Chapter 6: Documents - Boot Camp 4 Me - Learn How To ...bootcamp4me.com/assets/pdf/1131.2C_CH6.doc · Web viewDOCUMENTS SECTION 1 - COMNAVCRUITCOM FORMS AND CHECKLISTS 060101. FORM

COMNAVCRUITCOMINST 1131.2C

CHAPTER 6

DOCUMENTS

SECTION 1 - COMNAVCRUITCOM FORMS AND CHECKLISTS

060101. FORM CHANGES, ADOPTION AND CANCELLATION PROCESS. All changes, adoptions and cancellations to forms shall be authorized by COMNAVCRUITCOM Forms Control Officer, (OO2SD). Personnel are prohibited from altering or promulgating any form without prior approval by COMNAVCRUITCOM (OO). The forms are available for download at either:

a. https://rq.cnrc.navy.mil/default.htm

or

b. http://www.cnrc.navy.mil/officer/

060102. FILLABLE FORM SAVE RESTRICTION. Many of the forms located on the Recruiting Quarterdeck Forms page use Adobe Reader. They can be filled in and printed, but cannot be saved with changes unless the user is using full version Acrobat Adobe Writer.

COMNAVCRUITCOM FORMS LIST

ARTICLE NAVCRUIT NUMBER

FORM NAME REF.

060103. 1131/1 APPLICATION PROCESSING AND SUMMARY RECORD 040102040104040146040148040408040410050104050113050115050108

CHECKLIST(S): AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)IST(1131/41)RVS AFFLTN(1131/42)

060104. 1131/2 APPLICATION FOR COMMISSION 020114020403040108040136040137040150050105050106


Chapter 6 Section 1 1

http://www.cnrc.navy.mil/officer/

https://rq.cnrc.navy.mil/directives/forms/


060105. 1131/3 OFFICER APPLICATION CHECKLIST 040405CHECKLIST(S): AD(1131/3)

060106. 1131/4 ACADEMIC DEGREE COMPLETION PLAN 040105CHECKLIST(S): AD(1131/3)

AFHPSP(1131/19)060107. 1131/5 INTERVIEWER'S APPRAISAL SHEET 040128

050114CHECKLIST(S): AD(1131/3)MED(1131/18 ) AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)IST(1131/41)

060108. 1131/6 DIVE PHYSICAL READINESS TEST (DIVER/EOD/SEAL/ SWCC/UCT)

040117

CHECKLIST(S): AD(1131/3)060109. 1131/7 NUCLEAR PROGRAMS ACADEMIC HISTORY SUMMARY 040106

CHECKLIST(S): AD(1131/3)060110. 1131/8 NUCLEAR PROPULSION OFFICER CANDIDATE PRE-

SERVICE DRUG ABUSE STATEMENT020403040140

CHECKLIST(S): AD(1131/3)060111. 1131/9 NUCLEAR PROPULSION PROGRAM SECURITY

SCREEN040138

CHECKLIST(S): AD(1131/3)060112. 1131/10 DOCUMENTATION OF REQUEST FOR

ECCLESIASTICAL ENDORSEMENT040119050125

CHECKLIST(S): AD(1131/3)RSV NON-MED(1131/21)

060113. 1131/11 HEALTH PROFESSIONAL QUALIFICATIONS SUMMARY

040125050116

CHECKLIST(S): AD(1131/3)MED(1131/18)RSV MED(1131/20)RVS AFFLTN(1131/42)

060114. 1131/12 ANTHROPOMETRIC MEASUREMENTS 040107CHECKLIST(S): AD(1131/3)

060115. 1070/1 PRIOR SERVICE RECORD REQUEST 040111050129CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)IST(1131/41)RVS AFFLTN(1131/42)





060116. 1131/13 LICENSE VERIFICATION FOR MEDICAL PROGRAMS APPLICANTS

040132050119

CHECKLIST(S): AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RVS AFFLTN(1131/42)

