Get 4187 Blank

Filling out the 4187 Blank form online is a straightforward process that allows users to request personnel actions effectively. This guide provides clear steps to ensure that you complete the form accurately and efficiently.

Follow the steps to complete your 4187 Blank form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online environment.
2. In Block 1, keep this section blank as specified. This block is usually designated for specific instructions or identifiers.
3. In Block 2, enter the address ‘Chief, MPSD, 22 Ashburn Drive, Attn: Transition Cntr Chf, Carlisle PA 17013-5043’. Note that the address may change when the MPSD relocates.
4. In Block 3, provide your unit address for accurate identification.
5. Fill out Block 4 with your full name, including last name, first name, and middle initial.
6. In Block 5, enter your grade or rank along with your Primary Military Occupational Specialty (PMOS).
7. In Block 6, input your Social Security Number (SSN) for identity verification.
8. Section II should be left blank as instructed.
9. In Section III, for the Request for Personnel Action, mark an 'X' in the 'Other' block and indicate 'Separation'.
10. In Block 9, sign the form to validate your request.
11. In Block 10, enter the date of your signature.
12. In Section IV: Remarks, please include the necessary details regarding your separation request, starting with your ETS date.
13. Provide your phone number and, if applicable, your email address.
14. Indicate whether you plan to take transition leave; if so, note the number of days and include a signed and approved DA Form 31.
15. If you know your mailing address upon separation, include it. If not, note it as 'unknown'.
16. Acknowledge your requirement to complete TAPS/ACAP counseling and provide the applicable contact number (ACS at (717) 245-3684) for scheduling.
17. Include information for the Point of Contact (POC) if required.
18. In Section V: Certification/Approval, the commander will check the appropriate block as ‘Approved’.
19. Provide the commander’s signature in Block 12, and ensure the date is entered in Block 14.
20. Once you have filled out all sections, review your form for accuracy. Save your changes, download, print, or share your completed form as necessary.

Start filling out your 4187 Blank form online today!