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  • UNCLASSIFIED

    NAVY RECRUITING MANUAL-ENLISTED COMNAVCRUITCOMINST 1130.8H

    VOLUME III FORMS AND DOCUMENTS

    COMMANDER, NAVY RECRUITING COMMAND

    MAY 2008

    UNCLASSIFIED

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    UNCLASSIFIED

    Commander, Navy Recruiting Command

    NAVY RECRUITING MANUAL-ENLISTED

    VOLUME III FORMS AND DOCUMENTS

    Prepared for:

    COMNAVCRUITCOM Staff and Personnel

    Commander, Navy Recruiting Command Point-of-Contact:

    Policy and Programs Division (N35) 5722 Integrity Drive Millington, TN 38054

    Distribution limited to Department of the Navy, Navy Recruiting Command personnel and authorized representatives. Additional copies of this document can be obtained from COMNAVCRUITCOM (00S)

    Prepared by:

    Policy and Programs Division Operations Department

    Navy Recruiting Command

    UNCLASSIFIED

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    TABLE OF CONTENTS

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    TABLE OF CONTENTS ARTICLE PAGE

    CHAPTER 1

    FORMS AND DOCUMENTS SECTION 1 - INTRODUCTION 010101 CONTENTS OF CHAPTER 1 010102 RESPONSIBILITIES 1 010103 VERIFICATION AND REPRODUCTION OF ORIGINAL DOCUMENTS 3 010104 U. S. NAVY ENLISTED SERVICE RECORD (NAVPERS 1070/600) 4 010105 DISTRIBUTION OF ENLISTMENT DOCUMENTS AND RESIDUAL MAINTENANCE 11 010106 DISPOSITION OF ENLISTED SERVICE RECORD AND MEDICAL DOCUMENTS 14 010107 FORMS AND DOCUMENTS REQUIRED FOR ENLISTMENT 15 SECTION 2 - INSTRUCTIONS FOR COMPLETING FORMS 010201 REQUEST FOR EXAMINATION (USMEPCOM FORM 680-3A-E) 1 010202 REPORT OF ADDITIONAL INFORMATION (MEPCOM FORM

    601- 23) 7 010203 ENLISTMENT/REENLISTMENT DOCUMENT ARMED FORCES OF THE UNITED STATES (DD FORM 4) 8 010204 RECORD OF EMERGENCY DATA (DD FORM 93) 12 010205 REQUEST FOR CONDITIONAL RELEASE (DD FORM 368) 12 010206 POLICE RECORD CHECK (DD FORM 369) 17 010207 REQUEST FOR REFERENCE (DD FORM 370) 21 010208 REQUEST FOR VERIFICATION OF BIRTH (DD FORM 372) 23 010209 RECORD OF MILITARY PROCESSING ARMED FORCES OF THE UNITED STATES (DD FORM 1966) 26 010210 STATE OF LEGAL RESIDENCE CERTIFICATE (DD FORM 2058) 89 010211 NATIONAL VOTER REGISTRATION ACT (NVRA) OR MOTOR VOTER ACT (DD FORM 2645) 89 010212 MEDICAL PRESCREEN OF MEDICAL HISTORY REPORT (DD FORM 2807-2) 90 010213 REPORT OF MEDICAL EXAMINATION (DD FORM 2808) REPORT OF MEDICAL HISTORY (DD FORM 2807-1) AND SUPPLEMENTAL HEALTH SCREENING QUESTIONNAIRE (USMEPCOM FORM 40-1-15-E) 93

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    TABLE OF CONTENTS ARTICLE PAGE 010214 ENLISTMENT GUARANTEE ANNEX (NAVCRUIT 1133/52) ANNEX TO THE ENLISTMENT/REENLISTMENT

