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Get Phs-1373 2005-2026
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How to fill out the PHS-1373 online
The PHS-1373 form is essential for members of the Public Health Service Commissioned Corps seeking to separate from active duty. This guide will provide clear, step-by-step instructions on how to effectively complete the form online, ensuring that you meet all necessary requirements and deadlines.
Follow the steps to complete the PHS-1373 form successfully.
- Click ‘Get Form’ button to obtain the form and open it for editing. This will allow you to begin entering your information as required.
- In Part A, fill in your full name, grade, and PHS number. Indicate whether you are applying for termination, inactivation, or retirement.
- Provide your Social Security Number (SSN) and present station, including address and ZIP code. Also, include your email address and phone number.
- Select your type of separation and the reason for separation. Specify your last day at your duty station.
- Indicate if you are requesting terminal leave by marking 'Yes' or 'No' and provide the actual dates if terminal leave is approved.
- Complete the section regarding separation physical examination by selecting whether you elect to take the examination or waive it.
- In the travel and transportation section, specify your mode of travel for yourself and any dependents, and indicate your permanent mailing address after separation.
- Read and acknowledge that you have understood your rights and responsibilities by signing and dating the form.
- Once you have completed Part A, send a photocopy of the form to your supervisor for Parts B and C to be completed.
- Ensure that all sections are completed accurately and submit the finalized PHS-1373 form to the Office of Commissioned Corps Operations as instructed. You may then save changes, download, print, or share the completed form.
Complete your PHS-1373 form online today to ensure a smooth transition from active duty.
To apply for the U.S. Public Health Service, you need to understand the steps involved. Review the eligibility requirements detailed in PHS-1373, complete your application package, and submit it through the official channels. Utilizing the resources on the uslegalforms platform can simplify this process, guiding you every step of the way.
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