Form Navmc 604 PDF Details

Form NAVMC 604 is used to record the results of a fitness test or physical readiness evaluation. The form is also used to document any medical conditions that may prevent an individual from being physically qualified to serve in the military. By law, all individuals who wish to enlist in the United States Armed Forces must meet the standards outlined in this form. If you are seeking a waiver due to a medical condition, be sure to submit all required documentation with your application.

QuestionAnswer
Form NameForm Navmc 604
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namescheckage copy marpat, form 604 mens, mc604, 604 individual mens

Form Preview Example

COMBINED INDIVIDUAL CLOTHING REQUISTION AND ISSUE SLIP (MEN'S) (10120)

NAVMC 604 Rev.11-02 (EF) (Previous editions are obsolete and will not be used)

SN: 0109-LF986-0900

NAME (Last, First, Middle Initial)

GRADE

SSN

DATE

IT IS REQUESTED THAT THE BELOW LISTED ARTICLES BE FURNISHED FOR MY PERSONAL USE.

SIGNATURE:

CURR ACDU (Date of last entry for active duty)

SIZE

 

 

ITEM

 

QTY

UNIT

 

TOTAL

 

SIZE

 

ITEM

QTY

UNIT

TOTAL

 

 

 

PRICE

 

PRICE

 

 

PRICE

PRICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BAG, DUFFEL: w/carrying strap

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BELT, MARTIAL ARTS, color:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BELT, REFLECTIVE, SAFETY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BELT, TROUSERS, web, khaki

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUCKLE, f/belt (coat)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUCKLE: f/belt, web, khaki

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUTTON INSIGNIA: black, metal, 27-line, screwpost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUTTON INSIGNIA: gold, 27-line, screwpost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CAP, COMBAT: woodland camouflage pattern

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CAP, GARRISON, MAN'S: all-season poly/wool gabardine, green

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLASP, NECKTIE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COAT, COMBAT: woodland camouflage pattern

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COAT, MAN'S: all-season poly/wool gabardine, green, w/belt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COAT, MAN'S: all-weather

 

 

 

 

 

 

 

 

 

 

MARINE CORPS COMBAT UTILITY UNIFORM AND ACCESSORIES

 

 

 

 

 

 

 

 

 

 

 

CROWN, SERVICE CAP: all-season poly/wool, gabardine, green

 

 

 

 

 

 

 

 

 

BOOTS, MARINE CORPS COMBAT: hot weather, olive mohave, pr

 

 

 

 

 

 

 

 

 

 

 

DECAL: Marine Corps emblem

 

 

 

 

 

 

 

 

 

 

BOOTS, MARINE CORPS COMBAT: temperate weather, olive mohave, pr

 

 

 

 

 

 

 

 

 

 

 

DRAWERS, MAN'S: cotton, white, pair

 

 

 

 

 

 

 

 

 

 

CAP, COMBAT UTILITY: field, desert MARPAT

 

 

 

 

 

 

 

 

 

 

 

GLOVES, leather, black, pair

 

 

 

 

 

 

 

 

 

 

CAP, COMBAT UTILITY: field, woodland MARPAT

 

 

 

 

 

 

 

 

 

 

 

INSIGNIA, BOS: cap, black, screwpost

 

 

 

 

 

 

 

 

 

 

CAP, COMBAT UTILITY: garrison, desert MARPAT

 

 

 

 

 

 

 

 

 

 

 

INSIGINA, BOS: cap, black, screwpost, left

 

 

 

 

 

 

 

 

 

 

CAP, COMBAT UTILITY: garrison, woodland MARPAT

 

 

 

 

 

 

 

 

 

 

 

INSIGINIA, BOS: cap, gold, screwpost

 

 

 

 

 

 

 

 

 

 

COAT, COMBAT UTILITY: desert MARPAT

 

 

 

 

 

 

 

 

 

 

 

INSIGNIA, BOS: collar, black, pair

 

 

 

 

 

 

 

 

 

 

COAT, COMBAT UTILITY: woodland MARPAT

 

 

 

 

 

 

 

 

 

 

 

INSIGNIA, GRADE, EP: gold on scarlet, pair

 

 

 

 

 

 

 

 

 

 

NAME AND SERVICE TAPE: embroidered desert MARPAT (set of 3)

 

 

 

 

 

 

 

 

 

 

 

