INDEX OF USMEPCOM FORMS (Updated as of 11 April 2008)
Note: Updated items are in red text
Current Forms
NUMBER DATE TITLE PRESCRIBING DIRECTIVE Reg 1-5 Reg 20-1 Reg 20-1 Reg 20-1 Reg 25-3 Reg 25-3 Reg 25-3 Reg 25-34 Reg 25-9 Reg 25-9 Reg 25-9 Reg 25-50 Reg 25-50 Reg 25-50 Reg 25-50 Reg 25-51 Reg 25-52 Reg 25-90 Reg 25-90 Reg 37-1 Reg 37-1 PROPONENT
1-5-1-R-E 20-1-1-R-E 20-1-2-R-E 20-1-3-R-E 25-3-1-R-E 25-3-2-R-E 25-3-3-R-E 25-34-1-R-E 25-9-R-E 25-9-2-R-E 25-9-3-R-E 25-50-4-R-E 25-50-6-R-E 25-50-9-R-E 25-50-10-E 25-51-1-R-E 25-52-1-R-E 25-90-1-R-E 25-90-2-R-E 37-1-E 37-1-1-E
May 06 Nov 04 Nov 04 Nov 04 Mar 95 Apr 01 Jul 01 Nov 05 Sep 98 Mar 90 Mar 95 Nov 07 Nov 07 Nov 07 Nov 07 Sep 05 Apr 05 Sep 90 Nov 98 May 97 May 97
Congressional Inquiry Worksheet Organizational Assessment Questionnaire Post IG Inspection Survey Information Mission Elements Need Statement (IMENS) Automation Equipment Log Quarterly Copier Cost and Production Report Manuscript Requirements, Coordination, and Submission Checklist Joint Computer center (MJC) USERID Request ADP Change Request Sheet Joint Computer Center Mission Need Statement Record of Accountable Mail Mail Manager’s Inspection Guide Justification for Next-Day Mail Service Quarterly Positive Accountability Postage Administration System (PAPAS) Report Record Cross-Reference Sheet Privacy Act Information for Desk Top Visual Information (VI) Log Request for Video Teleconferencing (VTC) Call Daily Record of Civilian Medical Services Monthly Record of Civilian Medical Services
J-1/MHR MIG MIG MIG J-6/MIT J-6/MIT J-6/MIT J-1/MHR J-6/MIT J-6/MIT J-6/MIT MHR MHR MHR MHR J-1/MHR J-1/MHR MPA MPA J-8/MRM J-8/MRM
Note: 3 – mission-essential
Current Forms - Continued
NUMBER DATE TITLE PRESCRIBING DIRECTIVE Reg 37-1 Reg 40-1 Reg 40-1 Reg 40-1 Reg 40-1 Reg 40-1 Reg 40-1 Reg 40-1 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-8 Reg 40-9 Reg 40-9 Reg 40-9 Reg 55-2 Reg 55-2 Reg 55-2 Reg 58-1 Reg 58-1 Reg 58-1 PROPONENT
37-1-2-R-E 40-1-2-R-E 2,3 40-1-3-R-E 40-1-4-R-E 40-1-5-R-E 40-1-6-R-E 40-1-7-R-E 40-1-8-R-E 2,3 40-8-R-E 3 40-8-1-R-E 3 40-8-2-R-E 3 40-8-3-R-E 40-8-4-R-E 40-8-5-R-E 3 40-8-6-R-E 3 40-8-7-R-E 40-8-9-R-E 40-8-10-R-E 40-8-11-R-E 40-8-12-R-E 40-9-1-R-E 40-9-2-R-E 40-9-3-R-E 55-2-R-E 55-2-1-R-E 55-2-2-E 58-1-R-E 58-1-1-R-E 58-1-2-R-E
2,3
Oct 04 Jan 97 Jan 97 Oct 02 Oct 02 Jan 97 Oct 02 Oct 02 Dec 04 Mar 04 Nov 98 Nov 98 Nov 98 Nov 98 Nov 98 Nov 98 Nov 98 Nov 98 Nov 98 Nov 98 Mar 04 Mar 04 Mar 04 Mar 89 Mar 89 Dec 07 Sep 04 Sep 05 Sep 04
Itemized Listing of Medical Services for Medical Examinations Public Vouchers Report of Medical Examination/Treatment Report of Medical Examination/Treatment-Visual Acuity State License Verification Medical School Diploma Verification Request for Information Disclosure to National Practitioner Data Bank Initial Application for Clinical Privileges Clinical Privileges Biennial Evaluation Drug and Alcohol Testing Acknowledgment Form HIV Antibody Testing Acknowledgment Form Breath Alcohol Analyzer Calibration Record Urine Sample Custody Document Drug and Alcohol Testing Control Log Urine Sample Custody Document (USCD) Statement of Correction HIV Testing Control Log Facts About HIV Request for HIV Results Request for DAT Results Exception to Policy HIV Screening Record Hepatitis B Vaccination Declination Viral Testing Consent Sharp Injury Record Government Transportation Request Register Meal Ticket Register Bulk Ticket Register Monthly Mileage and Fuel Consumption Report Motor Vehicle Utilization and Domicile-to-Duty Record Vehicle Credit Card/Negotiable Media/Key Control Register
J-8/MRM J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-7/MMD J-3/MOP J-3/MOP J-3/MOP J-8/MRM J-8/MRM J-8/MRM
Notes: 2 – also MIRS generated 3 – mission-essential
Current Forms – Continued
NUMBER DATE TITLE PRESCRIBING DIRECTIVE Reg 215-1 Reg 215-1 Reg 215-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 350-1 Reg 360-1 Reg 380-1 Reg 420-3 Reg 420-3 Reg 570-1 Reg 600-24 Reg 600-24 Reg 600-23 Reg 600-23 Reg 600-23 Reg 601-4 PROPONENT
215-1-4-R-E 215-1-5-R-E 215-1-6-R-E 350-1-R-E 1 350-1-1 350-1-2-R-E 350-1-3-R-E 350-1-4-E 350-1-5-R-E 350-1-7-R-E 350-1-8-R-E 350-1-9-R-E 350-1-11-R-E 360-1-2-R-E 380-1-1-E 420-3-1-R-E 420-3-2-R-E 570-3-1R-E 600-24-1-R-E 600-24-2-R-E 1 600-23-2 1 600-23-3 1 600-23-4 2,3 601-4-R-E
1
Oct 99 Oct 05 Oct 99 Dec 98 Aug 96 Dec 98 Dec 98 Aug 07 Aug 00 Dec 98 Aug 98 May 01 Aug 05 Feb 99 May 07 Jan 06 Jan 06 Jul 04 Jun 01 Feb 05 Jul 04 Aug 98 Aug 98 Jul 05
Shared Cost Collection Roster Certificate of Fund Transfer Petty Cash Disbursement Roster Unit Training Schedule Certificate of Athletic Achievement Run/Walk for Your Life Program – Progress Schedule Run/Walk for Your Life Program – Entry Request Record of Individual Training Annual Training Plan Fitness for Your Life Program – Entry Request Fitness for Your Life Program – Progress Schedule Physical Fitness Test Scorecard for USMEPCOM Marine Corps Members USMEPCOM Certification Sheet Name, Photograph and Recording (Video/Audio) Release MEPS Annual Physical Security Questionnaire Facility Work Request Above Standard Service Requirements Personnel Strength Feeder Report Commander's Unit Climate Assessment (UCA) Critique Military Equal Opportunity/Human Relations Education Report Certificate of Appreciation Certificate of Achievement Letter of Commendation Student Test Answer Sheet Discrepancy List
