Submit the completed form along with supporting documents to the appropriate address of the uniformed service from which you retired. For the Army, send to U.S. Army Human Resources Command, ATTN: AHRC-DZB-CRSC, 200 Stovall Street, Alexandria, VA 22332-0470. For the Navy and Marine Corps, send to Secretary of the Navy, Council of Review Boards, ATTN: Combat Related Special Compensation Branch, 720 Kennon Street SE, Suite 309, Washington Navy Yard, DC 20374-5023. For the Air Force, send to United States Air Force, Disability Division (CRSC), HQ AFPC/DPPDC, 550 C Street West, Suite 6, Randolph AFB, TX 78150-4708. For the Coast Guard, send to Commander (adm-1-CRSC), U.S. Coast Guard, Personnel Command, 4200 Wilson Boulevard, Suite 1100, Arlington, VA 22203-1804. For the NOAA Corps, send to Director, Commissioned Personnel Center, 8403 Colesville Road, Suite 500, Silver Spring, MD 20910-6333. For the Public Health Service, send to United States Public Health Service, Compensation Branch, Program Support Center, ESS, 5600 Fishers Lane, Room 4-50, Rockville, MD 20857-0001. Follow the specific mailing instructions to ensure your submission is received and processed.

Important dates for this form include application deadlines and dates for submitting supporting documents for 2024 and 2025. Review submission guidelines to ensure timely processing.

The purpose of this form is to facilitate the application process for Combat-Related Special Compensation (CRSC) for eligible career retirees and veterans. It captures personal information, service history, and details of disabilities related to combat or hazardous service. By providing thorough and accurate details along with supporting documents, applicants can ensure their eligibility and processing of their compensation claims.

• 1. SECTION I - PERSONAL INFORMATION: Includes fields for name, social security or employee ID number, birth date, email, phone number, and mailing address.
• 2. SECTION II - PRELIMINARY REQUIREMENTS: Questions to determine eligibility based on retirement status and service history.
• 3. SECTION III - SERVICE HISTORY: Captures details of the applicant's military service, including wars or combat operations participated in.
• 4. SECTION IV - REQUEST FOR COMBAT-RELATEDNESS DETERMINATION: Details of disabilities, their causes, and related VA determinations to establish combat-relatedness.

Failure to submit this form correctly can result in ineligibility for CRSC benefits.

• Ineligibility: You may not be considered for Combat-Related Special Compensation if the form is incomplete or unsigned.
• Delay in Processing: Missing or incorrect information can delay the processing of your claim.

• 1. Combat-Related Disability: When you have a disability directly caused by armed conflict or hazardous service.
• 2. Retirement Eligibility: When you are a retiree entitled to military retired pay.
• 3. Proof of Combat Service: When you can provide documentation verifying your combat service and resulting injuries.
• 4. Claiming Secondary Conditions: When you need to list secondary conditions connected to your primary disability.
• 5. Supporting Document Submission: When you prepare to submit necessary supporting documents to verify your claims.