060117. 5211/1 DISCLOSURE OF SOCIAL SECURITY NUMBER - PRIVACY ACT STATEMENT

040116050131050510050511

CHECKLIST(S): AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)

060118. 1100/25 EVIDENCE OF CITIZENSHIP 040112040121040154050133080309

CHECKLIST(S): AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)NROTC (1100/29)

060119. 1131/14 CHANGE OF NAME STATEMENT 040112050134CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)

060120. 1100/26 DUAL COMPENSATION & WAIVER OF CLAIM STATEMENT

020108


060121. 1100/27 HOLD HARMLESS AGREEMENT AND RELEASE FROM LIABILITY CERTIFICATE

040127070201070501CHECKLIST(S): AD(1131/3)

060122. 1131/15 OFFICER CANDIDATE SCHOOL COMMITMENT TO SUCCESS STATEMENT OF UNDERSTANDING

040141

CHECKLIST(S): AD(1131/3)



060123. 1131/16 DUTY PREFERENCE FOR MEDICAL PROGRAMS 040118CHECKLIST(S): AD(1131/3)

MED(1131/18)060124. 1131/17 VERIFICATION OF NLN/CCNE NURSING

EDUCATION040133050120

CHECKLIST(S): AD(1131/3)RSV MED(1131/20)

060125. 1131/18 MEDICAL CORPS OFFICER PROGRAMS CHECKLIST 040406CHECKLIST(S): MED(1131/19)

060126. 1131/19 ARMED FORCES HEALTH PROFESSIONS SCHOLARSHIP MEDICAL CORPS STUDENT CHECKLIST

040406

CHECKLIST(S): AFHPSP(1131/19)060127. 1131/20 RESERVE MEDICAL OFFICER APPLICATION

CHECKLIST050305

CHECKLIST(S): RSV MED(1131/20)060128. 1131/21 RESERVE OFFICER APPLICATION CHECKLIST FOR

NON-MEDICAL PROGRAMS050305

CHECKLIST(S): RSV NON-MED(1131/21)060129. 1131/22 OFFICER SNAPSHOT REPORT (RSC 1131-2) 010204060130. 1131/23 OFFICER PRODUCTION REVIEW REPORT

(RCS 1131-4)010208

060131. 1131/24 ENLISTED PROGRAMS REFERRAL 010306060132. 1131/25 OFFICER RECRUITING POST VISIT REPORT

(RCS 1131-5)010406010407

060133. 1131/26 INITIAL PRE-VISIT PREPARATION LIST 010407060134. 1131/27 NAVY OFFICER RECRUITING TATTOO SCREENING

CERTIFICATE020110

060135. 1131/28 PHYSICAL FITNESS TEST FOR OFFICER CANDIDATE SCHOOL PROGRAMS(GREATER THAN 5000 FT)

020302040143

CHECKLIST(S): AD(1131/3)060136. 1131/29 PHYSICAL FITNESS TEST FOR OFFICER

CANDIDATE SCHOOL PROGRAMS(LESS THAN 5000 FT)

020302040143

CHECKLIST(S): AD(1131/3)060137. 1131/30 OFFICER APPLICANT COURTESY REVIEW COVER

SHEET020313

060138. 1131/31 RESIDUAL FILE CHECKLIST 040411040507040606040411



060139. 1131/32 DISTRIBUTION OF ENLISTMENT DOCUMENTS CHECKLIST

040502040507

060140. 1131/33 CHANGE OF STATUS QUESTIONNAIRE 040503040514040603050403070201

060141. 1131/34 MONTGOMERY GI BILL STATEMENT OF UNDERSTANDING

040505040605

060142. 1131/35 DISTRIBUTION OF COMMISSIONING DOCUMENTS CHECKLIST

040602040606040707050402

060143. 1131/36 ACTIVE DUTY ORDERS TO OFFICER CANDIDATE 040701040709

060144. 1131/37 CHECKLIST FOR TRANSFER OF OFFICERS/ OFFICER CANDIDATES

040707

060145. 1131/38 DD FORM 214 WORKSHEET 040802050502

060146. 1131/39 COLLEGIATE CONTACT REPORT (RCS 1131-6) 070201060147. 1131/40 COLLEGIATE MANAGEMENT REPORT (RCS 1131-7) 070201

