How to Fill Out NAVPERS 1300/21

NAVPERS 1300/21 at a glance

What it is: Medical Suitability Certification NAVPERS 1300/21 (Rev. 10-2024), Supporting Directive MILPERSMAN 1300-318.

Who signs: The commanding officer or designee signs in Box 8.

A filled-in NAVPERS 1300/21 example: a member's expeditionary suitability certified

NAVPERS 1300/21 example filled out, example: a member's expeditionary suitability certified
Maria Sample's command certifies her suitability on NAVPERS 1300/21. Her commanding officer finds that she does meet the requirements, so Box 6 reads DOES. The picture shows the form filled in, and its names and figures are sample values. The form is dated March 14, 2026 in Box 2 and signed the same day in Box 9.

How to fill out NAVPERS 1300/21, box by box

Member's Name and Date

NAVPERS 1300/21 example filled out, member's Name and Date

Enter the member's name in Box 1 as Last, First, MI, Rank/Rate.

Enter the date in Box 2.

Present Ship/Station, UIC and IA/GSA Location

NAVPERS 1300/21 example filled out, present Ship/Station, UIC and IA/GSA Location

Enter the present ship or station in Box 3, the UIC in Box 4 and the IA/GSA location in Box 5.

Recommendation of Commanding Officer or Designee

NAVPERS 1300/21 example filled out, recommendation of Commanding Officer or Designee

Under Recommendation of Commanding Officer or Designee, Box 6 is the recommendation: member does or does not meet expeditionary suitability requirements.

Commanding Officer or Designee: Name, Rank, Signature and Date

NAVPERS 1300/21 example filled out, commanding Officer or Designee: Name, Rank, Signature and Date

Enter the commanding officer or designee's name and rank in Box 7.

Enter the date in Box 9.

More rules for NAVPERS 1300/21

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Previous editions are obsolete.

Sources

[1] NAVPERS 1300/21 (Rev. 10-2024), Medical Suitability Certification, U.S. Navy (the Official source link on this page).

NAVPERS 1300/21 Medical Suitability Certification PDF Details

Member's name, date, present ship/station, UIC, IA/GSA location and commanding officer or designee.

Member: MEMBER'S NAME (Last, First, MI, Rank/Rate) and DATE

Station: PRESENT SHIP/STATION, UIC and IA/GSA LOCATION

Requirements: MEMBER DOES / DOES NOT MEET EXPEDITIONARY SUITABILITY REQUIREMENTS.

Who signs: COMMANDING OFFICER OR DESIGNEE (NAME, RANK) and SIGNATURE, then DATE

Directive: Supporting Directive MILPERSMAN 1300-318

QuestionAnswer
Form NameNAVPERS 1300/21 Medical Suitability Certification
Form Length1 page
Fillable?Yes
Fillable fields9
Avg. time to fill out2 min
Other namesNAVPERS 1300/21, Navpers 1300 21, Medical Suitability Certification
Official sourceNAVPERS 1300/21 (Rev. 10-2024), Medical Suitability Certification, U.S. Navy