Fillable Form DA 5960
DA Form 5960 is an authorization to start, stop, or change basic allowance for quarters (BAQ), and/or variable housing allowance (VHA) for any member of the U.S. military.
What is Form DA 5960?
Form DA 5960 is a document used to start, adjust, or terminate a military member's entitlement to Basic Allowance for Quarters (BAQ) and or Variable Housing Allowance (VHA).
How to fill out Form DA 5960?
Disclosure of information in Form DA 5960 is voluntary. However, nondisclosure may result in the nonpayment of BAQ and or VHA.
- NAME
Enter your name.
- SOCIAL SECURITY NUMBER
Enter your social security number.
- GRADE
Enter your grade or rank in the military.
- TYPE OF ACTION
START
Mark the box to use Form DA 5960 to start basic allowance for quarters and or variable housing allowance.
CANCEL
Mark the box to use Form DA 5960 to cancel basic allowance for quarters and or variable housing allowance.
CHANGE
Mark the box to use Form DA 5960 to change the basic allowance for quarters and or variable housing allowance.
REPORT
Mark the box to use Form DA 5960 to report basic allowance for quarters and or variable housing allowance.
CORRECT
Mark the box to use Form DA 5960 to correct basic allowance for quarters and or variable housing allowance.
STOP
Mark the box to use Form DA 5960 to stop basic allowance for quarters and or variable housing allowance.
RECERTIFICATION
Mark the box to use Form DA 5960 to recertify basic allowance for quarters and or variable housing allowance.
- DUTY OF LOCATION
Enter your location duty.
- DATE/ACTION
Enter the date when you report to the installation.
- BAQ TYPE
Mark the appropriate box for your BAQ type.
WITH DEPENDENTS
Mark the box if you have dependents.
WITHOUT DEPENDENTS
Mark the box if you do not have dependents.
PARTIAL
Mark the box if you are single but paying child support.
- MARITAL DEPENDENCY STATUS
Mark the appropriate box for your marital status.
a. SINGLE
Mark the box if you are single.
b. MARRIED
Mark the box if you are married. Then, enter additional information on blocks (1), (2), and (3).
(1) Spouse/Former Spouse SSN
Enter your spouse or former spouse's social security number.
(2) Spouse/Former Spouse Duty Station
Enter your spouse or former spouse's duty station.
(3) Date of Marriage, Divorce/Separation
Enter your date of marriage.
c. DIVORCED
Mark the box if you are divorced. Then, enter additional information on blocks (1), (2), and (3).
(1) Spouse/Former Spouse SSN
Enter your spouse or former spouse's social security number.
(2) Spouse/Former Spouse Duty Station
Enter your spouse or former spouse's duty station.
(3) Date of Marriage, Divorce/Separation
Enter the date when you divorced.
d. LEGALLY SEPARATED
Mark the box if you are legally separated. Then, enter additional information on blocks (1), (2), and (3).
(1) Spouse/Former Spouse SSN
Enter your spouse or former spouse's social security number.
(2) Spouse/Former Spouse Duty Station
Enter your spouse or former spouse's duty station.
(3) Date of Marriage, Divorce/Separation
Enter the date when you legally separated.
e. DEPENDENT CHILD
Mark the box if you are single but have a dependent child. Then, enter additional information on blocks (4), (5), and (6).
(4) Child in Custody of
Mark Member if your child is in the custody of a military member.
Mark Spouse if your child is in the custody of your spouse.
Mark Former Spouse if your child is in the custody of your former spouse.
Mark Other if your child is in the custody of someone other than the persons mentioned above.
(5) If you check "OTHER" above, prepare DD Form 137 to establish dependency
If you mark Other on the block (4), furnish Form DD 137, Expenses Breakdown, to establish dependency.
(6) If child support is received from another military member, complete (1), (2), and (3).
(1) Spouse/Former Spouse SSN
Enter your spouse or former spouse's social security number.
(2) Spouse/Former Spouse Duty Station
Enter your spouse or former spouse's duty station.
