OPINS, MMPA, MXC, FORMAN USER

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1 USERS GUIDE Edited By: NCCS(AW/SW) Mark W. Rush, USS THEODORE ROOSEVELT/Mr. John Dovel, COMNAVPERSCOM (PERS-811F) These procedures will allow the Career Counselor to access the OPINS, LOPG & MLS systems. This will give “real time” access to the Enlisted Master File, allow direct input of SRB requests, STAR requests, Fleet Reserve Applications, and CSB requests viewing of PSR info, evals, and many other areas of the enlisted Master File. To obtain access to this system, follow these steps. 1. Obtain your UIC specific password from the FORMAN users help desk. Call DSN: 224- 5755 COMM: 703-614-5775 for access request form, when completed fax form to Millie Price at: DSN 227-1643. NEW MIAPS website: https://miap.csd.disa.mil/rweb/ . Fax DD 2875 to: DSN 596-1325 or you can call with questions to David Keller or Floyd Rodery at DSN: (334)-416-3472 or DSN: 596-3472. mzs-tngw1.mech.disa.mil mzs-tngw6.mech.disa.mil. 1-877-589-5991 option 4. Email form to Bonnie Archie at: FAX: 901-874-2660. Bonnie’s number is: 901-874-2943. Then Bonnie faxes form to New Orleans. 2. Download “opinsz.exe” from the Retention Center Online at www.staynavy.navy.mil or www.npc.navy.mil/ppac/access.html . 3. Create OPINS directory. 4. Click on “opins.exe” this will launch the winzip utility which will decompress the files. 5. Click on “opinsprg.exe” this will launch the winzip utility which will decompress the files. 6. Select “actions” click “select all”. 7. Click “extract” 8. Make sure to specify the directory you just created in the “extract to:” box. 9. Go to Opins directory, Right click “qws3270.exe”, select “Create shortcut”. Drag the shortcut to the desktop. Click on the OPINS.EXE hyperlink!

description

These procedures will allow the Career Counselor to access the OPINS, LOPG & MLS systems. This will give “real time” access to the Enlisted Master File, allow direct input of SRB requests, STAR requests, Fleet Reserve Applications, and CSB requests viewing of PSR info, evals, and many other areas of the enlisted Master File.

Transcript of OPINS, MMPA, MXC, FORMAN USER

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USERS GUIDE Edited By: NCCS(AW/SW) Mark W. Rush, USS THEODORE ROOSEVELT/Mr. John Dovel, COMNAVPERSCOM (PERS-811F) These procedures will allow the Career Counselor to access the OPINS, LOPG & MLS systems. This will give “real time” access to the Enlisted Master File, allow direct input of SRB requests, STAR requests, Fleet Reserve Applications, and CSB requests viewing of PSR info, evals, and many other areas of the enlisted Master File. To obtain access to this system, follow these steps. 1. Obtain your UIC specific password from the FORMAN users help desk. Call DSN: 224-

5755 COMM: 703-614-5775 for access request form, when completed fax form to Millie Price at: DSN 227-1643. NEW MIAPS website: https://miap.csd.disa.mil/rweb/. Fax DD 2875 to: DSN 596-1325 or you can call with questions to David Keller or Floyd Rodery at DSN: (334)-416-3472 or DSN: 596-3472.

mzs-tngw1.mech.disa.mil mzs-tngw6.mech.disa.mil. 1-877-589-5991 option 4. Email form to Bonnie Archie at: FAX: 901-874-2660. Bonnie’s number is: 901-874-2943. Then Bonnie faxes form to New Orleans. 2. Download “opinsz.exe” from the Retention Center Online at www.staynavy.navy.mil or www.npc.navy.mil/ppac/access.html. 3. Create OPINS directory. 4. Click on “opins.exe” this will launch the winzip utility which will decompress the files. 5. Click on “opinsprg.exe” this will launch the winzip utility which will decompress the files. 6. Select “actions” click “select all”. 7. Click “extract” 8. Make sure to specify the directory you just created in the “extract to:” box. 9. Go to Opins directory, Right click “qws3270.exe”, select “Create shortcut”. Drag the

shortcut to the desktop.

Click on the OPINS.EXE hyperlink!

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To Change your password in OPINS/FORMAN, goto initial "login" screen and type

"mxc", then hit ENTER. Use of this Department of Defense computer system, to include related networks and equipment, constitutes your consent to monitoring by authorized DoD personnel. Unauthorized system use may subject you to criminal prosecution. LU: AZSTHMOY Logon: mxc

Hit Enter

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FORMAN OPINS INSTRUCTIONS

Note: read to end and UTILIZE logoff procedures

1. Launch “QWS3270” 2. Type: icpnet mech=acncpp01 press “ENTER” (type EXACTLY as appears) 3. "LOGINID" type "BCxxxxx", press "TAB" (BCxxxxx is your UIC) 4. "Password" type current password, press "ENTER" 5. Menu will appear, arrow down to "Clev Prod CICS Rg" Actions Options Commands Features Help ------------------------------------------------------------------------------ KLSVSEL1 CL/SUPERSESSION Main Menu More: Select sessions with a "/" or an action code. Session ID Description Type Status ---------- ------------------------------- -------- ------------ HELPDKT2 Helpdesk/Monitor Multi ACNCIP01 P2 DOMAIN - Clev Prod CICS Rg Multi ACNTSP01 P2 DOMAIN - TSO Multi ACNCIP17 P2 DOMAIN - NAVY PROD EAIS CI Multi ACNCIP27 P2 DOMAIN - NAVY PROD CONTROL Multi SSMENU JACKSONVILLE/SAN ANTONIO MENU Multi 6. Press "ENTER" 7. "LOGINID" type "BCxxxxx", press "TAB" (BCxxxxx is your UIC) 8. "Password" type current password, press "ENTER" 9. At next screen, type "OPIN" or OPINS" 10. Source Code: "cc" or "gf" Password: "care" or "psgf", press "ENTER" Tab to upper left corner of screen to input transport code. (you must Tab to this position, commands will only be recognized from the home position, if you are one space off, nothing will happen.) Hint: Use Shift+Tab to tab back to this position to keep from cycling through the entire document.

