Get Phs 6134

The Phs 6134 form is essential for documenting service credit for officers in the U.S. Public Health Service Commissioned Corps. This guide provides a clear step-by-step process for completing the form online, ensuring you provide all necessary information accurately.

Follow the steps to complete your Phs 6134 form online.

1. Press the ‘Get Form’ button to access the form and open it in the designated form editor.
2. Begin filling out the Officer’s Name section by typing or printing your last name, first name, and middle name as required.
3. Enter your Social Security Number in the provided field to ensure accurate record-keeping.
4. Provide your Service Number(s) in the designated area.
5. Fill in the Effective Dates section, specifying the dates pertinent to your service actions, including your Date of Acceptance, if applicable.
6. In the Separation section, indicate the type of separation and reason for your departure from service.
7. Complete the Active Duty or Active Duty for Training section by including the dates of service, as well as the number of days paid for Lump Sum Annual Leave after February 9, 1976.
8. Document any days of leave without pay (AWOL) in the respective field.
9. Sign and type or print your name in the Signature area to authenticate the document.
10. Fill in the Title, Issuing Office Address, and Issuing Office Phone Number to complete the form.
11. Once you have filled out all sections, review your answers for accuracy before saving or submitting the form.
12. Finally, save your changes, download, print, or share the completed form as needed.

Complete your PhS 6134 form online today to ensure your service is accurately documented.