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Dd 369 Form PDF Details

Dd 369 form is an important document for service members in the United States military. The form is used to report administrative and personnel actions, including changes of duty station, Leaves of Absence (LOA), and other events. It's important to understand how to properly complete the dd 369 form so that your information is accurately reported. In this blog post, we'll walk you through the process of completing a dd 369 form. We'll also provide some tips on how to ensure accuracy and completeness.

Below is the details about the file you were seeking to complete. It will show you the time it will require to fill out dd 369 form, what parts you will need to fill in and a few further specific facts.

Question	Answer
Form Name	Dd 369 Form
Form Length	1 pages
Fillable?	Yes
Fillable fields	33
Avg. time to fill out	6 min 55 sec
Other names	dd 369 check, form dd 369, blank dd 369 form, dd 369

12

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POLICE RECORD CHECK	1. DATE OF REQUEST	OMB No. 0704-0007
POLICE RECORD CHECK	(YYYYMMDD)	OMB approval expires
		March 31, 2021

The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-informationcollections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.

SECTION I - (To be completed by Recruiting Service)

2.

NAME OF APPLICANT (Last, First, Middle Name(s), Alias)

3. SEX

4. PLACE OF BIRTH

MALE

a. CITY

b. COUNTY

c. STATE

FEMALE

5.

DATE OF BIRTH

6.a. ETHNIC CATEGORY

b. RACIAL CATEGORY (X one or more)

7.

SOCIAL SECURITY

(YYYYMMDD)

(1) AMERICAN INDIAN/ALASKA NATIVE

(4) NATIVE HAWAIIAN OR

NUMBER

(1) HISPANIC OR LATINO

(2) ASIAN

OTHER PACIFIC ISLANDER

(2) NOT HISPANIC OR LATINO

(5) WHITE

(3) BLACK OR AFRICAN AMERICAN

8.

ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block)

9. DATES RESIDED AT THIS ADDRESS

a. NUMBER AND STREET (Include apartment no.)

b. CITY

c. STATE

d. ZIP CODE

a. FROM

b. TO

(YYYYMMDD)

(YYYYMMDD)

10. PERSON MAKING THIS REQUEST

a.NAME (Last, First, Middle Name(s))

b. RANK

c. SIGNATURE

d. TITLE

SECTION II - (To be completed by Applicant)

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. Sections 136, 504, 505, 12102; 14 U.S.C. Sections 351 and 632; DoDI 1304.2; DoDI 1304.26; and E.O. 9397 (SSN), as amended.

PRINCIPAL PURPOSE(S): The information collected on this form is used to screen and identify applicants to the Armed Forces who may have discreditable involvement with the police or other law enforcement agencies. Completed forms are used to conduct background records checks used to determine eligibility of applicants for accession into the Armed Forces. Completed forms are covered by recruiting and official military personnel SORNs maintained by each of the Services.

ROUTINE USE(S): The routine uses are found in the associated system of records notices listed below:

A0601-270, U.S. Military Processing Command Integrated Resources System (USMIRS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-view/Article/570661/ a0601-270-usmepcom-dod/

A0601-210c TRADOC, Army Recruiting Prospect System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570073/a0601-210c-tradoc/

F036 AETC R, Air Force Recruiting Information Support System (AFRISS) Records; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569780/f036- aetc-r/

M01133-3, Marine Corps Recruiting Information Support System (MCRISS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570628/m01133-3/ N01133-2, Recruiting Enlisted Selection System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570318/n01133-2/

DHS/USCG-027, Recruiting Files System of Records; http://www.gpo.gov/fdsys/pkg/FR-2011-08-10/html/2011-20225.htm

DISCLOSURE: Voluntary. However, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United States. An applicant's SSN is used to conduct the police records check and keep all records together during the enlistment process.

11. I HEREBY CONSENT TO RELEASE FROM YOUR FILES	SIGNATURE
THE INFORMATION REQUESTED BELOW.
SECTION III - (To be completed by Police or Juvenile Agency)

The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.

12.DOES THE APPLICANT HAVE A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS?

(If YES, what was the offense or charge, date, disposition and sentence?)

YES

NO

13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND? (If YES, give details.)

YES

NO

THIS IS TO CERTIFY THAT THE ABOVE DATA, AS CORRECTED, ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE. THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES.

14.DATE (YYYYMMDD)

15. TITLE

16.VERIFIED BY (Signature)

LAW ENFORCEMENT AGENCY MAIL TO:

RECRUITING AGENCY MAIL FROM:

DD FORM 369, APR 2019

PREVIOUS EDITION IS OBSOLETE.

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step 1 to writing dd 369 check

Write the required data in the ROUTINE USE, S The routine uses, DISCLOSURE: Voluntary, THE INFORMATION REQUESTED BELOW, SIGNATURE, SECTION III - (To be completed by, (If YES, IS APPLICANT NOW UNDERGOING COURT, YES, THIS IS TO CERTIFY THAT THE ABOVE, LAW ENFORCEMENT AGENCY MAIL TO:, and RECRUITING AGENCY MAIL FROM: part.

dd 369 check ROUTINE USE(S): The routine uses, DISCLOSURE: Voluntary, THE INFORMATION REQUESTED BELOW, SIGNATURE, SECTION III - (To be completed by, (If YES, IS APPLICANT NOW UNDERGOING COURT, YES, THIS IS TO CERTIFY THAT THE ABOVE, LAW ENFORCEMENT AGENCY MAIL TO:, and RECRUITING AGENCY MAIL FROM: blanks to fill out

In the LAW ENFORCEMENT AGENCY MAIL TO:, RECRUITING AGENCY MAIL FROM:, DD FORM 369, and PREVIOUS EDITION IS OBSOLETE area, point out the significant data.

Completing dd 369 check step 3

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