Department Of The Navy

Download a blank fillable Department Of The Navy in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Department Of The Navy with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

FILLABLE FORM
DEPARTMENT OF THE NAVY
FROM:
COMMANDING OFFICER,
TO:
SUBJ:
HONORABLE DISCHARGE FROM THE UNITED STATES NAVY RESERVE
1. YOUR ENLISTMENT OR OBLIGATED SERVICE AS APPROPRIATE, EXPIRED ON THE DATE BELOW, THEREFORE YOU ARE HEREBY
DISCHARGED FROM THE U.S. NAVY RESERVE AS OF MIDNIGHT OF THAT DATE.
2. YOU ARE
RECOMMENDED FOR REENLISTMENT. IF RECOMMENDED YOU MAY REENLIST AT THE NEAREST NAVY RESERVE
ACTIVITY. REENLISTMENT WITHIN 90 DAYS FROM YOUR DISCHARGE DATE WILL QUALIFY YOU FOR CONTINUOUS SERVICE.
DOCUMENTS REQUIRED FOR REENLISTMENT INCLUDES THIS FORM, YOUR HONORABLE DISCHARGE CERTIFICATE, DD FORM 256N, AND
YOUR REPORT OF SEPARATION FROM ACTIVE DUTY, DD FORM 214, IF YOU HAVE ANY ACTIVE MILITARY SERVICE.
3. YOUR PERMANENT PERSONNEL RECORD IS ON FILE AT THE NAVY PERSONNEL COMMAND (PERS 313C), 5720 INTEGRITY DRIVE,
MILLINGTON, TN 38055.
ANY WRITTEN INQUIRIES CONCERNING YOUR RECORDS SHOULD INCLUDE YOUR FULL NAME, SOCIAL
SECURITY NUMBER AND DATE OF DISCHARGE FOR IDENTIFICATION PURPOSES.
PRIVACY ACT STATEMENT
1. AUTHORITY:
Authority for requesting this information is contained in 10 United States Code, Chapter 11,
5 U.S.C. 552a(a)(7),,(b)(3) and (e)(4)(D).
2. PURPOSE:
To provide information for use in identifying individuals for issuance of discharge documents from the Naval Reserve.
3. ROUTINE USES: Information provided is used to identify the individual and his or her service record.
4. DISCLOSURE:
Disclosure is voluntary; however, failure to fully complete all portions of this form may affect timeliness of issuance of the
document.
DISCHARGE DATE
IMMEDIATELY REENLISTED
NAME (First, Middle, Last)
RATE
SOCIAL SECURITY NUMBER
BRANCH AND CLASS
NAVPERS 1070/615 RECORD OF DISCHARGE FROM THE U.S. NAVY RESERVE. (REV 08-06)
S/N: 0106-LF-133-2300
Page 1 of 3
PART 1 – MEMBER COPY
FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE
PRINT
RESET

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 3