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The following transport codes are used for submission of SRB, Fleet Reserve/Retirement, ENCORE: UN1 - Basic data screen Update ENCORE/Request Data UN2 - Eligibility screen Update Eligibility/Request Data UN3 - Evaluation screen ENCORE Update Evaluation Data UN4 - Comments screen ENCORE Update comments UNA - Update program/Request data screen UNC - Update program/Request data screen UZ1 - SRB request DATA INPUT screen (use this code for initial input or changes) UZ4 - SRB request COMMENTS screen (use this code for extension data or any other comments data input) I31 - Navy Enlisted Personnel Data (Enlisted Master File) I34 - To check status message of STAR reenlistment requests I36 - Message history screen (use for getting message DTG for ENCORE and Fleet Reserve/Retirement) I41 – OPINS/ENCORE Message Code Inquire Screen – To find out WHY SRB got rejected goto I51 under “MSG BLURB CD:” find the number (ex: 310) and then goto I41 and type that number next to “MESSAGE CODE” and hit enter. That’ll explain WHY SRB was rejected (e.g., HYT) I42 - Other additional information regarding a member's Fleet Reserve request I51 - SRB request STATUS screen (use this code for SRB dollar amounts and 3060 blurb) I52 - SRB request MESSAGE HISTORY screen (use this screen for message history) I53 - SRB request MMPA screen (zone and extension data) I73 - Shows the Fleet Reserve Statement of Service that is found normally in the "Final Authorization" message that comes out from COMNAVPERSCOM (PERS-823). UN5 - Extension Request Check the following MMPA Codes for EB, SRB, and ESRP respectively (R4, R5, R7, R8. When checking EB's, also check line 34. SDAP is 30. Errors on SRB submissions are shown on Line NN. DDE errors on NN are worked and corrected on Wednesdays.). This is to ensure that the member doesn’t go over the $200K limit of “bonuses” in a career! Enlisted Bonus (EB) is always tied to the program listed on the annex. Unless it's EB for College Credit (EBCC). R/ John John S. Dovel PERS-811 MMC(SS) USN (FLTR) Extensions/Reenlistments 901 874-2499 DSN 882 [email protected]

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ENCORE(Not currently required)

Using the ENCORE form: USE UN1, UN2, UN3, UN4 Screens to input data Use I36 screen to obtain DTG for acknowledgement Using DMRS worksheet: USE UN1, UN2, UN3, UN4 Screens to input data Use I36 screen to obtain DTG for acknowledgement • This gouge is designed to be used with a completed worksheet • There are four (4) transport codes required for ENCORE request submissions: - UN1 Basic data screen Update ENCORE/Request Data - UN2 Eligibility screen Update Eligibility/Request Data - UN3 Evaluation screen ENCORE Update Evaluation Data - UN4 Comments screen ENCORE Update comments OPINS FORMAN UPDATE ENCORE/REQUEST DATA (UN1) 04/19/00 13:04:59

SSN: NAME: FORMAN PROGRAM: Z (SRB-ONLY) REQUESTING UIC: DTG: PNA: CO RECOM ADV: SRB: OBLISERV: ORDERS NUM: TERM REENL: STAR/C SCH REQ: SCHOOL: CANCEL REQ: REASON: ERRON REENL: PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER.

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• UN1 Update ENCORE/Request Data SSN: Enter members Social Security Number (Do not use “-”) NAME: Enter first four (4) characters of Last name FORMAN PROGRAM: Y REQUESTING UIC: (If supported by PSD) PNA: Y or N RECOM ADV: Y or N SRB: Y or N OBLISERV: Y or N ORDERS NUM: Enter BUPERS TAC Number TERM REENL: Number of years STAR/C SCH REQ: Y or N SCHOOL: Enter the CIN of the school CANC REQ: Y or N (If initial submission leave N for NO) REASON: Leave Blank ERRON REENL: Leave Blank VOL SEP: Leave Blank OPINS FORMAN UPDATE ELIGIBILITY/REQUEST DATA (UN2) 04/19/00 13:05:20

SSN: NAME: GOOD CONDUCT: PRT: SUBSTANCE ABUSE CODE: DATES: MISCONDUCT HISTORY: DATES: USNR: MARINER: USN: TAR: USN TO TAR: TAR TO USN: CONVERSION: RATES: PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER

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• UN2 Update Eligibility/Request Data SSN: Already filled NAME: Already filled GOOD CONDUCT: Y or N PRT: Enter Current PRT Standards (PWS/NWS/…) SUBSTANCE ABUSE CODE: Enter N, A, D, or B DATES: Enter Dates in YYMM format MISCONDUCT HISTORY: Y or N DATES: Enter Dates in YYMM format USNR: Y or N MARINER: Y or N USN: Leave Blank TAR: Y or N USN TO TAR: Y or N TAR TO USN Y or N CONVERSION: Y or N RATES: Enter up to three ratings OPINS ENCORE UPDATE EVALUATIONS (UN3) 04/19/00 13:05:41

SSN: NAME: DATE EVALUATION DATA AVERAGE CONVERSION FORMULAS EVAL MARKS PRIOR TO JAN 96 EVAL STANDARDS EFFECTIVE JAN 96 A = NOB 9 = 4.0 5 = 5.0 GREATLY EXCEEDS 8 = 3.8 7 = 3.6 4 = 4.0 ABOVE 6 = 3.4 5 = 3.2 3 = 3.0 MEETS STANDARDS 4 = 3.0 3 = 2.8 2 = 2.0 PROGRESSING 2 = 2.6 1 = 2.0 1 = 1.0 BELOW 0 = 1.0 B = N/A 0 = NOB NOT OBSERVED B = N/A NOT USED PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER.

