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NAVPERS Forms

 
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Official NAVPERS Templates
and Pre-Drafted Forms: PERS-83 Reporting Letter Templates
                                   NAVPERS 1070/613 Administrative Remarks (Physical Fitness Assessment) 
                              
                                
 
NAVPERS 1000/1              Pseudofolliculitis Barbae (PFB) Temporary Shaving Waiver and Treatment Regimen (Rev. 07-2024)
NAVPERS 1001/3              Ready Reserve Screening Questionnaire (Rev. 10-2024)
NAVPERS 1040/2                Command Information Program Review (Rev. 09-2024)
NAVPERS 1040/3              Career Counselor Initial Tour Feedback (Rev. 08-2024)
NAVPERS 1040/4              Career Waypoints Application (Rev. 07-2024)
NAVPERS 1050/3              Appellate Leave Statement of Understanding (Rev. 11-2024)
NAVPERS 1070/74            Officer’s Report of Home of Record and Place from Which Ordered to Active Duty (Rev. 10-2024)
NAVPERS 1070/601          Immediate Reenlistment Agreement (Rev. 03-2024)
NAVPERS 1070/602          Dependency Application (Rev. 10-2024)
NAVPERS 1070/605          History of Assignments (form in revision 6/30/23)
NAVPERS 1070/607          Court Memorandum (Rev. 10-2024)
NAVPERS 1070/613          Administrative Remarks (Rev. 10-2024)
NAVPERS 1070/615          Honorable Discharge from the United States Navy Reserve (Rev. 11-2024)
NAVPERS 1070/621          Agreement to Extend Enlistment (Rev. 09-2024)
NAVPERS 1070/622          Agreement to Recall or Extend Active Duty (Rev. 09-2024)
NAVPERS 1070/856          Request for Authority to Draw Personnel Records (Rev. 10-2024)
NAVPERS 1070/884          Officer Photograph (Rev. 09-2024)
NAVPERS 1070/887          Sex Offense Accountability Record (SOAR) (Rev. 10-2024)
NAVPERS 1070/888          Notification of Change in Service Member's Official Records (Rev. 10-2023)
NAVPERS 1080/3              Individual Ready Reserve (IRR) Annual Screening (Rev. 10-2024)
NAVPERS 1120/1              Reserve LDO/CWO Eligibility Checklist (06-2024)
NAVPERS 1131/1              Training and Administration of the Reserve (TAR) Officer Candidate Service Agreement (Rev. 05-2023)
NAVPERS 1132/1              Reserve Officer Recall Staffing Application and Routing Control (Rev. 05-2024)
NAVPERS 1200/1              Ready Reserve Transfer Request Service Agreement (Rev. 10-2024)
NAVPERS 1200/2              Navy Reserve Qualification Questionnaire for Inactive Duty Personnel (Rev. 10-2022)
NAVPERS 1200/6              U.S. Military Diving Medical Screening Questionnaire (Rev. 10-2024)
NAVPERS 1210/9              Prospective Naval Special Warfare Officer Data Card (Rev. 11-2023)
NAVPERS 1221/6              Navy Enlisted Classification (NEC) Change Request (Rev. 01-2024)
NAVPERS 1236/13            Flag Writer Interview Sheet (Rev. 10-2024)
NAVPERS 1300/2              Affiliation Processing and Summary Record (Rev. 10-2024)
NAVPERS 1300/16            Report of Suitability for Overseas Assignment (Rev. 07-2024)
NAVPERS 1300/18            New Construction Screening (Rev. 06-2024)
NAVPERS 1300/21            Medical Suitability Certification (Rev. 10-2024)
NAVPERS 1300/22            Expeditionary Screening Checklist (Rev. 06-2022)
NAVPERS 1300/24            Voluntary Service Agreement (VSA) (Rev. 08-2023)
NAVPERS 1300/25            Voluntary Waiver Acknowledgement (VWA) for Mobilizing On Active Duty (Rev. 10-2022)
NAVPERS 1300/26            Coastal Riverine Screening (Rev. 10-2024)
NAVPERS 1300/27            Nuclear Weapons Personnel Reliability Program (PRP) Suitability Preliminary Screening (Rev. 03-2025)
NAVPERS 1300/28            Overseas Screening Deficiency Report/Early Return Request (Rev. 10-2024)
