Division and OPDIV/Program officials requesting action must sign and date form.
CAD: the 20-day rule does not begin until all the application materials and the acceptance response have been received in the Office of Commissioned Corps Operations.
Effective date: you must provide it; it should be the date you want the personnel order to be effective, and for orders with travel, the day travel begins.
Clearances: it is mandatory to answer all questions concerning required clearances.
Personnel order: the Office of Commissioned Corps Operations will sign off and issue a personnel order only after all required documentation is furnished.
| Question | Answer |
|---|---|
| Form Name | PHS-1662 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 115 |
| Avg. time to fill out | 20 min |
| Edition | Rev 10/04 |
| Issuing agency | Department of Health and Human Services, Public Health Service Commissioned Corps |
| Where to send | Office of Commissioned Corps Operations, ATTN: Division of Commissioned Corps Assignments, 1101 Wootton Parkway, Suite 100, Rockville, MD 20852 |
| Filing deadline | At least 20 calendar days before the effective date of the requested action, or 30 calendar days in the case of training |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | PHS-1662, PHS 1662, Form PHS-1662, Personnel Action Form, Request for Personnel Action Commissioned Officer |
| Official source | PHS-1662 (Rev 10/04), Department of Health and Human Services, Public Health Service Commissioned Corps |
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