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• UN3 ENCORE Update Evaluations SSN: Already filled NAME: Already filled EVALUATION 1: Dates entered YYMM EVALUATION 2: Dates entered YYMM EVALUATION 3: Dates entered YYMM OPINS ENCORE UPDATE COMMENTS (UN4) 04/19/00 13:06:01

SSN: NAME:

CO COMMENTS: (FOUR LINES AVAILABLE FOR COMMENTS) PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER. • UN4 ENCORE Update Comments SSN: Already filled NAME: Already filled CO COMMENTS: Only four (4) lines available for comments first line should read: CO recommends yes: ** YES CO recommends no: ** NO

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Fleet Reserve/Retirement Using the form: Use UNA, UNC and UN4 screens to input data Using DMRS worksheet: - UNA Update program/Request data screen - UNC Update program /Request data screen - UN4 ENCORE update comments screen OPINS FORMAN UPDATE PROGRAM/REQUEST DATA (UNA) 04/19/00 12:56:40 SSN: Enter SSN NAME: Enter Name FORMAN PROGRAM: Enter "M" (E-FLTRES) Or "P" (E-Retirement) REQUESTING UIC: DTG: SCHD PHYSICAL: CO RECOM ADV: OBLISERV: CONTACT RELIEF: RETIREMENT DATE: CANCEL REQ: REASON: PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER. • UNA Update program/Request data screen SSN: Enter members Social Security Number (Do not use “-”) NAME: Enter first four (4) characters of Last name FORMAN PROGRAM: Block 4 M= Fleet Reserve P=Retirement REQUESTING UIC: Enter Your PN's UIC DTG: Leave Blank SCHD PHYSICAL: Y or N CO RECOM ADV: Y or N OBLISERV: Y or N CONTACT RELIEF: Y or N RETIREMENT DATE: YYMMDD CANCEL REQ: Y or N (If initial submission leave N for NO) REASON: Block 49 (only required if canceling request) NOTE: * If you go to put someone in for FLTRES/Retirement (starting with the UNA Screen) and it takes you back to UN1 (ENCORE), do the following. Type an "M" next to the blinking cursor (usually reading "program"), then hit enter. It will take you to another screen that will read UNA, then hit enter again and you should be okay. If not, there will be a number in red that will come up at the bottom of your screen stating you need to contact the Bureau. This is per Karla Lee on 15 July 2005 @ 0827. To reset a FLTRES go to the UNA screen, make a change on one of the y/n entries, hit enter, then go right back and change it back to the correct answer, hit enter again. That will start the request over. You can verify that by checking the I42 screen, RECORD STATUS. Per email from Karla Lee on 15 Nov 07 @ 0908.

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OPINS FORMAN UPDATE PROGRAM/REQUEST DATA (UNC) 04/19/00 12:57:36 SSN: NAME: GOOD CONDUCT: Y or N PRT: NA SUBSTANCE ABUSE CODE: Leave Blank DATES: MISCONDUCT HISTORY: Leave Blank DATES: USNR: Y or N SEAOS REQD TIME: Y or N USN: Y or N TAR: Y or N MAT/TWLT/WAVER: Y or N PRIOR SERVICE: Y or N HERO BENES REV: Y or N DAYS LEAVE: 999 PERMISSIVE TDY: 020 PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER • UNC Updated program/Request data screen GOOD CONDUCT: Y or N SUBSTANCE ABUSE CODE: Leave Blank DATES: Leave Blank MISCONDUCT HISTORY: Leave Blank DATES: Leave Blank USNR: Y or N SEAOS REQD TIME: Y or N USN: Leave Blank TAR: Y or N MAT/TWLT/WAIVER: Y or N PRIOR SERVICE: Y or N HERO BENES REV: Y or N DAYS LEAVE: Three digit number (060) PERMISSIVE TDY: Three digit number (020) Note: After entering data in the fields you CAN view, you may want to hit ENTER so that you can view the other fields which will eliminate the "guessing game". It's a glitch in the program. PFR (Pending Fleet Reserve) [which will be next to EDLN date] Para 2 auth mbr to obtain OBLISERV to reach FLTRES which is your auth for ext/conditional reenlistment. No need for 1306/7. R/Ms D. J. McIver HYT Supervisor

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OPINS ENCORE UPDATE COMMENTS (UN4) 04/19/00 12:58:21 SSN: NAME: CO COMMENTS: (FOUR LINES AVAILABLE FOR COMMENTS) RT YES PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER. • UN4 ENCORE Update comments screen SSN: Already filled NAME: Already filled CO COMMENTS: Only four (4) lines available for comments first line should read: CO recommends yes: RT YES

CO recommends no: RT NO

• I36 Message History Screen • Use this to get the DTG of Fleet Reserve/Retirement Request OPINS FORMAN MESSAGE HISTORY (I36) 04/19/00 12:59:00

SSN: NAME: IN TAC DTG OUT TAC TYPE DTG FORM 1. 1. NG A 140534ZAPR00 2. 2. NG O 070722ZAPR00 3. 3. N4 1 270036ZMAR00 4. 4. 5. 5. ENCORE: TERA: VOL SEP: RETR: H 000414 VSI: RESG: ACKN DTG: 270036ZMAR00 SSB: PTDR: PRE SEP DTG: OUT TYPE: A-APPR W-WAIT C-CANC D-DISAP L-LOST RES R-REJECT 0-ERROR 1-ACKN 3-ERR REENL 4-ADD INFO 9-ADD INFO 5-EXT REJECT 6-EXT DISAP 7-EXT APPR 8-EXT ADDN K-EXT CANC O-OTHER X-NEED NOT APPLY ACKN

TIME IN GRADE WAIVER SUBMISSION! TIG waivers are for a maximum of 12 months and are not usually approved. You can submit the request on the UN4 screen. Normally they come back with an offer to sign a pg 13 agreeing to go at the lower pay grade (E7). V/R Karla Lee Pers-4823 Customer Service [email protected] Com (901)874-3247, DSN 882-3247 Fax (901)874-2762, DSN 882-2762

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HOW TO SUBMIT STAR PACKAGES VIA FORMAN FOR NUCLEAR PERSONNEL OPINS FORMAN UPDATE ENCORE/REQUEST DATA (UN1) 04/19/00 13:04:59

SSN: 123456789 NAME: SCHMUKATELI JOSEPH JAMES FORMAN PROGRAM: Y (ENCORE) REQUESTING UIC: 09734 DTG: PNA: Y CO RECOM ADV: Y SRB: Y OBLISERV: Y ORDERS NUM: (LEAVE BLANK) TERM REENL: 6 STAR/C SCH REQ: Y SCHOOL: CIN (A0000000) CANCEL REQ: N REASON: ERRON REENL: PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER . NOTE: Highlighted portions of this screen are very important. When doing STAR packages on Nuclear Power personnel, there is NO need to put in "ORDERS NUM", for "TERM REENL" put in the number of YEARS (e.g., 6), for "SCHOOL" always put FULL CIN. For all other ratings, fill in the areas that were left blank (i.e., ORDERS NUM and SCHOOL, etc...) The UN2 and UN3 screens fill in as appropriate or required. UN4: CO COMMENTS: (FOUR LINES AVAILABLE FOR COMMENTS) CO RECOMMENDS YES. MBR IN NUCLEAR FIELD NEC #### (e.g., 3384) REQUESTS ADVANCEMENT TO E5. REEN DATE YYMMDD _______________________________________________________________ HOW TO SUBMIT STAR PACKAGES VIA FORMAN FOR NON-NUCLEAR PERSONNEL OPINS FORMAN UPDATE ENCORE/REQUEST DATA (UN1) 04/19/00 13:04:59

SSN: 123456789 NAME: SCHMUKATELI JOSEPH JAMES FORMAN PROGRAM: Y (ENCORE) REQUESTING UIC: 09734 DTG: PNA: Y CO RECOM ADV: Y SRB: Y OBLISERV: Y ORDERS NUM: (LEAVE BLANK) TERM REENL: 6 Enter "4", "5" or "6" STAR/C SCH REQ: Y SCHOOL: CIN CANCEL REQ: N REASON: ERRON REENL: PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER.

