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.
The Pay and Personnel Retiree and Annuitant Services Branch (PPC-RAS) no longer pre-mails retirement certificates. Retirement certificates must be requested by the member's unit using the web form below. 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. Children's certificates are processed at the unit level.
- The information on the Direct Access/Global Pay database is what is used to populate the names on the certificates. PPC-RAS cannot deviate from this for nicknames or AKA situations.
- Effective 2/11/15 certificate request will be accepted for member's with APPROVED SEPARATION AUTHORIZATIONS vice APPROVED ORDERS.
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.
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Adobe Acrobat Reader (PDF)
Last Modified 2/11/2015