Directives Page                              New Instructions     

 

NAVY RECRUITING COMMAND FORMS

 
NAVCRUIT NUMBER  

TITLE

  REVISION   DATE   

1070/2 REENLISTMENT ELIGIBILITY DATA DISPLAY (REDD) 08-07
1100/25 EVIDENCE OF CITIZENSHIP 10-2010
1100/26 DUAL COMPENSATION STATEMENT AND WAIVER OF CLAIM 04-07
1100/27 HOLD HARMLESS AGREEMENT AND RELEASE FROM LIABILITY CERTIFICATE 01-2011
1100/28 NROTC APPLICANT STATEMENT OF UNDERSTANDING 10-04
1100/32

NROTC FOUR-YEAR IMMEDIATE SCHOLARSHIP RESERVATION (ISR) CONTRACT

 3-2011
1100/50 CONFERENCE/EVENT PLANNING CHECKLIST 12-2011
1110/112 NEW ACCESSION TRAINING (NAT) PROGRAM STATEMENT OF UNDERSTANDING 10-2010
1110/113 NATIONAL CALL TO SERVICE PROGRAM STATEMENT OF UNDERSTANDING 01-08
1130/13   (OMB 0703-0020) ENLISTEE FINANCIAL STATEMENT 01-2011
1130/20 SUBMARINE PROGRAM ELIGIBILITY WORKSHEET (SPEW) 01-09
1130/21 NUCLEAR FIELD ELIGIBILITY WORKSHEET  (NFEW) 08-2011
1130/22 NAVY-CASH APPLICATION FORM 1-2002
1130/50 RECRUITER DEVELOPMENT BOARD INPUT 05-2011
1130/104 UNITED STATES NAVY TATTOO SCREENING CERTIFICATE 06-2011
1130/120 UNITED STATES NAVY ABERRANT BEHAVIOR SCREENING CERTIFICATE 05-2010
1130/121 JOB CORPS CERTIFICATION OF STUDENT GRADUATION AND COMPLETION OF VOCATIONAL TRAINING ARMED FORCES CERTIFICATION FORM 01-2011
1131/4 ACADEMIC DEGREE COMPLETION PLAN 10-2010
1131/5 INTERVIEWER'S APPRAISAL SHEET 05-2011
1131/6 PHYSICAL SCREENING TEST RESULTS 11-2010
1131/8 NUCLEAR PROPULSION PROGRAM PRE-SERVICE DRUG ABUSE STATEMENT 06-2011
1131/10 DOCUMENTATION OF REQUEST FOR  ECCLESIASTICAL ENDORSEMENT/APPROVAL 05-2011
1131/12 ANTHROPOMETRIC MEASUREMENTS 06-2010
1131/14 CHANGE OF NAME STATEMENT 06-2011
1131/15 OFFICER CANDIDATE SCHOOL (OCS) COMMITMENT TO SUCCESS 10-2010
1131/16 DUTY PREFERENCE FOR MEDICAL PROGRAMS 11-2011
1131/17 VERIFICATION OF NATIONAL LEAGUE OF NURSING/ COMMISSION ON COLLEGIATE NURSING EDUCATION 05-2011
1131/22 NAVCRUITDIST SNAPSHOT REPORT 09-04
1131/23 OFFICER PRODUCTION REVIEW (OPR) REPORT 06-2011
1131/24 ENLISTED PROGRAMS REFERRAL 06-2011
1131/25 OFFICER RECRUITING POST-PROSPECTING ACTIVITY REPORT 09-2011
1131/28 PHYSICAL FITNESS TEST FOR OCS PROGRAMS (GREATER THAN 5000 FT) 02-07
1131/29 PHYSICAL FITNESS TEST FOR OCS PROGRAMS (LESS THAN 5000 FT) 02-07
1131/33 CHANGE OF STATUS QUESTIONNAIRE 06-2011
1131/36   ACTIVE DUTY ORDERS TO OFFICER CANDIDATE 10-2010
1131/38 DD 214 FORM WORKSHEET 6-2010
1131/39 COLLEGIATE CONTACT REPORT 05-2011
1131/40 COLLEGIATE MANAGEMENT REPORT 06-2011
1131/43 AFFILIATION PROCESSING AND SUMMARY RECORD 11-08
1131/45 HIV STATEMENT OF UNDERSTANDING 06-2011
1131/47 VERIFICATION CONDITIONS AND RELEASE OF INFORMATION 06-2011
1131/54 MAXIMUM AGE STATEMENT OF UNDERSTANDING 06-2011
1131/65 NUPOC COLLEGIATE MANAGEMENT REPORT 08-2011
1131/67 PRESCREENING FOR OFFICER DEVELOPMENT SCHOOL (ODS)APPLICANTS 10-2010
1131/100 BACCALAUREATE DEGREE COMPLETION PROGRAM (BDCP) SERVICE AGREEMENT 05-2011
1131/101 SURFACE WARFARE OFFICER (SWO-1160) SERVICE AGREEMENT 05-2011
1131/102 SPECIAL WARFARE OFFICER (1180) PROGRAM SERVICE AGREEMENT 05-2011
1131/103 SPECIAL OPERATIONS OFFICER  (1190) PROGRAM SERVICE AGREEMENT 05-2011
1131/104 NAVY FLIGHT OFFICER CANDIDATE (NFO-1370) SERVICE AGREEMENT 05-2011
1131/105 AVIATION OFFICER CANDIDATE (1390) PROGRAM SERVICE AGREEMENT 05-2011
1131/106 SURFACE WARFARE OFFICER (1160/1460) - ENGINEERING DUTY OFFICER (EDO OPTION) SERVICE AGREEMENT 05-2011

