An official website of the United States government
Here's how you know
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

NAVPERS Forms

 
Important Adobe Notice: Browsers other than Internet Explorer are not initially configured to open PDF forms with Adobe as the default and causes an error.  Here is the guidance to default your browser of choice. 

Google Chrome: Open any PDF file saved on your computer > Click Edit > Select Preferences > Select Internet > Uncheck Allow Fast Web View

MS Edge: When the file opens in the browser window with the error message, click save icon (right, upper corner) to save to your computer and open from the saved location.

Official NAVPERS Templates
and Pre-Drafted Forms: 
PERS-83 Reporting Letter Templates
                                   NAVPERS 1070/613 Administrative Remarks (Physical Fitness Assessment) 

                                   NAVPERS 1070/613 Administrative Remarks (COVID-19 Vaccine Refusal Administrative Warning) 
                                   NAVPERS 1070/613 Administrative Remarks (COVID-19 Vaccine Refusal) 

 
NAVPERS 1000/1              Pseudofolliculitis Barbae (PFB) Temporary Shaving Waiver and Treatment Regimen
NAVPERS 1000/32            Consent to Release Personal Contact Information
NAVPERS 1001/3              Ready Reserve Screening Questionnaire
NAVPERS 1040/2              Command Information Program Review
NAVPERS 1040/3              Career Counselor Initial Tour Feedback
NAVPERS 1050/3              Appellate Leave Statement of Understanding
NAVPERS 1070/74            Officer’s Report of Home of Record and Place from Which Ordered to Active Duty
NAVPERS 1070/120          Request for Change to Permanent Personnel Record
NAVPERS 1070/601          Immediate Reenlistment Agreement
NAVPERS 1070/605          History of Assignments
NAVPERS 1070/607          Court Memorandum
NAVPERS 1070/613          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 1070/856          Request for Authority to Draw Personnel Records
NAVPERS 1070/884          Officer Photograph
NAVPERS 1070/887          Sex Offense Accountability Record (SOAR)
NAVPERS 1080/3              Individual Ready Reserve (IRR) Annual Screening
NAVPERS 1130/11            Application for Navy Music Program
NAVPERS 1132/1              Reserve Officer Recall Staffing Application and Routing Control
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 1210/9              Prospective Naval Special Warfare Officer Data Card
NAVPERS 1221/2              Nuclear Propulsion Plant Operator Screen Sheet
NAVPERS 1221/6              Navy Enlisted Classification (NEC) Change Request
NAVPERS 1236/13            Flag Writer Interview Sheet
NAVPERS 1300/2              Affiliation Processing and Summary Record
NAVPERS 1300/16            Report of Suitability for Overseas Assignment
NAVPERS 1300/18            New Construction Screening form
NAVPERS 1300/21            Medical Suitability Certification
NAVPERS 1300/22            Expeditionary Screening Checklist
NAVPERS 1300/24            Voluntary Service Agreement (VSA) 
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 1301/85            Officer Personnel Action Request
NAVPERS 1301/86            Defense Acquisition Corps Board Application Data Sheet
NAVPERS 1306/7              Electronic Personnel Action Request
NAVPERS 1306/92            Special Program Screening
NAVPERS 1306/93            Recruiting Duty Screening
NAVPERS 1306/94            Littoral Combat Ship (LCS) Screening
NAVPERS 1306/95            Command Senior Enlisted Leader Selection Nomination
NAVPERS 1306/96            Recruit Division Commander Screening
NAVPERS 1306/97            Reserve Affiliation Screening Checklist and Contact Information Sheet
NAVPERS 1306/98            Nuclear Power Program Activity Screening
NAVPERS 1306/99            DDG 1000-Class Program Screening
NAVPERS 1306/100          Navy Drug and Alcohol Counselor School Application
NAVPERS 1306/101          Navy Drug and Alcohol Counselor School Interview
NAVPERS 1320/16            Temporary Additional Duty (TEMADD) Travel Orders
NAVPERS 1330/3              Distribution Systems Request
NAVPERS 1330/4              Secretary of the Navy Tours with Industry Program Application
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 1400/5              Officer Selection Board Member/Recorder Nomination
