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NYS DMNA Forms and Publications

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

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FormDescription
PDFCD 10-8 Counterdrug (ADSW) employment application
PDFDMNA Form 1-2 SGLI Premium Reimbursement Application
DOCDMNA Form 10 Notification of results of NYNG AGR position
MS Word docDMNA Form 32 Recommendation for Incentive Award or Quality Salary Increase
MS Word docDMNA Form 430 Performance Standards & Critical Elements Form
MS Word docDMNA Form 430-1 Performance Appraisal Form
PDFDMNA Form 1041 Employment Application
PDFDMNA Reg 1-2 SGLI Premium Reimbursement Program
PDFDMNA Reg 55-1 Transportation Passes - Tag 9 & Triborough Bridge And Tunnel Authority Tickets
PDFDMNA Reg 600-8-4 State Human Resources Management
PDFNGB Form 34-1 Application for Active Guard/Reserve (AGR) Position
PDFOF 612 Optional Application for Federal Employment
PDFSF 180 Request Pertaining to Military Records
PDFSF 181 "Race and National Origin" Form
PDFST 129 NYS Tax Exemption Certificate
NY Naval Militia Forms & Instructions
Title Description Date
PDFNEW YORK STATE ETHICS New York State Ethics - A Plain Language Version 01 Nov, 2013
PDFAC 132A State of New York Travel Voucher 01 Dec, 1998
PDFAC 2772 Direct Deposit Form for NYS Employees 31 Oct, 2011
PDFAC 3237 SUBSTITUTE FORM W-9: REQUEST FOR TAXPAYER IDENTIFICATION NUMBER & CERTIFICATION 06 Dec, 2009
PDFDD FORM 2536 Request for Participation in Public Events 01 Nov, 2006
PDFDMNA FORM 1160 Request For State Active Duty 19 Aug, 2013
PDFDMNA FORM 1200R DMNA TAG 9 & TBTA TICKETS ISSUE CONTROL LOG 15 May, 1992
PDFDMNA FORM 40-400 STATE ACTIVE DUTY PRE/POST DEPLOYMENT MEDICAL SCREEN 10 Sep, 2013
PDFMN FORM 1998-E Personnel Security Investigation Report 31 Oct, 2011
PDFMV FORM 412 Application for Military and Veteran Custom Plates 31 Mar, 2013
PDFNYNM FORM 088 Report of Medical Examination 13 Aug, 2011
PDFNYNM FORM 093 Report of Medical History 17 Aug, 2011
PDFNYNM FORM 100 - Fillable Enlistment Application 01 Apr, 2013
PDFNYNM FORM 101 - Fillable Nomination for Commission (To become a commissioned officer in the New York Naval Militia) 29 Jan, 2013
PDFNYNM FORM 102 Unit Representative Transaction Sheet 21 Jun, 2010
PDFNYNM FORM 1040 Notice of Administrative Action 28 Apr, 2010
PDFNYNM FORM 1041 Retention in the New York Naval Militia 25 Oct, 2012
PDFNYNM FORM 1070 Civilian-Military Skills Questionnaire 31 May, 2012
PDFNYNM FORM 1070-Fillable Civilian-Military Skills Questionnaire - Fillable 03 Feb, 2010
PDFNYNM FORM 1121 How to Join the New York Naval Militia 29 Jan, 2013
PDFNYNM FORM 1140 Information Brochure 31 May, 2012
PDFNYNM FORM 1144 PB 440 Welcome Aboard 20 Aug, 2014
PDFNYNM FORM 1155 MEBS Application 31 May, 2011
PDFNYNM FORM 1420 Promotion Board Checklist 23 Feb, 2010
PDFNYNM FORM 1501 MEBS Coxswain Qualification Card 17 Aug, 2009
PDFNYNM FORM 1513 MEBS Swimming Qualification Card 17 Aug, 2009
PDFNYNM FORM 1570 Individual Inactive Duty Training Record 08 Mar, 2012
PDFNYNM FORM 1571 Inactive Duty Training Authorization "Green Form" 19 Aug, 2013
