What Is the AF IMT 100 Form?

The AF IMT 100 form is the official Air Force Request and Authorization for Separation. It applies to all separation categories: honorable discharge, general discharge, entry-level separation, release from active duty (REFRAD), and retirement. The form is 2 pages long, contains 82 fillable fields, and is authorized under 10 U.S.C. 8013.

The form has four main parts. The first part records personal information: full name, Social Security Number, grade, date of birth, and unit of assignment. The second part documents the type of separation and the regulatory authority for the action. The third part covers post-separation entitlements, including terminal leave days approved, permissive temporary duty (TDY) authorization, and travel allowance to your home of record. The fourth part records your future mailing address and any Special Separation Benefit (SSB) or Voluntary Separation Incentive (VSI) elections.

A Privacy Act Statement on the form explains authorized uses of your personal information. Providing your Social Security Number is voluntary but is required to process pay and entitlements. Both the service member and the authorizing officer must sign the completed form before it can be submitted to the unit personnel office.

Processing time for the AF IMT 100 form typically ranges from 30 to 90 days depending on the type of separation and unit staffing. Entry-level separations (fewer than 180 days of service) are usually processed within 30 days. Retirement actions and separations involving disability review may take longer due to additional coordination required with AFPC. Service members should track their out-processing checklist to confirm the form has been received and entered into the personnel system before their projected departure date.

QuestionAnswer
Form NameAF IMT 100 Form
Form Length2 pages
Fillable?Yes
Fillable fields82
Avg. time to fill out16 min 58 sec
Other namesimt 100 separation, af form 100, af 100 request online, af authorization separation

Form Preview Example

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

 

RELEASE FROM EAD/REVERTS TO RESAF

 

DISMISSAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. AUTHORITY:

BY DIRECTION OF THE PRESIDENT

 

 

 

 

RESIGNATION ACCEPTED BY THE PRESIDENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3a. NAME (Last, First, MI)

 

 

3b. GRADE

3c. SSN

 

4. PLACE OF ENTRY ON ACTIVE DUTY OR ENLISTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. HOME OF RECORD

 

6. FUTURE MAILING ADDRESS

 

 

7. UNDER 2 YEARS SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

(E-4 Only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. PAFSC

9. RESERVE AF RANK

10. MIL SVC OBLIGATION DATE

 

11. AERONAUTICAL RATING

 

12. FLYING STATUS

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. EFFECTIVE

14. CHARACTER OF SERVICE:

 

 

 

 

 

 

15. CERTIFICATE ISSUED

 

DATE

HONORABLE

 

 

 

UNDER OTHER THAN HONORABLE CONDITIONS

 

DD FORM 256AF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERAL (Under Honorable Conditions)

BAD CONDUCT DISCHARGE

 

DD FORM 214

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNCHARACTERIZED

 

 

 

DISHONORABLE DISCHARGE

 

 

 

 

 

 

 

 

 

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)

 

 

HOME OF SELECTION

 

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:

 

 

 

 

MOBILIZATION AUGMENTEE

 

 

YES

NO

REINFORCEMENT DESIGNEE

 

 

 

 

UNIT

AGR

TR

 

d. UNIT OF ASSIGNMENT AND MPF

e. TRAINING/PAY CATEGORY

f. RESERVE SECTION CODE

g. FUNCTIONAL ACCT CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h. AUTHORIZED GRADE

i. AUTHORIZED AFSC

 

j . POSITION CONTROL NO.

 

 

 

 

 

 

 

 

21a. ELIGIBLE FOR (PER 10 U.S.C. 1174):

b. ENTITLED TO SEVERANCE/SEPARATION PAY

c. CHAPTER 61, 10 U.S.C.

 

SEPARATION PAY

 

 

SERVICE FOR PAY IS:

 

 

DISABILITY:

 

READJUSTMENT PAY

 

 

YEARS

MONTHS

DAYS

 

NOT ENTITLED TO BENEFITS

 

CREDITABLE ACTIVE FEDERAL SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

YEARS

MONTHS

DAYS

 

 

 

 

 

 

NOT APPLICABLE

 

 

 

 

 

 

 

 

 

 

 

22.DEPENDENTS

23.REMARKS

24. DATE

25. ORDERS ISSUING/APPROVING OFFICIAL (Name, Grade, Title, DSN Phone)

26. SIGNATURE

 

 

 

 

27. EXPENSES CHARGEABLE TO:

 

(*INSERT M, D, H, I, T, G, OR Y)

 

NONTEMPORARY STORAGE CHARGEABLE TO:

 

 

 

CIC:

 

TAC:

SDN HHG:

 

SDN NTS:

 

 

AF FORM 100, 20190502

PREVIOUS EDITIONS ARE OBSOLETE

Prescribed by: AFI 36-2102

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 36-2102

 

How to Edit AF IMT 100 Form Online for Free

How to Fill Out the AF IMT 100 Form

Follow these steps to complete the form correctly. Have your personnel records, orders, and unit contact information ready before you start.

  1. Enter personal information. Fill in your full name, Social Security Number, grade, and date of birth. Include your current unit and base of assignment. Confirm your information matches your service record exactly to avoid processing delays.
  2. Select the type of separation. Check the box for your separation category: honorable discharge, entry-level separation, release from active duty, or retirement. If you are unsure which category applies, consult your unit's personnel office before submitting.
  3. Record the authority for separation. Enter the regulation or order number authorizing the action. Your unit personnel office can supply this reference. Typical authorities include AFI 36-3208 for officer separations and AFI 36-3207 for enlisted separations.
  4. Document post-separation entitlements. Enter the number of terminal leave days approved. Indicate whether permissive TDY is authorized. List your home of record address for travel allowance calculations. Keep a copy of your approved leave balance for your records.
  5. Enter your future mailing address. Provide a valid address where official mail will reach you after separation. This address is used for W-2 forms, VA correspondence, and benefit payments. Update this address with DFAS and the VA separately after separation is finalized.
  6. Sign and date the form. Both the service member and the authorizing officer must sign. Submit the completed document to your unit personnel office for processing. Retain a signed copy for your personal records.

Frequently Asked Questions About the AF IMT 100

What is the AF IMT 100 form used for?

It is used to request and authorize the official separation of an Air Force service member. The document records the type of separation, the member's post-separation entitlements, and their contact information after leaving service.

Who needs to sign the AF IMT 100?

Both the separating service member and the authorizing officer are required to sign. Forms missing a signature cannot be processed by the unit personnel office.

Is the AF IMT 100 the same as a DD-214?

No. This is the internal separation request completed during out-processing. The DD-214 (Certificate of Release or Discharge from Active Duty) is the official discharge certificate issued after separation is finalized.

How many pages does it have?

The document is 2 pages long and has 82 fillable fields. The average completion time is approximately 17 minutes.

When should the form be submitted?

Submit it during the formal out-processing period, typically 30 to 90 days before your separation date. Early submission allows time for review and corrections by your unit personnel office.

Where can I find the current version?

You can complete the AF IMT 100 form online using FormsPal's PDF editor. Your unit personnel office also maintains the current printed version. Always confirm you are using the most current edition before submitting.

Related Air Force Separation Forms

Other forms commonly used in the Air Force separation process:

  • DD-214 Applicant Form - Certificate of Release or Discharge from Active Duty, issued once separation is complete.
  • AF IMT 1048 - Documents service history and qualifications, often required during separation review.
  • AF IMT 174 - Record of individual training, attached during separation processing.
  • Air Force Form 77 - Supplemental Sheet for Record of Separation, used alongside the DD-214.