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Use the I34 screen in FORMAN/OPINS to check the status (msg DTG) of STAR requests. Make sure to put a "Y" for Good Conduct and PNA or else system will REJECT the request. Just do UN1, UN2, and UN3. COMNAVPERSCOM (PERS-4811) will do the UN4 screen. Special NOTE: Member can reenlist under STAR program and get SRB if within 1 year of EAOS.

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SRB • This gouge is designed to be used with a completed worksheet • There are two (2) transport codes required for SRB request submissions: OPINS FORMAN SRB REQUEST DATA (UZ1) 04/19/00 12:59:54

SSN: NAME:

TYPE OF REQUEST: (1AA, 1BB, 1CC, 1EE, or 1RR, 1RB, 2CC, 2BB) *2AA for Location SRB FORMAN PROGRAM: Z (SRB-ONLY) DTG: REQUESTING UIC: REENLISTMENT DATE: REENL TERM: RATE/NEC: MS not MS2 CONSUB/NUC INOP EXT: SEPARATION PAYGRADE: E OTH INOP EXT: EAOS ON REENL DT: Current EAOS CONVERSION APPROVED: CONV APPROVAL DTG: CED: CANCEL SRB REQUEST: N TRANSFER TO UN6 SCREEN FOR PROCESSING OF LUMP SUM LEAVE. PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER. NOTE: If a member has an "OBLISERV IN CONNECTION WITH PCS TRANSFER ICO" letter from PERS-451 the extension s will not be past 24 months. You just put the member in via 1AA and put the 24 month extension in the INOP extension block. To reenlist for only 4 years to cancel a 24-month extension a member has to reenlist ON their EAOS. If member reenlists 1-2 days or more prior to EAOS, they must do a 5 or 6-year reenlistment (Per conversation with MMC(SS) Dovel on 9 Jan 04 @0800.)

1AA=CONTINUOUS 2AA=LOC_CONTINUOUS 2CC=LOC_TRAINING_REENLISTMENT 1RR=TAR 1BB=BROKEN 2BB=LOC_BROKEN 1RB=BROKEN_TAR 1CC=TRAINING_REENLISTMENT 1EE=EXTENSION 3AA=ESRP 3BB=ESRB BROKEN

NOTE: Use 3AA for Zone C Nukes and Zone D (ESRP)

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• UZ1 SRB data screen SSN: Enter members Social Security Number (Do not use “-”) NAME: Enter first four (4) characters of Last name TYPE OF REQUEST: 1AA for continuous service 2AA for Location SRB 2BB broken service location 2CC Location/OTT 1BB for broken service 1CC for OTT only 1EE for extentions 1RR for TAR 1RB broken service TAR FORMAN PROGRAM: Leave Blank DTG: Leave Blank REQUESTING UIC: 43077 (If supported by PSD) REENLISTMENT DATE: Enter date reenlisting YYMMDD REENL TERM: Enter length of reenlistment in months MM RATE/NEC: Enter Rate or NEC requesting SRB for CONSUB/NUC INOP EXT: Enter any CONSUB/NUC inoperative extension SEPARATION PAYGRADE: Enter members actual Pay Grade (not “Frocked”) OTH INOP EXT: Enter any inoperative extension EAOS ON REENL DT: Enter EAOS minus any inoperative extension CONVERSION APPROVED: Leave Blank CONV APPROVAL DTG: Leave Blank CED: Leave Blank CANCEL SRB REQUEST: Y or N (If initial submission leave N for NO) SRB UPDATE COMMENTS (UZ4) 04/19/00 13:00:28 SSN: NAME: CO COMMENTS: (FOUR LINES AVAILABLE FOR COMMENTS) PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER. • UZ4 SRB comments screen SSN: Already filled NAME: Already filled CO COMMENTS: Only four (4) lines available for comments. FOR IDP (TAX FREE AREAS) Put comments as follows: MBR RECOMMENDED FOR REENLISTMENT. MBR IN A TAX FREE ZONE. Extensions: Include length, narrative reason, authority, execution date (operative if currently on active extension). PTS: Include DTG of PTS approval. Early REENL: If reenlisting to OBLISERV for PCS orders include TC number.

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• I51 SRB Inquiry Screen OPINS FORMAN SRB INQUIRY (I51) 04/19/00 13:01:38 SSN: NAME: FORMAN PROGRAM: Z STATUS: REC: 0 TAC: A G PREV REQ: N REQUESTING UIC: 43077 PRES RATE: ET1 990616 MULTI USE: REQUEST TYPE: 1AA PROS RATE: BRCL: 11 RATE / NEC: ETSW NECS(1/3): 1413 9527 DESIG: DISCH PG: E6 NECS(2/4): 1425 PG: E6 CONV DT: IN RT NEC: 1419 EAOS: 001030 EAOS ON REENL: 001030 PRD: SEAOS: 001030 REENL DT: 000504 SCHOOL: PEBD: 860522 REENL TERM: 72 OTH EXT: ADSD: 860522 CONSUB/NUC IN EXT: 00 OP EXT: CED: 971031 OTH INOP EXT: 00 RADO MOS: BO EDL DT: 0010 WAIVER: AOSD: OVRD: BO GTC: 0680 ZONE: OVRD: AOS: AWARD LEVEL: MSG BLURB CD: TOTAL SRB: 00000.00 3060: INIT INSTALL: 00000.00 ANNIV INSTALL: 00000.00 PROCESS STATUS: DTG: *For member's doing OBLISERV To Train (OTT), here's an example of what to put in the UZ4 screen (comments): MBR HAS OTT MSG DTG 180937ZMAR03. SNM EXECUTED 24 MO EXTENSION PER DETAILER AND ECM. PLS ENSURE EAOS IS ADJUSTED TO REENLISTMENT DATE OF 030731 WHICH IS MBRS GRAD DATE. MBR WILL EARN NEC OF 2780.

