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NAVPERS
NAVPERSCOM Forms
 
 
 

Form
Number

Form Title

*JAVASCRIPT MUST BE ENABLED IN ORDER TO FILL IN AND SAVE READER EXTENDED (RE) PDFs .

NAVPERS
1000/1
 

PSEUDOFOLLICULITIS BARBAE (PFB) SHAVING WAIVER/EVALUATION/DISPOSITION

NAVPERS 1000/32 CONSENT TO RELEASE PERSONAL CONTACT INFORMATION
NAVPERS 1000/33 NPRST EVENT REQUEST APPLICATION

NAVPERS
1001/3
 

READY RESERVE SCREENING QUESTIONNAIRE

NAVPERS 1050/3 APPELLATE LEAVE STATEMENT OF UNDERSTANDING

NAVPERS
1070/120
 

REQUEST FOR CHANGE TO PERMANENT PERSONNEL RECORD

NAVPERS
1070/601
 

IMMEDIATE REENLISTMENT AGREEMENT

NAVPERS
1070/605
 

HISTORY OF ASSIGNMENTS

NAVPERS
1070/6
13
 

ADMINISTRATIVE REMARKS

NAVPERS
1070/615
 

HONORABLE DISCHARGE FROM THE UNITED STATES NAVY RESERVE

NAVPERS
1070/621
 

AGREEMENT TO EXTEND ENLISTMENT

NAVPERS
1070/622
 

AGREEMENT TO RECALL OR EXTEND ACTIVE DUTY

NAVPERS
1070/74
 

OFFICER’S REPORT OF HOME OF RECORD

NAVPERS
1070/856
 

REQUEST FOR AUTHORITY TO DRAW PERSONNEL RECORDS

NAVPERS
1070/857

 

REQUEST FOR ACCESS TO ELECTRONIC MILITARY PERSONNEL RECORDS SYSTEM (EMPRS)

NAVPERS
1070/882
 

OFFICIAL MILITARY PERSONNEL FILE (OMPF) RECORD REQUEST

NAVPERS
1070/883
 

INDIVIDUAL READY RESERVE (IRR) REQUEST FOR REENLISTMENT/EXTENSION

NAVPERS
1070/884
 

OFFICER PHOTOGRAPH

NAVPERS 1080/3 INDIVIDUAL READY RESERVE (IRR) ANNUAL SCREENING

NAVPERS
1130/11
 

APPLICATION FOR NAVY MUSIC PROGRAM

NAVPERS 1130/23 NAVY BAND MID-SOUTH PERFORMANCE REQUEST

NAVPERS
1200/1
 

READY RESERVE TRANSFER REQUEST SERVICE AGREEMENT

NAVPERS
1200/2

NAVY RESERVE QUALIFICATION QUESTIONNAIRE FOR INACTIVE DUTY PERSONNEL

NAVPERS
1200/6

U.S. MILITARY DIVING MEDICAL SCREENING QUESTIONNAIRE

NAVPERS
1221/2

NUCLEAR PROPULSION PLANT OPERATOR SCREEN SHEET

NAVPERS
1221/6
 

NAVY ENLISTED CLASSIFICATION (NEC) CHANGE REQUEST

NAVPERS
1236/13
 

FLAG WRITER’S INTERVIEW SHEET

NAVPERS
1300/16
 

REPORT OF SUITABILITY FOR OVERSEAS ASSIGNMENT

NAVPERS
1300/18
 

NEW CONSTRUCTION SCREENING FORM

NAVPERS
1300/2
 

AFFILIATION PROCESSING AND SUMMARY RECORD

NAVPERS
1300/21
 

MEDICAL SUITABILITY CERTIFICATION

NAVPERS
1300/22
 

EXPEDITIONARY SCREENING CHECKLIST

NAVPERS 1300/23 REDEPLOYMENT AND DEMOBILIZATION ADMINISTRATIVE SCREENING CHECKLIST
NAVPERS 1300/24 VOLUNTARY SERVICE AGREEMENT (VSA) FOR CONTINUING ON ACTIVE DUTY
NAVPERS 1300/25 VOLUNTARY WAIVER ACKNOWLEDGEMENT (VWA) FOR MOBILIZING ON ACTIVE DUTY
NAVPERS 1300/26 COASTAL RIVERINE SCREENING
NAVPERS 1300/27 PERSONNEL RELIABILITY PROGRAM (PRP) SUITABILITY PRELIMINARY SCREENING
NAVPERS 1300/28 OVERSEAS SCREENING DEFICIENCY REPORT/EARLY RETURN REQUEST

