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New York State Division of Military and Naval AffairsNYANG Airman
Governor Kathy Hochul | Major General Raymond F. Shields Jr.
Lapse in Appropriations The most recent appropriations for the Department of War expired at 11:59 p.m. EST on September 30, 2025. Military personnel will continue in a normal duty status without pay until such time as a continuing resolution or appropriations are passed by Congress and signed into law. Civilian personnel not engaged in excepted activities will be placed in a non-work, non-pay status. Read more at war.gov.
Visit https://dmna.ny.gov/furlough/ for informationa and resources pertaining to NY National Guard Federal Excepted Employees and the current lapse in appropriations.

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
DD FORM 2536 Request for Participation in Public Events
DMNA Form 1-2 SGLI Premium Reimbursement Application
DMNA Form 32 Recommendation for Incentive Award or Quality Salary Increase
DMNA Form 86 Request for NYARNG Military Funeral Honors (2023FEB23)
DMNA Form 95 Hand Receipt for Non-Expendable Items (2000SEP01)
DMNA Form 106D-R Application for NYS Award (2023JAN17)
DMNA Form 430 Performance Standards & Critical Elements Form
DMNA Form 430-1 Performance Appraisal Form
DMNA Form 1041 Employment Application
DMNA Form 1077 Correspondence Cover Sheet (2021SEP22)
DMNA Reg 1-1 Administrative Procedures - Correspondence (2023JAN01)
DMNA Reg 1-2 SGLI Premium Reimbursement Program (2014MAY01)
DMNA Reg 27-2 Military Justice; includes DMNA 1057, 1058, 1076 and 1078
DMNA Reg 55-1 Transportation Passes - Tag 9 & Triborough Bridge And Tunnel Authority Tickets (1992MAY15)
DMNA Reg 56-1 Fleet Vehicle Operation (2023MAY01)
DMNA Reg 600-8-4 State Human Resources Management (2007NOV30)
DMNA Reg 672-1 DMNA Awards and Decorations Regulation (2017OCT20)
NGB Form 34-1 Application for Active Guard/Reserve (AGR) Position (2013NOV11)
NYARNG REG 750-1 GCSS-Army Supplement Combined (2017DEC08)
OF 612 Optional Application for Federal Employment (2002DEC)
SF 180 Request Pertaining to Military Records
SF 181 "Race and National Origin" Form (2005AUG)
ST 129 NYS Tax Exemption Certificate
NY Naval Militia Forms & Instructions
Title Description Date
JFHQ-NY Standard SIR Serious Incident Report (SIR) Form 29 Apr, 2025
NYNM FORM 088 Report of Medical Examination 22 Aug, 2022
NYNM FORM 093 Report of Medical History 22 Aug, 2022
NYNM FORM 1040 Notice of Administrative Action 10 Jul, 2025
NYNM FORM 1041 Retention in the New York Naval Militia 13 Feb, 2023
NYNM FORM 1070 Civilian-Military Skills Questionnaire 20 Oct, 2021
NYNM FORM 1121 How to Join the New York Naval Militia 10 Jun, 2025
NYNM FORM 1140 NYNM Information Brochure 13 Mar, 2023
NYNM FORM 1155 MEBS Enrollment Application 27 Dec, 2023
NYNM FORM 1160 State Active Duty (In-pay) Request 26 Jun, 2017
NYNM FORM 1420 Promotion Board Checklist 29 Jan, 2020
NYNM FORM 1571 State Active Duty (Non-Pay) Authorization 26 Jun, 2017
NYNM FORM 1611 Officer Performance Report 29 Apr, 2020
NYNM FORM 1616 Enlisted Performance Report 29 Apr, 2020
NYNM FORM 1620 Report of Counseling 25 Aug, 2009
NYNM FORM 1650 Awards and Decorations Ribbons and Device Guide 24 Dec, 2012
NYNM FORM 1781 Recruitment Incentive and Retention Program (RIRP) Acknowledgement 13 Dec, 2022
NYNM FORM 1782 Recruitment Incentive and Retention Program (RIRP) Checklist 30 Oct, 2024
NYNM FORM 1900 Request for Separation or Retirement 23 Aug, 2022
NYNM FORM 3058 Boat Operations Risk Calculation Worksheet 23 Aug, 2018
NYNM FORM 3061 Mobilization Screening 04 Jan, 2012
NYNM FORM 3120 MEBS Pre-Operational Checklist 31 Aug, 2016
NYNM FORM 3123 Float Plan 20 Oct, 2011
NYNM FORM 4027 Boat Fuel Log 12 Jul, 2017
NYNM FORM 4082 ELST Regional Readiness Summary 22 May, 2013
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 29 Aug, 2024
NYS DMNA FORM 02 BAH and COLA Authorization Form 08 Jul, 2024
NYS DMNA FORM 03a Daily Attendance Register (single) 31 Jan, 2016
NYS DMNA FORM 04 SAD Leave Request Form 04 Aug, 2017