OPINS FORMAN SRB REQUEST DATA (UZ1) 04/19/00 12:59:54

SSN: 123456789 NAME: DOE

TYPE OF REQUEST: 1CC (1AA, 1BB, 1CC, 1EE, or 1RR) *2AA for Location SRB FORMAN PROGRAM: Z (SRB-ONLY) DTG: REQUESTING UIC: 68556 REENLISTMENT DATE: 030721 REENL TERM: 60 RATE/NEC: 2780 CONSUB/NUC INOP EXT: 00 SEPARATION PAYGRADE: E5 OTH INOP EXT: 00 EAOS ON REENL DT: 050330 CONVERSION APPROVED: CONV APPROVAL DTG: CED: CANCEL SRB REQUEST: N TRANSFER TO UN6 SCREEN FOR PROCESSING OF LUMP SUM LEAVE. PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER. **When inputting SRB into the system, use “1CC” but also put the date of OTT (YYMMDD format) in the “CONV Approval DTG” field or UZ4 Screen. This makes it easier for the SRB Desk when approving OTTs

SAMPLE OTT SUBMISSION

Notice how far EAOS goes out on member (almost 2 years). This is acceptable with OTT.

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Other SRB Screen available • I52 SRB Message History SRB MESSAGE HISTORY (I52) 04/19/00 13:02:10 SSN: NAME: IN TAC DTG OUT TAC TYPE DTG FORM 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. SRB ZONE: FINAL STATUS: SRB DATE: SRB TYPE: ACKN DTG: EED MSG DTG: OUT TYPE: A-APPR W-WAIT C-CANC D-DISAP L-LOST RES R-REJECT 0-ERROR 1-ACKN 3-ERR REENL 4-ADD INFO 9-ADD INFO 5-EXT REJECT 6-EXT DISAP 7-EXT APPR 8-EXT ADDN K-EXT CANC O-OTHER X-NEED NOT APPLY ACKN TO CONTINUE ENTER NEW SSN OF MEMBER NOTE: To find out about who put in SRB for a particular command hit "Home" key and I37. • I53 Forman MMPA Screen FORMAN SRB - MMPA SCREEN (I53) 04/19/00 13:02:50

SSN: NAME: NAVY ENLISTED SYSTEM (NES) MASTER MILITARY PAY ACCOUNT (MMPA) PEBD: 860522 PEBD: ADSD: 860522 ADSD: SRB CALCULATED ZONE: CURRENT ZONE: GAIN DATE: 8605 GAIN DATE: LOSS DATE: LOSS DATE: CURRENT PAYGRADE: E6 CURRENT PAYGRADE: CED: 971031 CED: EAOS: 001030 EAOS: TOTAL INOP EXTEN: TOTAL INOP EXTEN: EDLN REASON: CONVERSION OF MMPA ZONE: PF1- PF2- PF3-UZ1 PF4-UZP PF5- PF6- PF7-I52 PF8- NO MMPA RECORD FOUND FOR SSN ZONE HAS NOT BEEN CALCULATED - GO TO THE UZP TO PROCESS

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• I50 SRB Inquiry Table: Use this to find out what the current award level is or past for broken service SRB.

SRB TABLE INQUIRY (I50) 04/19/00 13:03:45

FISCAL YEAR: LOGONID: RATE/NEC: CURRENT CEILING PREVIOUS CEILING DATE AMOUNT DATE AMOUNT

CURRENT PREVIOUS AWD EFFECT AWD EFFECT APPROVED EXECUTED

ZONE LVL DATE LVL DATE NUMBER AMOUNT NUMBER AMOUNT ENTER FISCAL YEAR & RATE/NEC & PRESS ENTER

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Other Helpful Screens

• I31 Enlisted Master File (Brief) OPINS FORMAN PERSONNEL DATA - ENLISTED MASTER RECORD (I31) 04/19/00 13:04:34 SSN: NAME: SCIND: XFXXX ORDERS: Y PEBD: 860522 PROS RATE: SEX: M BRANCH: 11 ADSD: 860522 PRES RATE: ET1 990616 RACE: C SPI-TAR: CED: 971031 PREV RATE: ET2 940216 ETHNIC: Y TAR/TEMAC: N EAOS: 001030 NECS(1/3): 1413 9527 CITZ: CA #ENL: 3 SEAOS: 001030 NECS(2/4): 1425 SCTY: V C TOT EXT: 000 EREN: NECS(D/5): 1413 DOB: 660712 SCHOOL: EDLN: #DEP: 0 OTH EXT: ON BOARD: 63042 NAS LEMOORE CA DESIG: OP EXT: PSD: PRD: 0101 BA LIMDU: RADO MOS: RECD: 980103 ASGN REA: YYY EMC: B420 E6 LOSTTIME: MOS: 00 SHDCD: 9408 ACC: 100 TYPE DUTY: 1 FLAGS: MULTI USE: SRB: ETSW DT: 9004 AFQT: 85 ASVAB: 13B GSC: 64 ARR: 57 WOR: 60 PAR: 61 NUM: 59 COD: 61 NFQT: 00 ASI: 61 MAT: 67 MEC: 59 ELI: 65 VER: 61 DLAB: TO CONTINUE ENTER NEW SSN OF MEMBER

• UN5 Extension Request OPINS FORMAN UPDATE EXTENSION/REQUEST DATA (UN5) 04/19/00 13:01:07 SSN: NAME:

FORMAN PROGRAM: REQUESTING UIC: DTG: EXTENSION REASON: MONTHS: CO RECOMMENDS: CANCEL EXT REQ: PLEASE ENTER DESIRED CHANGES AND DEPRESS ENTER

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HOW TO TRACK PEFORM TO SERVE (PTS) VIA OPINS/FORMAN

- New OPINS/LOPG EDLN codes are now in the system. What was normally used for HYT/FLT Reserve, is also being used to track PTS. Here is a list of the Codes. Hope this helps.