1131/107

AEROSPACE ENGINEERING DUTY OFFICER  (AMDO) CANDIDATE (AVIATION MAINTENANCE) PROGRAM (1520) SERVICE AGREEMENT 05-2011
1131/108 INTELLIGENCE OFFICER  (1830) SERVICE AGREEMENT 02-2011
1131/109 INFORMATION WARFARE OFFICER (1640) PROGRAM SERVICE AGREEMENT 05-2011
1131/110 PUBLIC AFFAIR OFFICER (PAO - 1650) SERVICE AGREEMENT 05-2011
1131/111 SURFACE WARFARE - OCEANOGRAPHY OFFICER OPTION (1800) SERVICE AGREEMENT 05-2011
1131/112 SUPPLY CORPS OFFICER (3100) PROGRAM SERVICE AGREEMENT 05-2011
1131/113 NAVAL OFFICER CANDIDATE CIVIL ENGINEER CORPS (CEC) OFFICER  (5100) PROGRAM SERVICE AGREEMENT 05-2011
1131/120 NUCLEAR PROPULSION OFFICER CANDIDATE (NUPOC) SERVICE AGREEMENT 08-2011
1131/121 NAVAL REACTORS ENGINEER (NR ENGR) PROGRAM SERVICE AGREEMENT 08-2011
1131/122 NUCLEAR POWER SCHOOL INSTRUCTOR (NPI) PROGRAM SERVICE AGREEMENT 08-2011
1131/130   HEALTH SERVICES COLLEGIATE PROGRAM (HSCP), MEDICAL (MC), DENTAL (DC), AND MEDICAL SERVICE CORPS (MSC) PROGRAMS (21007/22007/23007) SERVICE AGREEMENT 02-2011
1131/131  ARMED FORCES HEALTH PROFESSIONS SCHOLARSHIP PROGRAM (AFHPSP) MEDICAL STUDENTS, DENTAL STUDENTS, AND MEDICAL SERVICE CORPS  STUDENTS (1975X, 1985X, AND 1995X) SERVICE AGREEMENT 05-2011
1131/132  ARMED FORCES HEALTH PROFESSIONS FINANCIAL ASSISTANCE PROGRAM MEDICAL/DENTAL  (AFHPFAP)             ( 21053/22053) SERVICE AGREEMENT 05-2011
1131/133  NAVY NURSE CORPS ACTIVE DUTY (2900) SERVICE AGREEMENT 11-2011
1131/134  DENTAL STUDENT PROGRAM (1925I) SERVICE AGREEMENT 04-2011
1131/135  CHAPLAIN CANDIDATE (1945) PROGRAM SERVICE AGREEMENT 05-2011
1131/136  JUDGE ADVOCATE GENERAL CORPS STUDENT (1955) PROGRAM SERVICE AGREEMENT 04-2011
1131/137  MEDICAL CORPS OFFICER (2100) SERVICE AGREEMENT 04-2011
1131/138  DENTAL CORPS ACTIVE DUTY (2200) SERVICE AGREEMENT 08-2011
1131/139   MEDICAL SERVICE CORPS (MSC - 2300) SERVICE AGREEMENT 04-2011
1131/140  JUDGE ADVOCATE GENERAL (JAG) CORPS PROGRAM (2500) SERVICE AGREEMENT 04-2011
1131/141  NAVY NURSE CANDIDATE PROGRAM (29002) SERVICE AGREEMENT 04-2011
1131/142  CHAPLAIN CORPS DIRECT APPOINTMENT (4100) SERVICE AGREEMENT 04-2011
1131/143  MEDICAL SERVICE CORPS OFFICER ACTIVE DUTY ACCESSION BONUS PROGRAM SERVICE AGREEMENT 04-2011
1131/150 NAVY RESERVE OFFICER - SPECIAL WARFARE OFFICER (1135) SERVICE AGREEMENT 04-2011
1131/151 NAVY RESERVE ENGINEERING DUTY OFFICER  (EDO) (1465) SERVICE AGREEMENT 04-2011
1131/152 NAVY RESERVE OFFICER - AERONAUTICAL ENGINEERING DUTY  (1515) SERVICE AGREEMENT 04-2011
1131/153 NAVY RESERVE - AVIATION MAINTENANCE DUTY OFFICER (AMDO-1525) SERVICE AGREEMENT 04-2011
1131/154 NAVY RESERVE OFFICER - SPECIAL DUTY INFORMATION PROFESSIONAL, INTELLIGENCE, INFORMATION WARFARE (1825, 1835, 1815) SERVICE AGREEMENT 03-2011
1131/155 NAVY RESERVE OFFICER - SPECIAL DUTY MERCHANT MARINE (1625, 1665, 1675, 1695) SERVICE AGREEMENT 04-2011
1131/157 NAVY RESERVE OFFICER - SPECIAL DUTY-PUBLIC AFFAIRS (PAO-1655) SERVICE AGREEMENT 04-2011
1131/158 NAVY RESERVE OFFICER - SPECIAL DUTY-OCEANOGRAPHY (1805) SERVICE AGREEMENT 04-2011
1131/159 NAVY RESERVE OFFICER - SUPPLY (3165) SERVICE AGREEMENT 12-2010
1131/160 NAVY RESERVE OFFICER - CIVIL ENGINEER  (CEC-5105) SERVICE AGREEMENT 04-2011
1131/161   NAVY RESERVE OFFICER - MEDICAL CORPS (2105) SERVICE AGREEMENT 04-2011
1131/162  NAVY RESERVE DENTAL CORPS OFFICER (2205) SERVICE AGREEMENT 04-2011
1131/163 NAVY RESERVE OFFICER - MEDICAL SERVICE CORPS (MSC) (2305) SERVICE AGREEMENT 04-2011
1131/164 NAVY RESERVE OFFICER - JUDGE ADVOCATE GENERAL (JAG) (2505) SERVICE AGREEMENT 04-2011
1131/165  NAVY RESERVE OFFICER  - NURSE (2905) SERVICE AGREEMENT 04-2011
1131/166  NAVY RESERVE OFFICER - CHAPLAIN  (41051) INDIVIDUAL READY RESERVE (IRR) SERVICE AGREEMENT 06-2011
1131/167  NAVY RESERVE OFFICER - SPECIAL DUTY CAMPUS LIAISON OFFICER (CLO-1105L) SERVICE AGREEMENT 04-2011
1131/168 NAVY RESERVE SPECIAL OPERATIONS OFFICER EXPLOSIVE ORDINANCE DISPOSAL (1145) SERVICE AGREEMENT 04-2011
1131/211 RECRUITER COMMAND ADVANCEMENT PROGRAM 03-08
1131/213 MAXIMUM AGE STATEMENT OF UNDERSTANDING 10-2010
1131/228 LETTER OF UNDERSTANDING FOR 3165 APPLICANTS 01-2011
1131/229 LETTER OF UNDERSTANDING FOR 1465 OFFICER APPLICANTS 10-2010
1131/231 HEALTH SERVICES COLLEGIATE PROGRAM (HSCP) FOR PERMANENT RESIDENT ALIEN (PRA) MEDICAL (MC), DENTAL (DC) AND MEDICAL SERVICE CORPS (MSC) PROGRAMS SERVICE AGREEMENT 10-2010
1131/233

