Nsctng 004 - Navy Report Form - Locally Arranged Training Authority (Officer)

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U.S. NAVAL SEA CADET CORPS

LOCALLY ARRANGED

Non-Transferable

Officer Orders (local)

U.S. NAVY LEAGUE CADET CORPS

TRAINING AUTHORITY (OFFICER)

INSTRUCTIONS: USE FOR LOCALLY ARRANGED TRAINING NOT COORDINATED OR SCHEDULED BY NATIONAL HEADQUARTERS USING THE NSCTNG 002

From: Commanding Officer

1a. Unit Name

1b. Unit Code

1c. Date (DD MMM YY)

To:

2a. Last Name

2b. First Name

2c. MI

2d. Rank

2e. Social Security Number

2f. Exp. Date

2g. Date of Birth

2h. Sex

2i. Home Phone

2j. E-Mail Address

Male

Female

2k. Home Address

2l. City

2m. State

2n. Zip Code + 4

2o. Emergency Contact Name

2p. Emergency Contact Primary Phone

2q. Emergency Contact Alternate Phone

Ref: (a) NSCC Regulations (b) OPNAVINST 5760.5 (c) SECNAVINST 5720.44 (d) COMDINST M-5728.2 (e) NSCC Uniform Regulations (f) NSCC Awards Manual

Report to:

3a. Training Name/Description

3b. Training Location

3c. Training Code

3d. Training Start Date

3e. Training End Date

3f. No. Days

3g. Serving as COTC/SEO?

Yes

3h. COTC/SEO Name Rank

3i. COTC/SEO Primary Phone Number

3j. COTC/SEO E-Mail Address

1. You are authorized to report to the Commanding Officer of the Training Contingent up to a maximum of (5) days prior to the start of the training. You

will serve as Escort Officer/Staff Instructor for the training indicated above. You will be guided in the performance of your duties by the Escort Officer’s

Handbook.

2. No pay or allowances are authorized in complying with this assignment. The basic responsibility for expenses incident to your transportation and

mess rests with you, your unit, your local Navy League Council, or other sponsoring organization. Although the Navy has authorized this special NSCC

training, the law requires that you pay for your meals. Berthing and messing will be provided as authorized by reference (b).

3. Upon reporting you must provide the Commanding Officer of the Training Contingent (COTC), Senior Escort Officer, or training point of contact with

your NSCC Service Record which will include:

a. Locally Arranged Training Authority - Officer (NSCTNG 004).

b. Officer Application Packet (NSCADM 002) with all applicable pages, including a current Report of Medical History.

c. Officer/Midshipman Letter of Appointment (if applicable).

d. Record of Awards (NSCADM 010) authenticating awards given.

5. You are required to wear the uniform(s) authorized in references (a) through (e).

NSCC/NLCC Flashes are MANDATORY on all uniform outer

garments (shirts, coats, sweaters, etc.); and you must possess a CURRENT NSCC/NLCC identification card for personal identification and to enable

you to make authorized purchases in base exchange facilities. IF YOUR ENROLLMENT HAS EXPIRED OR WILL EXPIRE PRIOR TO THE END OF

TRAINING, YOU ARE NOT AUTHORIZED TO REPORT TO OR PARTICIPATE IN TRAINING.

NOTE TO UNIT COMMANDING OFFICER: Upon completion of training and once these orders have been properly endorsed, retain the original in service record and enter

training completion into MAGELLAN. Notify NHQ of any accidents, particularly those requiring hospitalization. ENSURE AN ACCIDENT REPORT (NSCADM 022) IS

PROPERLY COMPLETED AND SUBMITTED TO NHQ FOR ALL ACCIDENTS AND INJURIES WITHIN 30 DAYS IF NOT SOONER.

THE FOLLOWING ENDORSEMENTS ARE REQUIRED BEFORE SUBMITTING TO NHQ

Time Reported

Date Reported

COTC/SEO/POC Signature (OOD)

Time Departed

Date Departed

COTC/SEO/POC Signature (OOD)

PREVIOUS EDITION IS OBSOLETE

NSCTNG 004 (Rev 11/14)