070202070203

060148. 1131/41 INTERSERVICE TRANSFER CHECKLIST 050137CHECKLIST(S): IST(1131/41)

060149. 1131/42 RESERVE OFFICER AFFILIATION CHECKLIST 050510050511CHECKLIST(S): RVS AFFLTN(1131/42)

060150. 1131/43 AFFILIATION PROCESSING AND SUMMARY RECORD 050511CHECKLIST(S): RVS AFFLTN(1131/42)

060151. 1131/44 AFFILIATION APPROVAL FOR MEDICAL PROGRAMS APPLICANTS

050510

CHECKLIST(S): RVS AFFLTN(1131/42)060152. 1131/45 HIV STATEMENT OF UNDERSTANDING 020306

CHECKLIST(S): RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)

060153. 1131/46 PORT RECORD ACTION REQUEST 040402040408

060154. 1131/47 VERIFICATION CONDITIONS AND RELEASE OF INFORMATION

050307

CHECKLIST(S): RSV MED(1131/20)060155. 1131/48 NAVY RESERVE PERSONNEL COMMAND RECORDS 050510



REQUEST

060156. 1131/49 HSOJAX FAX TRANSMITTAL COVER SHEET 050511CHECKLIST(S):

060157. 1131/50 HEALTH CARE CREDENTIALING REFRESHERACKNOWLEDGEMENT FOR NAVET

050511

CHECKLIST(S):060158. 1131/51 RESERVE OFFICER RESIDUAL CHECKLIST 050310

050513CHECKLIST(S): RSV RESIDUAL (1131/51)060159. 1131/52 NATIONAL AGENCY CHECK/LOCAL CHECK

STATEMENT OF UNDERSTANDING040201050201

060160. 1131/53 GPA COMPUTATION WORKSHEET 040124050112CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)

060161. 1100/28 NROTC APPLICANT STATEMENT OF UNDERSTANDING

080307080401080403

060162. 1100/29 NROTC APPLICATION CHECKLIST 080313080409CHECKLIST(S): NROTC (1100/29)

060163. 1100/30 NROTC FOUR-YEAR SCHOLARSHIP PROGRAMBOARD ELIGIBLE PROCESSING CHECKLIST

080402080414

060164. 1100/31 REQUEST FOR CHANGE(S) TO NAVY RESERVE OFFICER TRAINING CORPS APPLICANT RECORD

080413080416

060165. 1100/32 NROTC IMMEDIATE SELECTION DECISION 4-YR SCHOLARSHIP CONTRACT

080102



SECTION 2 - PAGE 13's



or


PAGE 13 LIST

ARTICLE NAVCRUITNUMBER

PAGE 13 NAME REF.

060202. 1131/200 NAVY PHYSICAL READINESS PROGRAM 040505060203. 1131/201 OBSERVANCES OF THE RELIGIOUS FAITH

PRACTICED040505

060204. 1131/202 EXPLANATION OF UCMJ ARTICLE 137 AND DISCHARGES

040505040605

060205. 1131/203 CODE OF CONDUCT 040505040605CHECKLIST(S): AD (1131/3)

060206. 1131/204 DIRECT DEPOSIT REQUIREMENT ACKNOWLEDGEMENT 040505040612CHECKLIST(S): RVS AFFLTN (1131/42)

060207. 1131/205 DISCHARGE FOR PURPOSE OF ACCEPTING A COMMISSION

040604

060208. 1131/206 EVIDENCE OF GRADUATION AND DEGREE CONFERRED

040701

060209. 1131/207 DISCHARGE 040801060210. 1131/208 OCS CANDIDATE REDESIGNATION 070105060211. 1131/209 ADVANCEMENT FOR GRADUATION 070602

