Claim for Combat-Related Special Compensation (CRSC) Form
This file is used by career retirees to submit a claim for Combat-Related Special Compensation (CRSC). It includes personal information, service history, and details about disabilities. Supporting documents and proof of combat-relatedness are required.
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How do I fill this out?
To fill out this form, gather all necessary personal information and documentation of your service and disabilities. Complete each section of the form accurately and thoroughly. Ensure you sign and date the form before submitting it with all required documents.

How to fill out the Claim for Combat-Related Special Compensation (CRSC) Form?
1
Gather necessary personal information and documentation.
2
Fill out Section I with personal information.
3
Complete Section II by answering preliminary requirements.
4
Provide service history details in Section III.
5
Detail disabilities and combat-relatedness in Section IV.
Who needs the Claim for Combat-Related Special Compensation (CRSC) Form?
1
Career retirees who are applying for Combat-Related Special Compensation (CRSC).
2
Veterans seeking compensation for combat-related injuries.
3
Individuals with disabilities related to hazardous service or armed conflict.
4
Retirees with proof of eligibility for military retired pay.
5
Service members who were prisoners of war and have resulting disabilities.
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1
Access the PDF editor feature on PrintFriendly.
2
Upload the CRSC Claim Form.
3
Make necessary edits to personal, service, and disability information sections.
4
Ensure all fields are accurately filled out.
5
Save the edited form.

What are the instructions for submitting this form?
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.
What are the important dates for this form in 2024 and 2025?
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.

What is the purpose of this form?
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.

Tell me about this form and its components and fields line-by-line.

- 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.
What happens if I fail to submit this form?
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.
How do I know when to use this form?

- 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.
Frequently Asked Questions
How do I fill out the CRSC Claim Form?
Gather all necessary documentation and fill out each section accurately using our PDF editor on PrintFriendly.
Can I edit the form after filling it out?
Yes, you can edit the form using the PDF editor feature on PrintFriendly before saving and printing.
How do I sign the CRSC Claim Form?
Use the signature feature on PrintFriendly to add your signature directly to the form.
Can I share the filled form with others?
Absolutely! Use the share feature to email the form or generate a shareable link.
What documents do I need to submit with the form?
Include supporting documents like retirement orders, DD214, and evidence of combat-related disabilities.
What if I need help filling out the form?
You can consult with the agency from which you retired or use our detailed instructions on PrintFriendly.
Is it necessary to answer all questions on the form?
Yes, complete all sections of the form to ensure your claim is processed correctly.
Where do I send the completed form?
Mail the completed form to the address of the uniformed service from which you retired, as listed on the form.
Can I use the PrintFriendly editor on mobile devices?
Yes, the PrintFriendly PDF editor is compatible with mobile devices for easy editing and signing.
How do I ensure my form is accepted?
Double-check for accuracy, include all required documents, and ensure the form is signed before submission.