SURFACE WARFARE OFFICER (1160/1600) INFORMATION PROFESSIONAL OPTION SERVICE AGREEMENT

 07-2011
1131/234 NAVY RESERVE OFFICER - SPECIAL DUTY HUMAN RESOURCES (1205) SERVICE AGREEMENT 08-2011
1131/235 OCEANOGRAPHY OFFICER (1800) SERVICE AGREEMENT 07-2011
1131/236 SURFACE WARFARE OFFICER (1160/1810) INFORMATION WARFARE OFFICER OPTION SERVICE AGREEMENT 03-2011
1131/237 BACCALAUREATE DEGREE COMPLETION PROGRAM (BDCP) FIELD SELECT CONTRACT 10-2010
1131/238 APPLICATION PROCESSING AND SUMMARY RECORD 06-2011
1131/239 INFORMATION PROFESSIONAL OFFICER (1820) SERVICE AGREEMENT 02-2011
1131/240 NAVY RESERVE OFFICER - PILOT (1315) SERVICE AGREEMENT 08-2011
1131/241 SUBMARINE ENGINEERING GRADUATE ACCESSIONS (SEGA) ENGINEERING DUTY (ED) PROGRAM (1460) SERVICE AGREEMENT 10-2010
1131/242 CYBER WARFARE ENGINEER (CWE) PROGRAM (1840) SERVICE AGREEMENT 10-2010
1131/243 INFORMATION WARFARE OFFICER (1810) SERVICE AGREEMENT 02-2011
1133/39 WAIVER BRIEFING SHEET 11-2011
1133/51 REQUEST FOR EVALUATION OF EDUCATION CREDENTIALS AND FOREIGN EDUCATION 10-2011
1133/52 ENLISTMENT GUARANTEES 06-2011
1133/52 PRIOR SERVICE ENLISTMENT GUARANTEES 10-2010
1133/52 PROFESSIONAL APPRENTICESHIP CAREER TRACK (PACT) PROGRAM ENLISTMENT GUARANTEES 07-2011
1133/52 NEW ACCESSION TRAINING PROGRAM ENLISTMENT GUARANTEE  (NAT) 10-2010
1133/59 U.S. NAVY DEP CARD       (SN   0114-LF-113-8900) 04-95
1133/60 DEPPER PICTURE CARD  10-96
1133/61 DEP PROGRESS QUALIFICATION CHART 01-98
1133/62 DELAYED ENTRY PROGRAM (DEP)  RECERTIFICATION 06-2011
1133/72 NAVET PRISE III PAYGRADE REDUCTION ANNEX 12-2011
1133/75 STATEMENT OF UNDERSTANDING LOAN REPAYMENT PROGRAM 08-2011
1133/78 HANDWRITTEN STATEMENT 08-2010
1133/80 ON-SITE VISIT AND EVALUATION WORKSHEET 06-08
1133/85  DEP ACTION REQUEST (DAR)/POTENTIAL DEP PROBLEM 06-2011
1133/88 NIDT REPORTING DOCUMENT