PDFNYNM FORM 1620 Report of Counseling 25 Aug, 2009
PDFNYNM FORM 1650 Awards and Decorations Ribbons and Device Guide 24 Dec, 2012
PDFNYNM FORM 1900 Request for Separation or Retirement 19 Nov, 2009
PDFNYNM FORM 3061 Mobilization Screening 04 Jan, 2012
PDFNYNM FORM 3123 Float Plan 20 Oct, 2011
PDFNYNM FORM 4027 Boat Fuel Log 22 Sep, 2009
PDFNYNM FORM 4082 ELST Regional Readiness Summary 22 May, 2013
PDFNYNM FORM 4440 Expeditionary Logistics Support Team Inventory Report 22 Aug, 2014
PDFNYNM FORM 4620 Crew and Passenger Manifest 04 Oct, 2011
PDFNYNM FORM 5892 Risk Advisement and Release of Liability 19 Feb, 2014
PDFNYNM FORM 7043 Procurement Request 11 Feb, 2010
PDFUS COAST GUARD FORM CG 3788B Coast Guard Enlisted Employee Review 01 Oct, 2012
PDFUS COAST GUARD FORM CG-5310B Coast Guard Officer Evaluation Report 01 Oct, 2012
PDFUS MARINE CORPS FORM NAVMC 10835 USMC Fitness Report 31 Jul, 2011
PDFUS NAVY FORM 1610/2 Navy Fitness Report (W2-O6) 01 Oct, 2012
PDFUS NAVY FORM 1616/26 Navy Evaluation Report (E1-E6) 01 Oct, 2012
PDFUS NAVY FORM 1616/27 Navy Evaluation Report (E7-E9) 01 Oct, 2012
PDFDMNA REG 10-1 New York Naval Militia Regulations 15 Oct, 2010
PDFDMNA REG 10-3 State Defense Force Identification Cards 30 Mar, 2012
PDFNYNM INST 1001.1A Administration Manual 17 Feb, 2012
PDFNYNM INST 1020.1A with Change 1 Uniform Regulations 16 Aug, 2012
PDFNYNM INST 1410.1A Promotion Policy and Procedures 28 Feb, 2014
PDFNYNM INST 1410.2 Promotion to Officer Ranks 13 Nov, 2013
PDFNYNM INST 1550.1A MILITARY EMERGENCY BOAT SERVICE TRAINING MANUAL (MEBS TRAMAN) 17 Feb, 2012
PDFNYNM INST 1650.1 Josephthal Trophy 08 Feb, 2010
PDFNYNM INST 3051.2 Mission Essential Task List (METL) 02 Aug, 2010
PDFNYNM INST 3061.1A Mobilization Plan 19 Jul, 2013
PDFNYNM INST 3120.1B MEBS Standard Operating Procedures 19 Dec, 2013
PDFNYNM INST 3501.1 Readiness and Metrics 01 Nov, 2013
PDFNYNM INST 3502.1 Training and Exercise Management 19 Jul, 2013
PDFNYNM INST 3502.2 In the Service of the State 09 Sep, 2013
PDFNYNM INST 5210.1 Regional Command Turnover Files 26 Jan, 2011
PDFNYNM INST 5320.1A Manpower and Authorized Billet Structure 09 May, 2012
PDFNYNM INST 5401.1A Military Emergency Boat Service 17 Feb, 2012
PDFNYNM INST 5401.2 New York Naval Militia Regional Commands 15 Oct, 2010
PDFNYNM INST 5401.3 Organization of Expeditionary Logistics Support Teams 24 Jun, 2013
PDFNYNM INST 5725.1 Reserve Activity/Unit Liaison Duty 26 Jan, 2011
PDFNYNM INST 6110.1A Physical and Medical Requirements 28 Feb, 2014
PDFMNAG-TAG EEO NYS DMNA Equal Employment Opportunity/Reasonable Accomodation 27 Jun, 2011
PDFMNAG-TAG Sexual Harrassment NYS DMNA Sexual Harassment Policy 27 Jun, 2011
PDFMNAG-TAG Workplace Violence NYS DMNA Violence in the Workplace Policy 12 Sep, 2011
PDFNYNM NOTE 3502 NYNM LONG RANGE TRAINING PLAN 24 Oct, 2013
PDFNYNM NOTE 5210 List of Current and frmer Instructions, Notices, Forms 22 Jan, 2014
PDFUSCG-NYNM MOU Memorandum of Understanding Between the United States Coast Guard and the New York State Naval Militia 14 May, 1997
PDFUSMC-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: 16 Jun 14 (ba)
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