PNCS(SW/AW) Jeff Pitts, Pers 811b Assistant Branch Head Enlisted Career Progression Division (Active)/ PTS Fleet Liaison DSN: 882-2499, FAX: 882-2623 Email: [email protected]

IR1 - Authorized to reenlist in rating decided on their first look IR2 - Authorized to reenlist in rating decided on their second look IR3 - Authorized to reenlist in rating decided on their third look IR4 - Authorized to reenlist in rating decided on their fourth look IR5 - Authorized to reenlist in rating decided on their fifth look IR6 - Authorized to reenlist in rating decided on their sixth look CV1 - Authorized to reenlist provided they change rating, decided on their first look CV2 - Authorized to reenlist provided they change rating, decided on their second look CV3 - " third look CV4 - " forth look CV5 - " fifth look CV6 - " sixth look RO1 - Not approved to reenlist at this time on first look, PTS application rolled over to next month RO2 - Not approved to reenlist at this time on second look, PTS application rolled over to next month RO3 - "third look" RO4 - "fourth look" RO5 - "fifth look" RO6 - Would not apply. Member would either be told to convert, separate or GENDET reapply SP1 - Told to separate on first look. (Probably wouldn't happen unless member's application was submitted 7 months prior to EAOS and didn't make the quality cut.) SP2 - Told to separate on second look. (Probably wouldn't happen unless member's application was submitted 8 months prior to EAOS.) SP3 - Told to separate on third look. (Probably wouldn't happen unless member's application was submitted 9 months prior to EAOS.) SP4 - " fourth look. " 10 months prior" SP5 - " fifth look. " 11 months prior" SP6 - Told to separate on sixth look. (Will be most common SPX code.) GDR - GENDET reapply. GENDET who has received max number of looks (6), wasn't approved to reenlist ("A" school) or told to separate. Their CO now has the authority to execute a 12 month extension allowing member to continue striking for a rating. Must submit new PTS application at 12 months prior to their new EAOS as extended (which will be the same month as their old EAOS.)

August 17, 2001

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Please read MCPON’s letter in All Hands in June 2003!!!!!!!!!!!!!!!!!!!!!!!!!!!

CSB PROCESSING OPINS searches nightly for those Officer and Enlisted members who meet the CSB qualifications of DIEMS, ADBD/ADSD, and some other strength criteria. In the next OPINS production run, a Notification Message is produced for each selected member. This Message is created approximately 6 months in advance of the member’s 15th ADBD/ADSD Anniversary. The Notification Message is sent to the member’s current UIC. The member and his/her Reporting Senior discuss the CSB offer, his/her eligibility, and fill in DD Form 2839. This is done in accordance with NAVADMIN 020/01 and the step by step procedures in the Notification Message. There is a 6 month Open Season Window for making this decision. When the DD Form 2839 is filled in (even if it is for a Held In Abeyance status), the form is passed to the local Command Career Counselor (for Enlisted members) or to the local Administrative Officer (for Officers) for entry into the FORMAN system. In addition to entering the CSB data into FORMAN, the signed original DD Form 2839 or NAVPERS 7220/9 must be mailed by the PSD/Command Admin Office to : NAVY PERSONNEL COMMAND PERS-313C 5720 INTEGRITY DRIVE MILLINGTON, TN 38055-3130 From the OPINS / FORMAN Banner Screen, enter your Source Code, Password, and Secondary Source Code (optional).

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PERS-333 and PERS-82 in Millington and the Command Career Counselors are aware of their current Source Codes and Passwords, and they have permission to submit the NK Tac. Additionally, we are providing Source Code ‘AO’ for the Administrative Officers to use in submitting the NK TAC. To establish access to FORMAN, email the following information to [email protected]: Command Title, Full Name, Social Security Number (SSN), Projected Rotation Date (PRD), Master Military Pay Account (MMPA) LOGON, Unit Identification Code (UIC), Defense Switch Network (DSN) and commercial phone numbers, and the reason for the request to access FORMAN. Refer questions concerning establishing an MMPA account or gaining FORMAN access to LT Hopkins, Pers-333, at (901) 874-4734 or DSN 882-4734. The CSB screen is reached by entering UNK in the upper left corner of the OPINS Main Menu screen. If you wish to use the menu screens, enter A, and then enter K.

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UNK SCREEN

We have also added Inquiry Screen I44 for displaying the CSB data. You may enter I44 in the upper left corner of the screen, or if you wish to use the menu screens, enter A, then enter 1, and then enter 44. The below five categories are the only valid input combinations of NK TAC data - online and batch. 1. HELD IN ABEYANCE ELIGIBILITY CODE : H (REQUIRED) MEMBER’S SIGNATURE DT : YYMMDD (OPTIONAL)

FROM SECTION II BLOCK 8 2. INELIGIBLE ELIGIBILITY CODE : N (REQUIRED) MEMBER’S SIGNATURE DT : YYMMDD (REQUIRED)

FROM SECTION III BLOCK 10B 3. RETAINABLE ELECTING CSB/REDUX ELIGIBILITY CODE : R (REQUIRED) ELECTION CODE : Y (REQUIRED) MEMBER’S SIGNATURE DT : YYMMDD (REQUIRED)

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FROM SECTION IV BLOCK 12B ELECTION EFFECTIVE DT : YYMMDD (REQUIRED) FROM SECTION VI BLOCK 16 4. RETAINABLE ELECTING TO REMAIN UNDER HIGH THREE ELIGIBILITY CODE : R (REQUIRED) ELECTION CODE : N (REQUIRED) MEMBER’S SIGNATURE DT : YYMMDD (REQUIRED)

FROM SECTION V BLOCK 14B 5. RETAINABLE PARTIAL ELIGIBILITY CODE : R (REQUIRED) If a field is not mentioned, it is REQUIRED to have BLANKS / SPACES (or SLASHES, as explained next). The screen is pre-filled with the current data (if any) from the member’s CSB record. If the member’s CCC / Administrative Officer is changing the data, the input data must reflect the new choice and be one of the five valid combinations of data for that new choice. If there is data from a prior election, which is not pertinent to the new choice, replace the data with SLASHES to indicate the deletion of the old data. The fifth choice is optional. The Reporting Senior determines that the member is Retainable, but a CSB decision has not been made by the member. Therefore, the ‘R’ with no other data may be sent on the NK TAC as an indication that the Notification Message was received, the member has been determined to be Retainable, and a CSB decision is pending. At the bottom of the screen, two lines are available for Messages. All Error Messages must be resolved, and the data corrected. Look for the Successful Update Message to indicate that the UNK Transaction is finished and the FORMAN database is updated. When appropriate, a FID will be created and sent to DFAS during the next nightly FORMAN production run. A member may only make his/her election and changes to the election during the 6 month Open Season Window (6 months prior to the 15th anniversary of the member’s ADBD/ADSD). Beyond the Open Season Window, an Error Message will be given to contact PERS-333 / PPAC in Millington for clarification and approval/disapproval.

