AF 2096 PDF Details

In the realm of United States Air Force personnel actions, the AF IMT form plays a crucial role, serving as a keystone document for managing a variety of classification and on-the-job training actions. It meticulously records personnel data changes, facilitates the adjustment of Air Force Specialty Codes (AFSC), and oversees the administration of special experience identifiers (SEI), promotion eligibility, and duty status updates. This form, formally referred to as DAF Form 2096, enables organization and FSM (Force Support Squadron) officials to initiate, track, and authorize changes pertaining to individual service members' careers. It not only captures essential data such as name, grade, and identification numbers but also delves into detailed aspects like retraining directives, proficiency pay status, and assignment availability codes. Moreover, the form acknowledges the service member's concurrence or non-concurrence with the proposed actions, a feature that underscores the participatory nature of personnel management within the Air Force. Used within a well-defined framework prescribed by DAFMAN 36-2689, this document adheres to the Privacy Act of 1974, ensuring that the personal information it contains is safeguarded in accordance with federal privacy standards. Its significance extends beyond the service member’s active duty period, remaining effective through discharge and immediate reenlistment at the same station, provided there is no break in military service. This brief overview underscores the critical function of the AF IMT form in the dynamic landscape of military personnel management.

QuestionAnswer
Form NameAF Form 2096
Form Length1 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out27 sec
Other namesaf 2096 epubs, dd form 2096, af form 2096, air force form 2096 pdf

Form Preview Example

CLASSIFICATION/ON-THE-JOB TRAINING ACTION

PERSONNEL ACTION NO.

C-

TO: (Organization)

/FSM

FROM: (Organization/Office Symbol)

I.

INDIVIDUAL IDENTIFICATION

NAME (Last, First, MI)

GRADE

SSN

UNIT

II.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONNEL DATA CHANGES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AFSC INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OJT INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AWARD AFSC

 

 

 

 

 

 

 

 

 

 

AS

 

 

 

AFSC

 

 

EFFECTIVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENTER/CONTINUE AFSC

 

 

 

 

 

 

 

 

TS CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REDESIGNATE

 

 

 

 

 

 

 

 

 

 

AS

 

 

 

AFSC

 

 

WITHDRAW AFSC

 

 

 

 

 

 

 

 

TS CODE

 

 

 

 

 

PAFSC FROM

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

COMPLETED AFSC

 

 

 

 

 

 

 

 

TS CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CAFSC FROM

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

DATE INITIALLY ENTERED RETNG

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIRECTED DUTY AFSC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DDA EXPIRATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 AFSC FROM

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

REASON

 

 

 

 

 

3 AFSC FROM

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

OFF-PROJ CLASN UPGRADE DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 AFSC FROM

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

ASSIGN PROFICIENCY PAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADD-AFSC FROM

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

SS RATING

 

AMOUNT

 

 

AFSC

 

 

WITHDRAW AFSC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE

 

PRO PAY STATUS REASON

 

 

 

 

SPECIAL EXPERIENCE IDENTIFIER

 

(S) (Airman Only)

 

 

 

 

 

 

WITHDRAW PRO PAY

 

 

 

 

 

 

 

EFFECTIVE

 

 

 

 

 

DESIGNATE CAFSC SEI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MISCELLANEOUS INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESIGNATE GENERAL SEI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADSCD

 

 

 

 

REASON

 

 

 

 

 

DESIGNATE SEI

 

 

 

 

 

 

 

 

 

 

WITH (

) AFSC

 

 

 

 

 

PROMOTION ELIG STATUS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WITHDRAW SEI

 

 

 

 

 

 

 

 

 

 

FROM (

) AFSC

 

 

 

 

 

PROMOTED TO

 

 

 

 

 

 

 

 

EFFECTIVE

 

 

 

 

 

DUTY INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WITH DATE OF RANK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAFSC

 

 

 

 

 

 

EFFECTIVE DATE

 

 

 

 

 

 

ASSIGNMENT AVAIL CODE/DOA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE SYMBOL

 

 

 

 

 

 

DUTY PH

 

 

 

 

 

 

 

DESIGNATE WAFSC

 

 

 

 

 

 

 

 

EFFECTIVE

 

 

 

 

 

POSITION NO.

 

 

 

 

 

 

 

OSC

 

 

 

 

 

 

 

WITHDRAW WAFSC

 

 

 

 

 

 

 

 

EFFECTIVE

 

 

 

 

 

COMD LVL

 

 

 

 

 

 

 

DUTY TITLE

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTHORITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

NAME, GRADE, TITLE, DUTY PHONE, SUPERVISOR/REQUESTING OFFICIAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

III.

DATE

CONCURRENCE OF MEMBER

SIGNATURE OF MEMBER

DO

DO NOT CONCUR

IV.

INTRA-BASE ASSIGNMENT ACTIONS

RNLTD/ EFFECTIVE DATE

ASSIGNMENT ACTION NUMBER

ASSIGNMENT FROM

ASSIGNMENT TO

V.

REMARKS

 

VI.

APPROVAL BY COMMANDER OR AUTHORIZED REPRESENTATIVE

DATE

TYPED NAME, GRADE, AND TITLE

FOR THE

COMMANDER

VII.

ACTION BY PERSONNEL OFFICIAL

DATE

APPROVED

DISAPPROVED

HEADQUARTERS

FOR THE

TYPED NAME, GRADE, AND TITLE

 

 

 

COMMANDER

 

 

This authorization remains in effect after Airman's discharge and immediate reenlistment at the same station provided that he/she has no break in military service.

VIII.

CSS/FSM COORDINATION RECORD

FSM

1. FSM

2. FSM

3. FSM

4. FSM

5. FSM

6. CSS

CSS

DAF FORM 2096, 20230331

Prescribed by: DAFMAN 36-2689

PREVIOUS VERSIONS OF THIS FORM MAY BE USED

PRIVACY ACT INFORMATION: The information in this form is Controlled Unclassified Information. Protect IAW the Privacy Act of 1974.

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portion of blanks in air force 2096 form

In the DESIGNATE GENERAL SEI, DESIGNATE SEI, WITHDRAW SEI, DUTY IN, FORMAT, IO DA, FSC 31, P, 3 OFFICE SYM, BO POSITION NO, ADS, CD REASON, WITH (, FROM, ) A, FS ) A, FS and PROMOTION E, LIG S, TATU area, note down your data.

air force 2096 form DESIGNATE GENERAL SEI, DESIGNATE SEI, WITHDRAW SEI, DUTY INFORMATIO, DAFSC, 31P3, OFFICE SYMBO, POSITION NO, ADSCD, REASON, WITH (, FROM, ) AFS, ) AFS, and PROMOTION ELIG STATU fields to complete

You're going to be requested to note the particulars to help the application fill out the segment COMMAND, E TYPED NAME, VII, ACTION BY PERSONNEL OFFICIAL, DAT, APPROVED, DISAPPROVED, FOR THE, COMMAND, E TYPED NAME, HEADQUARTERS, SIGNATURE, This authorization remains in, VIII, and UNIT, C, BPO COORDINATION RECORD.

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