Disclosure is voluntary. However, if you fail to provide the requested information you might not be able to enlist.
Purpose: military recruiters use the information you provide to collect additional information from the individuals, schools, and employers you list.
Social Security Number: it is used during the recruiting process to conduct background screening and ensure your test results are properly recorded.
Medical records: release to Representatives of USMEPCOM is for the sole purpose of further evaluation of medical acceptability into the Armed Services.
Recruiting personnel: they certify that they have properly identified this applicant and have witnessed the applicant's signature.
| Question | Answer |
|---|---|
| Form Name | USMEPCOM Form 680-3A-E |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 169 |
| Avg. time to fill out | 29 min |
| Edition | JUN 2015 |
| Use of this form | See USMEPCOM Reg 680-3 |
| Other names | USMEPCOM 680-3A-E, 680-3A, USMEPCOM Form 680-3A-E, USMEPCOM 680, Request for Examination |
| Official source | USMEPCOM Form 680-3A-E (Rev JUN 2015), USMEPCOM |
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