070603CHECKLIST(S): TRANSFER OF OC TO OCS/OIS(1131/37)

060212. 1131/210 ONE-YEAR CEC ADVANCEMENT 070603CHECKLIST(S): NROTC (1100/29)

060213. 1131/211 HSCP STATEMENT OF UNDERSTANDING 070702060214. 1131/212 STATEMENT OF DECLINATION OF FINANCIAL

INCENTIVES050511





SECTION 3 - OCS PROGRAMS SERVICE AGREEMENTS (OTHER THAN NUCLEAR PROGRAMS)

0 60301. SERVICE AGREEMENT MANAGEMENT. All changes, adoptions and cancellations to all Service Agreements shall be authorized by COMNAVCRUITCOM Forms Control Officer, (OO2SD). Personnel are prohibited from altering or promulgating any service agreement without prior approval by COMNAVCRUITCOM (OO). Service Agreements are available for download at either:

a. https://rq.cnrc.navy.mil/Directives/forms.htm

or


060302. NAVCRUIT 1131/100. BACCALAUREATE DEGREE COMPLETION PROGRAM (BDCP-XXXX7)

060303. NAVCRUIT 1131/101. SURFACE WARFARE (SWO) (11650)

060304. NAVCRUIT 1131/102. SPECIAL WARFARE (SPECWAR) (11850).

060305. NAVCRUIT 1131/103. SPECIAL OPERATIONS (SPECOPS) (1195).

060306. NAVCRUIT 1131/104. NAVAL FLIGHT OFFICER CANDIDATE (NFO)(1375).

060307. NAVCRUIT 1131/105. AVIATION OFFICER CANDIDATE (AOC) (1395).

060308. NAVCRUIT 1131/106. SURFACE WARFARE - ENGINEERING DUTY OFFICER (EDO) OPTION (1465).

060309. NAVCRUIT 1131/107. AVIATION MAINTENANCE DUTY OFFICER (AMDO) (1525).

060310. NAVCRUIT 1131/108. SPECIAL DUTY – INTELLIGENCE OFFICER (1635).

060311. NAVCRUIT 1131/109. SPECIAL DUTY – CRYPTOLOGY OFFICER (1645).

060312. NAVCRUIT 1131/110. SPECIAL DUTY - PUBLIC AFFAIRS OFFICER (PAO) (1655).

060313. NAVCRUIT 1131/111. SURFACE WARFARE – OCEANOGRAPHY





OFFICER OPTION (1865).

060314. NAVCRUIT 1131/112. SUPPLY CORPS OFFICER (3105).

060315. NAVCRUIT 1131/113. CIVIL ENGINEER CORPS (CEC) (5105).



SECTION 4 - OFFICER NUCLEAR PROGRAMS SERVICE AGREEMENTS



or


06 0402. NAVCRUIT 1131/120. NUCLEAR PROPULSION OFFICER CANDIDATE (NUPOC) (1175 or 1165).

060403. NAVCRUIT 1131/121. NAVAL REACTORS ENGINEER (12050/NR).

060404. NAVCRUIT 1131/122. NUCLEAR POWER INSTRUCTOR (12051/NPI).





SECTION 5 - OIS PROGRAM SERVICE AGREEMENTS (OTHER THAN NUCLEAR PROGRAMS)



or


06 0502. NAVCRUIT 1131/130. HEALTH SERVICES COLLEGIATE PROGRAM (HSCP).