10-09
1133/93 AIRCREW RESCUE SWIMMER STATEMENT OF UNDERSTANDING 10-2010
1133/96 NATIONAL CALL TO SERVICE STATEMENT OF UNDERSTANDING LOAN REPAYMENT PROGRAM 01-04
1133/97 PARENT/APPLICANT DECLARATION OF DESERTION 10-2010
1133/98 OFFICER PROGRAMS REFERRAL 09-2011
1133/102 ENLISTMENT BONUS STATEMENT OF UNDERSTANDING 10-2010
1133/103 COMNAVCRUITCOM EXCEPTION TO POLICY/DEP EXTENSION REQUEST 02-10
1133/108 COMNAVCRUITCOM 00J LEGAL DETERMINATION COVER SHEET 10-2010
1133/110 AIRCREW STATEMENT OF UNDERSTANDING 04-07
1133/111 NSW/NSO CHALLENGE PROGRAM STATEMENT OF UNDERSTANDING 02-08
1133/112 NAVET/OSVET PRISE III NAVY SPECIAL WARFARE/SPECIAL OPS 06-07
1133/113 UNDERWATER CONSTRUCTION TEAM CHALLENGE PROGRAM STATEMENT OF UNDERSTANDING 06-07
1133/120 DPEP APPLICATION 10-2010
1140/4 RADIO, TELEVISION, NEWSPAPER, AND OUTDOOR BILLBOARD MARKET DATA 10-2010
1142/1 NAVY ADVERTISING LEADS TRACKING SYSTEM (NALTS) CARD 09-2011
1150/1 CONVENTION OR SPONSORSHIP PRE-EVENT ASSESSMENT AND REQUEST 10-2011
1150/2 CONVENTION SPONSORSHIP POST-EVENT AFTER ACTION AND ANALYSIS REPORT 10-2011
1156/1 EDUCATOR ORIENTATION VISIT FUNDING REQUEST 10-2010
1230/1 NAVCRUITCOM STANDARD ANSWER SHEET - FOUR CHOICE 07-2011
1430/1 RCAP NOMINATIONS 10-2010
1500/1 DEP MEETING FEEDBACK AND EVALUATION FORM 06-2011
1500/2 TRAINING SYLLABUS 10-2010
1500/3 DISTRICT MONTHLY TRAINING REPORT 10-2010
1500/4 TRAINING ATTENDANCE RECORD 05-07
1500/6 STAFF TRAINING CRITIQUE SHEET 12-2010
1535/1 REQUEST/APPROVAL FOR AUTHORITY TO ADVERTISE 05-2011
1650/1 NAVCRUITCOM BACKGROUND INFORMATION FOR RECRUITING SERVICE RIBBON, END OF TOUR PLAQUE, POSTER 07-2010
1650/4 HEADQUARTERS, NAVY RECRUITING COMMAND AWARDS BOARD RECOMMENDATION 06-2011
1650/16 INSPIRATIONAL LEADERSHIP AWARD NOMINATION 12-2011
1754/1 OMBUDSMAN INFORMATION AND REFERRAL 01-2011
1754/2 RECRUITING QUALITY OF LIFE DATA SHEET 10-2010
2050/1 NAVCRUITCOM CUSTODY CARD FOR CELLULAR PHONES, BLACKBERRYS AND AIR CARDS 10-2010
2061/1 NAVCRUITCOM HEADQUARTERS TELECOMMUNICATIONS ORDER/SERVICE REQUEST 10-2010
4050/1 REGION REPORT OF NO COST/PERMISSIVE MOVES 10-2010
4650/3 TOKEN ISSUE CONTROL LOG 10-2010
5000/1 AFTER ACTION REPORT 9-2011
5041/1   CANCELLED NAVCRUITDIST MONTHLY INVESTIGATION REPORT 10-2010
5110/2 OFFICIAL MAIL EXPENDITURES REPORT 04-01
5110/4 METER SETTINGS FINANCIAL CONTROL LEDGER 08-93
5110/5 METER READINGS 08-93
5110/7 PERMIT MAILING FINANCIAL CONTROL LEDGER 08-93
5110/8 LEADS FINANCIAL CONTROL SUBLEDGER FOR PERMIT MAILINGS 08-93
5110/11 POSTAGE DUE FINANCIAL CONTROL LEDGER 08-93
5110/12 LEADS FINANCIAL CONTROL SUB LEDGER FOR POSTAGE DUE 08-93
5110/13 ADDRESS CORRECTION SERVICE (ACS) FINANCIAL CONTROL LEDGER 08-93
5210/1 CORRESPONDENCE/RECORDS CHECK OUT 12-2011
5211/1 DISCLOSURE OF SOCIAL SECURITY NUMBER 10-2010
5215/3 (PDF Fillable) NAVCRUITCOM UNCLASSIFIED AUTOMATED ROUTE SLIP 12-2011
5216/1   CORRESPONDENCE CLEARANCE/BRIEF SHEET 10-2010
5239/1 AIS SECURITY INCIDENT REPORT 08-2011
5239/6 PERSONALLY-OWNED COMPUTER HARDWARE/SOFTWARE USER AGREEMENT 03-08
5305/1  RECRUITING REFERRAL RECOGNITION PROGRAM REQUEST 12-2011
5305/4 DEP ISSUE LOG 01-07
5310/2 REQUEST FOR ESTABLISHING A CIVILIAN POSITION 10-2010
5370/1 USN NAVCRUITCOM AUTHORIZATION FOR THE RELEASE OF INFORMATION UNDER THE PRIVACY ACT 06-2011
5370/2 NAVCRUITDIST MONTHLY INVESTIGATION STATUS REPORT
(Report Control Symbol 5370-2)		 09-2011
UPDATING KEY CONTROL LOG 03-94
5700/1 MUSIC FOR RECRUITING AFTER ACTION REPORT (MFRAAR) (Report Control Symbol 5700-1) 09-2011
5720/5 EOV PARTICIPATION NOMINATION FORM 06-2011
7100/2 BUDGET INPUT ATTACHMENT WORKSHEET FOR (OTHER THAN TRAVEL) 06-02
7100/3 BUDGET INPUT ATTACHMENT WORKSHEET FOR (TAD) 06-02
7130/3 INTERNAL REQUEST DOCUMENT 10-2010
11000/1 RELOCATION, EXPANSION, NEW OFFICE SUMMARY 03-96
12430/2

