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.
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 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 next to them are required fields.