060503. NAVCRUIT 1131/131. ARMED FORCES HEALTH PROFESSIONS SCHOLARSHIP PROGRAM (1975X,1985X,1995X).

060504. NAVCRUIT 1131/132. FINANCIAL ASSISTANCE PROGRAM (FAP).

060505. NAVCRUIT 1131/133. NURSE CORPS ACTIVE DUTY PROGRAM 060506. NAVCRUIT 1131/134. DENTAL STUDENT PROGRAM (1925).

060507. NAVCRUIT 1131/135. CHAPLAIN CANDIDATE (1945).

060508. NAVCRUIT 1131/136. JUDGE ADVOCATE GENERAL (JAG) CORPS STUDENT PROGRAM (1955).

060509. NAVCRUIT 1131/137. MEDICAL CORPS (2105).

060510. NAVCRUIT 1131/138. DENTAL CORPS AND GENERAL PRACTICE DENTAL RESIDENCY (2205).

060511. NAVCRUIT 1131/139. MEDICAL SERVICE CORPS (MSC) (2305).

060512. NAVCRUIT 1131/140. JUDGE ADVOCATE GENERAL'S (JAG) CORPS (2505).

060513. NAVCRUIT 1131/141. NURSE CANDIDATE PROGRAM (NCP) (29052).





060514. NAVCRUIT 1131/142. CHAPLAIN CORPS (CHC) (4105 & 41051).

060515. NAVCRUIT 1131/143. MSC PHARMACY OFFICER ACTIVE DUTY ACCESSION BONUS PROGRAM.



SECTION 6 – NAVY RESERVE OFFICER PROGRAM SERVICE AGREEMENTS



or


06 0602. NAVCRUIT 1131/167 CAMPUS LIAISON OFFICER (CLO-1105L)

060603. NAVCRUIT 1131/150 SPECIAL WARFARE OFFICER (1135)

060604. NAVCRUIT 1131/168 SPECIAL WARFARE OFFICER - EOD (1145)

060605. NAVCRUIT 1131/151 ENGINEERING DUTY OFFICER (1465)

060606. NAVCRUIT 1131/152 AERONAUTICAL ENGINEERING DUTY OFFICER (AEDO) (1515)

060607. NAVCRUIT 1131/153 AVIATION MAINTENANCE DUTY OFFICER (AMDO) (1525)

060608. NAVCRUIT 1131/154 SPECIAL DUTY – CRYPTOLOGY OFFICER (NAVETS:1615 and DCOS: 1645)

060609. NAVCRUIT 1131/155 SPECIAL DUTY - MERCHANT MARINE OFFICER (1625, 1665, 1675, 1695)

060610. NAVCRUIT 1131/156 SPECIAL DUTY – INTELLIGENCE OFFICER (1635)

060611. NAVCRUIT 1131/157 SPECIAL DUTY– PUBLIC AFFAIRS OFFICER (PAO) (1655)

060612. NAVCRUIT 1131/158 SPECIAL DUTY – OCEANOGRAPHY OFFICER (1805)

060613. NAVCRUIT 1131/159 SUPPLY CORPS OFFICER (3165)





060614. NAVCRUIT 1131/160 CIVIL ENGINEER CORPS (CEC) OFFICER (5105)

060615. NAVCRUIT 1131/161 MEDICAL CORPS (MC) OFFICER (2105)

060616. NAVCRUIT 1131/162 DENTAL CORPS (DC) OFFICER (2205)

060617. NAVCRUIT 1131/163 MEDICAL SERVICE CORPS (MSC) OFFICER (2305)

060618. NAVCRUIT 1131/164 JUDGE ADVOCATE GENERAL (JAG) CORPS OFFICER (2505)

060619. NAVCRUIT 1131/165 NURSE CORPS (NC) OFFICER (2905)

060620. NAVCRUIT 1131/166 CHAPLAIN CORPS (CHC) OFFICER (41051)



SECTION 7 - NON-COMNAVCRUITCOM FORMS



or


060702. FILLABLE FORM SAVE RESTRICTION. Many of the forms located on the Recruiting Quarterdeck Forms page use Adobe Reader. They can be filled in and printed, but cannot be saved with changes unless the user is using full version Acrobat Adobe Writer.