INSIGNIA , GRADE, EP: green on khaki, pair

 

 

 

 

 

 

 

 

 

 

NAME AND SERVICE TAPE: embroidered woodland MARPAT (set of 3)

 

 

 

 

 

 

 

 

 

 

 

INSIGNIA, GRADE, EP: green on scarlet, pair

 

 

 

 

 

 

 

 

 

 

TROUSERS, COMBAT UTILITY: desert MARPAT, pair

 

 

 

 

 

 

 

 

 

 

 

INSIGNIA, GRADE, EP: plastic, black, pair

 

 

 

 

 

 

 

 

 

 

TROUSERS, COMBAT UTILITY: woodland MARPAT, pair

 

 

 

 

 

 

 

 

 

 

 

NAME & SERVICE TAPE: green w/black lettering (set of 3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NECKTIE, KHAKI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIRT, MAN'S: poly/wool, khaki, long-sleeve

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIRT, MAN'S: poly/wool, khaki, quarter-length-sleeve

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHOES, DRESS: black, pair

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCKS, LINER: poly/nylon, black, pair

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCKS, WHITE, ATHLETIC (3 pair package)

 

 

 

 

 

 

 

 

 

 

 

BLUE UNIFORM ISSUES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCKS: w/cushion sole, black, pair

 

 

 

 

 

 

 

 

 

 

BELT, COAT, MAN'S: cotton, white

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STRIPE, SERVICE: green on scarlet, pair

 

 

 

 

 

 

 

 

 

 

COAT, MAN'S: all-season poly/wool gabardine, blue

 

 

 

 

 

 

 

 

 

 

 

STRIPE, SERVICE: gold on scarlet

 

 

 

 

 

 

 

 

 

 

CROWN, SERVICE CAP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STRIPE, TROUSER (NCO): scarlet, pair

 

 

 

 

 

 

 

 

 

 

GLOVES: cloth, white, pair

 

 

 

 

 

 

 

 

 

 

 

SWEAT PANTS: green w/insignia, pair

 

 

 

 

 

 

 

 

 

 

INSIGNIA, BOS: collar, gold, pair

 

 

 

 

 

 

 

 

 

 

 

SWEAT SHIRT: green w/insignia

 

 

 

 

 

 

 

 

 

 

TROUSERS, MAN'S: all-season poly/wool gabardine, blue, pair

 

 

 

 

 

 

 

 

 

 

 

SWEATER: pull-over, olive green

 

 

 

 

 

 

 

 

 

 

WAISTPLATE: insignia (SNCOs only)

 

 

 

 

 

 

 

 

 

 

 

TROUSERS, COMBAT: woodland camouflage pattern, pair

 

 

 

 

 

 

 

 

 

WAISTPLATE: insignia w/o wreath (NCOs only)

 

 

 

 

 

 

 

 

 

 

 

TROUSERS, MAN'S: all-season poly/wool gabardine, green, pair

 

 

 

 

 

 

 

 

 

WAISTPLATE: plain (lance corporals and below only)

 

 

 

 

 

 

 

 

 

 

 

TRUNKS, GENERAL PURPOSE: nylon, olive green, pair

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNDERSHIRT, MAN'S: cotton, white, crew-neck

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNDERSHIRT: cotton, green

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL ISSUE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED: The individual named hereon is authorized to draw

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

the clothing requested under the type issue indicated:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I ACKNOWLEDGE receipt of articles of clothing indicated above and accept

 

 

INITIAL ISSUE

FAN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

these items as fitting properly, or appropriate alterations have been

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUPPLEMENTARY ISSUE

FAN:

 

 

 

 

 

 

 

prescribed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

REPLACEMENT ISSUE

FAN:

 

 

 

 

 

 

I hereby CONSENT to checkage of my pay account in the amount indicated

 

 

 

 

 

 

 

 

 

 

 

 

under total issue.