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Likewise, if certain changes are made from one Eligibility Code to another Eligibility Code, the member’s CCC / Administrative Officer may be advised by an Error Message to contact PERS-333 / PPAC in Millington for clarification and approval/disapproval. If the member has an Eligibility Code of ‘H’ (Held in Abeyance), the Open Season Window is extended until the reason for the Hold is resolved, and the member makes his/her decision. The eight displayed fields at the bottom of the UNK screen are for information. If the CCC / Administrative Officer disagrees with the displayed DIEMS date or the displayed ADBD/ADSD date, please report the discrepancy by official correspondence to PERS-333 / PPAC in Millington via your command. Include a copy of the document substantiating the requested change. Substantiating documents include but are not limited to the DD Form 4, DD Form 1966, NAVCRUIT Form 1000/20, NAVPERS 1070/877, or contract with another Uniformed Service. In certain cases where there has not been a definitive response by the half way point of the CSB Open Season Window, a Follow Up Message will be sent approximately 3 months in advance of the member’s 15th ADBD/ADSD Anniversary as a Reminder. NOTE: In regard to the Admin Officer login for Officer CSB elections, here it is: AO CSBI (much like the CC CARE login for CCCs). Please use or pass this information on to your AO in case he/she have had problem.

EXIT PROCEDURES FROM OPINS Type: X, press "ENTER" Type: LOGOFF, press "ENTER" The following screen will appear. Type: "F3", wait for exit prompt Type: "1", press "ENTER"

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Actions Options Commands Features Help ------------------------------------------------------------------------------ KLSVSEL1 CL/SUPERSESSION Main Menu More: Select sessions with a "/" or an action code. Session ID Description Type Status ---------- ------------------------------- -------- ------------ HELPDKT2 Helpdesk/Monitor Multi ACNCIP01 P2 DOMAIN - Clev Prod CICS Rg Multi ACNTSP01 P2 DOMAIN - TSO Multi ACNCIP17 P2 DOMAIN - NAVY PROD EAIS CI Multi ACNCIP27 P2 DOMAIN - NAVY PROD CONTROL Multi SSMENU JACKSONVILLE/SAN ANTONIO MENU Multi

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FORMAN ENLISTED MASTER FILE INSTRUCTIONS 1. Access Mochasoft 3270 2. Press Connect Icon 3. Ensure that under profile mzs-tngw6.mech.disa.mil or mzs-tngw1.mech.disa.mil is listed 4. Press OK 5. Press Accept 6. Type "TC", press "ENTER". OR Just type in "CICS" 7. "DISA" screen will appear, press "ENTER" 8. "LOGINID" type "BCxxxxx", press "TAB" (BCxxxxx is your UIC) 9. "Password" type current password, press "ENTER" 10. Menu will appear, arrow down to "Clev Prod CICS Rg" Actions Options Commands Features Help ------------------------------------------------------------------------------ KLSVSEL1 CL/SUPERSESSION Main Menu More: Select sessions with a "/" or an action code. Session ID Description Type Status ---------- ------------------------------- -------- ------------ HELPDKT2 Helpdesk/Monitor Multi ACNCIP01 P2 DOMAIN - Clev Prod CICS Rg Multi ACNTSP01 P2 DOMAIN - TSO Multi ACNCIP17 P2 DOMAIN - NAVY PROD EAIS CI Multi ACNCIP27 P2 DOMAIN - NAVY PROD CONTROL Multi SSMENU JACKSONVILLE/SAN ANTONIO MENU Multi 11. Press "ENTER" 12. "LOGINID" type "BCxxxxx", press "TAB" (BCxxxxx is your UIC) 13. "Password" type current password, press "ENTER" 14. At next screen, type "LOPG" 15. Press enter

By typing "CICS", you'll bypass having to type "TC" and going to the DISA screen.

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• Enlisted Master File Menu Page PERSONNEL ON LINE LISTING (POLL) SCREEN SELECTION MENU 1). CURRENT EVALUATIONS DATA 2). MONTGOMERY G.I. BILL 3). PAGE 1 - RATING, PAY, LOSS 4). PAGE 2 - PERSONAL 5). PAGE 3 - HISTORY 6). PAGE 4 - ORDERS, TEMDU, UPG, AV 7). PAGE 5 - APTITUDE, RECRUITCOM, SRB 8). PAGE 6 - SUBMARINE PAY 9). PAGE 7 - SPOUSAL, INITIAL ENTRY, NLDP, EMC S). TRANSFER TO SPECIAL SCREEN PROGRAM H). HOW TO USE POLL D). CONTENTS OF ENLISTED SCREENS ENTER NUMBER OF DESIRED SCREEN --> <-- ENTER SSN --> <-- ***** PRESS CLEAR TO EXIT *****

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EXIT PROCEDURES FROM ENLISTED MASTER FILE(LOPG) Press the "CLEAR" button at the TOP of the window. Type: LOGOFF, press "ENTER" The following screen will appear. Type: "F3", wait for exit prompt Type: "1", press "ENTER" Actions Options Commands Features Help ------------------------------------------------------------------------------ KLSVSEL1 CL/SUPERSESSION Main Menu More: Select sessions with a "/" or an action code. Session ID Description Type Status ---------- ------------------------------- -------- ------------ HELPDKT2 Helpdesk/Monitor Multi ACNCIP01 P2 DOMAIN - Clev Prod CICS Rg Multi ACNTSP01 P2 DOMAIN - TSO Multi ACNCIP17 P2 DOMAIN - NAVY PROD EAIS CI Multi ACNCIP27 P2 DOMAIN - NAVY PROD CONTROL Multi SSMENU JACKSONVILLE/SAN ANTONIO MENU Multi

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FORMAN MILITARY LOCATOR INSTRUCTIONS 1. Deleted now is web based and access is controlled by PERS-3

