Document

Produced by optical character recognition, uncorrected. These are carbon copies and mimeographs from 1941–46, so the reading is rough — treat it as a finding aid for search, not as a transcript. The scan above is the record.

DEPARTMENT OF THE AIR FORCE

— HEADQUARTERS UNITED STATES AIR FORCE
: WASHINGTON, 0.<,
wenyro usarmpe AFPMSDM-2 17 vuly 1967
HNP RANOOLPH AFD TEXAS 78148

sumecr Retired Servicemin's Family Protection Plan” *

vo Lt Col Alvin G. Cline, AFRes

1. It is noted that you did not include option 4 in your election to
rticipate under the Retired Serviceman's Family Protection Plan
RSFPP). Are you aware of the provisions of option L, the savings
clause to terminate your participation in 25FFP when you no longer
have an eligible beneficiary?

2. If you desire option 4 included in your election, pleas? advis>
and we will request a correction to include the option in your elec’

‘4 ROBERT C. SIMMONS, Yajor, USAF 1 Atch
Personal Affairs Division Cy AF Fm 606

Directorate of Personnel Services

— — —

4s Gro 275301
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- /4 Ape 59
+ XAME- FIRST NAME - MIDDLE WAM ‘BEAVICE WUMBER

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AILLIE AVE, Davenport, Lous = Tal

| xo OF YeAns compurteD FOR PAY ‘DATE OF RETIREMENT (If eppiic

1 See Ev a COMBINE OPTION 4 WITH THE O7

EASA WAY HTET OMRON TON 7 OF VARD WAY

SSP STG As Fouls SOuaiae Gerd in EnneN On SOTO Ra LC Rusconi Tra, OF orton

SEEEOREON 5 220, GON ETON DUCED RERRED #4 Wi Tie ABOVE IN MD, MY ECE
Sn on onions

ELECTION OF OPTIONS:
ANDER THE UNIFORMED SERVICES CONTINGENCY OPTION ACT OF 1953

‘OPTION NUMBER T
‘OF MY REDUCED RETINED PAY, PAYABLE-TO OR ON BENALF OF MY WIDOW SO LONG AS SHE REMADTS
‘UNMARRIED,

‘OPTION NUMBER? =
‘OF MY REDUCED NETINED PAY. PAYADLE TO OR ON BEIALF OF WY SURVIVING CHILD OR CHELOREN, OX
MARRIED AND UNDER Te YEARS OF AGE.
‘OPTION NUMBERS =
Sfp PAY, PAYABLE TO OR OW BAIT o) OF MY SURVIVING wIDOM TET FER
OF My REDUCED NTINRD vn Bo

=
Sanne On DEATH AND to) Ti NY BONOLING GhutD On CHILDREN, UNMARRIED AND OC
Ban ie YEAns oF AGE.

a a

‘OPTION ROMER ¢ =
ao FURTin ESUCHIONG GATE We WADE TROM Me RitNnD PAY COMMENCING Witt TE FIRST DRY OF Tige MONTH TOROWNG THAT 2
rics rans is wo BICIANY BLGIDLE TO ECEIVE AN ANNUITY BFOW MY DEATH fDISINE Tis OrsiON To 88 COMBDED WITH
Sona AS cancun ABOvE

‘DECLINATION OF OPTION.
TRAVE STUDIED THE ABOVE, AND DO NOT DESIRE TO SCLECT AN OPTION AT THIS TIME
(UF ANY OF THE ABOVE OPTIONS ARE SELECTED, THE FOLLOWING INFORMATION MUST BE FURNISHED)

WANE OF SPOUSE (Las, First cad Madea) DATE OF BIRTH (Spoum)

HAvIS Joyce. Cline Lay Mev j71t
FEA OF MARRIAGE (iy, Coany cad et) Sate or waaiwace

19 MAY 1959
RPDR XY

UP EITHER OPTION 2 OR 2 IS INCLUDED IN YOUR SELECTION, FURNISH THE FOLLOWING INFORMATION CONCERNING LEGITIMATE
(CHILD OR CHILDREN) ‘ é

‘Wana OF EACH CHD DATE OF BIRT [RELATIONSHIP (Specly i stepchild or adopied cng)

H
L UNDERSTAND THAT ANY PERIOD SUBSEQUENT TO M/ ¥ETIRTMCN? Lf WHICH 1 A‘ WOT RECEIVING RETIRED PAY 1 SHALL BE
REQUIRED TO DEPOSIT WITH THE UNITED STATES TREASUR: TH. AMOUNT THAT WOULD HAVE BEEN WITHHELD FROM MY
RETIRED PAY UNDER THE OPTION OR OPTIONS ELECTED HAD 1 BEEN RECEIVING SUCH RETIRED PAY, AND IF 1 DO NOT CONBINE
OPTION 4 WITH THE OPTION SELECTED, DEDUCTIONS WILL BE MADE FROM NY RETIREN PAY DESPITE THE FACT THAT ALL BENE-
FICIARIES PREDECEASE ME OR AECOME INELIGIALE FOR ANNUITY 2WEPLIR, IN TH CAE OF RETIRED MEMBERS, ELECTION OF
ANY OF THE OPTIONS PROVIDED 18 IRREVOCABLE.

en OL Char

SUBSCRIBED AND SWORN TO BEFORE ME THIS.

‘SONATURE AND TITLE OF ATTewTING OFFICuR