Administrative Department

USNA Official Forms

Form Numbers 1000-2999

Number

Form Title

Date

Office

1070/7

Officer Data Input Record

2-25

EPO

1110/5

ROTC Nomination to USNA

2-25

ADM

1110/7

United States Naval Academy Request for Information (Obtain from Admissions)

10-23

ADM

1110/16

U.S. Naval Academy Information Affiliate Identification Card (Issued by Admissions)

8-21

ADM

1110/21

Nomination for Natural/Adopted Children of Active Duty/Reserve/Retired Parents

10-23

ADM

1110/94

Request to Perform Direct Support

01-22

ADM

1110/97

USNA Strategic Outreach Medical Consent Student Form

02-26

ADM

1500/3

U.S. Naval Academy Marine Event Liability Waiver

4-22

SAILING

1500/4

U.S. Naval Academy Sail Training Craft Request

4-22

SAILING

1524/1

USNA LEAD Program Application

11-16

LEAD

1531/1

Naval Academy Information Program Blue and Gold Officer Application

2-25

ADM

1531/5

Gratuitous Service Agreement

01-22

1531/6

USNA Museum Volunteer Application

01-22

MUS

1531/7

Reserve Naval Academy Information Program Application

2-25

ADM

1531/9

USNA Official Transcript Request

03-22

PRO

1531/11

Plebe Sponsor Questionnaire

10-23

CMDT

1531/12

USNA Sponsor Application

8-16

CMDT

1531/15

USNA Summer STEM Contact and Travel Information

12-23

ADM

1531/16

Request for a Personal Swearing-In Ceremony

4-24

CMDT

1531/17

U.S. Naval Academy Accessions Questionnaire

2-25

ADM

1531/18

Curriculum Change Request

7-22

PRO

1531/178

Agreement to Serve and Degree Requirements for all Midshipmen

12-20

SJA

1650/1

Naval Academy Blue and Gold Award Recommendations

01-22

ADM

1650/2

Area Coordinator Annual BGO Excellence Award Submission

01-22

ADM

1650/60

Reserve NAIP Navy Recruiting Service Ribbon Request

01-22

ADM

1730/8

USNA Wedding Application

03-24

CHAP

1734/02

MDC Authorization for Release of Information

6-20

CMDT

1734/23

USNA MDC Authorization for Treatment and Audio-Video Recording with a Psychology Extern and Clinical Social Worker Intern

6-20

CMDT

1734/27

MDC Peer Review Worksheet

6-20

CMDT

1734/28

MDC Dietitian Peer Review Worksheet

2-25

CMDT

1734/29

USNA MDC Confidentiality Statement

6-20

CMDT

1800/6

Naval Academy Information Officer Monthly Retirement Credit Report

01-22

ADM

Form Numbers 3000-3999

Number

Form Title

Date

Office

Form Numbers 4000-4999

Number

Form Title

Date

Office

4001/23

Gift Offer Acceptance

10-22

COMP

4001/24

U.S. Naval Academy Gift and Museum Fund Budget Submission

5-20

COMP

4001/25

Gifts of Travel from Non-Federal Entities (NFE)

4-25

SJA

4002/1

USNA Museum Outgoing Loan Agreement

01-22

MUS

4002/2

USNA Museum Incoming Loan Agreement

01-22

MUS

4002/3

Museum Artifact Donation Form

06-22

MUS

4002/4

USNA MuseumTemporary Custody Receipt

06-22

MUS

4651/7

USNA Invitational Travel Request

10-20

COMP

4780/1

USNA Barge Utilization

6-21

SJA

Form Numbers 5000-5999

Number

Form Title

Date

Office

5211/1

Nacal Academy Personally Identifiable Information Spot Check

3-21

SUP

5211/2

USNA Authorization for Disclosure of Records

4-24

SUP

5211/4

U.S. Naval Academy Privacy Act Request

3-22

SUP

5212/1

USNA Records Destruction Request

3-21

SUP

5216/3

USNA Briefing Sheet

11-25

SUP

NAPS 5400/6

Naval Academy Preparatory School Official Transcript Request

5-22

NAPS

5500/1

Police Record Check

2-25

ADM

5500/31

Bancroft Hall Access Request

8-23

CMDT

5510/1

Notification of Foreign Travel

9-22

SEC

5510/2

Visitor Access Request

10-22

SEC

5700/1

Exchange Program - Academic Planning Form

8-17

ACD

5710/1

U.S. Embassy Contact Information Sheet for International Student Applicants

2-25

ADM

5720/1

USNA Graphics Design Assistance Request

8-23

PAO

Form Numbers 6000-10999

Number

Form Title

Date

Office

6150/1

USNA Medical Excusal Recommendation

6-23

BMO

7010/1

NAF Purchase Request Worksheet

10-23

COMP

7200/10

USNA Convenience Check Order

10-24

COMP

7200/11

USNA Purchase Card Order

2-24 R1

COMP

7420/18

USNA Employee Work Schedule Request

04-25

COMP

Form Numbers 11000-11999

Number

Form Title

Date

Office

11102/1

Commandant Facilities Checklist

3-21

OPS

Form Numbers 12000+

Number

Form Title

Date

Office

12630/1

USNA Civilian Employee Request for Advanced Leave or Leave Without Pay

6-23

HRO

USNA Official Forms

Form Numbers 1000-2999

Form Numbers 3000-3999

Form Numbers 4000-4999

Form Numbers 5000-5999

Form Numbers 6000-10999

Form Numbers 11000-11999

Form Numbers 12000+

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