NAVPERS 1300/29            Navy Reserve Definite Recall Application (03-2024)
NAVPERS 1300/30            Navy Reserve Definite Pre-Reporting Checklist (03-2024)
NAVPERS 1300/31            Navy Reserve Definite Recall Gain Transaction Checklist (03-2024)
NAVPERS 1300/32            Navy Reserve Definite Recall Cumulative Active Duty Service Statement (03-2024)
NAVPERS 1300/33            Navy Reserve Definite Recall Pre-Screen (03-2024)
NAVPERS 1300/34            Navy Canvasser Recruiter Pre-Screen (03-2024)
NAVPERS 1301/85            Officer Personnel Action Request (Rev. 02-2025)
NAVPERS 1306/7              Electronic Personnel Action Request (Rev. 01-2023)
NAVPERS 1306/92            Special Program Screening (Rev. 06-2024)
NAVPERS 1306/93            Recruiting Duty Screening (Rev. 06-2024)
NAVPERS 1306/94            Littoral Combat Ship (LCS) Screening (Rev. 06-2024)
NAVPERS 1306/95            Command Senior Enlisted Leader Screening (Rev. 07-2024)
NAVPERS 1306/96            Recruit Division Commander Screening (Rev. 07-2024)
NAVPERS 1306/97            Reserve Affiliation Screening Checklist and Contact Information Sheet (Rev. 10-2024)
NAVPERS 1306/98            Nuclear Power Program Activity Screening (Rev. 06-2024)
NAVPERS 1306/99            DDG 1000-Class Program Screening (Rev. 06-2024)
NAVPERS 1306/100          Navy Drug and Alcohol Counselor School Application (Rev. 06-2024)
NAVPERS 1306/101          Navy Drug and Alcohol Counselor School Interview (Rev. 06-2024)
NAVPERS 1320/16            Temporary Additional Duty (TEMADD) Travel Orders (Rev. 10-2024)
NAVPERS 1330/3              Distribution Systems Request (Rev. 08-2022)
NAVPERS 1330/4              Secretary of the Navy Tours with Industry Program Application (Rev. 10-2024)
NAVPERS 1331/5              Application for Recall to Extended Active Duty (Rev. 05-2024)
NAVPERS 1336/3              Special Request/Authorization (Rev. 10-2024)
NAVPERS 1400/2              Enlisted Selection Board Member/Recorder Application (Rev. 04-2025)
NAVPERS 1400/5              Officer Selection Board Member/Recorder Nomination (Rev. 04-2025)
NAVPERS 1420/5              LDO/CWO Eligibility Checklist (Rev. 05-2024)
NAVPERS 1420/6              LDO/CWO Interviewer's Appraisal Sheet (Rev. 04-2025)
NAVPERS 1421/7              Delivery of Temporary/Permanent Appointment (Rev. 10-2013)
NAVPERS 1430/7              Certificate of Appointment (E4-E6) USN (11-2010)
NAVPERS 1430/8              Certificate of Appointment (E4-E6) USNR (06-2006)
NAVPERS 1430/9              Certificate of Appointment (E1-E3) USN (01-2006)
NAVPERS 1430/10            Certificate of Appointment (E1-E3) USNR (01-2006)
NAVPERS 1430/32            Certificate of Appointment (E7-E9) USN (10-2008)
NAVPERS 1430/33            Certificate of Appointment (E7-E9) USNR (01-2006)
NAVPERS 1500/1              Certificate of Completion Petty Officer Indoctrination Course (01-2006)
NAVPERS 1610/1              FITREP/EVAL Summary Letter (Rev. 09-2024)
NAVPERS 1610/2              Fitness Report & Counseling Record (W2-O6) (form in revision 2/12/25)
NAVPERS 1610/5              Fitness Report & Counseling Record (O7-O8) (Rev. 06-2023)
NAVPERS 1610/19            Military Individual Development Plan (Rev. 03-2025)
NAVPERS 1610/20            Mid-Term Counseling Checklist (Rev. 03-2025)
NAVPERS 1616/26            Evaluation Report & Counseling Record (E1-E6) (form in revision 2/12/25)
NAVPERS 1616/27            Evaluation & Counseling Record (E7-E9) (Rev. 09-2024)
NAVPERS 1620/2              Regional Restriction Barracks (RRB) Check-In Sheet (Rev. 08-2024)
NAVPERS 1626/7              Report and Disposition of Offense(s) (Rev. 02-2025)
NAVPERS 1640/8              Conduct Record (Rev. 09-2024)
NAVPERS 1640/11            Monthly Report of Prisoner/Correctional Custody Personnel (Rev. 08-2024)
NAVPERS 1640/15            Mail and Visiting List (Rev. 08-2024)
NAVPERS 1640/17            Inventory and Receipt of Valuables, Clothing, and Personal Effects (Rev. 10-2024)
NAVPERS 1640/25            Earned Time and Special Acts Abatement Worksheet (Rev. 08-2024)
NAVPERS 1640/33            Prisoner Transport Team (PTT) Mission Report (Rev. 08-2024)
NAVPERS 1640/34            Prisoner Transport Team (PTT) Mission Brief (Rev. 08-2024)
NAVPERS 1640/35            Escort Risk Assessment (Rev. 08-2024)
NAVPERS 1640/36            Use of Detention Facility (Rev. 09-2024)
NAVPERS 1650/1              Department of the Navy Good Conduct Award (01-2006)
NAVPERS 1650/77            Certificate of Reenlistment- USNR (01-2006)
NAVPERS 1650/78            Certificate of Reenlistment- USN (01-2006)
NAVPERS 1650/80            Certificate of Appreciation (Retirement-Others) (Rev. 10-2013)
NAVPERS 1740/6              Department of the Navy Family Care Plan Certificate (Rev. 02-2022)
NAVPERS 1740/7              Family Care Plan Arrangements (Rev. 10-2024)
NAVPERS 1770/11            Suicide Prevention Coordinator Training Registration (Rev. 10-2024)
NAVPERS 1800/14            Officer Career Progression and Routing Control (Rev. 10-2024)
NAVPERS 1810/1              Navy Reserve Retirement Point Capture (Rev. 10-2024)
NAVPERS 1910/31            Administrative Separation Processing Notice (Rev. 10-2024)
NAVPERS 5211/15            Personally Identifiable Information (PII) Spot Check Checklist (Rev. 10-2024)
NAVPERS 5211/16            Employee PII Handling Statement of Understanding (Rev. 02-2022)
NAVPERS 5239/9              Review for Data Transfer Request (Rev. 02-2022)
NAVPERS 5350/3              DAPA Admin Screening (In Revision 11/6/2024)
NAVPERS 5354/2              Navy Equal Opportunity (EO) and Harassment Complaint (Rev. 03-2025)
NAVPERS 5357/3              Peer Coaching Intake (Rev. 03-2025)
NAVPERS 5357/4              Coaching Partner Agreement (03-2025)
NAVPERS 5357/5              Coach-Like Skills Evaluation Tool (01-2022)
NAVPERS 5357/6              Coaching Hours Log (01-2022)
NAVPERS 5370/1              Hotline Complaint form (Rev. 05-2024)
NAVPERS 5602/7              MILPERSMAN Review and Change Request (Rev. 07-2023)
NAVPERS 6110/3              Physical Activity Risk Factor Questionnaire (PARFQ) (Rev. 10-2023)
NAVPERS 6110/10            Official Body Composition Assessment Score Sheet (Rev. 01-2025)
NAVPERS 6110/11            Official Physical Readiness Test Score Sheet (Rev. 01-2025)
NAVPERS 7421/1              Overtime/Compensatory Time Authorization Request (Rev. 08-2021)
NAVPERS 12300/21          Student Loan Repayment Program Application (Rev. 10-2024)
NAVPERS 12300/22          Student Loan Repayment Service Agreement (Rev. 10-2024)
NAVPERS 12300/24          Billet Fill Checklist (Rev. 07-2024)
NAVPERS 12300/25          BUPERS Remote Work Agreement (05-2024)
NAVPERS 12410/8            BUPERS Civilian Employee Individual Development Plan (Rev. 10-2024)
NAVPERS 12451/3            Civilian Award Recommendation (Rev. 10-2024)
NAVPERS 12500/2            Timekeeping Unit (Rev. 10-2024)
NAVPERS 12600/1            BUPERS Civilian Employee Supplemental Time Sheet (Rev. 04-2024)
NAVPERS 12600/2            BUPERS Civilian Employee Work Schedule Assignment (Rev. 04-2024)
NAVPERS 12600/3            BUPERS Civilian Employee Request for Extended Leave (Rev. 03-2024)
NAVPERS 12600/4            BUPERS Civilian Employee Request for Leave under the Family and Medical Leave Act (Rev. 04-2024)
 
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