The contents of this application
and any reports made by the applicant in accordance with section
3502, “Retention Order,” may be obtained free of charge through the
United States Army.
(Select appropriate address from reverse.)
Signed by:
The Honorable Harry H. “Pete” Carroll
Secretary Of The Army
10 October 1943
RE: Retiring from Military Service
Subject: General
Signed:
Address:
C.C.S. #:
SSN:
Name:
Age at discharge:
Date of birth of the applicant:
Place and date stationed on active duty, service or
deployment for which the applicant is applying for
retirement:
Place and date of previous enlistment:
Date of last entry into
active duty:
Place and date of previous deployment, service or
deployment for which the applicant is
applying for retirement:
If the applicant is currently assigned
to active duty:
The applicant has been discharged from active
duty from any cause other than failure to return
to active duty within the term of the original
Contract of service.
The applicant claims disability on an
SSN, service-connected condition (other than a
Conversion to a disability rating).
The medical examiner has certified
that the applicant is unable to perform the
Performance of duties.
The applicant is requesting
A discharge on disability.
The applicant is requesting a
Disqualified rating.
The applicant is requesting a
reinstatement because of disability as defined
In Title 38, United States Code.
The applicant is requesting an
Inactive status pursuant to Title 38, United States Code.
The applicant requested a military retirement
(other than an active duty retirement under
Title 38, United States Code). This request is.
Inactive.
The applicant was discharged under any one of
the conditions listed above and was discharged
On or after 11 December 1953.
OPM SF 813 2013-2024 free printable template
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SF 813 Revised April 2013 Instructions for Completing and Sending SF 813 Notes 1 Use SF 813 only for persons who are retired from active military service. If a follow up request is necessary reproduce a copy of the original request and clearly mark the top of the SF 813 Follow up Request. 420 1600 Spearhead Div Ave Fort Knox KY 40122 The SF 813 should be used to request verification of participation in a nonwartime campaign or expedition and dates of participation only if this information is...
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