New York State Division of Military and Naval AffairsNew York State Division of Military and Naval AffairsNYANG Airman
Governor Andrew Cuomo | Major General Anthony P. German

NYS DMNA Forms and Publications

The following are forms often used by New York National Guard
and state militia forces members.

Pure Edge Viewer software XFDL is required to complete .xfdl forms.
Download it here.

FormDescription
CD 10-8 Counterdrug (ADSW) employment application
DMNA Form 1-2 SGLI Premium Reimbursement Application
DMNA Form 10 Notification of results of NYNG AGR position
DMNA Form 32 Recommendation for Incentive Award or Quality Salary Increase
DMNA Form 430 Performance Standards & Critical Elements Form
DMNA Form 430-1 Performance Appraisal Form
DMNA Form 1041 Employment Application
DMNA Reg 1-2 SGLI Premium Reimbursement Program
DMNA Reg 55-1 Transportation Passes - Tag 9 & Triborough Bridge And Tunnel Authority Tickets
DMNA Reg 600-8-4 State Human Resources Management
NGB Form 34-1 Application for Active Guard/Reserve (AGR) Position
OF 612 Optional Application for Federal Employment
SF 180 Request Pertaining to Military Records
SF 181 "Race and National Origin" Form
ST 129 NYS Tax Exemption Certificate
NY Naval Militia Forms & Instructions
Title Description Date
NEW YORK STATE ETHICS New York State Ethics - A Plain Language Version 01 Nov, 2013
AC 132A State of New York Travel Voucher 01 Dec, 1998
AC 2772 Direct Deposit Form for NYS Employees 31 Oct, 2011
AC 3237 SUBSTITUTE FORM W-9: REQUEST FOR TAXPAYER IDENTIFICATION NUMBER & CERTIFICATION 06 Dec, 2009
Certificate of Duty Hours Certificate of Duty Hours 07 Apr, 2015
DD FORM 2536 Request for Participation in Public Events 01 Nov, 2006
DMNA FORM 1160 Request For State Active Duty 19 Aug, 2013
DMNA FORM 1200R DMNA TAG 9 & TBTA TICKETS ISSUE CONTROL LOG 15 May, 1992
DMNA FORM 40-400 STATE ACTIVE DUTY PRE/POST DEPLOYMENT MEDICAL SCREEN 10 Sep, 2013
DMNA Form 96-1 (RIRP Application) RIRP Education Forms from DMNA Reg 621.1 for applicants 12 Jul, 2016
DMNA State Travel Request Individual Non-state Employee Naval Miitia 25 Apr, 2015
MN FORM 1998-E Personnel Security Investigation Report 31 Oct, 2011
MV FORM 412 Application for Military and Veteran Custom Plates 31 Mar, 2013
NYNM FORM 088 Report of Medical Examination 13 Aug, 2011
NYNM FORM 093 Report of Medical History 17 Aug, 2011
NYNM FORM 100A New York Naval Militia Enlistment Application and Oath of Enlistment 06 Apr, 2016
NYNM FORM 100B Oath of Enlistment/Re-enlistment 06 Apr, 2016
NYNM FORM 101 - Fillable Nomination for Commission (To become a commissioned officer in the New York Naval Militia) 29 Jan, 2013
NYNM FORM 102 Unit Representative Transaction Sheet 21 Jun, 2010
NYNM FORM 1040 Notice of Administrative Action 28 Apr, 2010
NYNM FORM 1041 Retention in the New York Naval Militia 25 Oct, 2012
NYNM FORM 1070 Civilian-Military Skills Questionnaire 31 May, 2012
NYNM FORM 1070-Fillable Civilian-Military Skills Questionnaire - Fillable 03 Feb, 2010
NYNM FORM 1121 How to Join the New York Naval Militia 29 Jan, 2013
NYNM FORM 1140 Information Brochure 09 Oct, 2015
NYNM FORM 1155 MEBS Enrollment Application 20 Sep, 2016
NYNM FORM 1420 Promotion Board Checklist 23 Feb, 2010
NYNM FORM 1501 MEBS Coxswain Qualification Card 17 Aug, 2009
NYNM FORM 1513 MEBS Swimming Qualification Card 17 Aug, 2009
NYNM FORM 1620 Report of Counseling 25 Aug, 2009
NYNM FORM 1650 Awards and Decorations Ribbons and Device Guide 24 Dec, 2012
NYNM FORM 1900 Request for Separation or Retirement 19 Nov, 2009
NYNM FORM 3061 Mobilization Screening 04 Jan, 2012
NYNM FORM 3123 Float Plan 20 Oct, 2011
NYNM FORM 4027 Boat Fuel Log 22 Sep, 2009
