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New York Naval Militia Forms, Instructions and Notices

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New York Naval Militia Newsletter Summer 2024 Edition

NYNM March NYNM March NYNM March

Composed by:
CPT Douglas Hedwig, NYG

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The following Naval Militia forms are available for the convenience of our on-line visitors.

Title Document Date
 

Application and Service Forms

DD Form 2536 Request for Participation in Public
Events
01 Dec, 2016
JFHQ-NY Standard SIR Serious Incident Report (SIR) Form 12 Apr, 2024
NYNM FORM 088 Report of Medical Examination 22 Aug, 2022
NYNM FORM 093 Report of Medical History 22 Aug, 2022
NYNM FORM 100DR Drilling Reserve Enlisted Application
Package
15 Feb, 2023
NYNM FORM 100PS Prior Service Enlisted Application
Package
15 Feb, 2023
NYNM FORM 101DR Drilling Reserve Officer Application
Package
15 Feb, 2023
NYNM FORM 101PS Prior Service Officer Application
Package
15 Feb, 2023
NYNM FORM 1040 Notice of Administrative Action 28 Apr, 2010
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 13 Feb, 2023
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
27 Dec, 2022
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 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 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
 

Instructions

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 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 5401.3 Organization of Expeditionary Logistics
Support Teams
24 Jun, 2013
NYNM INST 6110.1C Physical and Medical Requirements 17 Sep, 2024
NYNM INST 9510.1A Hazardous Material and Waste Management
Plan
04 Aug, 2022
 

Notices

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 2024 26 Jan, 2024
NYNM NOTE 1540 NY Naval Militia Authorized Training 03 Nov, 2023
NYNM NOTE 5210 List of Current and Former Instructions,
Notices, and Forms
13 Feb, 2023
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
 
Additional DMNA and New York State forms can be found on the DMNA Forms page.
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© NYS DMNA: NY Naval Militia: Forms, Instructions and Notices
URL: https://dmna.ny.gov/nynm/?id=forms
44.220.184.63
Page Last Modified: 12 Jan 17