Fillable Printable Jumps-Jss Pay Elections

Jumps-Jss Pay Elections

a. Once a Month

(2) SAVINGS OR CHECKING ACCOUNT NO

JUMPS - JSS PAY ELECTIONS

For use of this form, see AR 37-104-3; the proponent agency is ASA(FM)

PRIVACY ACT STATEMENT

Title 37 USC, Section 101.

To provide the service member a means of electing the manner in which he or she desires to receive pay and allowances.

To establish the pay account of the MMPF.

Authority:

Routine Use:

Disclosure:

e. NAME AND ADDRESS OF ORGANIZATION

b. Twice a Month

Officer.)

a. If a held pay amount is also desired, check box and enter amount.

b. SPECIFY AMOUNT

SURE PAY/DIRECT DEPOSIT to this financial institution)

(Do not complete items (1) through (5)).

(1) NAME OF FINANCIAL ORGANIZATION

(4) STREET NO., RR NO., P.O. BOX

(3) NAME OF ACCOUNT HOLDER

a. STREET NO., RR NO., P.O. BOX

b. CITY

6. REMARKS

c. STATE d. ZIP CODE e. COUNTRY

a. TYPED OR PRINTED NAME

b. SSN

c. SIGNATURE d. DATE

DA FORM 3685, SEP 1990

DA FORM 3685-R, APR 90 IS OBSOLETE

requested information, the Finance Office cannot identify members, or take the requested action.

b. Check to Address (Complete 5.)

2. METHOD OF PAYMENT (X one item.)

4. SURE PAY/DIRECT DEPOSIT (X one box.)

1. HOW DO YOU WANT TO BE PAID? (X one item.)

a. Sure Pay/Direct Deposit (Complete Section 4.)

3. HELD PAY (NOTE: All amounts may be withdrawn at any time upon application to your Finance

a. SF 1199A attached. (Complete items (1) through (5)) .

b. SF 1199A on file. (Use this box if you already have

(5) CITY, STATE, ZIP CODE (Or Country)

5. CHECK TO ADDRESS (Provide complete mailing address.)

7. I HEREBY AUTHORIZE PAYMENT AS SPECIFIED ABOVE.

Disclosure of your social security number (SSN) and other personal information is voluntary; however, without the

Principal Purpose:

APD LC v3.00ES