NAVPERS 1421/7 at a glance
What it is: Subj: DELIVERY OF TEMPORARY/PERMANENT APPOINTMENT.
Who signs: Name: and Signature: are next to fill in, for the FIRST ENDORSEMENT.
A filled-in NAVPERS 1421/7 example: a lieutenant commander accepts an appointment

How to fill out NAVPERS 1421/7, box by box
From, To, Ref, the appointment, Name and Signature

Fill in From: and To:. This delivers Your appointment.
Fill in Ref: (a) and (b); (c) OPNAVINST 1811.3.
Fill in the blank after appointment to and the blank after effective date of. Your temporary/permanent appointment, with the date of rank and effective date promulgated by reference (a) pursuant to the provisions of references (b) and (c), is hereby delivered. You will indicate by endorsement hereon whether you accept or decline this appointment.
Fill in Name: and Signature:.
FIRST ENDORSEMENT: Date, From and Via
I certify, the VOLUNTARY OATH, Name and Signature

In 1., fill in the blank after 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, (fill in the blank), 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: and Signature: are next to fill in, for the FIRST ENDORSEMENT.
SECOND ENDORSEMENT: Date, From, Forwarded, Name and Signature
Common questions about NAVPERS 1421/7
Where do I file it?
Forward original to CNPC and one copy to Appointee. Form may be mailed in a window envelope. The CNPC address: Navy Personnel Command (PERS-806), 5720 Integrity Drive, Millington, TN 38055-0806.
Sources
[1] NAVPERS 1421/7 (Rev. 10-2013), Delivery of Temporary/Permanent Appointment, U.S. Navy (the Official source link on this page).