 

 

 

 

 

 

 

 

 

 

 

CHECKAGE SALE

FAN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I CERTIFY that I have witnessed the issue of the clothing enumerated above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and that issues have been made in the manner indicated. Outer articles of

 

 

 

 

 

 

 

 

 

 

 

 

 

clothing issued are the proper size, or appropriate alterations have been

 

 

 

 

 

 

 

 

 

 

 

 

 

prescribed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Insert office stamp of issuing office)

 

 

 

 

 

 

 

 

 

Wit nessing Signat ure (w hen required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O&MMC FUNDED ISSUE UNIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROPRIATION DATA:

 

 

 

 

 

,U.S.M.C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(COMMANDING OFFICER'S SIGNATURE)

 

 

 

 

 

 

 

 

(COMMANDING OFFICER'S PRINTED NAME & RANK)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS

1.This form will be used for clothing issues under the monetary or in-kind allowance systems. It may also be used for issues made on a cash or checkage basis. Each form must be approved by the individual's commanding officer (CO) or other officer authorized in writing to sign by by-direction.

2.INITIAL OR SUPPLEMENTARY ISSUES

Upon completion, in accordance with MCBul 10120 (Individual Clothing Allowances), a NAVMC 604/604B used as an individual clothing request for initial or supplementary issue will be submitted to the individual's immediate CO for approval. The form will then be forwarded to the clothing officer or the appropriate Retail Clothing Outlet (RCO)/Military Clothing Sales Store (MCSS). If used as an issue slip at an RCO/MCSS, the form will be used as follows:

RCO - Original form will be annotated with the Functional Account Number (FAN) and filed in support of the RCO's copy of the expenditure transaction. A copy of the NAVMC 604/604B will be forwarded to the individual's CO for appropriate entry into the individual's clothing record (Form NAVMC 631/631A).

MCSS - Original form will be annotated with the FAN, attached to the Standard Form (SF) 1034 (Public Voucher for Purchases and Services Other Than Personal), and if applicable, forwarded to the Defense Finance and Accounting Service (DFAS) for reimbursement. A copy will be retained by the MCSS and another copy provided for the individual's CO to make appropriate entry on the NAVMC 631/631A.

3. REPLACEMENT ISSUES

Upon completion, a NAVMC 604/604B used as an individual clothing request for an in-kind replacement issue will be forwarded to the individual's CO for approval. If approved by the individual's CO, the form will be forwarded to the clothing officer or the appropriate RCO/MCSS. Following issue, the original will be annotated with the FAN and filed in support of the expenditure transaction, if applicable. A copy will be provided for the individual's CO for appropriate entry on the NAVMC 631/631A.

4. CHECKAGE SALES

A NAVMC 604/604B used as an individual checkage request must include monetary values of the items to be sold. The individual's CO shall write the word "Certified" in the block to the right of the annotated "CHECKAGE SALE" block. At the time of sale, the individual drawing the clothing will be required to sign the original, consenting to the checkage. If used as checkage request at an RCO/MCSS, the form will be used as follows:

RCO - After issue is completed, the RCO will maintain a copy of the checkage request and prepare a form NAVMC 604A (Transmittal of Clothing Issue Slips) in quadruplicate. The original and two copies of the NAVMC 604A will be forwarded to the individual's CO or Disbursing Officer (depending on local SOP) with the original NAVMC 604/604B checkage request. The Unit Diary Section/Disbursing Officer will enter the Transcript of Data Extraction (TODE) and date on a copy of the NAVMC 604A, authenticate the certificate portion of the form, and return this copy to the RCO to be filed with the RCO's copy of the checkage request.

MCSS - After issue is completed, the MCSS will forward the original checkage request, attached to a SF 1034, to the local Disbursing Officer. The Disbursing Officer will enter the TODE and authenticate the certificate portion and forward to DFAS for reimbursement. The MCSS will retain a copy of the NAVMC 604/604B checkage request and SF 1034.

5. ISSUES ON A CASH SALE BASIS (MARINE CORPS RESERVE)

A NAVMC 604/604B used as an individual cash sale request must be annotated with the words "Cash Sale" in the top right corner of the form. Values of clothing being sold must be entered and totaled on the form by the unit responsible officer. The original will be filed in support of the retained copy of form NAVCOMPT 2277 (Voucher for Disbursement and/or Collection). A copy will be provided to the individual.

6. O&MMC FUNDED ISSUES

A NAVMC 604/604B used for Operation and Maintenance Marine Corps (O&MMC) funded issues will be annotated with the complete unit appropriation data (required for completion of form NAVCOMPT 2277) and filed in support of the supply/property control officer's retained copy of the expenditure transaction. O&MMC funded issues cannot be included on the same NAVMC 604/604B as an initial issue, replacement issue, supplementary issue, or cash/checkage sale.

NAVMC 604 (REV 11-02) 2ND PAGE