The Alaska 02 1890 form is a crucial document for individuals applying for retirement benefits under the Alaska National Guard and Naval Militia Retirement System. This form allows members to request the benefits they are entitled to, including options for deferring payments and designating beneficiaries. Understanding how to properly fill out this form can significantly impact your retirement planning, so take the first step by clicking the button below to get started.
Application for Retirement Beneits
National Guard and Naval Militia Retirement System
FOR OFFICE USE ONLY
Division of Retirement and Beneits
Juneau: (907) 465-4460
Toll-Free:
(800) 821-2251
P.O. Box 110203
TDD: (907) 465-2805
alaska.gov/drb
Juneau, Alaska 99811-0203
FAX: (907) 465-3086
I hereby apply for retirement beneits to which I may be entitled in accordance with the provisions of Section 222 through 228 of Alaska Statues 26.05 governing the Alaska National Guard and Naval Militia Retirement System. I understand that I may elect to defer receipt of my monthly payments until a later day. If deferred, beneits will not commence until the irst of the month following receipt of new application.
SECTION I. PERSONAL DATA
Member's Name (Last, First, M.I.)
Social Security Number or RIN
DEFERRAL ELECTION
Mailing Address (Street or P.O. Box, City, State, ZIP+4)
r I elect to defer my beneit.
If deferred, I understand I have
Marital Status r Married - Date _______________
r Single
Date of Birth
to reapply before beneits can
commence.
r
Divorced - Date ______________ r Widowed
Work Telephone Number
Home Telephone Number
SECTION II. BENEFICIARY DESIGNATION
In the event of my death prior to receiving all monthly beneits due me, I understand that the remaining beneit will be paid in a lump sum to my beneiciaries. Place an "X" in the appropriate box to specify whether the beneiciary is primary or contingent. The "primary" beneiciary or beneiciaries will receive beneits if you die. The "contingent" beneiciary or beneiciaries will receive beneits ONLY if the primary is deceased. My beneiciaries are:
Name (Last, First, M.I.)
Relationship
Percentage
Primary
%
Social Security Number
Check whether the beneiciary is the primary or contingent
Contingent
r Primary
I hereby certify that the information provided on this form is true and correct to the best of my knowledge. I understand that any deliberate misrepre- sentation for the purpose of obtaining beneits is an offense punishable by law.
Signature
Date
SECTION III. EMPLOYER USE ONLY Alaska National Guard and Naval Militia Veriication of Service
Records at this headquarters verify the following information in reference to this application:
1.Veriied total years of satisfactory military service: _________________________________________________________________________
2.Type of retirement: r Voluntary r Involuntary (Reason): __________________________________________________________
3.Total Alaska National Guard and Naval Militia service: ____________ and _________ as of (separation date) ________/_______/_________
Years
Months
Month
Day
Year
4.Individual is qualiied for ___________ months of retirement pay at $____________ per month.
Date Sent to the Division of Retirement and Beneits
Certifying Oficer Title
02-1890 (Rev. 03/12)
g:/publications/forms/miscellaneous/02-1890.indd
INSTRUCTIONS
Applicants should complete Sections I and II and mail to the:
State of Alaska, Ofice of the Adjutant General
Department of Military and Veterans Affairs
P.O. Box 5800, Camp Denali
Fort Richardson, AK 99505-5800
If you are MARRIED, your spouse is automatically your 100% primary beneiciary unless they consent to another beneiciary, or your spouse is not entitled to beneits under the terms of a Qualiied Domestic Relations Order (QDRO). Your spouse's written consent may
be waived if:
•You were not married to your spouse during part of your NGNMRS service;
•You have been married for less than one year;
•You have been married for less than two years and you have established that you and your spouse are not living together; or
•Your spouse cannot be located.
