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Fill Out a Valid DA 5960 Template

The DA 5960 form is a document used by the U.S. Army to request a waiver for certain eligibility requirements related to enlistment or retention. This form is essential for service members seeking to clarify their status or appeal decisions that may affect their military career. To begin the process of filling out the DA 5960 form, please click the button below.

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Content Overview

Guide to Writing DA 5960

Filling out the DA 5960 form is a straightforward process that requires attention to detail. Once completed, this form will be submitted to the appropriate military finance office for processing. Ensure that all information is accurate to avoid delays.

Begin by gathering all necessary personal information, including your full name, Social Security number, and military service details.
Locate the section for your current duty station and fill in the address accurately.
Provide details regarding your dependents, including their names, birth dates, and relationship to you.
In the appropriate section, indicate your marital status by selecting the correct option.
Complete any additional required sections, such as those pertaining to financial information, if applicable.
Review all entries for accuracy and completeness. Double-check names, dates, and numbers.
Sign and date the form at the designated area, confirming that all information provided is true and correct.
Submit the completed form to your unit’s finance office or the designated authority for processing.

Document Breakdown

Fact Name	Description
Purpose	The DA 5960 form is used to request a waiver of the recoupment of an overpayment of pay and allowances in the military.
Eligibility	Service members who have received an overpayment due to administrative errors or other circumstances can use this form.
Submission Process	The completed form must be submitted to the appropriate finance office within the military.
Governing Law	This form is governed by the Department of Defense Financial Management Regulation (DoDFMR) 7000.14-R.
Required Information	Applicants must provide personal information, details of the overpayment, and a statement explaining why the waiver should be granted.
Review Process	The finance office reviews the application and makes a determination based on the provided information.
Timeframe for Decision	Typically, a decision is made within 30 days of submission, but it can vary based on the complexity of the case.
Appeal Rights	If the waiver request is denied, service members have the right to appeal the decision through established military channels.

FAQ

What is the DA 5960 form used for?

The DA 5960 form, also known as the "Authorization to Start, Stop, or Change Basic Allowance for Housing (BAH)," is primarily used by military personnel to request changes related to their housing allowance. This form is essential for service members who are moving, changing their duty station, or experiencing changes in their family status. Submitting this form ensures that the appropriate adjustments are made to their Basic Allowance for Housing, which can significantly impact their financial situation.

Who is eligible to submit the DA 5960 form?

Eligibility to submit the DA 5960 form typically includes active duty service members, reservists on active duty, and certain members of the National Guard. Dependents of service members may also be involved in the process, especially if they are relocating or if there are changes in the household. It is important for service members to understand their specific circumstances and ensure that they meet the eligibility criteria before submitting the form.

How do I fill out the DA 5960 form correctly?

Filling out the DA 5960 form requires attention to detail. Here are some key steps to follow:

Provide your personal information, including your name, rank, and social security number.
Clearly indicate the type of change you are requesting—whether it’s starting, stopping, or changing your BAH.
Include the effective date of the change. This is crucial for ensuring that your allowance is adjusted in a timely manner.
Sign and date the form to validate your request.

Double-check all entries for accuracy to avoid delays in processing your request.

Where do I submit the DA 5960 form?

Once completed, the DA 5960 form should be submitted to your unit's administrative office or personnel office. They will review the form for completeness and accuracy before forwarding it to the appropriate finance office for processing. It is advisable to keep a copy of the submitted form for your records. If you have any questions about the submission process, reach out to your unit’s administrative personnel for guidance.

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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