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Get NAVPERS 1070/882 2010

ADDITIONAL REMARKS 8. DATE 7. SIGNATURE YOU MAY FAX OR MAIL YOUR REQUEST NOT BOTH TO NAVY PERSONNEL COMMAND PERS-312E 5720 INTEGRITY DRIVE MILLINGTON TN 38055-3120 COMMERCIAL FAX NUMBER 901 874-2664 DSN FAX NUMBER 882-2664 NAVPERS 1070/882 Rev. 04-2010 FOR OFFICIAL USE ONLY PRIVACY SENSITIVE Reset Form Print Form. FILLABLE FORM OFFICIAL MILITARY PERSONNEL FILE OMPF RECORD REQUEST SUPPORTING DIRECTIVE MILPERSMAN ARTICLE 1070-150 PRIVACY ACT STATEMENT AUTHORITY 37 U*S*C. 403 PUBLIC LAW PRINCIPAL PURPOSES THE INFORMATION PROVIDED ON THIS FORM WILL BE USED TO DETERMINE AUTHORIZATION TO ACCESS EMPRS OFFICIAL MILITARY PERSONNEL FILES* ROUTINE USE TO ALLOW A MEMBER OR FORMER MEMBER ACCESS TO THEIR PERMANENT PERSONNEL RECORD. INFORMATION ON THIS FORM MAY BE DISCLOSED AS GENERALLY PERMITTED UNDER 5 U*S*C. SECTION 552A B OF THE PRIVACY ACT AS AMENDED. IT MAY ALSO BE DISCLOSED OUTSIDE THE DEPARTMENT OF DEFENSE TO THE INTERNAL REVENUE SERVICE FOR TAX PURPOSES AND THE DEPARTMENT OF VETERAN AFFAIRS REGARDING VA COMPENSATION* OTHER FEDERAL STATE OR LOCAL GOVERNMENT AGENCIES WHICH HAVE IDENTIFIED A NEED TO KNOW MAY OBTAIN THIS INFORMATION FOR THE PURPOSE S IDENTIFIED IN THE DOD BLANKET ROUTINE USES AS PUBLISHED IN THE FEDERAL REGISTER* DISCLOSURE VOLUNTARY HOWEVER FAILURE TO PROVIDE THIS INFORMATION WILL PROHIBIT THE PROCESSING OF A MEMBER OR FORMER MEMBER S REQUEST FOR THEIR PERMANENT PERSONNEL RECORD. 2. RANK/RATE 1. NAME 3. SSN 4. MAILING ADDRESS 5. TYPE OF REQUEST COMPLETE RECORD CD-ROM PAPER COPY OF THE FOLLOWING DOCUMENT/S NO MORE THAN 5 I. E* DD214 AWARD CITATION NAVPERS 1070/604. PLEASE SPECIFY RECORD REQUEST AND IS DUE TO TECHNICAL CORRECTIONS TO MY OMPF RECORD I AUTHORIZE THE PICKUP RELEASE OF MY MILITARY RECORD AND OR DOCUMENT S LISTED ABOVE TO THE FOLLOWING THIRD PARTY AS MY AGENT PRINT FULL NAME CLEARLY 6. FILLABLE FORM OFFICIAL MILITARY PERSONNEL FILE OMPF RECORD REQUEST SUPPORTING DIRECTIVE MILPERSMAN ARTICLE 1070-150 PRIVACY ACT STATEMENT AUTHORITY 37 U*S*C. 403 PUBLIC LAW PRINCIPAL PURPOSES THE INFORMATION PROVIDED ON THIS FORM WILL BE USED TO DETERMINE AUTHORIZATION TO ACCESS EMPRS OFFICIAL MILITARY PERSONNEL FILES* ROUTINE USE TO ALLOW A MEMBER OR FORMER MEMBER ACCESS TO THEIR PERMANENT PERSONNEL RECORD. 403 PUBLIC LAW PRINCIPAL PURPOSES THE INFORMATION PROVIDED ON THIS FORM WILL BE USED TO DETERMINE AUTHORIZATION TO ACCESS EMPRS OFFICIAL MILITARY PERSONNEL FILES* ROUTINE USE TO ALLOW A MEMBER OR FORMER MEMBER ACCESS TO THEIR PERMANENT PERSONNEL RECORD. INFORMATION ON THIS FORM MAY BE DISCLOSED AS GENERALLY PERMITTED UNDER 5 U*S*C. SECTION 552A B OF THE PRIVACY ACT AS AMENDED. INFORMATION ON THIS FORM MAY BE DISCLOSED AS GENERALLY PERMITTED UNDER 5 U*S*C. SECTION 552A B OF THE PRIVACY ACT AS AMENDED. IT MAY ALSO BE DISCLOSED OUTSIDE THE DEPARTMENT OF DEFENSE TO THE INTERNAL REVENUE SERVICE FOR TAX PURPOSES AND THE DEPARTMENT OF VETERAN AFFAIRS REGARDING VA COMPENSATION* OTHER FEDERAL STATE OR LOCAL GOVERNMENT AGENCIES WHICH HAVE IDENTIFIED A NEED TO KNOW MAY OBTAIN THIS INFORMATION FOR THE PURPOSE S IDENTIFIED IN THE DOD BLANKET ROUTINE USES AS PUBLISHED IN THE FEDERAL REGISTER* DISCLOSURE VOLUNTARY HOWEVER FAILURE TO PROVIDE THIS INFORMATION WILL PROHIBIT THE PROCESSING OF A MEMBER OR FORMER MEMBER S REQUEST FOR THEIR PERMANENT PERSONNEL RECORD. .

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