Form NAVCruit 1131 is used to request information about an employee's military service. The form can be used by employers, veterans organizations, and other interested parties to verify an employee's military service and any associated benefits. The form can also be used to confirm an employee's release from active duty or reserve status. Use of this form is important for ensuring compliance with the Uniformed Services Employment and Reemployment Rights Act (USERRA). In order to comply with the Uniformed Services Employment and Reemployment Rights Act (USERRA), it is important to understand how to properly utilize Form NAVCruit 1131. This form can be used by employers, veterans organizations, and other interested parties to verify an employee's military service and any associated benefits. The form can also be used to confirm an employee's release from active duty or reserve status. By understanding how the Form NAVCruit 1131 should be filled out and utilized, employers can ensure
Question | Answer |
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Form Name | Form Navcruit 1131 16 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | NCP Duty Preference form NAVCRUIT 1131_16 navy ncp form |
DUTY PREFERENCE FOR MEDICAL PROGRAMS
Privacy Act Statement
AUTHORITY AND PURPOSE: 5 U.S.C. 301, Departmental Regulations; and E.O. 9397(SSN). Provided information is used to assist officials and employees of the Navy in the management, supervision and administration of Navy personnel (officer and enlisted) and the operations of related personnel affairs and functions.
ROUTINE USES: Information will be utilized by Department of the Navy officials in verifying qualifications and suitability for future assignments. Contact information may also be provided to applicable personnel as it relates to your established future duty stations.
DISCLOSURE: Voluntary. However, failure to provide the requested information may result in an administrative assignment to future duty without your preference.
To be completed by Applicant
Name: (Last Name, First Name, Middle Initial)
DOB (dd/mm/yyyy)
Gender:
Male
Female
Email: |
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Home Phone |
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Work Phone |
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Collocation With Aactive Duty Spouse Requested: |
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Yes |
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No |
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N/A |
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Is Buddy System Requested? |
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Yes |
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No |
If yes to the question above or this question, please provide the following information: |
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Name: (Last Name, First Name, Middle Initial)
Rank.and Corps:
Duty Station:
Detailer's Name:
Telephone Number:
Duty Preferences:
1.
2.
3.
OIS Class (dd/mm/yyyy)
To be completed by NAVCRUITDIST personnel
NAVCRUITDIST:
UIC:
Recruiter: |
Telephone Number: |
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Please provide the following Applicant information:
Home of Record with Zip Code:
Mailing Address with Zip Code:
Education Level (Yrs): |
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Graduation Date (dd/mm/yyyy): |
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Current License: |
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Yes |
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No |
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B.D. Cert. Date (dd/mm/yyyy): |
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Current Pending License: |
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Yes |
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No |
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Active Service? |
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Yes |
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No |
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Prior |
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Current |
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If Yes - Specialty:
Years:
Rank.and Corps:
Brief Summary of Civilian Experience:
Marital Status:
Married
Single/Divorced/Widow
Number of Family members (excluding active duty members):
To be completed by NAVMEDCOM/NAVCRUITCOM personnel
Grade: |
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Designator: |
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OIS Class: |
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Subspecialty Code(s): |
1st |
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2nd |
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3rd |
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Scholarship Student? |
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Yes |
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No |
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New Accession Bonus? |
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Yes |
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No |
End of Obligated Service Date: |
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NAVCRUIT 1131/16 (Rev |
FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE |
Page 1 of 1 |
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