(3) Date of Marriage, Divorce/Separation
Enter the date when you legally separated.
- QUARTERS ASSIGNMENT/AVAILABILITY
Mark the appropriate box for your quarter assignment or availability.
a. ADEQUATE
Mark the box if you have if you live in the barracks or have been assigned to government quarters. Then, enter additional information on block (1).
(1) QUARTERS NO.
Enter the quarter's number where you are or have been assigned.
b. INADEQUATE
Mark the box if your quarter assignment or availability is inadequate. Then, enter additional information on blocks (1), (2), and (4).
(1) QUARTERS NO.
Enter the quarter's number where you are or have been assigned.
(2) FAIR RENTAL VALUE $
Enter your fair rental value.
(4) MEMBER ELECTION
Mark the box if you are a member in grade E7 and above.
COMMANDER DETERMINATION
Mark the box if you are a member in grade E6 and below.
c. TRANSIENT
Mark the box if you reside off post or in transient facilities. Then, enter additional information on block (3).
(3) FROM
Enter the date when you started living off post or in transient facilities.
TO
Enter the end date of living off post or in transient facilities.
d. NOT AVAILABLE
Mark the box if your quarter assignment or availability is unavailable.
- DEPENDENTS/SHARERS
Enter information regarding your dependents or sharers. Continue on the back page if space is insufficient.
NAME OF DEPENDENT/SHARER
Enter the name of your dependent or sharer.
COMPLETE CURRENT ADDRESS
Enter the current address of your dependent or sharer.
RELATIONSHIP
Enter your relationship with the dependent or sharer.
DOB OF CHILDREN
Enter the birthdate of your dependent or sharer.
- CERTIFICATION OF DEPENDENT SUPPORT
Mark the boxes to certify your dependents.
- EXPENSES, IF AUTHORIZED, I AM REQUESTING VHA BASED ON
My permanent duty station
Mark the box if you request VHA based on your permanent duty station.
My dependent's location
Mark the box if you request VHA based on your dependent's location.
Both my permanent duty station and dependent's location
Mark the box if you request VHA based on your permanent duty station or your dependent's location.
a. Monthly Expenses
Enter the value of the monthly expenses below.
(1) Mortgage (PITI) or Rent
Enter your and your dependent's monthly mortgage or Principal, Interest, Taxes, and Insurance (PITI), or rent expenses.
(2) Insurance
Enter your and your dependent's monthly insurance.
(3) Other
Enter your and your dependent's other monthly expenses.
TOTALS
Add all the monthly expenses and enter the total.
b. Sharer/Lease Information
(1) Rental/Residential Address
Enter the rental or residential address of the sharer.
(2) Effective Date
Enter the effective date of the lease.
(3) Expiration Date
Enter the expiration date of the lease.
(4) Number of Sharers
Enter the name or name and address of the sharers on block 10.
c. Address Information
(1) Landlord's Name and Address
Enter the name and address of the sharer's landlord.
(2) Landlord's Phone No.
Enter the phone number of the sharer's landlord.
- MEMBER'S SIGNATURE
Enter your signature.
- DATE
Enter the date upon signing Form DA 5960.
- CERTIFYING OFFICER'S SIGNATURE
Enter the certifying officer's signature.
- DATE
Enter the date when the certifying officer has signed Form DA 5960.
What is BAQ?
Basic Allowance for Quarters (BAQ) refers to the allowance of a soldier or military member whose duty is not on the government quarters. It is used to pay a soldier's entire housing costs based on his or her type of quarters.
BAQ is previously known as Basic Allowance for Housing (BAH).
What is VHA?
Variable Housing Allowance (VHA) refers to the allowance or housing compensation paid to soldiers or military members residing in high-cost housing areas.
Soldiers or military members are compensated with VHA based on their pay grade, dependency status, and duty station or location.
How to file Form DA 5960?
Submit the accomplished Form DA 5960 to your unit personnel action or human resources office. You may include other supplementary documents to certify your application.