Ioned Personnel 5600 Fishers Lane, Room 4A-15 Rockville, MD 20857-0001 REFERENCE REQUEST FOR APPLICANTS TO THE U.S. PUBLIC HEALTH SERVICE COMMISSIONED CORPS Insert name here Applicant s Name (Last, First, Middle initial) If the reference knows you by any other name, e.g., maiden name, please indicate that name here: Your name has been given as a reference by the individual identified above who has applied for appointment to the Commissioned Corps of the United States Public Health Service.

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How to fill out the Phs 1813 online

The Phs 1813 form is a crucial document for applicants to the U.S. Public Health Service Commissioned Corps. This guide provides comprehensive instructions to facilitate filling out the form accurately and efficiently, ensuring that all necessary information is included.

Follow the steps to successfully complete the Phs 1813 form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the applicant's name in the designated field marked 'Applicant’s Name (Last, First, Middle initial)'. If applicable, include any other name the reference might know the applicant by.
  3. Provide the period of association with the applicant by entering the start and end dates in the format MM/YYYY.
  4. Next, indicate your professional relationship to the applicant by checking the appropriate boxes such as 'Employer', 'Teacher', 'Supervisor', etc.
  5. Evaluate the applicant’s skills by selecting appropriate ratings for various attributes like productivity, judgment, attendance, and ability to work independently. Utilize the provided scale ranging from 'Outstanding' to 'Below Average'.
  6. In the designated field, specify the specialization or field for which the applicant is best suited.
  7. Address any limitations or additional information regarding the applicant’s effectiveness by selecting 'Yes' or 'No' and providing relevant details if applicable.
  8. State whether you would be willing to employ or re-employ the applicant by selecting 'Yes' or 'No' and provide details as necessary.
  9. Use the comments section to include any further information or insights about the applicant.
  10. Complete the form by providing the institution or firm’s address, your signature, name, title, and date. Additionally, include your telephone number for any follow-up inquiries.
  11. Once all fields are accurately completed, you can save changes, download, print, or share the form as needed.

Complete your documents online today for a seamless application process!

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