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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 .

Effective
Date
            

NAVPERS
1000/1
 

PSEUDOFOLLICULITIS BARBAE (PFB) SHAVING WAIVER/EVALUATION/DISPOSITION

12/01/2002

NAVPERS
1001/3
 

READY RESERVE SCREENING QUESTIONNAIRE

05/01/2004 

NAVPERS
1070/120
 

REQUEST FOR CHANGE TO PERMANENT PERSONNEL RECORD

07/01/2011 

NAVPERS
1070/601
 

IMMEDIATE REENLISTMENT AGREEMENT

01/01/2000 

NAVPERS
1070/604
 

ENLISTED QUALIFICATIONS HISTORY

03/01/2005    

NAVPERS
1070/605
 

HISTORY OF ASSIGNMENTS

07/01/2006 

NAVPERS
1070/607
 

COURT MEMORANDUM

08/01/2007 

NAVPERS
1070/6
13
 

ADMINISTRATIVE REMARKS

07/01/2006 

NAVPERS
1070/615
 

HONORABLE DISCHARGE FROM THE UNITED STATES NAVY RESERVE

08/01/2006 

NAVPERS
1070/621
 

AGREEMENT TO EXTEND ENLISTED

01/01/2000 

NAVPERS
1070/622
 

AGREEMENT TO RECALL OR EXTEND ACTIVE DUTY

08/01/2007 

NAVPERS
1070/74
 

OFFICER’S REPORT OF HOME OF RECORD

10/01/2005 

NAVPERS
1070/856
 

REQUEST FOR AUTHORITY TO DRAW PERSONNEL RECORDS

10/01/2005  

NAVPERS
1070/857

 

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

07/01/2008 

NAVPERS
1070/882
 

OFFICIAL MILITARY PERSONNEL FILE (OMPF) RECORD REQUEST

04/01/2010 

NAVPERS
1070/883
 

INDIVIDUAL READY RESERVE (IRR) REQUEST FOR REENLISTMENT/EXTENSION

09/01/2010  

NAVPERS
1070/884
 

OFFICER PHOTOGRAPH

04/01/2007  

NAVPERS
1130/11
 

APPLICATION FOR NAVY MUSIC PROGRAM

10/01/2006 

NAVPERS
1200/1
 

READY RESERVE TRANSFER REQUEST SERVICE AGREEMENT

01/01/2010 

NAVPERS
1200/2

NAVY RESERVE QUALIFICATION QUESTIONNAIRE FOR INACTIVE DUTY PERSONNEL

08/01/2010 

NAVPERS
1200/6

U.S. MILITARY DIVING MEDICAL SCREENING QUESTIONNAIRE

12/01/2009 

NAVPERS
1221/2

NUCLEAR PROPULSION PLANT OPERATOR SCREEN SHEET

10/01/2010 

NAVPERS
1221/6
 

NAVY ENLISTED CLASSIFICATION (NEC) CHANGE REQUEST

06/01/2006 

NAVPERS
12300/18
 

NEW EMPLOYEE INDOCTRINATION CHECK LIST

03/01/2003 

NAVPERS
12300/19
 

TELEWORK AGREEMENT

04/01/2002  

NAVPERS
12300/20

TELEWORK PROGRAM SAFETY CHECKLIST

04/01/2002

NAVPERS
12300/21
 

DON STUDENT LOAN REPAYMENT PROGRAM APPLICATION

02/02/2011 

NAVPERS
12300/22
 

STUDENT LOAN REPAYMENT SERVICE AGREEMENT

03/01/2011 

NAVPERS
1236/13
 

FLAG WRITER’S INTERVIEW SHEET

03/01/2006  

NAVPERS
12451/3
 

CIVILIAN AWARD RECOMMENDATION

10/18/2011

NAVPERS
12500/2
 

TIMEKEEPING UNIT                                

02/01/2011  

NAVPERS
1300/16
 

REPORT OF SUITABILITY FOR OVERSEAS ASSIGNMENT

11/01/2009 

NAVPERS
1300/18
 

NEW CONSTRUCTION SCREENING FORM

07/01/2007 

NAVPERS
1300/2
 

AFFILIATION PROCESSING AND SUMMARY RECORD

01/01/2010

NAVPERS
1300/21
 

MEDICAL SUITABILITY CERTIFICATION

01/01/2011

NAVPERS
1300/22
 

EXPEDITIONARY SCREENING CHECKLIST

12/01/2011 

NAVPERS
1300/4
 

LICENSURE VERIFICATION FOR MEDICAL PROGRAMS APPLICANTS

12/01/2009

NAVPERS
1301/85
 

OFFICER PERSONNEL ACTION REQUEST

09/01/2010

NAVPERS
1306/7
 

ENLISTED PERSONNEL ACTION REQUEST

01/01/2003

NAVPERS
1306/92
 

SPECIAL PROGRAM SCREENING FORM

01/01/11    

NAVPERS
1306/93
 

RECRUITING DUTY SCREENING

09/01/2010

NAVPERS
1306/94
 

LITTORAL COMBAT SHIP (LCS) SCREENING FORM

12/01/2006

NAVPERS 1320/16

TEMPORARY ADDITIONAL DUTY (TEMADD) TRAVEL ORDERS

 

