For USCG, NOAA and USPHS Military Personnel Only

Collection of Information

This collection of information (COI) is targeted only to USCG personnel, retired USCG members, and dependents. If you are not a member of one of the targeted groups, please do not submit information to the Coast Guard through this form. The Coast Guard will immediately delete any submissions that it receives from persons who do not fit into one of these categories.


REMINDERS

Effective with retirements on 1 April or later, PPC discontinued pre-mailing retirement certificates. For retirements effective 1 May or later, retirement certificates must be requested by the member's unit using the web form at http://www.uscg.mil/ppc/ras/CertificateRequest.asp. The unit must submit the certificate request at least 60 days prior to the date planned for the member's retirement ceremony.

  • PPC (RAS) issues three types of certificates: Retirement, Spousal Appreciation and Presidential. We do NOT issue certificates to significant others, children or pets.
  • Approved retirement orders must be entered into the Direct Access database in order for certificates to be issued.
  • The information on the Direct Access database is what is used to populate the names on the certificates. PPC (RAS) cannot deviate from this for nicknames or AKA situations.

Retirement Certificates

RAS is currently processing certificate requests by the order of retirement ceremony date. The wording for the certificates is provided below so that mock certificates can be produced and read at upcoming ceremonies.

Retirement Certificate and Spousal Certificate Wording.file in ms word format

Retirement Certificate Order Form - To be submitted by member's Unit.

RETIREMENT CERTIFICATES FOR ACTIVE DUTY MEMBERS WILL NO LONGER AUTOMATICALLY BE SENT BY PPC RAS

Please fill out the following form to order retirement certificates. A PPC representative will review the information, print the certificates, and mail to the address provided below as soon as possible.

If you are a Reservists transferring into a RET-2 status or if you are a drilling reservists reaching age 60, your certificates will be sent to you automatically based on your Reserve Retirement Transfer Request (CG-2055A).

Fields with a (required) next to them are required fields.


Only use this method for requesting certificates if one of the following applies:
(required)

Enter the full name of the retiree:
(required)

Gender: (required)

Enter the retiree's Employee ID Number: (required)

Please verify the retiree's Employee ID Number: (required)

Please choose the retiree's rate/rank: (required)

Is the retiree Active Duty or Reserve? (required)

Will a certificate be issued for retiring member's spouse?

Enter the retiree's spouse's name (if applicable):

Spouse's Gender: (required)

Enter the date of the retirement ceremony: (required)

Enter the retirement date: (required)

Enter the active duty base date: (required)

Enter the retiree's total years in service: (required)

Enter the unit name (e.g. "Coast Guard Base New Orleans"):
(required)

Enter the unit's mailing address:

Branch/Attn: (required)

Address Line 1: (required)

Address Line 2:

City: (required)

State (APO/FPO): (required) Zip/Postal Code: (required)

Enter Point of Contact information, should we need to get in touch with you:

Your Title/Rate/Rank (e.g "YN1"): (required)

Your Name: (required)

Your Daytime Phone Number with Area Code and Extension:
(required)

Enter any other comments or requests here:





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Last Modified 6/18/2014