SURVIVOR BENEFIT PROGRAM OFFSET IMPACT EXAMPLE
NAME:________________________________________________________________________________
STREET ADDRESS:___________________________________________________________________
CITY:_______________________________________ STATE:_________ ZIP CODE:______________
AGE:_________ YEAR YOU BECAME A WIDOW OR WIDOWER:_____________
SPOUSE'S SERVICE (ARMY, NAVY,
ETC.):______________________________________________
TELEPHONE (HOME)_________________________________________________________________
E-MAIL
ADDRESS:___________________________________________________________________
DID YOU KNOW ABOUT THE SBP AGE 62 OFFSET/BENEFIT REDUCTION PROVISION AT AGE
62 WHEN YOUR SPOUSE ENROLLED IN THE SBP PROGRAM? YES______ NO______
WHAT WAS THE MONTHLY AMOUNT OF YOUR OFFSET AT AGE 62? (YOU DO NOT HAVE TO
ANSWER THIS QUESTION IF YOU ARE NOT COMFORTABLE DOING SO): $_________________
IMPACT THAT THE SBP OFFSET BENEFIT/REDUCTION HAS HAD ON YOU (SUCH AS CHANGE IN LIFESTYLE, ETC.):
____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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