Supporting directive: RESPERSMAN Article 1571-010
ANNUAL TRAINING WAIVER REQUEST
PRIVACY ACT STATEMENT: Authority to request this information is contained in 10 U.S.C. Chapter 1005. Purpose of the information is to process
Navy Reserve annual training waiver request. Information is used to evaluate individual requests, and transmit member notifications. Upon approval
the information will be entered into the Navy Standard Integrated Personnel System and Individual Inactive Duty Training folder. Completion of this form
is mandatory; failure to provide requested information may result in a failure to process request.
FROM: (Name – Last, First, Middle) SOCIAL SECURITY NO: GRADE/RATE:
TO: Commanding Officer, (Navy Reserve Activity
) ____________________________________________________________________________________
VIA: Commanding Officer, (Navy Reserve Unit and RUIC)
_______________________________________________________________________________
ANNUAL TRAINING
INFORMATION
FISCAL YEAR: NO. OF UNEXCUSED ABSENSES
PAST 12 MONTHS:
PREVIOUSLY APPROVED ANNUAL TRAINING WAIVER:
NO
YES:_________________________________________________________
(YEARS AND REASONS)
DATES AND LOCATIONS OF ANNUAL TRAINING PERFORMED LAST THREE YEARS:
1. ____________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
DATE OF ASSIGNMENT WITH CURRENT UNIT:
DETAILED REASON FOR REQUEST:
DATE:
SIGNATURE:
FIRST ENDORSEMENT
FROM: Commanding Officer, (Navy Reserve Unit and RUIC) ____________________________________________________________________________
TO: (Grade/Rank, Member’s Name) _________________________________________________
VIA: Commanding Officer, (Navy Reserve Activity) __________________________________________________________________________________
1. Your request has been reviewed and forwarded recommending:
A
PPROVAL
DISAPPROVAL for the following reasons:
DATE:
SIGNATURE
SECOND ENDORSEMENT
FROM: Commanding Officer, (Navy Reserve Activity) _________________________________________________________________________________
TO: (Grade/Rank, Member’s Name) _________________________________________________
VIA: Commanding Officer, (Navy Reserve Unit and RUIC)
________________________________________________________________________________
1. Returned:
A
PPROVED
DISAPPROVED for the f ollowing reasons:
DATE
SIGNATURE
NAVRES 1571/15 (8/11)
OHSU JAX CO: CAPT KAREN YOUNG (83335)
NOSC CO:
OHSU JAX CO: CAPT KAREN YOUNG (83335)
NOSC CO:
NOSC CO:
OHSU JAX CO: CAPT KAREN YOUNG (83335)