    DOCUMENT ARMED FORCES OF THE UNITED STATES (DD FORM 4) 93 010215 ENLISTEE FINANCIAL STATEMENT (NAVCRUIT 1130/13) 95 010216 RECRUITERS ENLISTMENT-REENLISTMENT CHECKOFF SHEET 97 010217 DEPENDENCY APPLICATION/RECORD OF EMERGENCY DATA (NAVPERS 1070/602) 97 010218 ADMINISTRATIVE REMARKS, (NAVPERS 1070/613) 97 010219 ENLISTED APPLICATION AND ORDERS TO A NAVAL RESERVE UNIT (NON-OBLIGOR) (CNAVRES 1326/4) 98 010220 SATISFACTORY PARTICIPATION REQUIREMENTS/ RECORD OF UNEXCUSED ABSENCES (NAVRES 1570/2) 100 010221 INACTIVE DUTY TRAINING (IPR) PARTICIPATION RECORD (NAVRES 1570/21) 100 010222 SERVICEMENS GROUP LIFE INSURANCE ELECTION AND CERTIFICATE (SGLV-8286) 102 010223 FINGERPRINT CARD (FD FROM 258) 102 010224 EMPLOYEES WITHHOLDING ALLOWANCE CERTIFICATE (FORM W-4) 103 010225 RESUME WORKSHEET 103 010226 QUESTIONNAIRE FOR NATIONAL SECURITY POSITIONS (SF86) 103 010227 DRUG AND ALCOHOL ABUSE STATEMENT OF UNDERSTANDING (OPNAV 5350/1) 106 010228 UNITED STATES NAVY ABERRANT BEHAVIOR SCREENING CERTIFICATE (NAVCRUIT 1130/120) 106 010229 ATTAINMENT REPORT 107

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    CHAPTER 1 FORMS AND DOCUMENTS

    SECTION 1 INTRODUCTIONS 010101 USMEPCOM SERVICE LIAISON ACCESSION VERIFICATION PACKET BREAKDOWN CHECKLIST NAVY 9 SECTION 2 INSTRUCTIONS FOR COMPLETING FORMS 010201 DD FORM 368 CONDITIONAL RELEASE APPROVAL CHART 15 010202 INACTIVE DUTY TRAINING PARTICIPATE RECORD (NAVRES 1570/21) 101

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    Chapter 1 Section 1

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    CHAPTER 1

    FORMS AND DOCUMENTS

    SECTION 1

    INTRODUCTION 010101. CONTENTS OF CHAPTER This chapter provides information on the various forms and documents required to complete and process an applicants enlistment/affiliation package in the Navy or Navy Reserve. (1) Forms. All forms are good for 90 days from date of applicants signature unless otherwise indicated. Forms and documents necessary for the processing of Navy applicants for Active and Reserve enlistment/affiliation that do not appear in this manual can be located on the COMNAVCRUITCOM Quarterdeck Website. The reserve bonus forms and message can be found on Commander Navy Reserve Forces Command (CNRFC) website: https://private.navyreserve.navy.mil/3447B/n1/Shared%20Documents/Enlisted%20Bonuses.aspx. The bonus forms and message and located midway down the page. (2) Documents and Forms. When documents or forms are handwritten, they must be legible. When they are typed, they must be as close to letter perfect as they can be, due to the contractual nature of the package. Reproduced documents must be legible. (3) Handwritten Initials. Unless otherwise indicated, all applicants initials are to be handwritten, not printed. (4) Full Signature. Unless otherwise indicated, the applicant's signature will be in full (first name, middle name, last name) format. (5) Witness Signatures. All certification or witness signatures must be completed at the same time and place as the applicant's signature. (6) Corrections. No whiteout or correction tape is authorized on any form used to process an applicant for enlistment or affiliation. For further guidance on proper correction procedures review the governing instruction for that form or document. 010102. RESPONSIBILITIES Quality check for Pre-enlistment/Affiliation and Post Affiliation Paperwork for Navy/ Navy Reserve gains:

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    (1) The NAVCRUITDIST CO is responsible for ensuring an acceptable level of enlistment processing and contracting quality control is maintained by recruiters and processing personnel. This dictates that an adequate number DEP/residual kits be reviewed at least once per quarter. At a minimum, the CO must review 10 DEP/residual kits processed by each Navy Liaison Office within the district's boundaries each quarter. Emphasis should be placed on reviewing waiver residual kits. This requirement can be delegated to the Executive Officer (XO) or any commis

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