INTERIM PERFORMANCE MANAGEMENT SYSTEM RECOGNITION AND REWARDS NOTIFICATION FORM

 08-2011
11240/2 DOMICILE TO DUTY LOG 08-01
11240/4 VEHICLE LOG 10-2010
12410/1 FIVE YEAR INDIVIDUAL DEVELOPMENT PLAN 11-2010
12430/1 NAVY RECRUITING COMMAND PERFORMANCE MANAGEMENT PLAN (Reference CNRCINST 12430.4) 03-2011
12600/1 NAVCRUITCOM TIMECARD CERTIFICATION AUTHORIZATION 04-02
12620/2 WORK SCHEDULE REQUEST 11-2010

CHECKLISTS

The Checklists that have been moved to the N3 site on the Recruting Quarterdeck have been identified with three red asterisks (***)

 REVISION DATE
***ACTIVE/RESERVE MEDICAL CORPS (MC) OFFICER APPLICATION CHECKLIST 05-2011
***ACTIVE/RESERVE CHAPLAIN CORPS OFFICER CHECKLIST 06-2011
***ACTIVE/RESERVE CHAPLAIN CORPS OFFICER SUPERSEDER CHECKLIST 05-2011
***ACTIVE/RESERVE DENTAL CORPS OFFICER APPLICATION CHECKLIST 05-2011
***ACTIVE/RESERVE MEDICAL SERVICE CORPS (MSC) OFFICER APPLICATION CHECKLIST 05-2011
***ACTIVE/RESERVE NURSE CORPS (NC) OFFICER APPLICATION CHECKLIST 05-2011
APPLICANT LOG 09-05
***CYBER WARFARE/SUBMARINE ENGINEERING  OFFICER APPLICATION  CHECKLIST 05-2011
DEP TRAINING FOLDER CHECKLIST 06-2011
DEP REFERRAL TRACKING SHEET 10-2010
DEGREE COMPLETION PLAN (DCP) CHANGE CHECKLIST 10-2010
DISTRIBUTION OF ENLISTED DOCUMENTS 10-2010
DISTRIBUTION OF COMMISSIONING DOCUMENTS 10-2010
ENLISTED COMMUNITY MANAGER (ECM) ENLISTMENT ELIGIBILITY CHECKLIST 09-2011
ENLISTED WAIVER CHECKLIST 08-2011
ENROLLMENT AND ATTENDANCE VERIFICATION CHECKLIST 09-2010
EXECUTIVE REVIEW CHECK-OFF SHEET 05-2011
FLEET OFFICER APPLICATION CHECKLIST 12-2011
GPA CALCULATION WORKSHEET 10-2010
GPA CONVERSION OF QTR HRS TO SEMESTER HRS 11-2010
HIGH SCHOOL SENIOR/GRADUATE STATUS VERIFICATION 10-2010
INITIAL PRE-VISIT PREPARATION LIST 10-2010
***JAG OFFICER APPLICATION CHECKLIST 05-2011
***NAVET OFFICER APPLICATION CHECKLIST 05-2011
NROTC APPLICANT CHECKLIST 10-2010
NUCLEAR FIELD PRE-SHIP SCREENING CERTIFICATE 02-2011
***NUPOC OFFICER APPLICATION CHECKLIST 05-2011

***CHECKLIST FOR TRANSFER OF OFFICER CANDIDATES / OFFICERS TO OCS/ODS

09-2011
***OFFICER CANDIDATE SCHOOL (OCS)  APPLICATION CHECKLIST 05-2011
***OFFICER APPLICATION MEDDOCS CHECKLIST 05-2011
OFFICER DRUG/ALCOHOL ABUSE, DRUG OR ALCOHOL RELATED OFFENSES WAIVER CHECKLIST 09-2010
OFFICER MISCONDUCT/MAJOR MISCONDUCT WAIVER CHECKLIST 09-2010
OFFICER PRODUCTION ANALYSIS TRAINING AND EVALUATION (O-PATE) CHECKLIST 06-09
OFFICER PRODUCTION APPLICANT LOG CHECKLIST 06-09
OFFICER RE-CODE SERVICE WAIVER CHECKLIST 09-2010
PERSONNEL SECURITY SCREENING QUESTIONNAIRE 04-2010
RESIDUAL FILE CHECKLIST 01-07
   
RECORD OF DELAYED ENTRY PROGRAM (DEP) MEETING/DEP FLEX EVENT 01-07
***RESERVE DIRECT COMMISSION OFFICER (DCO) APPLICATION CHECKLIST 05-2011
72-HOUR DELAYED ENTRY PROGRAM INDOCTRINATION CERTIFICATE 06-2011
   
N3M ENLISTED APPLICANT COVERSHEET/QUALITY ASSURANCE (QA) CHECKLIST 09-2011
N3M OFFICER APPLICANT COVERSHEET/QUALITY ASSURANCE (QA) CHECKLIST 09-2011
   
USMEPCOM SERVICE LIAISON ACCESSION VERIFICATION PACKET BREAKDOWN CHECKLIST - NAVY 11-2011
   
FORMS REQUIRED IN A DEP TRAINING FOLDER
DEP TRAINING FOLDER LINK           10-2011
   

MISCELLANEOUS WORKSHEETS/CHECKLISTS

 DATE POSTED
POSITION MANAGEMENT BOARD (PMB) CHECKLIST  11-2011
   
LOAN REPAYMENT PROGRAM WORKSHEET 08-2011
NAVAL NUCLEAR PROPULSION PROGRAM SCREEN 10-2011
U.S. NAVY BASIC ELIGIBILITY REQUIREMENTS WORKSHEET - (OFFICER/ENLISTED) 12-2010
   