J-8/MRM J-8/MRM J-8/MRM J-1/MHR J-1/MHR J-1/MHR J-1/MHR J-1/MHR J-1/MHR J-1/MHR J-1/MHR J-1/MHR J-1/MHR MPA J-1/MHR J-4/MFA J-4/MFA J-8/MRM MEEO/EO MEEO/EO J-1/MHR J-1/MHR J-1/MHR J-3/MOP
Notes: – available in hard-copy only (order through normal distribution channels) 2 – also MIRS generated
3
– mission-essential
Current Forms – Continued
NUMBER
2,3
DATE
TITLE
PRESCRIBING DIRECTIVE Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-4 Reg 601-23 Reg 601-23 Reg 601-23 Reg 601-23 Reg 601-23 Reg 601-23 Reg 608-1 Reg 608-1 Reg 608-1 Reg 608-1 Reg 608-1 Reg 608-1 Reg 611-1 Reg 611-1 Reg 611-1 Reg 611-1
PROPONENT
601-4-2-R-E 2,3 601-4-3-R-E 2,3 601-4-4-R-E
Jul 05 Jul 05 Jul 05
601-4-5-R-E Jul 05 601-4-6-R-E Jul 05 601-4-7-R-E Jul 05 601-4-9-R-E Jul 05 601-4-11-R-E Nov 06 601-4-12-R-E Jul 05 601-4-13-R-E Jul 05 601-4-14-R-E Jul 05 601-4-15-R-E Jul 05 2,3 Jun 95 601-23-E 2,3 Jul 95 601-23-1-R-E 2,3 Oct 90 601-23-2-R-E 2,3 Jul 95 601-23-3-R601-23-4-E Feb 98 3 Oct 99 601-23-5-R-E 608-1-2 Jul 04 608-1-3 Jul 04 608-1-4 Jul 04 608-1-5 Jul 04 608-1-6-R-E Oct 06 608-1-7-E Sep 07 2,3 Nov 93 611-1-R-E 2,3 May 03 611-1-1-R-E 2,3 Nov 01 611-1-2-R-E 2,3 Dec 05 611-1-6-R-E Notes: 2 – also MIRS generated
3
Processing and Distribution Control Record Student ASVAB Test Record Receipt of Armed Services Vocational Aptitude Battery (ASVAB) Booklets Student Testing Database Maintenance Form Centers of Influence (COI) Event Fund Cite Request Centers of Influence (COI) Event After-Action Report Student Testing Program Quarterly Activity Report Educational Staff Agreement Educational Staff Agreement for Voluntary Services State/Local Convention – Funding Request Professional Organizational Membership Reimbursement Request Proctor Support Form Report of Additional Information Orders Consolidation Sheet/Control Log Records Flag Record of Emergency Data Worksheet Restrictions on Personal Conduct in the Armed Forces Introductory Preaccession Interview Certificate of Volunteer Appreciation Silver Certificate of Volunteer Appreciation Gold Certificate of Volunteer Appreciation Freedom Certificate of Volunteer Appreciation Readiness Support Group Information Survey Army Family Action Plan (AFAP) Program Issue Worksheet ASVAB Test Loss/Compromise Telephone Report Annual/Joint/Other Inventory of Accountable Test Material Unverified Test Scores (Single Applicant) MET Site Cost Analysis
J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-1/MHR J-1/MHR J-1/MHR J-1/NHR J-1/MHR J-1/MHR J-3/MOP J-3/MOP J-3/MOP J-3/MOP
– mission-essential
Current Forms - Continued
NUMBER
2,3
DATE
TITLE
PRESCRIBING DIRECTIVE Reg 611-1 Reg 611-1 Reg 611-1 Reg 611-1 Reg 611-1 Reg 611-1 Reg 611-1 Reg 611-1 Reg 680-3 Reg 690-1 Reg 690-13 Reg 690-13 Reg 710-2 Reg 715-5 Reg 715-4 Reg 715-4 Reg 715-4 Reg 715-4 Reg 750-1 Reg 750-1 Policy Memo 2-1 Policy Memo 2-3
PROPONENT
611-1-7-R-E 2,3 611-1-8-R-E 2,3 611-1-9-R-E 2,3 611-1-11-R-E 2,3 611-1-14-R-E 2,3 611-1-18-R-E 2,3 611-1-19-R-E 2,3 611-1-20-R-E 2,3 680-3-A-E 690-11-1-E 690-13-1-R-E 690-13-2-R-E 710-2-1-R-E 715-5-1-R-E 2,3 727-E 2,3 728-E 729-E 750-1-R-E 750-1-1-R-E PM-2-1-R-E PM-2-3-R-E
3
Jun 06 May 03 Nov 93 Nov 93 Jun 06 Jun 06 Dec 05 Feb 00 Oct 05 Jan 07 May 00 May 00 Apr 06 Oct 04 Dec 04 Dec 04 Dec 04 Apr 90 Apr 90 Oct 06 Aug 03
Aptitude Testing Processing List Inventory of MEPS Accountable Test Material Daily Inventory Log Statement of Destruction of Test Materials MET Site/OPM TA Review Military Entrance Test Team Site Update Sheet MET Site Accountable Material Checklist for Test Administrators Special Purpose Test Examination Request for Examination Reasonable Accommodation for Individuals With Disabilities (IWD) Overtime Request and Authorization Request for Alternative Work Schedule (AWS) Equipment Maintenance Log Purchase Request Processing List (PL) Applicant Meal/Lodging Authorization and Receipt Voucher for Late Arrival Add-ons Daily Invoice Lodging/Meal Services Operator Preventive Maintenance Checklist – General Medical and Nonmedical Equipment Operator Preventive Maintenance Checklist/Record and Maintenance Monitor's Certification Good Idea Request Worksheet Acknowledgment of Interpreter Services During Enlistment Processing
J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP J-3/MOP MEEO/EO J-1MCP J-1/MCP J-8/MRM J-8/MRM J-8/MRM J-8/MRM J-8/MRM J-8/MRM J-8/MRM J-8/MRM J-3/MOP J-3/MOP
2 3
Notes: – also MIRS generated
– mission-essential
Replaced Forms
NUMBER 1-4-R, Jun 89 5-5-R-E, Jul 96 11-7-R, Nov 87 11-7-1-R, Nov 87 25-3-1-R, May 92 20-1-1-1-R-E 20-1-1-2-R-E 20-1-1-3-R-E 25-31-2-R-E, Feb 94 25-31-3-R-E, Feb 96 25-32-2-R-E, Nov 02 25-32-2-R-E, Nov 97 25-50-1, Sep 92 25-50-1-R-E, Sep 93 25-50-3-R-E, May 93 37-2-R-E, Oct 97 40-2-E, Jul 95 40-2-1, Jul 95 40-5-3, Apr 87 40-7-R, Apr 91 40-7-1-R, Apr 91 40-7-2-R, Apr 91 40-8-E, Apr 91 40-8-1-R-E Nov 98 40-8-2-R, Apr 91 40-8-3, Apr 88 40-8-4-R, Apr 91 40-8-5-R, Apr 91 40-8-6-R, Apr 95 55-2-2-R-E, Mar 89 58-1-1-R-E, Sep 04 210-4-R, Jul 84 210-4-1-R, Jul 84 215-1-5-R-E, Oct 99 310-R, Nov 88 340-5-R, Sep 87 340-21-R-E, May 87 350-1-R, Sep 90 350-1-11-R-E, Jun 05 350-1-4-R-E, Dec 98 350-5, Jan 91 350-5-1-R, Jan 91 420-2-R-E, Jan 95 570-1-R-E, Feb 95 570-1-R-E, Aug 00 600-20-1-R-E, Apr 99 601-4-R, May 91 601-4-R-E, Jul 95 601-4-2-R-E, May 91 601-4-3-R-E, May 91 601-4-4, Sep 95 REPLACED BY 5-5-R-E, Jul 96 1-5-1-R-E, May 06 11-7-R-E, Nov 94 11-7-1-R-E, Jan 94 25-3-1-R-E, Mar 95 20-1-1-R-E 20-1-2-R-E 20-1-3-R-E 25-33-1-R-E, Aug 97 25-33-2-R-E, Jan 00 25-34-1-R-E, Nov 05 25-34-1-R-E, Nov 05 25-50-1-R-E, Sep 93 25-32-2-R-E, Jan 97 25-32-1-R-E, Jan 96 690-13-1-R-E, May 00 40-1-2-R-E, Jan 97 40-1-3-R-E, Jan 97 40-8-1-R-E, Apr 91 40-1-4-R-E, Jan 97 40-1-5-R-E, Jan 97 40-1-6-R-E, Jan 97 40-8-R-E, Nov 98 40-8-1-R-E, Mar 04 40-8-2-R-E, Nov 98 40-8-3-R-E, Nov 98 40-8-4-R-E, Nov 98 40-8-5-R-E, Nov 98 40-8-6-R-E, Nov 98 55-2-2-E, Dec 07 58-1-1-R-E, Sep 05 210-4-R-E, Dec 93 210-4-1-R-E, Dec 93 215-1-5-R-E, Oct 05 25-30-3-R-E, Nov 98 25-50-4-R-E, Dec 95 25-52-1-R-E, Apr 05 350-1-R-E, Aug 96 350-1-11-R-E, Aug 05 350-1-4-E, Aug 07 350-1-1, Aug 96 350-1-2-R-E, Aug 96 420-3-1-R-E, Jan 06 570-1-R-E, Aug 00 570-3-1-R-E, Jul 04 600-24-1-R-E, Jun 01 601-4-R-E, Jul 95 601-4-R-E, Jul 05 601-4-2-R-E, Jul 05 601-4-3-R-E, Jul 05 601-4-4-R-E, Oct 97
Replaced Forms - Continued
NUMBER 601-4-4-R-E, Oct 97 601-4-5-R, Apr 94 601-4-5-R-E, Oct 97 601-4-5-R-E, Jan 03 601-4-6-R-E, Dec 99 601-4-7-R-E, Oct 97 601-4-9-R-E, Oct 97 601-4-11-R-E, Aug 99 601-4-12-R-E, Mar 03 601-4-13-R-E, Jul 03 601-23, Sep 90 601-23-1-R, Oct 90 601-23-3, Oct 90 601-23-4-E, May 97 611-1-R, Sep 88 611-1-1-R, Nov 93 611-1-2, Jan 89 611-1-2-E, Nov 93 611-1-6-R-E, Nov 93 611-1-7, Apr 90 611-1-7-E, Nov 93 611-1-7-R-E, Nov 01 611-1-7-R-E, Dec 05 611-1-8-R, Nov 93 611-1-11-R, Sep 88 611-1-14-R, Sep 88 611-1-14-R-E, Nov 93 611-1-14-R-E, Dec 05 611-1-18-R-E, Dec 05 612-2-1-R, Mar 90 612-2-1-R-E, Apr 95 672-1-1, Nov 87 672-1-1-1, Feb 88 672-1-1-2, Feb 88 672-1-1-3, Feb 88 672-3-2-R, Feb 88 680-3A-E, Dec 03 690-3-R-E, Nov 94 700-3-R-E Jul 96 700-3-1-R-E Dec 99 700-3-2-R-E 702, Sep 81 702-E, Nov 94 709-R, Sep 81 710-2-1-R-E, Sep 04 714A-E, Jan 03 715-3-1-R, Aug 85 715-3-2-R, Aug 85 715-3-3-R, Aug 85 715-3-4-R, Aug 85 715-3-5-R, Aug 85 715-3-6-R, Aug 85 REPLACED BY 601-4-4-R, Jul 05 601-4-5-R-E, Oct 97 601-4-5-R-E, Jan 03 601-4-5-R-E, Jul 05 601-4-6-R-E, Jul 05 601-4-7-R-E, Jul 05 601-4-9-R-E, Jul 05 601-4-11-R-E, Jul 05 601-4-12-R-E, Jul 05 601-4-13-R-E, Jul 05 601-23-E, Jun 95 601-23-1-R-E, Jul 95 601-23-3-E, Jul 95 601-23-4-E, Feb 98 611-1-R-E, Nov 93 611-1-1-R-E, May 03 611-1-2-E, Nov 93 611-1-2-R-E, Mar 00 611-1-6-R-E, Dec 05 611-1-7-E, Nov 93 611-1-7-R-E, Mar 00 611-1-7-R-E, Dec 05 611-1-7-R-E, Jun 06 611-1-8-R-E, May 03 611-1-11-R-E, Nov 93 611-1-14-R-E, Nov 93 611-1-14-R-E, Dec 05 611-1-14-R-E, Jun 06 611-1-18-R-E, Jun 06 612-2-1-R-E, Apr 95 600-23-5-R-E, Jan 00 600-23-4, Aug 98 600-23-1, Aug 98 600-23-2, Aug 98 600-23-3, Aug 98 350-5-2-R, Dec 93 680-3A-E, Oct 05 690-13-2-R-E, May 00 58-1-2-R-E, Sep 04 715-5-1-R-E Oct 04 710-2-1-R-E, Sep 04 702-E, Nov 94 37-1-E, May 97 37-1-1-E, May 97 710-2-1-R-E, Apr 06 680-3-A-E, Dec 03 715-3-1-R-E, Jun 95 715-3-2-R-E, Jun 95 715-3-3-R-E, Jun 95 715-3-4-R-E, Jun 95 715-3-5-R-E, Jun 95 715-3-6-R-E, Jun 95
NUMBER 727, Dec 95 728, Feb 88 729, Mar 85 1001, Apr 81 1006, Feb 82 1008, Jun 81 1012-R, Aug 94 1022, Feb 82 1023, Feb 82 1026, Aug 94
REPLACED BY 727-E, Dec 04 728-E, Dec 04 729-E, Dec 04 1001-R-E, Aug 94 1006-R-E, Aug 94 1008-R-E, Aug 94 1012-R-E, Aug 96 1022-R-E, Aug 94 1023-R-E, Aug 94 1026-R-E, Aug 96
Obsolete Forms
NUMBER 5-4-E, Mar 94 5-4-1-R-E, Mar 94 5-6-R, Apr 00 11-7-1-R-E, Jan 94 20-R, Oct 85 25-4-1, May 89 25-9-R-E 25-9-2-R-E 25-9-3-R-E 25-30-R, Mar 94 25-30-2-R, Sep 91 25-32-1-R-E, Nov 97 25-33-1-R-E, Aug 97 25-33-2-R-E, Jan 00 25-33-3-R-E, Nov 04 25-50-5-R-E, Dec 95 25-50-7-R-E, Nov 00 25-50-8-R-E, Dec 95 25-70-R-E, Jun 95 25-70-1-R, Aug 96 37-R, Apr 87 37-16-1-E, Jul 91 37-16-2-E, Jul 91 37-16-3-E, Jul 91 37-16-4-E, Jul 91 37-16-5-E, Jul 91 37-16-6-E, Jul 91 37-16-7-E, Jul 91 37-16-8-E, Jul 91 37-16-9-E, Jul 91 37-16-10-E, Jul 91 37-16-11-E, Jul 91 37-16-12-E, Jul 91 37-16-13-E, Jul 91 37-16-14-E, Jul 91 37-16-15-E, Jul 91 37-16-16-E, Jul 91 37-16-17-E, Jul 91 OBSOLETE DATE Mar 96 Mar 96 2 Mar 05 Feb 00 Oct 87 Sep 91 Aug 06 Aug 06 Aug 06 May 00 Sep 97 Aug 00 Nov 18 Nov 18 Nov 05 Feb 97 May 05 Feb 97 Nov 96 Sep 98 Apr 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94
NUMBER 37-16-18-E, Jul 91 37-16-19-E, Jul 91 37-16-20-E, Jul 91 37-16-21-E, Jul 91 37-16-22-E, Jul 91 37-16-23-E, Jul 91 37-16-24-E, Jul 91 40-1-R, Jun 91 40-1-1, Apr 88 40-8-8-R, Apr 91 55-1, May 89 190-1-R, Jan 90 190-1-1-R, Jan 90 190-1-2, Apr 90 190-1-3-R, Jan 90 190-1-4-R, Jan 90 210-4-R, Dec 03 210-4-1-R-E, Dec 03 210-4-2-R-E, Dec 03 215-1-2-R-E, Mar 95 215-1-3-R-E, Mar 95 340-3-R, Oct 84 341, Aug 87 350-1-6, May 98 350-1-10-R-E, May 01 360-1-1, Mar 90 420-90-R, Mar 91 500-1-R, Sep 90 600-1-R, Jul 88 600-3-R, Jan 90 600-3-1-R, Jan 90 600-3-2-R, Jan 90 600-85-R-E, Feb 91 600-23-1, Aug 98 600-23-5-R-E, Jan 00 601-2, Oct 89 601-4-10-R-E, Oct 97 601-5-R, Apr 91 601-5-1-R, Apr 91 601-20, Apr 84 601-23-6-E 601-23-7-E 601-23-8-E 601-23-9-E 601-23-10-E 601-23-11-E 601-23-12-E 601-23-13-E 601-23-14-E 601-23-15-E 601-23-16-E 601-23-17-E 601-23-18-E 601-23-19-E
OBSOLETE DATE Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Jul 94 Feb 97 May 90 Jun 97 Apr 95 Jun 96 Jun 96 Jun 96 Jun 96 Jun 96 15 Sep 05 15 Sep 05 15 Sep 05 Mar 97 Mar 97 Mar 93 Aug 95 Jun 05 Jun 05 Mar 95 Dec 96 Aug 94 Feb 93 Jan 97 Jan 97 Jan 97 Jun 96 Apr 04 Apr 04 Sep 97 Jul 05 Sep 97 Sep 97 May 95 Nov 04 Nov 04 Nov 04 Nov 04 Nov 04 Nov 04 Nov 04 Nov 04 Nov 04 Feb 05 Nov 04 Nov 04 Feb 05 Feb 05
NUMBER 608-1-1-R-E 611-1-3-R-E 611-1-5-R, Nov 93 611-1-12-R, Sep 88 611-1-15-R-E, Apr 90 612-2, Oct 83 632-1-R, Oct 87
OBSOLETE DATE Oct 06 Dec 01 Oct 96 May 93 Mar 93 Jan 00 Jul 95 Unavailable Apr 95 Aug 94 May 00 Apr 93 Jul 94 Sep 96 Dec 96 Jan 97 Jan 97 Dec 04 Jun 96 Jul 94 Sep 96 Sep 96 Jan 05 Sep 96 Dec 96 Dec 97 Jun 94 Apr 95 Apr 95 Jan 94 Nov 97 Apr 98
672-1-R, Feb 00
672-1-1-5-R, Apr 90 672-2-R, Nov 92 672-2-1, Jul 95 700-1, Jan 91 700-3, Apr 88 704, Apr 86 710-R, Sep 81 715-4-1-R, Jul 89 715-4-2-R, Jul 89 732, Feb 85 803, May 88 809-1-R, Oct 85 902-1-R, Jul 87 902-2-R, Jul 87 926, 1 Aug 78 967-R, Jun 82 967-1-R, Oct 83 968, Sep 81 972-R, Nov 82 1003, Apr 81 1004, Apr 81 1019, Feb 82 1023-R-E, Aug 94 1025-R-E, Feb 82
External Mission-Essential Forms
NUMBER DA Form 200 DA Form 543 DD Form 4/4 DD Form 93 DD Form 577 DD Form 652* DD Form 1966/1-5 DD Form 2005 DD Form 2807-1 DD Form 2807-2 DD Form 2808 DOD 1304.12-K* OPM Form 697A SF 507 SF 513 SF 519B TITLE Transmittal Record Request for Records Enlistment/Reenlistment Document – Armed Forces of the United States Record of Emergency Data Signature Card Meal Ticket Record of Military Processing – Armed Forces of the United States Privacy Act Statement - Health Care Records Report of Medical History Medical Prescreen of Medical History Report Report of Medical Examination ASVAB Scoring Worksheet Record Sheet for Applicant Examination Clinical Record Medical Record – Consultation Sheet Radiologic Consultation Request/Report
*accountable form