NYNM FORM 4082 ELST Regional Readiness Summary 22 May, 2013
NYNM FORM 4440 Expeditionary Logistics Support Team Inventory Report 22 Aug, 2014
NYNM FORM 4620 Crew and Passenger Manifest 04 Oct, 2011
NYNM FORM 4790 MEBS Maintenance Tracker 08 Apr, 2015
NYNM FORM 5892 Risk Advisement and Release of Liability 19 Feb, 2014
NYNM FORM 7043 Procurement Request 11 Feb, 2010
ST-129 Exemption Certificate for tax occupancy of hotel rooms 31 Oct, 2000
US COAST GUARD FORM CG 3788B Coast Guard Enlisted Employee Review 01 Oct, 2012
US COAST GUARD FORM CG-5310B Coast Guard Officer Evaluation Report 01 Oct, 2012
US MARINE CORPS FORM NAVMC 10835 USMC Fitness Report 31 Jul, 2011
US NAVY FORM 1610/2 Navy Fitness Report (W2-O6) 01 Oct, 2012
US NAVY FORM 1616/26 Navy Evaluation Report (E1-E6) 01 Oct, 2012
US NAVY FORM 1616/27 Navy Evaluation Report (E7-E9) 01 Oct, 2012
DMNA REG 10-1 New York Naval Militia Regulations 15 Oct, 2010
DMNA REG 10-3 State Defense Force Identification Cards 30 Mar, 2012
How to Apply for Tuition Benefits Detailed slides to guide members on applying for Recruitment Incentive and Retention Program (RIRP) Tuition Assistance. 12 Jul, 2016
NYNM INST 1001.1A Administration Manual 17 Feb, 2012
NYNM INST 1020.1A with Change 1 Uniform Regulations 16 Aug, 2012
NYNM INST 1410.1B Promotion Policies and Procedures 20 May, 2015
NYNM INST 1410.2 Promotion to Officer Ranks 13 Nov, 2013
NYNM INST 1550.1A MILITARY EMERGENCY BOAT SERVICE TRAINING MANUAL (MEBS TRAMAN) 17 Feb, 2012
NYNM INST 1650.1 Josephthal Trophy 08 Feb, 2010
NYNM INST 3051.2 Mission Essential Task List (METL) 02 Aug, 2010
NYNM INST 3061.1A Mobilization Plan 19 Jul, 2013
NYNM INST 3120.1B MEBS Standard Operating Procedures 19 Dec, 2013
NYNM INST 3501.1 Readiness and Metrics 01 Nov, 2013
NYNM INST 3501.2 MEBS Craftmaster Personnel Qualification Standards 30 Mar, 2016
NYNM INST 3502.1 Training and Exercise Management 19 Jul, 2013
NYNM INST 3502.2 In the Service of the State 09 Sep, 2013
NYNM INST 5210.1 Regional Command Turnover Files 26 Jan, 2011
NYNM INST 5320.1A Manpower and Authorized Billet Structure 09 May, 2012
NYNM INST 5401.1B MEBS Organizational Guidance 20 Sep, 2016
NYNM INST 5401.2 New York Naval Militia Regional Commands 15 Oct, 2010
NYNM INST 5401.3 Organization of Expeditionary Logistics Support Teams 24 Jun, 2013
NYNM INST 5725.1 Reserve Activity/Unit Liaison Duty 26 Jan, 2011
NYNM INST 6110.1B Physical and Medical Requirements 17 Apr, 2015
NYNM INST 9510.1 Hazardous Material and Waste Management Plan 09 Dec, 2015
USCG NAVRULES U.S. Coast Guard Navigation Rules and Regulations Handbook 10 Sep, 2014
MNAG-TAG EEO NYS DMNA Equal Employment Opportunity/Reasonable Accomodation 27 Jun, 2011
MNAG-TAG Sexual Harrassment NYS DMNA Sexual Harassment Policy 27 Jun, 2011
MNAG-TAG Workplace Violence NYS DMNA Violence in the Workplace Policy 12 Sep, 2011
NYNM NOTE 3502 NYNM LONG RANGE TRAINING PLAN 24 Oct, 2013
NYNM NOTE 5210 List of Current and frmer Instructions, Notices, Forms 22 Jan, 2014
USCG-NYNM MOU Memorandum of Understanding Between the United States Coast Guard and the New York State Naval Militia 14 May, 1997
USMC-NYNM MOU Memorandum of Understanding Between the United States Marine Corps and the New York State Naval Militia 22 Mar, 1996

Forms of specialized interest are linked on their subject-specific pages. You can use the Site Search to locate these specific forms.

NYS DMNA Directorates may be able to supply an electronic version of a form by email. If you cannot find a form, you may use the relevant contact information to request it.

© NYS DMNA: Forms
URL: http://dmna.ny.gov/forms/
Page Last Modified: 03 Jun 16