NAVPERS
1300/4
 

LICENSURE VERIFICATION FOR MEDICAL PROGRAMS APPLICANTS

NAVPERS
1301/85
 

OFFICER PERSONNEL ACTION REQUEST

NAVPERS
1306/7
 

ENLISTED PERSONNEL ACTION REQUEST

NAVPERS
1306/92
 

SPECIAL PROGRAM SCREENING FORM

NAVPERS
1306/93
 

RECRUITING DUTY SCREENING

NAVPERS
1306/94
 

LITTORAL COMBAT SHIP (LCS) SCREENING

NAVPERS 1306/95 COMMAND MASTER CHIEF SELECTION NOMINATION
NAVPERS 1306/97 RESERVE AFFILIATION SCREENING CHECKLIST AND CONTACT INFORMATION SHEET
NAVPERS 1320/16

TEMPORARY ADDITIONAL DUTY (TEMADD) TRAVEL ORDERS

NAVPERS
1331/5

APPLICATION FOR RECALL TO EXTENDED ACTIVE DUTY

NAVPERS 1331/6 SWO(N) DUTY PREFERENCE & EXPERIENCE SURVEY

NAVPERS
1336/3

SPECIAL REQUEST/AUTHORIZATION

NAVPERS 1400/2

ENLISTED SELECTION BOARD MEMBER/RECORDER APPLICATION

NAVPERS
1421/7 

DELIVERY OF TEMPORARY/PERMANENT APPOINTMENT

NAVPERS
1430/7
 

CERTIFICATE OF APPOINTMENT (E4-E6) USN

NAVPERS
1430/8
 

CERTIFICATE OF APPOINTMENT (E4-E6) USNR

NAVPERS 1430/9 CERTIFICATE OF APPOINTMENT (E1-E3) USN
NAVPERS 1430/10 CERTIFICATE OF APPOINTMENT (E1-E3) USNR

NAVPERS 1430/32

CERTIFICATE OF APPOINTMENT (E7-E9) USN
NAVPERS 1430/33 CERTIFICATE OF APPOINTMENT (E7-E9) USNR

NAVPERS
1500/1
 

CERTIFICATE OF COMPLETION PETTY OFFICER INDOCTRINATION COURSE

NAVPERS
1610/1
 

FITREP/EVAL SUMMARY LETTER

NAVPERS
1610/2
 

FITNESS REPORT & COUNSELING RECORD (W2-O6)

NAVPERS
1610/5

FITNESS REPORT & COUNSELING RECORD (O7-O8)

NAVPERS
1616/26
 

EVALUATION REPORT & COUNSELING RECORD (E1-E6)

NAVPERS
1616/27
 

EVALUATION & COUNSELING RECORD (E7-E9)

NAVPERS
1620/2
 

REGIONAL RESTRICTION BARRACKS (RRB) CHECK-IN SHEET

NAVPERS
1626/7

REPORT AND DISPOSITION OF OFFENSE(S) 

NAVPERS
1640/11
 

MONTHLY REPORT OF PRISONER/CORRECTIONAL CUSTODY PERSONNEL

NAVPERS
1640/15
 

MAIL AND VISITING LIST

NAVPERS
1640/17
 

INVENTORY AND RECEIPT OF VALUABLES

NAVPERS
1640/29
 

RECEIPT FOR AWARDEE

NAVPERS
1640/30
 

WORK AND TRAINING EDUCATION

NAVPERS
1640/31
 

INTERVIEW REQUEST

NAVPERS
1640/32
 

BACKGROUND SUMMARY

NAVPERS
1640/33
 

ARMED ESCORT TEAM (AET) MISSION REPORT

NAVPERS
1640/8
 

CONDUCT RECORD

NAVPERS
1650/1
 

DEPARTMENT OF THE NAVY GOOD CONDUCT AWARD

NAVPERS
1650/77NR
 

CERTIFICATE OF REENLISTMENT- USNR

NAVPERS
1650/78N
 

CERTIFICATE OF REENLISTMENT (NAVY)

NAVPERS
1650/80
 

CERTIFICATE OF APPRECIATION (RETIREMENT-OTHERS)

