Military Order Checklist

This information is required for the Plan Participant:

MILITARY ORDER CHECKLIST

First Name*

Last Name*

Street Address *

City*

State*

Zip Code*

Social Security Number*

Date of Birth*

Respondent Information

First Name*

Last Name*

Street Address *

City*

State*

Zip Code*

Social Security Number*

Date of Birth*

Case Information

Date of Marriage

Date of Division

(Date as of which benefits are to be divided)

Significance of Date of Division*

(Date of filing, separation, divorce, etc.)

County*

State of Action*

Case Number

(not necessary if provided with case caption)

Name of Member*

(Plan Participant)

Percentage/Dollar Amount of Award

Branch of Military*

In which Member served/is serving, i.e. Army, Army Reserves, Navy, etc.

Please Provide a copy applicable portion(s) of Marital Settlement Agreement (or Separation Agreement if applicable)

Date of Entry into the service*

Is Member currently Active or has he/she Retired?*

If Retired, please provide date of retirement

Date of Separation from Service if no longer active or Reservist

Is Member currently receiving military retired pay? If so, amount

Were parties married for at least 10 years concurrent with Member’s military service?YesNo

Rank and/or Pay grade*

Note: If Reservist please provide a points history

Attorney Email Address & Contact Information

The Military does not have a pre-approval process where the language of the military order can be reviewed prior to entry by the court, or signature of the judge, therefore a possibility exist that the Defense Finance & Accounting Service (DFAS) will require changes.Entry of the order, or obtaining the judge’s signature, is the responsibility of the attorney representing either spouse, as we are not parties to the action WFA Econometrics Group, LLC does not enter orders into the court.

Please Note: If Reservist or National Guard Member please provide a Chronological History of Points by email it to info@wfa-econ.com

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Military Order Checklist

This information is required for the Plan Participant: