Texas Military Forces - Medical Information
ADVERTISEMENT
1Texas Military Forces Joint Counterdrug Task Force
Commander’s Letter of Recommendation Checklist (IAW NGR 500-2/ANGI 10-801 Chp 8, par 8-11b)
1. Name (Last, First Middle)
2. Grade / Rank 3. Last 4
4. Gender
Male
Female
5. Organization (Include Address & Zip Code)
6. Unit Phone
7. Home of Record (Street, City, State & Zip Code)
8. Home Phone
9. Unit Position:
10. Months in Position
11: DOB / Age
12. Date of Rank
13. MOS / AFSC
14. BRANCH
ARNG
ANG
Required Medical Information
1. Attach the medical review, (MEDPROS / SF 507) dated ___/___/____
* Is the SM qualified for world-wide duty and is the SM a deployable asset?
No – Then attach current profile. (DA 3349 (ARNG) or AF Form 422 (ANG))
Yes
Printed name and rank of medical or command staff
Signature
Date
All Items Below Are To Be Filled Out By The Unit Commander
1. Current status: Check all that apply
M Day / Traditional
Title 10
AGR
FTNGD-CD
Technician
ADOS
2. This service member will be serving in a rank structured organization. If the SM is promoted above the SM’s
Counterdrug authorized grade, the SM is subject to the Adjutant General’s policy for Counterdrug personnel
management (PO3-25, 6 FEB 04), which will likely affect the SM’s full time employment. initial
3. Has the SM passed a ‘For Record’ physical fitness test in the last 12 months?
Yes
No*
* Attach current PT test and DA Form 5500/5501
Date of Last Physical Fitness Test
Score of Last Physical Fitness
Test (Pass/Fail)
4. Is the SM within height and weight standards?
Yes
No*
5. Has the SM been the subject of disciplinary action under the TCMJ during the last 12
Yes*
No
months or is the SM pending disciplinary action under the TCMJ?
6. Has the SM ever misused the government travel credit card?
Yes*
No
7. Is this SM in good standing, participating in AT and drill, and do you recommend the
Yes
No*
SM for employment / re-employment with the JCDTF?
8. If your answer to any of the above questions is followed by an asterisk (*) please provide comments below.
Start your comments with the number of the question requiring explanation. Use additional sheets as needed.)
9. Unit Commander’s statement of SM’s overall potential/performance. Use additional sheets as needed.
Printed Name & Rank of Commander
Signature
Date
Commander Phone Number
PRIVACY ACT STATEMENT
AUTHORITY: USC 5 552, 10 USC 655, 1475, 1480, and E.O. 9397
PRINCIPAL PURPOSE: Used to determine eligibility of employment of service members within the Taskforce.
ROUTINE USES: None.
DISCLOSURE: Voluntary; however, failure to get Unit Commander's approval could result in removal from the Taskforce.
Last revised on 14 August 2014
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal