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NAF Benefits Forms

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Useful Forms for Employees

Military Service Forms

Military Service Purchase Instructions

(from the Retirement_Military_Service_Purchase page)

Estimated Earnings During Military Service (PDF Format)
Sources of Documentation of Military Earnings (PDF Format)
Statement of Intent to Purchase Military Service Credit (PDF Format)
Application to Make Deposit for Military Service (PDF Format)

Medical and RX Claims Forms

Mail Order Drug Form (PDF Format)
(Print Aetna Claim Forms)
Medical Form (PDF Format)
Dental Form (PDF Format)
Rx Drug Form (PDF Format)
(only for non network claims)

Special Subsidized Temporary Continued Coverage (TCC) Form (PDF Format)
18 Month Temporary Continuation Coverage (TCC) Form (PDF format)

Living Benefits Life Plan

Living Benefit Disclosure Form (required only if participant is married)
(PDF Format)

Accelerated Benefits Kit
(PDF Format)

401(k) Savings Plan Forms

Agreement for Repayment of 401(k) Loan Form

Fidelity Investments Rollover Form

(Rollover 401(k) Funds from another qualifed 401(k) savings plan TO Fidelity Investments Army NAF 401(k) Savings Plan)




[return to NAF Benefits page]

Retirement Plan
401k Savings Plan
Medical and Dental
Life Insurance
Long Term Care Insurance
Flexible Spending Account
Employee Benefits OnLine
HRO Section
Portability Section
Retiree Section
Benefits Forms
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