Get Phs-1373 2002
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the PHS-1373 online
The PHS-1373 form is crucial for officers separating from the Public Health Service Commissioned Corps. This guide aims to provide clear instructions on how to effectively complete the form online, ensuring that users meet all necessary requirements.
Follow the steps to complete your PHS-1373 form online.
- Click ‘Get Form’ button to access the PHS-1373 and open it in the editing interface.
- In Part A, fill in your personal information. Enter your name, PHS number, Social Security Number (SSN), and grade. Provide the details of your current station, including the organization, address, and phone number. Make sure to include your email address for any follow-up communications.
- Select the type of separation you are undergoing by checking the appropriate box (Termination, Retirement, or Inactivation) and indicate your category (Regular or Reserve).
- Specify the reason for your separation and indicate your last day at your duty station. Be aware that if you are breaking an active-duty obligation, your commission will terminate on your last day.
- Address terminal leave by indicating whether it is requested and approved, and provide the actual dates of terminal leave if applicable.
- Decide on the separation physical examination. You can opt to take the examination or waive it, understanding that waiving may affect your retirement benefits.
- If you require travel and transportation for yourself or any dependents, complete the relevant sections, including modes of travel and destinations.
- Fill in your permanent mailing address post-separation and contact information so you can be reached regarding your rights and responsibilities related to separation.
- Review all information provided for accuracy. Once confirmed, date and sign the form to validate your submission.
- After completing Part A, the form should be forwarded to your immediate supervisor for them to complete Parts B and C, followed by submitting the entire form to the Division of Commissioned Personnel.
- Finally, after making sure all sections are filled correctly, save your changes, and consider downloading, printing, or sharing the form as required for your records.
Complete your PHS-1373 online today to ensure a smooth separation process.
Get form
Yes, the Centers for Disease Control and Prevention (CDC) is a major component of the Public Health Service (PHS). The CDC plays a vital role in safeguarding public health by providing data and recommendations to prevent disease outbreaks. This partnership within the PHS-1373 framework strengthens health awareness and response strategies nationwide. For those seeking to engage with public health initiatives, understanding this connection is fundamental.
Get This Form Now!
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.