The AF IMT 100 form, a critical document within the United States Air Force, serves as a formal request and authorization for the separation of personnel. Established under the authority of 10 U.S.C. 8013 and its subsequent amendments, including Executive Order 9397 for Social Security Number (SSN) use, this form addresses various aspects of separation, supporting a wide range of circumstances including discharge, entry-level separation, and release from active duty, among others. The form is meticulously designed to ensure a smooth transition for service members by collecting essential information such as service character, future mailing address, type of separation, and travel arrangements post-service. It also includes provisions for service members with different lengths of service and roles, indicating eligibility for certain entitlements and benefits which are crucial for planning life after separation. Moreover, the AF IMT 100 emphasizes the voluntary nature of disclosing personal information, underlining the importance of SSN in facilitating pay and entitlements efficiently. Embedded within its structure are privacy act statements and routine uses that clearly delineate the careful handling and potential disclosure of personal information, reinforcing the form's role in the meticulous and respectful management of personnel separation processes.
| Question | Answer |
|---|---|
| Form Name | AF IMT 100 Form |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 82 |
| Avg. time to fill out | 16 min 58 sec |
| Other names | imt 100 separation, af form 100, af 100 request online, af authorization separation |
REQUEST AND AUTHORIZATION FOR SEPARATION
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 8013, Secretary of the Air Force; Powers and duties; delegation by 8032, General duties; E.O 9397 (SSN), as amended.
PURPOSE: Each type of relocation of Air Force personnel requires specific actions described either on a checklist or by sending a form letter to the applicable base activity having a responsibility for ensuring accomplishment of the action.
ROUTINE USES: In addition to those disclosures generally under 5 U.S.C. 552a(b) of the Privacy Act, these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a (b)(3). "Blanket Routine Uses" apply.
DISCLOSURE: VOLUNTARY. SSN is used to reference member's official records. Failure to provide SSN may make it difficult for member to receive pay and entitlements in coordination with separation.
SORNs: F036 AFPC C, Military Personnel Records System
1. TYPE OF SEPARATION:
DISCHARGE
ENTRY LEVEL SEPARATION
RELEASE FROM VOID ENLISTMENT
RELEASE FROM EAD/REVERTS TO ANG
RELEASE FROM ACTIVE DUTY/TRANSFERS TO RESAF |
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RELEASE FROM EAD/REVERTS TO RESAF |
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DISMISSAL |
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2. AUTHORITY: |
BY DIRECTION OF THE PRESIDENT |
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RESIGNATION ACCEPTED BY THE PRESIDENT |
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3a. NAME (Last, First, MI) |
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3b. GRADE |
3c. SSN |
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4. PLACE OF ENTRY ON ACTIVE DUTY OR ENLISTMENT |
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5. HOME OF RECORD |
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6. FUTURE MAILING ADDRESS |
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7. UNDER 2 YEARS SERVICE |
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8. PAFSC |
9. RESERVE AF RANK |
10. MIL SVC OBLIGATION DATE |
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11. AERONAUTICAL RATING |
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12. FLYING STATUS |
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YES |
NO |
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13. EFFECTIVE |
14. CHARACTER OF SERVICE: |
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15. CERTIFICATE ISSUED |
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DATE |
HONORABLE |
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UNDER OTHER THAN HONORABLE CONDITIONS |
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DD FORM 256AF |
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GENERAL (Under Honorable Conditions) |
BAD CONDUCT DISCHARGE |
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DD FORM 214 |
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UNCHARACTERIZED |
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DISHONORABLE DISCHARGE |
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16.RELIEVED FROM ASSIGNMENT (Unit, Major Command, Address and Servicing MPF) 17. WILL PROCEED TO:
PLACE OF ENTRY ON ACTIVE DUTY OR ENLISTMENT
HOME OF RECORD |
OTHER (See Remarks) |
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HOME OF SELECTION |
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18. TRAVEL BY PRIVATE CONVEYANCE (TPC) |
YES |
NO |
19.MEMBER QUALIFIES FOR FULL TRAVEL/TRANSPORTATION ENTITLEMENT UNDER THE JTR
20.ASSIGNED TO (Check if Applicable)
YES
NO
a. ARPC DENVER, CO |
b. PROJECTED UNIT OF ACCESSION |
c. TYPE OF POSITION: |
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MOBILIZATION AUGMENTEE |
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YES |
NO |
REINFORCEMENT DESIGNEE |
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UNIT |
AGR |
TR |
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d. UNIT OF ASSIGNMENT AND MPF |
e. TRAINING/PAY CATEGORY |
f. RESERVE SECTION CODE |
g. FUNCTIONAL ACCT CODE |
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h. AUTHORIZED GRADE |
i. AUTHORIZED AFSC |
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j . POSITION CONTROL NO. |
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21a. ELIGIBLE FOR (PER 10 U.S.C. 1174): |
b. ENTITLED TO SEVERANCE/SEPARATION PAY |
c. CHAPTER 61, 10 U.S.C. |
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SEPARATION PAY |
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SERVICE FOR PAY IS: |
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DISABILITY: |
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READJUSTMENT PAY |
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YEARS |
MONTHS |
DAYS |
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NOT ENTITLED TO BENEFITS |
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CREDITABLE ACTIVE FEDERAL SERVICE |
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YEARS |
MONTHS |
DAYS |
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NOT APPLICABLE |
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22.DEPENDENTS
23.REMARKS
24. DATE |
25. ORDERS ISSUING/APPROVING OFFICIAL (Name, Grade, Title, DSN Phone) |
26. SIGNATURE |
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27. EXPENSES CHARGEABLE TO: |
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(*INSERT M, D, H, I, T, G, OR Y) |
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NONTEMPORARY STORAGE CHARGEABLE TO: |
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CIC: |
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TAC: |
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SDN HHG: |
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SDN NTS: |
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AF FORM 100, 20190502 |
PREVIOUS EDITIONS ARE OBSOLETE |
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Prescribed by: AFI
REQUEST AND AUTHORIZATION FOR SEPARATION (Continued)
NAME (Last, First, MI)
28.DESIGNATION AND LOCATION OF HEADQUARTERS DEPARTMENT OF THE AIR FORCE
33. DISTRIBUTION
29. AUTHORITY 30. SPECIAL ORDER NO. |
31. DATE |
32. TDN PCS
FOR THE COMMANDER
34. SIGNATURE ELEMENT OF ORDERS AUTHENTICATING OFFICIAL
35. CONTINUATION OF REMARKS
AF FORM 100, 20190502 |
PREVIOUS EDITIONS ARE OBSOLETE |
Prescribed by: AFI |
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