11/01/1987

NAVPERS
1331/5

 

APPLICATION FOR RECALL TO EXTENDED ACTIVE DUTY

 

11/01/2008

NAVPERS 1331/6 SWO(N) DUTY PREFERENCE & EXPERIENCE SURVEY 12/01/2011

NAVPERS
1336/3

 

SPECIAL REQUEST/AUTHORIZATION

10/11/2011

NAVPERS 1400/2

ENLISTED SELECTION BOARD MEMBER/RECORDER APPLICATION

 

08/23/2011
NAVPERS 1400/3

SENIOR ENLISTED CONTINUATION BOARD

 

07/14/2011  

NAVPERS
1421/7

 

DELIVERY OF TEMPORARY/PERMANENT APPOINTMENT

08/09/2011

NAVPERS
1430/10

 

CERTIFICATE OF APPOINTMENT (E5/E6) NAVY RESERVE

06/01/2006

NAVPERS
1430/32
 

CERTIFICATE OF PERMANENT APPOINTMENT (E7) NAVY

10/01/2008

NAVPERS
1430/33
 

CERTIFICATE OF PERMANENT APPOINTMENT (E7) NAVY RESERVIST

 

01/01/2006

NAVPERS
1430/7
 

CERTIFICATE OF APPOINTMENT (E4) NAVY

11/01/2010

NAVPERS
1430/8
 

CERTIFICATE OF APPOINTMENT (E4) NAVY RESERVIST

06/01/2006

NAVPERS
1430/9
 

CERTIFICATE OF APPOINTMENT (E5/E6) NAVY

12/01/2011

NAVPERS
1500/1
 

CERTIFICATE OF COMPLETION PETTY OFFICER INDOCTRINATION COURSE

01/01/2006

NAVPERS
1610/1
 

FITREP/EVAL SUMMARY LETTER

08/01/2010

NAVPERS
1610/2
 

FITNESS REPORT & COUNSELING RECORD (W2-O6)

11/01/2011

NAVPERS
1610/5

FITNESS REPORT & COUNSELING RECORD (O7-O8)

08/01/2010

NAVPERS
1616/26
 

EVALUATION REPORT & COUNSELING RECORD (E1-E6)

08/01/2010

NAVPERS
1616/27
 

EVALUATION & COUNSELING RECORD (E7-E9)

08/01/2010

NAVPERS
1620/2
 

REGIONAL RESTRICTION BARRACKS (RRB) CHECK-IN SHEET

07/01/2009 (non fillable)

NAVPERS
1626/7

REPORT AND DISPOSITION OF OFFENSE(S) 

12/01/1988

NAVPERS
1640/11
 

MONTHLY REPORT OF PRISONER/CORRECTIONAL CUSTODY PERSONNEL

08/01/2007 

NAVPERS
1640/15
 

MAIL AND VISITING LIST

12/01/2010

NAVPERS
1640/17
 

INVENTORY AND RECEIPT OF VALUABLES

10/01/2007

NAVPERS
1640/29
 

RECEIPT FOR AWARDEE

09/01/2005 

NAVPERS
1640/30
 

WORK AND TRAINING EDUCATION

01/01/2011 

NAVPERS
1640/31
 

INTERVIEW REQUEST

09/01/2005

NAVPERS
1640/32
 

BACKGROUND SUMMARY

07/01/2010

NAVPERS
1640/33
 

ARMED ESCORT TEAM (AET) MISSION REPORT

10/01/2005

NAVPERS
1640/8
 

CONDUCT RECORD

07/01/2007

NAVPERS
1650/1
 

DEPARTMENT OF THE NAVY GOOD CONDUCT AWARD

01/01/2006  

NAVPERS
1650/77NR
 

CERTIFICATE OF REENLISTMENT- USNR

01/01/2006

NAVPERS
1650/78N
 

CERTIFICATE OF REENLISTMENT (NAVY)

01/01/2006

NAVPERS
1650/79NR
 

SPOUSE’S CERTIFICATE OF APPRECIATION – USNR

01/01/2006 

NAVPERS
1650/80N
 

SPOUSE’S CERTIFICATE OF APPRECIATION (NAVY)

02/01/2011 

NAVPERS
1710/23

32 MM FILM MONTHLY MOVIE EXHIBITION AND ATTENDANCE RECORD FOR PAID AND FREE ADMISSION SITES

03/01/2003 

NAVPERS
1710/24
 

RECEIVER’S RECORD

03/01/2003

NAVPERS
1710/25
 

REPORTING ATTENDANCE FOR ASHORE 8MM VIDEOTAPE SITES

03/01/2003

NAVPERS
1710/26
 

ASHORE VIDEOTAPE PROGRAM MONTHLY ATTENDANCE WORKSHEET

09/01/2003

NAVPERS
1710/27
 

VIDEOTAPE RETURNS

09/01/2003

NAVPERS
1710/28
 

NMPS ONBOARD VIDEOTAPE RESPONSE FORM

09/01/2003

NAVPERS
1740/6
 

DEPARTMENT OF THE NAVY FAMILY CARE PLAN CERTIFICATE

02/01/2011 

NAVPERS
1740/7
 

FAMILY CARE PLAN ARRANGEMENTS

02/01/2011 

NAVPERS
1752/1
 

SEXUAL ASSAULT INCIDENT DATE COLLECTION REPORT

10/21/2011

NAVPERS
1770/7
 

CASUALTY ASSISTANCE CALLS PROGRAM

06/01/2010

NAVPERS
1770/8
 

CONSENT TO RELEASE PERSONAL INFORMATION

10/01/2006

NAVPERS
1770/9
 

PRIMARY/SECONDARY NEXT OF KIN INFORMATION

06/01/2010

NAVPERS 1770/10

 

NEXT OF KIN TRAVEL REQUEST 07/12/2011  

NAVPERS
1800/13
 

QUESTIONNAIRE FOR APPLICANTS FOR RETIRED PAY

04/01/2007

NAVPERS
1810/1
 

NAVY RESERVE RETIREMENT POINT CAPTURE

04/01/2007

NAVPERS
1900/2
 

SEPARATION TRAVEL ORDERS

06/01/2008

NAVPERS
1910/31
 

ADMINISTRATIVE SEPARATION PROCESSING NOTICE – ADMINISTRATIVE BOARD PROCEDURE

12/01/2011

NAVPERS
1910/32
 

ADMINISTRATIVE SEPARATION PROCESSING NOTIFICATION PROCEDURE

01/01/2007

NAVPERS 1910/33

EARLY CAREER TRANSITION PROGRAM (ECTP) RESERVE AFFILIATION SCREENING CHECKLIST

04/30/2011

NAVPERS
4060/1
 

AUXILIARY RESALE OUTLET (ARO) FINANCIAL STATEMENT

09/01/2006 (Excel)

NAVPERS
5000/64
 

RECORDS TRANSMITTAL

04/01/2010

NAVPERS 5070/1 REQUEST FOR PURCHASE OF LIBRARY MATERIALS 10/01/2011
NAVPERS 5070/2 REQUEST FOR INTERLIBRARY LOAN MATERIALS 10/01/2011

NAVPERS
5211/14
 

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

08/01/2007

NAVPERS
5211/15
 

BUREAU OF NAVAL PERSONNEL PRIVACY ACT COORDINATOR CHECKLIST

08/01/2007

NAVPERS 5239/8

FLEET RIDE PTS USER ADDENDUM

04/25/2011   

NAVPERS
5300/16

CUMULATIVE RECORD OF TRAINING

12/01/2006

NAVPERS
5350/3
 

DAPA ADMIN SCREENING FORM

08/01/2009

NAVPERS 5370/1

HOTLINE COMPLAINT FORM 11/01/2010  

NAVPERS
5520/6
 

REQUEST FOR SECURITY ACCESS

11/01/2010

NAVPERS
5602/7
 

MILPERSMAN REVIEW AND CHANGE REQUEST

03/01/2010

NAVPERS 6110/3

PHYSICAL ACTIVITY RISK FACTOR QUESTIONNAIRE (PARFQ)

07/13/2011 

NAVPERS
7010/10
 

PAYROLL SUMMARY

03/01/1988

NAVPERS
7010/1

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

02/01/2003 (Word)

NAVPERS
7010/11
 

DAILY ACTIVITY RECORD SUMMARY

03/01/1988

NAVPERS
7010/15
 

DAILY ACTIVITY RECORD

05/01/2002 (non fillable)

NAVPERS
7041/1
 

PCS TRAVEL

12/01/1992

NAVPERS
7220/9
 

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

10/01/2002

NAVPERS 7220/11

PAY AND ALLOWANCE CONTINUATION (PAC) PROGRAM REPORT

03/01/2011 (Excel)

NAVPERS 7220/11

PAY AND ALLOWANCE CONTINUATION (PAC) PROGRAM REPORT

10/21/2011  (PDF)

NAVPERS
7421/1

OVERTIME/COMPENSATORY TIME/CREDIT HOURS AUTHORIZATION REQUEST

04/01/2009

NAVPERS
7430/1
 

ELECTRONIC FUNDS TRANSFER DATA SHEET

04/01/2007

 

NOTE 1: If you have problems retrieving a form try the Navy Forms Online (NFOL) website at https://navalforms.daps.dla.mil/web/public/forms 

NOTE 2: For questions regarding the design/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:4/20/2012 3:19 PM 


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