RESUME WORKSHEET 1-2011
RESERVE RECRUITING QUALITY ASSURANCE SHEET 1-2011
   
NAVY CHALLENGE PROGRAM CHECKLIST 8-2011
   
BI-WEEKLY LEGAL MATTERS REPORT 11-2010
SAMPLE OCS/ODS THIRD CLASS SWIM TEST ACKNOWLEDGEMENT 05-2011
ACTIVE OPO APPLICANT LOG 12-2010
RESERVE OPO APPLICANT LOG 12-2010
   
NAPT (CONTROL LOG/ROSTER/INVENTORY/STATUS LOG) 08-2011
   
   
   

HEALTH CARE PROVIDER CREDENTIALING

  
CCPD VERIFICATION OF HEALTH CARE PROVIDER'S CREDENTIALING CHECKLIST
ATTACHMENT - HINTS TO EXPEDITE AND INSTRUCTIONS
 Posted 07-2011
NAVY MEDICINE SUPPORT COMMAND CCPD PERSONAL AND PROFESSIONAL INFORMATION SHEET, PRIVILEGED AND NON-PRIVILEGED PROVIDERS - MC,  NC,  NDC, MSC Posted 07-2011
   
CREDIT CHECK RELEASE CONSENT 06-09
   
   
   
   

