Georgia State Defense Force by 2glWy1BJ

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									                         Georgia State Defense Force                                               FORM
                   PERSONNEL ACTIONS                                                               614-1A
Rank:           Last Name:                                 First Name:                         Middle Initial:


SSAN:             -                -                       Effective Date:
PART 1 – TYPE OF ACTION (Complete both sections below)
          1a. TRANSFER FROM                                                   1b. TRANSFER TO
   Active    Unit: __________________________                 Active       Unit: __________________________

              Position: _______________________                              Position: _______________________

              Par: __________          Lin: __________                       Par: __________     Lin: __________

   Leave of Absence:  personal                medical       Leave of Absence:  personal                 medical
   Retirement                                                 Ready Reserves
   Ready Reserves                                             Retirement
   Other: ____________________________                        Honorable Discharge (eligible for reinstatement)
                                                               Resignation Under Honorable Conditions
                                                               Administrative Separation (see GSDFR 635-100)
                                                               Other: ____________________________
PART 2 – AUTHORIZATION
                FROM                                                                   TO

Originated By: __________________________________          Originated By: ___________________________________

Endorsed By:                                               Endorsed By: ___________________________________
___________________________________
                                                           Commander: ___________________________________
Commander: ___________________________________

PART 3 – ID CARD RETURN (ID Card must be taped in the space below if terminating from GSDF)




                                             << TAPE ID CARD HERE >>




PART 4 – G1 SECTION
Date Received: _______________________________             Orders Sent:  yes  no
ID Card Attached:  yes  no                               Retirement Certificate Sent:  yes      no
Supporting Documents Attached:  yes  no                  Database Updated:  yes  no
  GSDF FORM 614-1A, NEW JUL 2004
GSDF FORM 614-1A, NEW JUL 2004

								
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