FORMS LIST

ARTICLE FORM NUMBER

FORM NAME REF.

060703. NAVPERS 1070/613

ADMINISTRATIVE REMARKS - PAGE 13 040509040607CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)IST(1131/41)RVS AFFLTN(1131/42)

060704. SF 86(EPSQ)

AGENCY USE FORM FOR NON-NUCLEAR FIELD (NF) ENLISTED AND OFFICERS REQUIRING A NACLC

040151040201050109CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)IST(1131/41))RVS AFFLTN(1131/42)

060705. SF 86(EPSQ)

AGENCY USE FOR NAVAL REACTORS ENGINEERS, NUCLEAR POWER INSTRUCTORS AND NF ENLISTED

040151040201

CHECKLIST(S): AD(1131/3)060706. SF 86 AGENCY USE FOR SUB-N, SWO-N, CRYPTO, AND 040151





(EPSQ) INTELLIGENCE OFFICERS 040201CHECKLIST(S): AD(1131/3)

060707. NAVMED 6120/3

ANNUAL CERTIFICATE OF PHYSICAL CONDITION 040503040512040609050403070104070401

060708. NAVPERS 1331/5

APPLICATION FOR RECALL TO EXTENDED ACTIVE DUTY

040110050802

CHECKLIST(S): AD(1131/3)MED(1131/18)IST(1131/41)

060709. DD FORM1172

APPLICATION FOR UNIFORMED SERVICES IDENTIFICATION CARD - DEERS ENROLLMENT

040510040608

060710. DD FORM2221

AUTHORITY FOR RELEASE OF INFORMATION AND RECORDS

040154050133

CHECKLIST(S): AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)NROTC (1100/29)

060711. FS 545 orDS 1350

CERTIFICATION OF BIRTH ISSUED BY A U.S. CONSULATE OF THE DEPARTMENT OF STATE

040154050133

CHECKLIST(S):Note: These documents are issued by the U.S. State Department

AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)NROTC (1100/29)

060712. DD FORM368

CONDITIONAL RELEASE 020112040113050130

CHECKLIST(S): AD(1131/3))MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)

060713. CNET 1533/89

DEBARMENT AND SUSPENSION FROM RECEIPT OF FEDERAL ASSISTANCE STATEMENT FOR 4-YEAR NROTC APPLICATION

080305080401

CHECKLIST(S): NROTC (1100/29)060714. SF 1199A DIRECT DEPOSIT FORM 040505



040612050510

CHECKLIST(S): RVS AFFLTN(1131/42)

060715. INSG-845

DOCUMENT VERIFICATION REQUEST 040154050133CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)NROTC (1100/29)

060716. DD FORM2088

ECCLESIASTICAL ENDORSEMENT 040119050125CHECKLIST(S): AD(1131/3)

RSV NON-MED(1131/21)060717. FORM W-4 EMPLOYEE'S WITHHOLDINGS ALLOWANCE

CERTIFICATE050510

060718. NAVPERS 1070/600

ENLISTED FIELD SERVICE RECORD 040508040701040703

060719. NAVPERS 1306/7

ENLISTED PERSONNEL ACTION REQUEST 040114040120CHECKLIST(S): AD(1131/3)

060720. DD FORM4

ENLISTMENT/RE-ENLISTMENT DOCUMENT ARMED FORCES OF THE UNITED STATES

040504040516040519040704040801050511070105

060721. NAVPERS 1740/7

FAMILY CARE PLAN ARRANGEMENTS 020106040122040613050135050403050510

060722. NAVPERS 1740/6

FAMILY CARE PLAN CERTIFICATE 020106040122040517040613050135050403050510


060723. FD FORM 258

FINGERPRINT CHARTS 040124040201050108050201

CHECKLIST(S): AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)



RSV NON-MED(1131/21)060724. NAVPERS

1070/605HISTORY OF ASSIGNMENTS 040518

060725. HSOJAX HSO JACKSONVILLE CREDENTIALING PACKAGE 040126CHECKLIST(S): AD(1131/3)

MED(1131/18)RVS AFFLTN(1131/42)