OTHER FORMS
CNAVRES 1326/2

ENLISTED APPLICATION AND ORDERS TO A NAVY RESERVE UNIT

TERMINATION/MODIFICATION

 09-76
CNAVRES 1326/4 ENLISTED INACTIVE DUTY TRAINING ORDERS TO A NAVY RESERVE UNIT (OBLIGOR) 02-79
CNAVRES 1570/2 SATISFACTORY PARTICIPATION REQUIREMENTS/RECORD OF UNEXCUSED ABSENCES 09-2011
NAVRES INCENTIVE AGREEMENT 1-4 NEW ACCESSION TRAINING (NAT) ENLISTMENT BONUS WRITTEN AGREEMENT FOR THE NAVY RESERVE INCENTIVES PROGRAM 09-2010
CNET 1533/89 DEBARMENT AND SUSPENSION FROM RECEIPT OF FEDERAL ASSISTANCE STATEMENT FOR 4-YEAR NROTC APPLICATION 02-00
DD 4/1 ENLISTMENT/RE-ENLISTMENT DOCUMENT 10-07
DD 93 * RECORD OF EMERGENCY DATA 01-08
DD 149 APPLICATION FOR CORRECTION OF MILITARY RECORD UNDER THE PROVISIONS OF TITLE 10, U.S. CODE, SECTION 1552 09-2007
DD 368 REQUEST FOR CONDITIONAL RELEASE 08-2011
DD 369 POLICE RECORD CHECK
(OMB No. 0704-0006 Expires Feb 28, 2014)		 10-2011
DD 370 REQUEST FOR REFERENCE 03-09
DD 372 * REQUEST FOR VERIFICATION OF BIRTH 03-08
DD 785 RECORD OF DISENROLLMENT FROM OFFICER CANDIDATE - TYPE TRAINING 06-68
DD 1172 APPLICATION FOR UNIFORMED SERVICES IDENTIFICATION CARD DEERS ENROLLMENT 07-02
DD 1351-2  TRAVEL VOUCHER OR SUBVOUCHER 03-00
DD 1879 DOD REQUEST FOR PERSONNEL SECURITY INVESTIGATION 08-99
DD 1966/1-5 RECORD OF MILITARY PROCESSING - ARMED FORCES OF THE UNITED STATES 08-2011
DD 2005 PRIVACY ACT STATEMENT - HEALTH CARE RECORDS 02-76
DD 2058 STATE OF LEGAL RESIDENCE CERTIFICATE 02-77
DD 2088 CERTIFICATE OF ECCLESIASTICAL ENDORSEMENT 05-06
DD 2221 DEPARTMENT OF DEFENSE AUTHORITY FOR RELEASE OF INFORMATION AND RECORDS 11-79
DD 2366 MONTGOMERY GI BILL ACT OF 1984 (MGIB) INCREASED BENEFIT CONTRIBUTION PROGRAM 06-2002
DD 2475 DOD EDUCATIONAL LOAN REPAYMENT (LRP)  ANNUAL APPLICATION 11-06
DD2645 VOTER REGISTRATION INFORMATION 11-08
DD 2807-1 REPORT OF MEDICAL HISTORY 08-2011
DD 2807-2 MEDICAL PRESCREEN OF MEDICAL HISTORY REPORT 08-2011
DD 2808 REPORT OF MEDICAL EXAMINATION 06-05
DD 2863 NATIONAL CALL TO SERVICE ELECTION OF OPTIONS 10-03
FD 258 SAMPLE FINGERPRINT CARD  
INS G-845 * DOCUMENT VERIFICATION REQUEST 01-06
IRS W-4  FORM W-4 2012
NAVCOMPT 2282 OVERTIME AND COMPENSATORY TIME REQUEST AND AUTHORIZATION 2-83
NAVCOMPT 3065 LEAVE REQUEST AUTHORIZATION 2-83
NAVEDTRA 12967 USEFUL INFORMATION FOR NEWLY COMMISSIONED OFFICERS 1992
NAVMED 6120/3 ANNUAL CERTIFICATE OF PHYSICAL CONDITION 06-91
NAVPERS 1001/3 READY RESERVE SCREENING QUESTIONNAIRE 05-03
NAVPERS 1070/74 REPORT OF HOME OF RECORD AND PLACE FROM WHICH ORDERED TO ACTIVE DUTY 10-05
NAVPERS 1070/602 DEPENDENCY APPLICATION/RECORD OF EMERGENCY DATA 07-72
NAVPERS 1070/605 HISTORY OF ASSIGNMENTS 07-06
NAVPERS 1070/613 AIRCREW STATEMENT OF UNDERSTANDING 08-2011
NAVPERS 1070/613 NAVAL SPECIAL WARFARE/NAVAL SPECIAL OPERATIONS CHALLENGE PROGRAM STATEMENT OF UNDERSTANDING 08-2011
NAVPERS 1070/613 NAVET/OSVET PRISE III NAVY SPECIAL WARFARE/SPECIAL OPERATIONS 08-2011
NAVPERS 1070/613 RECRUITER COMMAND ADVANCEMENT PROGRAM (RCAP) 08-2011
NAVPERS 1070/613 TATTOO/BODY ART/BODY MUTILATION/BODY MARKING WARNING 05-2011
NAVPERS 1070/613 ENLISTED STATEMENT OF UNDERSTANDING FOR NAVY RESERVE 12-2010
NAVPERS 1070/613 OSVET INDOCTRINATION TRAINING 05-2011
NAVPERS 1070/613 ACCESSION IN LIEU OF RECOMMENDATION 05-2011
NAVPERS 1070/613 SUBMARINE DUTY VOLUNTEER 05-2011
NAVPERS 1070/613 NAVET SELECTIVE REENLISTMENT BONUS (SRB) 05-2011
NAVPERS 1070/613     PAGE 1 OF 2                        PAGE 2 OF 2 NUCLEAR FIELD STATEMENT OF UNDERSTANDING              (THIS IS A TWO PAGE DOCUMENT) 05-2011
NAVPERS 1070/613 NAVET/OSVET RTC STATEMENT OF UNDERSTANDING 05-2011
NAVPERS 1070/613 SEVERANCE PAY BENEFITS 12-2010
NAVPERS 1070/613 WAIVER AUTHORIZATION RECORDING 12-2010
NAVPERS 1070/613 POLICE RECORD CHECK NOT SENT 12-2010
NAVPERS 1070/613 RESERVE REDUCTION IN RATE 12-2010
NAVPERS 1070/613 HIGH YEAR TENURE 12--2010
NAVPERS 1070/613 ELAPSED TIME WAIVER 12-2010
NAVPERS 1070/613 DELAYED ENTRY FULL WAIVER (DEF) PROGRAM 09-2010
NAVPERS 1070/613 DELAYED ENTRY FULL MEDICAL (DEM) PROGRAM 09-2010
NAVPERS 1070/613 STATEMENT OF UNDERSTANDING CONCERNING DUAL COMPENSATION 09-2010
NAVPERS 1070/613 NAVY PHYSICAL READINESS PROGRAM  (OFFICER) 2010
NAVPERS 1070/613 BODY COMPOSITION ASSESSMENT (BCA) PROGRAM (ENLISTED) 09-2010
NAVPERS 1070/613 PRIOR SERVICE REENLISTMENT ELIGIBILITY - RESERVE (PRISE-R) PROGRAM WITH "A/C" SCHOOL GUARANTEE 09-2010
NAVPERS 1070/613 PRIOR SERVICE REENLISTMENT ELIGIBILITY - RESERVE (PRISE-R) PROGRAM THRU ADVANCEMENT EXAMINATION PARTICIPATION 09-2010
NAVPERS 1070/613 DISCHARGE FOR PURPOSE OF ACCEPTING A COMMISSION 10-06
NAVPERS 1070/613 EVIDENCE OF GRADUATION AND DEGREE CONFERRED 10-06
NAVPERS 1070/613 DISCHARGE 10-06
NAVPERS 1070/613 OCS CANDIDATE REDESIGNATION 10-06
NAVPERS 1070/613 ADVANCEMENT FOR GRADUATION 10-06
NAVPERS 1070/613 ONE-YEAR CEC ADVANCEMENT 10-06
NAVPERS 1070/613 DELAYED ENTRY NUCLEAR FIELD (DEN) 04-2010
NAVPERS 1070/613 NUCLEAR FIELD MEDICAL STATEMENT OF UNDERSTANDING 04-2010
NAVPERS 1070/613 FRATERNIZATION POLICY ACKNOWLEDGEMENT 10-2011
NAVPERS 1070/613 OBSERVANCES OF THE RELIGIOUS FAITH PRACTICED 02-2010
NAVPERS 1070/613 EXPLANATION OF UCMJ ARTICLE 137 AND DISCHARGES 02-2010
NAVPERS 1070/613 CODE OF CONDUCT 02-2010
NAVPERS 1070/613 DIRECT DEPOSIT REQUIREMENT ACKNOWLEDGEMENT 02-2010
NAVPERS 1070/613 U.S. NAVY "ZERO TOLERANCE" POLICY FOR DRUG ABUSE 04-09
NAVPERS 1070/613 COMPETITIVENESS OF OFFICER PROGRAMS 03-09
NAVPERS 1070/613  ADMINISTRATIVE REMARKS 07-06
NAVPERS 1070/613

ADMINISTRATIVE SEPARATION FROM DELAYED ENTRY (DEP)

 11-08
NAVPERS 1070/613 START PAGE 13 11-08
NAVPERS 1070/613

Order of Release from Custody and Control of the Naval Service for Failure to Ship or Report to RTC

