DETERMINATION

(6)

If child support received from another military member, complete (1), (2) & (3).

above)

(Attached)

10.

DEPENDENTS/SHARERS (Continue on back if required)

NAME OF DEPENDENT/SHARER

COMPLETE CURRENT ADDRESS

(Include ZIP Code)

RELATIONSHIP

DOB OF CHILDREN

11.

CERTIFICATION OF DEPENDENT SUPPORT

I certify that I provide, or am will to provide adequate support for the above named dependents. I am aware that failure to support the above named

dependents may result in stopping BAQ and recouping BAQ for any prior periods/nonsupport.

IAW service regulations, I certify that the dependency status of my primary dependents, on whose behalf I am receiving BAQ, has not changed so as to affect

my entitlement thereto for the period

12.

EXPENSES, IF AUTHORIZED, I AM REQUESTING VHA BASED ON

My permanent duty station:

My dependent's location:

Both my permanent duty station and dependent's location.

Monthly Expenses:

Member

Dependent

Sharer/Lease Information

Address Information

(1)

Mortgage (PITI)

or Rent

(1)

Rental/Residential Address:

(1)

Landlord's Name and Address:

(2)

Insurance

(3)

Other

(2)

Effective Date:

(3)

Expiration Date:

(2)

Landlord's Phone No.

TOTALS

(4)

Number of Sharers

(show name(s) and address in block 10.)

I certify ALL information regarding this authorization is correct. I will immediately notify the FAO/HRO of any changes in the information above, due to divorce,

marriage, death, living in government quarters etc, which could affect by BAQ or VHA entitlement.

IMPORTANT: Making a false statement or claim against the US Government is punishable by courts-martial. The penalty for willfully making a false claim or a false

statement in connection with claims is a maximum fine of $10,000 or imprisonment for 5 years, or both.

13.

MEMBER'S SIGNATURE

14. DATE

15.

CERTIFYING OFFICER'S SIGNATURE

16. DATE

DA FORM 5960, SEP 1990

REPLACES DA FORM 3298, JUL 80 AND DA FORM 5545, JUL 86 WHICH ARE OBSOLETE

APD AEM v2.06ES

AUTHORIZATION TO START, STOP, OR CHANGE

PRIVACY ACT STATEMENT

BASIC ALLOWANCE FOR QUARTERS

(BAQ),

AUTHORITY:

37 USC 403; Public Law 96-343; EO 9397.

AND/OR VARIABLE HOUSING ALLOWANCE (VHA)

PRINCIPLE PURPOSE:

To start, adjust or terminate military member's entitlement

For use of this form, see AR 37-104-4; the proponent agency is ASA (FM)

to basic allowance for quarters (BAQ) and/or

variable housing allowance

(VHA).

NAME

(Last, First, MI)

ROUTINE USE:

To adjust member's military pay record, information may

be disclosed to Army components, such as USAFAC,

major commands, and other Army installations; to other

DOD components; other federal agencies such as IRS,

SOCIAL SECURITY NUMBER

GRADE

Social Security Administration and VA, GAO, members

of Congress; State and local government; US and State

courts, and various law enforcement agencies. Social

Security Number (SSN) is used for positive identification.

TYPE OF ACTION

DISCLOSURE IS VOLUNTARY: Nondisclosure may result in nonpayment of BAQ and/or

START

CANCEL

CHANGE

REPORT

VHA. Disclosure of your SSN is voluntary. However, this

form will not be processed without your SSN because

the Army identifies you for pay purposes by your SSN.

CORRECT

STOP

RECERTIFICATION

DUTY LOCATION (Include Station, Name, City, State, and Zip Code)

6. DATE/ACTION

BAQ TYPE

(YYYYMMDD)

WITH DEPENDENTS

PARTIAL

WITHOUT DEPENDENTS

MARITAL/DEPENDENCY STATUS

QUARTERS ASSIGNMENT/AVAILABILITY

SINGLE

b. MARRIED

c. DIVORCED (see

ADEQUATE

INADEQUATE

(see blocks (1), (2) & (3))

blocks (1), (2) & (3))

(see block (1))

(see blocks (1), (2) & (4))

LEGALLY SEPARATED

DEPENDENT CHILD

TRANSIENT

NOT AVAILABLE

(see blocks (1), (2) & (3))

(see blocks (4), (5) & (6))

(see block (3))

(1)

Spouse/Former

(2)

Spouse/Former

(3)

Date of Marriage,

(1)

QUARTERS

(2)

FAIR RENTAL

Spouse SSN

Spouse Duty Station

Divorce/Separation

NO.

VALUE $

(4)

Child in

Member

Spouse

Former Spouse

Other

(3)

FROM:

TO:

Custody of:

(4)

(5)

If you check "OTHER" above, prepare DD Form 137 to establish dependency.

