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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Form	Description
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
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
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 100 - Fillable	Enlistment Application	01 Apr, 2013
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	31 May, 2012
NYNM FORM 1141	Retention in the New York Naval Militia	25 Oct, 2012
NYNM FORM 1155	MEBS Application	31 May, 2011
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 1570	Individual Inactive Duty Training Record	08 Mar, 2012
NYNM FORM 1571	Inactive Duty Training Authorization "Green Form"	19 Aug, 2013
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	20 May, 2013
NYNM FORM 4440	Expeditionary Logistics Support Team Inventory Report	14 May, 2013
NYNM FORM 4620	Crew and Passenger Manifest	04 Oct, 2011
NYNM FORM 5892	Risk Advisement and Release of Liability	19 Feb, 2014
NYNM FORM 7043	Procurement Request	11 Feb, 2010
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
NYNM INST 1001.1A	Administration Manual	17 Feb, 2012
NYNM INST 1020.1A with Change 1	Uniform Regulations	16 Aug, 2012
NYNM INST 1410.1A	Promotion Policy and Procedures	28 Feb, 2014
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 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 5401.1A	Military Emergency Boat Service	17 Feb, 2012
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 6110.1A	Physical and Medical Requirements	28 Feb, 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.

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