Your spouse may waive entitlement to beneits by completing and signing the "Spouse's Consent" below before a notary public or an authorized plan representative. If another person is entitled to beneits under a QDRO, that person may waive entitlement to beneits
by completing and signing the "QDRO Consent" below before a notary public or an authorized plan representative.
If you are a SINGLE PARENT, there are death beneits that may be payable to your dependent child if you die before retirement. These beneits are only payable to your children if they are your designated beneiciaries. Because beneits cannot be paid di-
rectly to minor children, they will be paid to the children's parent or legal guardian, unless you establish a trust and designate the trust as beneiciary for your children. You should NOT designate another person as beneiciary to receive your children's beneits.
SPOUSE'S CONSENT
I, ______________________________ , am the spouse of _______________________ . I understand that I may be
entitled to the death beneits that will be paid if my spouse dies. I understand that, depending upon the circumstances of my spouse's death, I may be eligible to receive a lump sum beneit.
Signature (Your signature must be witnessed below)
QDRO CONSENT
I, ____________________________ , understand that if ________________________ dies, I am entitled to the death
beneits described in the QDRO case # _____________ signed by the judge on, _____________ which is on ile with
the Division of Retirement and Beneits.
By signing this consent, I agree to waive my rights to those beneits and consent to the naming of another beneiciary.
Signature Witnessed By a Notary or Postmaster:
NOTARY SEAL OR
POSTMASTER
STAMP
REQURIED
On this ______ day of ___________________ 20______ , _______________________
personally appeared before me whose identity I proved on the basis of satisfactory evidence to be the signer of the participant's signature above, and he/she acknowl- edged that he/she executed it.
Notary Public or Postmaster _______________________________________________
State of _____________________and City (or County) of________________________
Residing at _________________________ Commission Expires _________________
A QDRO (qualiied domestic relations order) is a divorce or dissolution judgment under Alaska Statute 25.24.
Section III. Veriication and Certiication (Employer Use Only). (Please do not write in this section. Employer must complete and sign in this area.) Contact the Division of Retirement and Beneits regarding the following changes or information:
•Change of residence (mailing address)
•Change of payment address (warrant mailing address)
•Change of beneiciary designation
•Information regarding your retirement
Incorrect Social Security Number: One of the most common mistakes is entering an incorrect Social Security Number. This can delay the processing of your application.
Incomplete Personal Data: Failing to provide complete personal information, such as your full name or mailing address, can lead to confusion and delays in your application.
Marital Status Errors: Selecting the wrong marital status can affect your beneficiary designations. Ensure you accurately reflect your current situation.
Beneficiary Designation Mistakes: Not clearly indicating whether a beneficiary is primary or contingent can result in complications. Always check that you have marked the appropriate boxes.
Missing Signatures: Forgetting to sign the application can lead to immediate rejection. It is essential to review the document thoroughly before submission.
Failure to Notify Changes: Not informing the Division of Retirement and Benefits about changes in address or marital status can lead to miscommunication and delays in receiving benefits.
Ignoring the Spouse's Consent Requirement: If you are married and wish to name someone other than your spouse as a beneficiary, you must obtain their consent. Failing to do so may invalidate your designations.
Not Reviewing the Instructions: Overlooking the instructions can lead to errors in filling out the form. Take the time to read through all guidelines provided.
Neglecting to Keep Copies: Failing to keep a copy of your submitted application can be problematic if any issues arise later. Always retain a copy for your records.
Completing the Alaska 02 1890 form is an important step for those applying for retirement benefits under the Alaska National Guard and Naval Militia Retirement System. After filling out the form, it must be mailed to the appropriate office for processing. Below are the detailed steps to guide you through the completion of the form.
Once the form is completed, it should be mailed to the State of Alaska, Office of the Adjutant General, Department of Military and Veterans Affairs at the address provided on the form. Ensure that all information is accurate and complete to avoid delays in processing your application.
When filling out the Alaska 02 1890 form, there are several important guidelines to follow. Adhering to these can help ensure that your application is processed smoothly.
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