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DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE COMMISSIONED CORPS REQUEST AND AUTHORITY FOR LEAVE OF ABSENCE (Commissioned Officers) 1. TO BE COMPLETED BY THE OFFICER (Type or Print).

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How to fill out the Ccmis Phs 1345 online

Filling out the Ccmis Phs 1345 form online is a straightforward process, essential for commissioned officers seeking to request a leave of absence. This guide provides a step-by-step approach to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete the Ccmis Phs 1345 form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the first section, enter your full name, grade, and duty station, including the organization and address. Make sure to provide your Social Security Number (SSN) for identification purposes.
  3. Indicate the type of leave you are requesting by selecting the appropriate option: annual, sick, or other. If selecting 'other,' be sure to explain your request in the remarks section.
  4. Specify the period of absence by filling in the 'From' and 'Through' dates in the format m/d/y. Also, indicate the number of days you are requesting leave.
  5. Provide a contact phone number with the area code, where you can be reached during your leave period, as well as an address where you can be contacted.
  6. Fill in any additional remarks that may be necessary to clarify your leave request.
  7. Read the information at the bottom of the form, then sign and date the form to confirm your understanding and agreement.
  8. After submitting the form, it must be reviewed and signed by your supervisor in their respective section, indicating their recommendation.
  9. The leave granting authority will then review the form and approve or disapprove the request. They will sign and date the form accordingly.
  10. Upon returning from leave, complete the respective section of the form to confirm the type of leave taken and the number of days. Ensure that both you and the leave granting authority sign and date this section.
  11. Finally, save your changes, download a copy of the completed form, or print it for your records.

Begin your leave request process by filling out the Ccmis Phs 1345 form online today!

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Related content

PHS-1345
PUBLIC HEALTH SERVICE COMMISSIONED CORPS. EF. PHS-1345 (Rev. 9/05) FRONT. 3. TO BE...
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1 U.S. DEPARTMENT OF HEALTH COMMISSIONED ......
Feb 16, 2012 — Forms Supply. Form PHS-1345, “Request and Authority for Leave of...
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The commissioned corps uses the same commissioned officer rank structure as the United States Navy and Coast Guard: from ensign to admiral (O-1 through O-10). Commissioned corps officers are typically appointed via direct commission and must complete a two-week officer basic course (OBC) before entering active duty.

The United States Public Health Service Commissioned Corps uses the same commissioned officer rank structure as the United States Navy and Coast Guard: from ensign to admiral (O-1 through O-10).

The Commissioned Corps of the U.S. Public Health Service, or USPHS Commissioned Corps, works on the front lines of public health. Our medical, health and engineering professionals fight disease, conduct research, and care for patients in underserved communities across the nation and throughout the world.

Distinguished Service Medal (DSM): The DSM is the highest award bestowed on an officer. It recognizes exceedingly high level of achievements, which may range from the management of a major health program to an initiative resulting in a major impact on the health of the nation.

While the USPHS Commissioned Corps is not an armed service, Public Health Service officers enjoy many of the same benefits as their counterparts in the uniformed services.

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