Currently located via BUPERS Online (Command must grant CCC Access)

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FLEET RESERVE/30-YEAR RETIREMENT WORKSHEET

SSN LAST NAME

(First 5 letters of LAST NAME) FLT RSV (M)/

RETIRE (P) PHYSICAL

SCHEDULED CONTACT RELIEF

M/P

Y/N

Y/N

RETIREMENT DATE GOOD CONDUCT USNR SEAOS REQ TIME TAR YYMMDD

Y/N

Y/N

Y/N

Y/N MAT/TWL WAIVER PRIOR SERVICE HERO BENES LV PTDY

Y/N

Y/N

Y/N

DDD DDD 020

RECOMMENDED

EAOS AS EXTENDED OVERTOUR REQUEST

Y/N

YYMMDD

Y/N

Notes: 1 – SEAOS REQ TIME – Enter Yes or No to signify if the members EAOS is before the Fleet Reserve or Retirement Date and the member has executed an extension. 2 – MAT/TWL Waiver – If the member requires a Minimum Activity Tour (MAT) waiver or Twighlight Tour (TWL) waiver or if the member needs a PRD adjustment. 3 – PRIOR SERVICE – Any other service than the Naval Service (i.e., Air Force, Arthe, Marine Corps, and National Guard...) 4 – LEAVE/PTDY – PTDY should be automatically 020 days for house/job hunting. Request it anyway even if member doesn't want it to start out with. Member may want it by the time they get out. Leave/PTDY cannot exceed 100 days. Has to be equal to or less than 100 days! Find out how many days of leave the member wishes to take. 5 – PRD – Ask if members PRD is before his FLTRES date. If the answer is yes, then request an OVERTOUR authorization and state that "member's PRD is _ _ _ _." 6. Submission of request – Submit FLTRES/Retirement no earlier than 18 months prior to FLTRES/Retirement dates. Submit request no later than six

months prior to FLTRES/Retirement date. 7. OVERTOUR REQUEST – Is member’s PRD before FLTRES/Retirement date? Yes or No.

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SELECTIVE REENLISTMENT BONUS REQUEST WORKSHEET FORMAN (UZ1) CONTINUOUS SERVICE REENLISTMENT

TAC

SSN

NAME

RATE/ NEC

PAY GRADE

REENL DATE

REENL TERM (MOS)

CONSUB/ NUC INOP EXT(MOS)

OTH INOP EXT

EAOS

PSD UIC

RBA

/

SAMPLE: RBA,123456789,JOHN,FC1,E6,971001,36,00,12,970930,43077/ BLOCK DESCRIPTION SSN Enter Social Security Number. NAME Enter first 4 letters of member’s LAST Name (i.e. JOHNson). RATE/NEC Enter member’s Rate or NEC for SRB purposes as listed in the latest NAVADMIN (i.e., FC, MSSS, or MSSW for the entire rating or 1130 for a specific NEC). PAY GRADE Enter actual Pay Grade (Do not use frocked paygrade) at time of separation (i.e., E5). REENL DATE Enter date of reenlistment (YYMMDD). REENL TERM Enter term of reenlistment in months (i.e., 48). CONSUB/NUC Enter number of month(s) of inoperative extensions executed for the purpose of CONSUBPAY and/or by INOP EXT nuclear power personnel (i.e., 01, 02, etc.) Enter two zeros (00) if not applicable. OTH INOP EXT Enter number of month(s) of inoperative extensions executed for any reason other than CONSUBPAY and/or by nuclear personnel (i.e., 01.02, etc.) Enter two zeros (00) if not applicable. EAOS Enter member’s EAOS as the time of reenlistment date. Unless an extension will go operative prior to reenlisment date, DO NOT INCLUDE ANY INOPERATIVE EXTENSIONS. Example #1 - Reenlistment date is 961231 and EAOS is 970102, Enter 970102. Example #2 - Reenlistment date is 961231. The member is in school with an EAOS of 961215. The member will graduate and reenlist on 961231. The member must extend enlistment for one month to have sufficient obligated service to complete school. Enter 970115 as EAOS, as this will be the hard EAOS on reenlistment date.

SELECTIVE REENLISTMENT BONUS COMMENT WORKSHEET FORMAN (UZ4)

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EXTENSIONS: The following information is required for any and ALL extensions whether it has gone operative or not. LENGTH OF EXT NARRATIVE REASON

AUTHORITY EXECUTION DATE OPERATIVE DATE

(IF APPLICABLE) EXT #1:

EXT #2:

EXT #3:

ENCORE: Enter ENCORE message Date-Time-Group: _____________________________. OTHER: 1. If member is reenlisting to obligate service for PCS orders with an EAOS outside the fiscal year of of transfer the TC number from the orders is necessary. TC number:_______________________.

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ENCORE WORKSHEET

General Reenlistment Information

SSN Name PNA Recom'd SRB Obliserv Order# Yrs Reenl STAR CIN# PSD UIC

Y / N Y / N Y / N Y / N Y / N (Note 1) (Note 2) Discipline and Substance Abuse Information

Good Conduct PRT Drug/Alc Date Date Date NJP Date Date Date

Y / N Y / N (Note 3) (Note 4) Member Information/Conversion Information

USNR Mariner USN TAR USN-TAR TAR-USN

SCORE Rate Rate Rate

Y / N Y / N Y / N Y / N Y / N Y / N Y / N (Note 5) Most Recent

Performance Evaluation

Date 33 34 35 36 37 38 39

Second Most Recent

Performance Evaluation

Date 33 34 35 36 37 38 39

Third Most Recent

Performance Evaluation

Date 33 34 35 36 37 38 39

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NOTES: 1. Obliserv - (Y)es or (N)o; If (Y)es then in Order# - enter BUPERS Orders #.

2. STAR - (Y)es or (N)o; If (Y)es then in CIN# - then enter the CIN# of school requested.

3. PRT - Enter results of last PRT (ie. PWS,FWS,MWS…).

4. Drug/Alc - (N) - No history of alcohol or drug abuse; (A) - History of alcohol abuse; (D) - History of drug abuse; (B) - Both alcohol and drug abuse;

If (A),(D) or (B) then in Date(s) - enter the dates of the documented abuse.

5. SCORE - (Y)es or (N)o; If (Y)es then in Rate(s) - enter rating(s) want to convert to.

Remarks

Information

REMARKS

REMARKS

REMARKS

REMARKS