NAVPERS 1420/5              LDO/CWO Eligibility Checklist
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 1610/19            Military Individual Development Plan
NAVPERS 1610/20            Mid-Term Counseling Checklist
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 1640/8              Conduct Record
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, Clothing, and Personal Effects
NAVPERS 1640/25            Earned Time and Special Acts Abatement Worksheet
NAVPERS 1640/33            Prisoner Transport Team (PTT) Mission Report
NAVPERS 1640/34            Prisoner Transport Team (PTT) Mission Brief
NAVPERS 1640/35            Escort Risk Assessment
NAVPERS 1640/36            Use of Detention Facility
NAVPERS 1650/1              Department of the Navy Good Conduct Award
NAVPERS 1650/77            Certificate of Reenlistment- USNR
NAVPERS 1650/78            Certificate of Reenlistment- USN
NAVPERS 1650/80            Certificate of Appreciation (Retirement-Others)
NAVPERS 1650/96            Transmittal of and/or Entitlement to Awards (Distributed By PERS-312)
NAVPERS 1740/6              Department of the Navy Family Care Plan Certificate
NAVPERS 1740/7              Family Care Plan Arrangements
NAVPERS 1752/1              Sexual Assault Disposition Report (SADR)
NAVPERS 1770/11            Suicide Prevention Coordinator Training Registration
NAVPERS 1800/13            Questionnaire for Applicants for Retired Pay
NAVPERS 1800/14            Officer Retirement Staffing and Routing Control
NAVPERS 1810/1              Navy Reserve Retirement Point Capture
NAVPERS 1910/31            Administrative Separation Processing Notice
NAVPERS 1910/33            Early Career Transition Program (ECTP) Reserve Affiliation Screening Checklist
NAVPERS 5000/64            Records Transmittal
NAVPERS 5211/15            Personally Identifiable Information (PII) Spot Check Checklist
NAVPERS 5211/16            Employee PII Handling Statement of Understanding
NAVPERS 5239/9              Review for Data Transfer Request
NAVPERS 5350/3              DAPA Admin Screening form
NAVPERS 5354/2              Navy Equal Opportunity (EO) and Harassment Complaint
NAVPERS 5357/1              Peer-to-Peer Coaching Checklist
NAVPERS 5357/2              Readiness Assessment for Coaching
NAVPERS 5357/3              Peer Coaching Intake
NAVPERS 5357/4              Coaching Partner Agreement
NAVPERS 5357/5              Coach-Like Skills Evaluation Tool
NAVPERS 5357/6              Coaching Hours Log
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 6110/10            Official BCA Score Sheet
NAVPERS 6110/11            Official PRT Score Sheet
NAVPERS 7421/1              Overtime/Compensatory Time Authorization Request
NAVPERS 7430/1              Electronic Funds Transfer Data Sheet
NAVPERS 12300/21          Student Loan Repayment Program Application
NAVPERS 12300/22          Student Loan Repayment Service Agreement
NAVPERS 12300/24          Billet Fill Checklist
NAVPERS 12300/25          BUPERS Remote Work Agreement
NAVPERS 12410/8            BUPERS Civilian Employee Individual Development Plan
NAVPERS 12430/1            Performance Appraisal Review
NAVPERS 12451/3            Civilian Award Recommendation
NAVPERS 12500/2            Timekeeping Unit
NAVPERS 12600/1            BUPERS Civilian Employee Supplemental Time Sheet
NAVPERS 12600/2            BUPERS Civilian Employee Work Schedule Assignment
NAVPERS 12600/3            BUPERS Civilian Employee Request for Extended Leave
NAVPERS 12600/4            BUPERS Civilian Employee Request for Leave under the Family and Medical Leave Act
 
  Veterans Crisis Line - Dial 988  Safe Helpline  NCIS Tips  Sexual Assault Prevention & Response  NFAAS
 

Need Career, Pay or Personnel help?
Call MyNavy Career Center: 833.330.MNCC,
or 901.874.MNCC (DSN 882.6622)

Email MNCC, MNCC Chat 
Comments or Suggestions about this website?
Email the Webmaster

NAVY PERSONNEL COMMAND
5720 Integrity Drive
Attn: PERS-### or BUPERS-###
Millington, TN 38055-0000

Search This Site
This is an Official U.S. Navy Website

FOIA | U.S. Navy | U.S. Navy Recruiting
No Fear Act | USA.gov | Privacy Policy
Open Government | Plain Writing Act
Veterans Safe Helpline | Navy SAPR | NETC 
Accessibility/Section 508 | Information Quality
NCIS Tips | Privacy Program | Veteran CrisisLine
|