NYS DMNA FORM 2875 Information System Access Request (ISAR) 15 Jun, 2017
NYS DMNA FORM 40-400 STATE ACTIVE DUTY PRE/POST DEPLOYMENT MEDICAL SCREEN 10 Sep, 2013
NYS DMNA FORM 96-1 Recruitment Incentive and Retention Program (RIRP) Application 02 Jul, 2024
NYS DMNA FORM R-1 Receiving Notice 28 Aug, 2019
NYS FORM AC 160 Statement of Automobile Travel 01 Jan, 2012
NYS FORM AC 2772 Direct Deposit Form for NYS Employees 31 Dec, 2022
NYS FORM AC 3237-S SUBSTITUTE FORM W-9: REQUEST FOR TAXPAYER IDENTIFICATION NUMBER & CERTIFICATION 31 Jan, 2017
NYS FORM AC 3257-S Claim for Travel Reimbursement by a Non-employee 15 Jun, 2017
NYS FORM GEN-83 Authorization for Release of Background Information 13 Apr, 2022
NYS FORM MV 412 Application for Military and Veteran Custom Plates 31 Mar, 2013
NYS FORM ST-129 Exemption Certificate for tax occupancy of hotel rooms 01 May, 2012
DMNA Pamphlet 1-2 Incident Reporting 12 Jan, 2022
DMNA REG 10-1 New York Naval Militia Regulations 18 Apr, 2022
NYNM INST 1001.1D Administration Manual 03 Feb, 2023
NYNM INST 1020.1E New York Naval Militia Uniform Regulations 17 Sep, 2024
NYNM INST 1410.1F Promotion Policies and Procedures 12 Oct, 2023
NYNM INST 1410.2A Promotion to Officer Ranks 21 Jul, 2015
NYNM INST 1550.1B Military Emergency Boat Service Training Manual (MEBS TRAMAN) 09 Mar, 2017
NYNM INST 1650.1 Josephthal Trophy 08 Feb, 2010
NYNM INST 1910.1 Separation of Enlisted Members for Cause 23 Feb, 2022
NYNM INST 3051.2A Mission Essential Task List (METL) 27 Sep, 2023
NYNM INST 3061.1A Mobilization Plan 19 Jul, 2013
NYNM INST 3120.1C MEBS Standard Operating Procedures 28 Jun, 2017
NYNM INST 3120.2 MEBS Seamanship Manual 26 Jan, 2018
NYNM INST 3501.1A Readiness and Metrics 23 Feb, 2022
NYNM INST 3501.2 MEBS Craftmaster Personnel Qualification Standards 30 Mar, 2016
NYNM INST 3501.3 Boat Coxswain Qualification 09 Mar, 2017
NYNM INST 3501.4 Material Handling Equipment (MHE) Operator Qualification 22 Feb, 2022
NYNM INST 3501.5 NYNM UAS Remote Pilot In Command Qualifications 09 Jan, 2025
NYNM INST 3502.1A Training and Exercise Management 23 Feb, 2022
NYNM INST 3502.2A In the Service of the State 03 Feb, 2017
NYNM INST 4650.1 Travel Policy 11 Aug, 2016
NYNM INST 5210.1 Regional Command Turnover Files 26 Jan, 2011
NYNM INST 5320.1B Manpower and Authorized Billet Structure 22 Feb, 2022
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 5401.4 Unmanned Aerial system (Drone) Program Guidance 09 Jan, 2025
NYNM INST 6110.1C Physical and Medical Requirements 17 Sep, 2024
NYNM INST 9510.1A Hazardous Material and Waste Management Plan 04 Aug, 2022
DMNA FPM VP-009-B SGLI Reimbursement Policy 2022 05 Aug, 2022
NRMARCCNORVA-NYNM MOA Relationship, Collaboration and Potential Support between Navy Operational Support Centers Assigned to RMARCC Norfolk and the New York Naval Militia 16 Sep, 2019
NYNM NOTE 1330 MEBS Applicant Criteria 2025 17 Dec, 2024
NYNM NOTE 1540 NY Naval Militia Authorized Training 03 Nov, 2023
NYNM NOTE 5210 List of Current and Former Instructions, Notices, and Forms 27 Mar, 2025
NYNM_NOTE_1020 Addition of NYNM Drone Device to NYNM Uniform 28 Mar, 2025
NYNM_Notice_1410 Promotion Instruction Interim Change for 2025 11 Mar, 2025
NYNM_NOTICE_6110 INTERIM CHANGE TO MEICAL INSTRUCTION DECEMBER 2024 06 Dec, 2024
NYNM_NOTICE_6110 CHG2 INTERIM CHANGE TO CLARIFY MEDICAL INST TRANSITIONING SELRES TO SUBMIT ANNUAL MED ON CHG FROM SELRES TO 5% 15 Jan, 2025
NYS CEMP Vol 2 Comprehensive Emergency Management Plan 09 Jan, 2023
NYS CEMP VOL 3 Comprehensive Emergency Management Plan 09 Jan, 2023
Toll Reimbursement Policy MTA Cashless Toll Credit and Reimbursement for Metropolitan Transportation Authority Bridges and Tunnels for State Organized Militia Personnel Operating Their Personally Owned Vehicles 25 Aug, 2017
Toll Reimbursement Policy NYSTA Cashless Toll Credit and Reimbursement by the New York State Thruway Authority for State Organized Militia Personnel Operating their Personally Owned Vehicles 27 Sep, 2021
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: https://dmna.ny.gov/forms/?C=S
216.73.216.111
Page Last Modified: 15 Nov 23