 11-08
NAVPERS 1070/613  STATEMENT OF UNDERSTANDING FOR SECURITY INVESTIGATION 04-07
NAVPERS 1070/613 RELIGIOUS PROGRAMS SPECIALIST (RP) STATEMENT OF UNDERSTANDING 01-2010
NAVPERS 1070/613 CTI VOLUNTEER FOR DUTY IN SUBMARINES/VOLUNTEER FOR DUTY INVOLVING FLYING 01-2010
NAVPERS 1070/615 HONORABLE DISCHARGE FROM THE UNITED STATES NAVAL RESERVE 12-03
NAVPERS 1070/621 AGREEMENT TO EXTEND ENLISTMENT 01-00
NAVPERS 1070/622 AGREEMENT TO RECALL OR EXTEND ACTIVE DUTY 08-07
NAVPERS 1130/11 APPLICATION FOR INSTRUMENTAL EXAMINATION FOR SCHOOL OF MUSIC 1-97
NAVPERS 1200/1 READY RESERVE TRANSFER REQUEST SERVICE AGREEMENT 01-2010
NAVPERS 1300/2 AFFILIATION PROCESSING AND SUMMARY RECORD 01-10
NAVPERS 1300/4 LICENSURE VERIFICATION FOR MEDICAL PROGRAMS APPLICANTS 12-09
NAVPERS 1306/7 ENLISTED PERSONNEL ACTION REQUEST 01-03
NAVPERS 1306/92 SPECIAL PROGRAM SCREENING FORM 12-03
NAVPERS 1320/16 TEMPORARY ADDITIONAL DUTY (TEMADD) TRAVEL ORDERS 11-87
NAVPERS 1331/5 APPLICATION TO RECALL FOR EXTENDED ACTIVE DUTY 11-08
NAVPERS 1336/3 SPECIAL REQUEST/AUTHORIZATION 02-2011
NAVPERS 1430/9 CERTIFICATE OF APPOINTMENT 01-06
NAVPERS 1626/7 REPORT AND DISPOSITION OF OFFENSES 12-88
NAVPERS 1740/6 DEPARTMENT OF THE NAVY FAMILY CARE PLAN CERTIFICATE 02-2011
NAVPERS 1740/7 FAMILY CARE PLAN ARRANGEMENTS 02-2011
NAVPERS 5354/2 NAVY EQUAL OPPORTUNITY (EO) FORMAL COMPLAINT FORM 03-2006
NAVSO 5724/1 FLEET HOMETOWN NEWS RELEASE 04-04
NHSOJAX 6010/3 PROFESSIONAL PEER INQUIRY 02-00
NHSOJAX 6010/8 INDIVIDUAL CREDENTIALS/PROFESSIONAL FILE CONSENT AND RELEASE/PRIVACY ACT STATEMENT 02-00
NAVSUPPACTMIDSOUTH 5530/7 NAVSUPPACT MID-SOUTH BUILDING  CAC ACCESS / ISSUE APPLICATION 11-2010
OPM 630 APPLICATION TO BECOME A LEAVE RECIPIENT UNDER THE VOLUNTARY LEAVE TRANSFER PROGRAM 06-02
OPM 630-A REQUEST TO DONATE ANNUAL LEAVE TO LEAVE RECIPIENT UNDER THE VOLUNTARY LEAVE TRANSFER PROGRAM 06-01
OPNAV 1650/3 PERSONAL AWARD RECOMMENDATION 07-04
OPNAV 5211/9 DISCLOSURE ACCOUNTING FORM 03-1992
OPNAV 5350/1 DRUG AND ALCOHOL ABUSE STATEMENT OF UNDERSTANDING 04-90
OPNAV 5239/14 SAAR SYSTEM AUTHORIZATION ACCESS REQUEST NAVY (SAAR-N) 09-2011
OPNAV 5520/20 CERTIFICATE OF PERSONNEL SECURITY INVESTIGATION, CLEARANCE AND ACCESS 10-1979
OPNAV 12430/6 DEPARTMENT OF THE NAVY (DON) INTERIM PERFORMANCE APPRAISAL FORM 09-2011
PIPS Form 12 U.S. OFFICE OF PERSONNEL MANAGEMENT CENTER FOR INVESTIGATIVE SERVICES FEDERAL INVESTIGATIONS PROCESSING CENTER 02-02
SF 86 QUESTIONNAIRE FOR NATIONAL SECURITY POSITIONS 07-08
SF 180 REQUEST PERTAINING TO MILITARY RECORDS 04-07
SF 182 AUTHORIZATION, AGREEMENT, AND CERTIFICATION OF TRAINING 12-2006
SF 1199A DIRECT DEPOSIT SIGN-UP FORM 06-87
SF 1164 CLAIM FOR REIMBURSEMENT FOR EXPENDITURES ON OFFICIAL BUSINESS 04-02
SGLV 8286 SERVICE MEMBERS' GROUP LIFE INSURANCE ELECTION AND CERTIFICATE 11-2010
USMEPSCOM 601-23-4-E RESTRICTIONS ON PERSONAL CONDUCT IN THE ARMED FORCES 09-2011
USMEPSCOM 680-3A REQUEST FOR EXAMINATION 10-05
NAVRES BONUS FORM NAVRES INCENTIVE AGREEMENT 2-4 04-07
OPNAV 5213/18 FORMS REGISTER 08-92
OPNAV 5213/19 REQUEST FOR NEW OR REVISED FORMS 02-93
OPNAV 5213/29 FORMS REVIEW 02-08
     

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