060726. NHSOJAX 6010/8

INDIVIDUAL CREDENTIALS/PROFESSIONAL FILE CONSENT AND RELEASE/PRIVACY ACT STATEMENT CHECKLIST(S): RVS AFFLTN(1131/42)

060727. NAVRES1570/22

INDIVIDUAL INACTIVE DUTY TRAINING (IDT) PARTICIPATION RECORD

050510

CHECKLIST(S): RVS AFFLTN(1131/42)060728. NAVCOMPT

3065LEAVE REQUEST/AUTHORIZATION FORM 070701

060729. DD FORM 2807-2

MEDICAL PRESCREEN OF MEDICAL HISTORY 020312

060730. NAVRES 1321/1

OFFICER APPLICATION/ORDERS FOR INACTIVE DUTY FOR TRAINING (IDT)

050510050512050512CHECKLIST(S): RVS AFFLTN(1131/42)

060731. NAVPERS 1070/74

OFFICER’S REPORT OF HOME OF RECORD 040611

060732. DD FORM 369

POLICE RECORD CHECKS 040144050136CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)

060733. DD FORM 2005

PRIVACY ACT - HEALTH CARE RECORDS 050124050510CHECKLIST(S): AD(1131/3)

MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)RVS AFFLTN(1131/42)

060734. NAVPERS 1200/1

READY RESERVE TRANSFER REQUEST SERVICE AGREEMENT

050507050510050511CHECKLIST(S): RVS AFFLTN(1131/42)

060735. DD FORM785

RECORD OF DISENROLLMENT FROM OFFICER CANDIDATE - TYPE TRAININGCHECKLIST(S): AFHPSP(1131/19)

060736. DD FORM 93

RECORD OF EMERGENCY DATA 040515040609CHECKLIST(S): RVS AFFLTN(1131/42)



050510060737. FS 240 REPORT OF BIRTH ABROAD TO A CITIZEN OF THE

UNITED STATES OF AMERICA040154050133

CHECKLIST(S): AD(1131/3)MED(1131/18)RSV MED(1131/20)RSV NON-MED(1131/21)

060738. DD FORM 2808

REPORT OF MEDICAL EXAMINATION 020301020303020306020312020313040801050122050510050511


060739. DD FORM 2807-1

REPORT OF MEDICAL HISTORY 020303020312020313040801050123050510050511


060740. DD FORM 370

REQUEST FOR REFERENCES 040148050115CHECKLIST(S): AD(1131/3)

AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)

060741. DD FORM 372

REQUEST FOR VERIFICATION OF BIRTH 040153040154050132050134

CHECKLIST(S): AD(1131/3)MED(1131/18)AFHPSP(1131/19)RSV MED(1131/20)RSV NON-MED(1131/21)NROTC (1100/29)

060742. USMEPCOM Reg. 601-

23

RESTRICTIONS OF PERSONAL CONDUCT IN THE ARMED FORCES

050510

CHECKLIST(S): RVS AFFLTN(1131/42)060743. NAVRES

1570/2SATISFACTORY PARTICIPATION REQUIREMENTS/ RECORD OF UNEXCUSED ABSENCES

050510

CHECKLIST(S): RVS AFFLTN(1131/42)060744. SGLV 8286 SERVICEMAN'S GROUP LIFE INSURANCE (SGLI)

ELECTION050510



CHECKLIST(S): RVS AFFLTN(1131/42)060745. DD FORM

2058STATE OF LEGAL RESIDENCE 040520

040614050510

CHECKLIST(S): RVS AFFLTN(1131/42)

060746. NAVEDTRA 12967

USEFUL INFORMATION FOR NEWLY COMMISSIONED OFFICERS

040605050405

060747. DD FORM2645

VOTER REGISTRATION INFORMATION 050511
