You have arrived looking for DD Form 2903-1. Before you download, confirm this is the right document: Voluntary Separation Incentive Pay Agreement Lump Sum Payment. Full title: DD Form 2903-1, Voluntary Separation Incentive Pay Agreement Lump Sum Payment, October 2005.
Your second step is the edition, not stated, listed as not stated. Your third is scope. Because the number carries a DD prefix, you use the same blank as every other military department and defense agency; no service-specific version exists for you to hunt down.
After that, turn to timing. The requirement comes from not stated; the form is maintained by not stated. Local implementing instructions fill in the dates, so check with the office that will receive your copy.
Last in this stage, choose your method: complete it on screen, or print the blank form and fill it out in pen. The sections below take each route step by step.
Now fill it in. Work from the top of the page downward, and do not jump ahead — the identifying block comes first, the substance of your entry second, the certification last. Later boxes often depend on what you put at the top.
Your first action is verification. Find the edition date on the form and match it against not stated. A mismatch means you are working from a superseded printing, and because DD forms change Department-wide rather than service by service, the office receiving it will notice.
Take the fields in order and answer all of them. Mark inapplicable items N/A instead of leaving white space. When you reach a date, copy the format shown on the form, since a reviewer reading a different convention may misread your entry entirely.
Do not skip past the Privacy Act Statement. It is placed ahead of the personal data fields on purpose: it explains under what authority you are being asked, what happens to the information, and what follows if you decline. Take the minute it costs.
Finish with the certification. Print the form and sign in ink, or apply a digital signature with your CAC if the receiving office accepts one. Do not type your name in the signature box and consider it done; that is a name, not a signature. Date the block immediately after signing.
Run a final pass over the form. The errors that send it back are the same ones every time: old edition, gaps in required fields, unreadable handwriting on a scan, non-conforming dates, no signature or no date.
Look up an unclear item on the form face before anywhere else, then in not stated. Should the two texts conflict, the directive is the one you follow.
Download the form
First, look at what you can download. The set covers PDF, the form runs 1 pages, and you will complete roughly 11 fields.
Download the pdf first. After it opens, test a field with your cursor. Fillable means you type, tab to the next box, and save your work inside the file. Printable means the page is a flat blank, so print it and write your answers in ink.
Type when you can. Printed entries stay legible after the form is scanned, copied and forwarded, and handwriting often does not survive that trip. If you must write by hand, use block capitals and press firmly.
Handle xfdl in two steps. First confirm you have IBM Lotus Forms Viewer or a compatible reader on your machine; ordinary pdf software will report the file as broken. Once the viewer is running, download and fill the form.
All of it downloads free. When you are ready to work, do this: save the file locally, then open it in a full pdf application. Browsers often ignore field properties, and you can lose everything you typed.
What the form asks for
- The effective date of my separation shall be: enter date.
- 2.a. Name (last, first, middle initial).
- 2.b. Social Security Number. Do not include dashes.
- 3.a. Total buyout amount.
- 3.c. Initials.
- 4.a. Employee signature.
- 4.b. Date (4 digit year, 2 digit month, 2 digit day, no separators).
- 4.c. Human Resources Officer representative signature.
- 4.d. Date (4 digit year, 2 digit month, 2 digit day, no separators).
- Press this Reset button to clear the data from all fields.
With the form finished, route it to the office named in not stated or in your organization's own instruction. Keep a copy first. People rarely regret having one and frequently regret not having one.
When DD Form 2903-1 references another form, search on the series and number. Because DD numbers are common to every military department, the number by itself identifies exactly one document.
Watch out for one trap here. If your instructions cite a DA form as well, do not assume the numbers are connected. DA numbering belongs to the Army alone; DD numbering belongs to the Department and is administered by not stated or another Department office. The same number in each system means two unrelated forms, so read the prefix before you download.
Do not archive this file and reuse it in a year. Forms are reissued as directives are revised, as data requirements shift, and as statutory notice text is amended. Your protection is simple: download fresh each time and confirm the edition date.
One thing this page does not do: tell you whether your submission will be accepted. We publish the document and explain how to complete it, and that is where our role ends. Nothing here is legal advice. Take questions about eligibility, applicability or procedure to not stated, to your servicing personnel office, or to the office named in not stated.
Questions and answers
- What is DD Form 2903-1?
- DD Form 2903-1, Voluntary Separation Incentive Pay Agreement Lump Sum Payment, October 2005
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?