NAVPERS
1740/6
 

DEPARTMENT OF THE NAVY FAMILY CARE PLAN CERTIFICATE

NAVPERS
1740/7
 

FAMILY CARE PLAN ARRANGEMENTS

NAVPERS
1752/1
 

SEXUAL ASSAULT INCIDENT DATE COLLECTION REPORT

NAVPERS
1770/7
 

CASUALTY ASSISTANCE CALLS PROGRAM

NAVPERS
1770/8
 

CONSENT TO RELEASE PERSONAL INFORMATION

NAVPERS
1770/9
 

PRIMARY/SECONDARY NEXT OF KIN INFORMATION

NAVPERS 1770/10 

NEXT OF KIN TRAVEL REQUEST

NAVPERS
1800/13
 

QUESTIONNAIRE FOR APPLICANTS FOR RETIRED PAY

NAVPERS
1810/1
 

NAVY RESERVE RETIREMENT POINT CAPTURE

NAVPERS
1900/2
 

SEPARATION TRAVEL ORDERS

NAVPERS
1910/31
 

ADMINISTRATIVE SEPARATION PROCESSING NOTICE – ADMINISTRATIVE BOARD PROCEDURE

NAVPERS
1910/32
 

ADMINISTRATIVE SEPARATION PROCESSING NOTIFICATION PROCEDURE

NAVPERS 1910/33

EARLY CAREER TRANSITION PROGRAM (ECTP) RESERVE AFFILIATION SCREENING CHECKLIST

NAVPERS
4060/1
 

AUXILIARY RESALE OUTLET (ARO) FINANCIAL STATEMENT

NAVPERS
5000/64
 

RECORDS TRANSMITTAL

NAVPERS 5070/1 REQUEST FOR PURCHASE OF LIBRARY MATERIALS
NAVPERS 5070/2 REQUEST FOR INTERLIBRARY LOAN MATERIALS

NAVPERS
5211/14
 

 

BUREAU OF NAVAL PERSONNEL SIGN OUT/SIGN IN FORM FOR PORTABLE DEVICES CONTAINING PRIVACY ACT/PERSONALLY IDENTIFIABLE INFORMATION

NAVPERS
5211/15
 

 

PERSONALLY IDENTIFIABLE INFORMATION (PII) CHECKLIST

NAVPERS
5300/16

CUMULATIVE RECORD OF TRAINING

NAVPERS
5350/3
 

DAPA ADMIN SCREENING FORM

NAVPERS 5370/1

HOTLINE COMPLAINT FORM

NAVPERS
5520/6
 

REQUEST FOR SECURITY ACCESS

NAVPERS
5602/7
 

MILPERSMAN REVIEW AND CHANGE REQUEST

NAVPERS 6110/3

PHYSICAL ACTIVITY RISK FACTOR QUESTIONNAIRE (PARFQ)

NAVPERS
7010/10
 

PAYROLL SUMMARY

NAVPERS
7010/1

DEPARTMENT OF DEFENSE INTERNATIONAL BALANCE OF PAYMENTS NON-APPROPRIATE FUND TRANSACTIONS (DOLLARS IN THOUSANDS) ACCOUNTING REPORT 2

NAVPERS
7010/11
 

DAILY ACTIVITY RECORD SUMMARY

NAVPERS
7010/15
 

DAILY ACTIVITY RECORD

NAVPERS
7041/1
 

PCS TRAVEL

NAVPERS
7220/9
 

U.S. NAVY CAREER STATUS BONUS (CSB) ELECTION AND PAYMENT OPTION FORM

NAVPERS 7220/11

PAY AND ALLOWANCE CONTINUATION (PAC) PROGRAM REPORT

NAVPERS 7220/11

PAY AND ALLOWANCE CONTINUATION (PAC) PROGRAM REPORT

NAVPERS
7421/1

OVERTIME/COMPENSATORY TIME AUTHORIZATION REQUEST

NAVPERS
7430/1
 

ELECTRONIC FUNDS TRANSFER DATA SHEET

NAVPERS 12300/18 NEW EMPLOYEE INDOCTRINATION CHECKLIST
NAVPERS 12300/19 TELEWORK AGREEMENT
NAVPERS 12300/20 TELEWORK PROGRAM SAFETY CHECKLIST
NAVPERS 12300/21 DON STUDENT LOAN REPAYMENT PROGRAM APPLICATION
NAVPERS 12300/22 STUDENT LOAN REPAYMENT SERVICE AGREEMENT
NAVPERS 12451/3 CIVILIAN AWARD RECOMMENDATION
NAVPERS 12500/2 TIMEKEEPING UNIT
  For questions regarding the design or format of NAVPERS forms contact PERS-532.  For all other questions contact 1-866-U-ASK-NPC or DSN 882-5672

 

 

NAVY PERSONNEL COMMAND: 5720 Integrity Drive, Millington TN 38055-0000 
Comments? Suggestions? Call 866-U-ASK-NPC or Email the Webmaster | Updated:4/9/2014 3:37 PM 


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