MEMBER ELECTION

COMMANDER

(Member

grade E7 and

DETERMINATION

(6)

If child support received from another military member, complete (1), (2) & (3).

above)

(Attached)

10.

DEPENDENTS/SHARERS (Continue on back if required)

NAME OF DEPENDENT/SHARER

COMPLETE CURRENT ADDRESS

(Include ZIP Code)

RELATIONSHIP

DOB OF CHILDREN

11.

CERTIFICATION OF DEPENDENT SUPPORT

I certify that I provide, or am will to provide adequate support for the above named dependents. I am aware that failure to support the above named

dependents may result in stopping BAQ and recouping BAQ for any prior periods/nonsupport.

IAW service regulations, I certify that the dependency status of my primary dependents, on whose behalf I am receiving BAQ, has not changed so as to affect

my entitlement thereto for the period

12.

EXPENSES, IF AUTHORIZED, I AM REQUESTING VHA BASED ON

My permanent duty station:

My dependent's location:

Both my permanent duty station and dependent's location.

Monthly Expenses:

Member

Dependent

Sharer/Lease Information

Address Information

(1)

Mortgage (PITI)

or Rent

(1)

Rental/Residential Address:

(1)

Landlord's Name and Address:

(2)

Insurance

(3)

Other

(2)

Effective Date:

(3)

Expiration Date:

(2)

Landlord's Phone No.

TOTALS

(4)

Number of Sharers

(show name(s) and address in block 10.)

I certify ALL information regarding this authorization is correct. I will immediately notify the FAO/HRO of any changes in the information above, due to divorce,

marriage, death, living in government quarters etc, which could affect by BAQ or VHA entitlement.

IMPORTANT: Making a false statement or claim against the US Government is punishable by courts-martial. The penalty for willfully making a false claim or a false

statement in connection with claims is a maximum fine of $10,000 or imprisonment for 5 years, or both.

13.

MEMBER'S SIGNATURE

14. DATE

15.

CERTIFYING OFFICER'S SIGNATURE

16. DATE

DA FORM 5960, SEP 1990

REPLACES DA FORM 3298, JUL 80 AND DA FORM 5545, JUL 86 WHICH ARE OBSOLETE

APD AEM v2.06ES

Understanding DA 5960

What is the DA 5960 form?

The DA 5960 form, officially known as the "Authorization to Start, Stop, or Change Basic Allowance for Housing," is a document used by military personnel to request changes to their Basic Allowance for Housing (BAH). This form is crucial for service members who are relocating, changing duty stations, or experiencing changes in their living situations. It helps ensure that the appropriate housing allowances are applied based on the member's current circumstances.

Who needs to fill out the DA 5960 form?

Any active duty service member, reservist, or National Guard member who is eligible for BAH may need to complete the DA 5960 form. This includes those who are moving to a new location, those who are getting married or divorced, and those who are experiencing changes in dependents. It is important for service members to keep their housing allowances updated to reflect their current living situations accurately.

How do I submit the DA 5960 form?

To submit the DA 5960 form, you should first complete all required sections accurately. Once filled out, the form must be signed and dated. After that, it should be submitted to your unit's finance office. Depending on your unit's procedures, you may also be able to submit it electronically. Always check with your finance office for specific submission guidelines and any additional documentation that may be required.

What happens after I submit the DA 5960 form?

After submitting the DA 5960 form, the finance office will review your request. They will verify the information provided and determine if the changes to your BAH are justified. You may receive confirmation of the changes, or you might be contacted for further information if needed. It’s essential to keep a copy of your submitted form for your records and to follow up if you do not hear back within a reasonable timeframe.

Can I appeal a decision made regarding my DA 5960 form?

If your request is denied or if you disagree with the outcome, you do have the option to appeal the decision. The appeals process generally involves submitting a written request for reconsideration to the finance office, along with any supporting documentation that may strengthen your case. It’s advisable to act promptly, as there may be deadlines associated with filing an appeal. Your finance office can provide guidance on the specific steps to take in this situation.

Dos and Don'ts

Filling out the DA 5960 form can be a crucial step in managing your military benefits. To ensure a smooth process, here are some essential dos and don'ts to keep in mind.

Do read the instructions carefully before starting. Understanding the requirements will save you time and reduce errors.
Do provide accurate personal information. Double-check your name, Social Security number, and other details.
Do keep your supporting documents handy. Having your documents organized can help you fill out the form more efficiently.
Do ask for help if you’re unsure. Reach out to your unit’s administrative office or a fellow service member for guidance.
Don't rush through the form. Take your time to ensure everything is filled out correctly.
Don't leave any fields blank unless instructed. Missing information can delay processing.
Don't forget to sign and date the form. An unsigned form is incomplete and cannot be processed.

By following these guidelines, you can help ensure that your DA 5960 form is filled out correctly and submitted on time. Your attention to detail matters!

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