Navpers Form 1421 7 PDF Details

If you’re an active-duty military member, the chances are you may be familiar with NAVPers Form 1421 7. The document is used to document and keep records of a service member's episode(s) of care related to mental health treatment or substance abuse. Usually provided by the doctor or medical professional responsible for detection and diagnosis, it serves as a basic legal waiver to permit healthcare providers to discuss records with other authorized agencies. In this blog post, we will discuss what this form is specifically and why it’s so important for any active-duty personnel who engage in therapy or addiction treatment programs—especially when filling out DBQ (Disability Benefits Questionnaires).

QuestionAnswer
Form NameNavpers Form 1421 7
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnavpers 1421, 1811, navpers 1421 7, navpers 1421 7 fillable

Form Preview Example

From:

To:

Subj: DELIVERY OF TEMPORARY/PERMANENT APPOINTMENT

Ref: (a)

(b)

(c) OPNAVINST 1811.3

1.

Your temporary/permanent appointment to

with the date of rank and effective date

of

 

promulgated by reference (a) pursuant to the provisions of references (b) and (c) is hereby delivered.

2.

You will indicate by endorsement hereon whether you accept or decline this appointment.

 

 

 

 

 

Name:

 

Signature:

 

 

 

 

 

 

 

 

 

 

 

FIRST ENDORSEMENT

Date

From:

 

 

 

 

To:

Navy Personnel Command (PERS-831)

 

Via:

 

 

 

 

1.

I

the temporary/permanent appointment authorized by reference (a).

 

2.I certify that I understand the provision of reference (c).

3.I acknowledge that, if I am an active duty member designated as a Limited Duty Officer (LDO) being promoted to the grade of Lieutenant, accepting this promotion constitutes the acceptance of my permanent appointment as an LDO, pursuant to reference (b).

4.VOLUNTARY OATH

I,

 

, do solemnly reaffirm that I will support and defend the Constitution of the United States of

America against all enemies, foreign and domestic, that I will continue to bear true faith and allegiance to the Constitution and the Country whose course it directs, and that I take this obligation freely, without any mental reservation. So help me God.

Name:

 

Signature:

 

 

 

 

 

SECOND ENDORSEMENT

 

Date

From:

 

 

 

To:

Navy Personnel Command (PERS-831)

 

 

1.Forwarded. Name:

Signature:

For Official Use Only - Privacy Sensitive

Forward original to CNPC (address below) and one copy to Appointee . Form may be mailed in a window envelope.

Navy Personnel Command (PERS-831)

5720 Integrity Drive

Millington, TN 38055-0802

NAVPERS 1421/7 (REV. 02-2013) PREVIOUS EDITIONS ARE OBSOLETE

How to Edit Navpers Form 1421 7 Online for Free

Any time you need to fill out NAVPERS, it's not necessary to download any kind of software - simply try using our PDF tool. Our editor is consistently evolving to give the best user experience achievable, and that's thanks to our resolve for constant improvement and listening closely to customer comments. Here is what you will need to do to get started:

Step 1: Press the "Get Form" button above. It is going to open our pdf editor so you can start filling out your form.

Step 2: Once you launch the tool, you'll see the form all set to be filled out. Other than filling in different blanks, you might also do many other actions with the PDF, specifically writing custom words, changing the initial textual content, inserting illustrations or photos, affixing your signature to the form, and more.

This document requires particular data to be filled in, thus ensure that you take your time to type in what is asked:

1. It is important to complete the NAVPERS correctly, hence take care when working with the areas that contain these particular fields:

Writing part 1 of 1421 7

2. Once your current task is complete, take the next step – fill out all of these fields - Via, I the temporarypermanent, Name, Signature, SECOND ENDORSEMENT, From, Navy Personnel Command PERS, Date, and Forwarded with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Filling out part 2 of 1421 7

It is easy to make a mistake when filling out the Date, hence ensure that you reread it before you'll submit it.

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