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Administrative Department
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USNA Official Forms

Form Numbers 1000-2999

Number
Form Title
Date
Office
1070/7
Officer Data Input Record
7-17
EPO
1110/5 
ROTC Nomination to USNA
3-23
ADM
1110/16 
U.S. Naval Academy Information Affiliate Identification Card (Issued by Admissions)
8-21
ADM
1110/21 
Nomination for Natural/Adopted Children of Active Duty/Reserve/Retired Parents
12-21
ADM
1110/94
Request to Perform Direct Support
01-22
ADM
1500/3
U.S. Naval Academy Marine Event Liability Waiver
4-22
SAILING
1500/4
U.S. Naval Academy Sail Training Craft Request
4-22
SAILING
1524/1 
USNA LEAD Program Application
11-16
LEAD
1531/1 
Naval Academy Information Program Blue and Gold Officer Application
11-22
ADM
1531/5 
Gratuitous Service Agreement
01-22
AO
1531/6 
USNA Museum Volunteer Application
01-22
MUS
1531/7 
Reserve Naval Academy Information Program Application
01-22
ADM
1531/9 
USNA Official Transcript Request
03-22
PRO
1531/11 
Plebe Sponsor Questionnaire
12-21
CMDT
1531/12 
USNA Sponsor Application
8-16
CMDT
1531/15
USNA Summer STEM Contact and Travel Information
12-21
ADM
1531/16 
Request for a Personal Swearing-In Ceremony
12-21
CMDT
1531/18 
Curriculum Change Request
7-22
PRO
1531/178 
Agreement to Serve and Degree Requirements for all Midshipmen
12-20
SJA
1650/1 
Naval Academy Blue and Gold Award Recommendations
01-22
ADM
1650/2 
Area Coordinator Annual BGO Excellence Award Submission
01-22
ADM
1650/60
Reserve NAIP Navy Recruiting Service Ribbon Request
01-22
ADM
1734/02 
MDC Authorization for Release of Information
6-20
CMDT
1734/23 
USNA MDC Authorization for Treatment and Audio-Video Recording with a Psychology Extern and Clinical Social Worker Intern
6-20
CMDT
1734/27 
MDC Peer Review Worksheet
6-20
CMDT
1734/28 
MDC Dietitian Peer Review Worksheet
6-20
CMDT
1734/29 
USNA MDC Confidentiality Statement
6-20
CMDT
1800/6 
Naval Academy Information Officer Monthly Retirement Credit Report
01-22
ADM

Form Numbers 3000-3999

Number
Form Title
Date
Office
 
 
 
 

Form Numbers 4000-4999

Number
Form Title 
Date
Office
4001/23
Gift Offer Acceptance
10-22
COMP
4001/24
U.S. Naval Academy Gift and Museum Fund Budget Submission
5-20
COMP
4001/25
Gifts of Travel from Non-Federal Entities (NFE)
3-22
SJA
4002/1
USNA Museum Outgoing Loan Agreement
01-222
MUS
4002/2
USNA Museum Incoming Loan Agreement
01-22
MUS
4002/3
Museum Artifact Donation Form
06-22
MUS
4002/4
USNA MuseumTemporary Custody Receipt
06-22
MUS
4651/7
USNA Invitational Travel Request
10-20
COMP
4780/1
USNA Barge Utilization
 6-21
 SJA

Form Numbers 5000-5999

Number
Form Title
Date
Office
5211/1
Nacal Academy Personally Identifiable Information Spot Check
3-21
SUP
5211/2
USNA General Privacy Release Authorization
6-22
SUP
5211/4
USNA Privacy Act Request
3-22
SUP
5212/1
USNA Records Destruction Request
3-21
SUP
5216/3
USNA Briefing Sheet
9-21
SUP
NAPS 5400/6
Naval Academy Preparatory School Official Transcript Request
5-22
NAPS
5500/1
Police Record Check
12-21
ADM
5500/31
Bancroft Hall Access Request 
4-22
CMDT
5510/1
Notification of Foreign Travel 
9-22
SEC
5510/2
Visitor Access Request
10-22
SEC
5700/1
Exchange Program - Academic Planning Form
8-17
ACD
5710/1
U.S. Embassy Contact Information Sheet for International Student Applicants
12-21
ADM
5710/2
United States Naval Academy Nomination for International Students
12-21
ADM

Form Numbers 6000-10999 

Number
Form Title
Date
Office
7200/10
USNA USNA Convenience Check Order
10-22
COMP
7200/11
USNA Purchase Card Order
12-22
COMP
7420/18
USNA Employee Work Schedule Request
07-22
COMP

Form Numbers 11000-11999

Number
Form Title
Date
Office
11102/1
Commandant Facilities Checklist
3-21
OPS

Form Numbers 12000+

Number
Form Title
Date
Office
 
 
 
 
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