The following Naval Militia forms are available for the convenience of our on-line visitors.
 Title |
Document |
Date |
|---|---|---|
Application and Service Forms |
||
| NYS FORM ST-129 | Exemption Certificate for tax occupancy of hotel rooms |
01 May, 2012 |
| NYS FORM MV 412 | Application for Military and Veteran Custom Plates |
31 Mar, 2013 |
| NYS FORM GEN-83 | Authorization for Release of Background Information |
13 Apr, 2022 |
| NYS FORM AC 3257-S | Claim for Travel Reimbursement by a Non-employee |
15 Jun, 2017 |
| NYS FORM AC 3237-S | SUBSTITUTE FORM W-9: REQUEST FOR TAXPAYER IDENTIFICATION NUMBER & CERTIFICATION |
31 Jan, 2017 |
| NYS FORM AC 2772 | Direct Deposit Form for NYS Employees | 31 Dec, 2022 |
| NYS FORM AC 160 | Statement of Automobile Travel | 01 Jan, 2012 |
| NYS DMNA FORM R-1 | Receiving Notice | 28 Aug, 2019 |
| NYS DMNA FORM 96-1 | Recruitment Incentive and Retention Program (RIRP) Application |
02 Jul, 2024 |
| NYS DMNA FORM 40-400 | STATE ACTIVE DUTY PRE/POST DEPLOYMENT MEDICAL SCREEN |
10 Sep, 2013 |
| NYS DMNA FORM 2875 | Information System Access Request (ISAR) | 15 Jun, 2017 |
| NYS DMNA FORM 04 | SAD Leave Request Form | 04 Aug, 2017 |
| NYS DMNA FORM 03a | Daily Attendance Register (single) | 31 Jan, 2016 |
| NYS DMNA FORM 02 | BAH and COLA Authorization Form | 08 Jul, 2024 |
| NYNM FORM 5892 | Risk Advisement and Release of Liability | 29 Aug, 2024 |
| NYNM FORM 4790 | MEBS Maintenance Tracker | 08 Apr, 2015 |
| NYNM FORM 4620 | Crew and Passenger Manifest | 04 Oct, 2011 |
| NYNM FORM 4440 | Expeditionary Logistics Support Team Inventory Report |
22 Aug, 2014 |
| NYNM FORM 4082 | ELST Regional Readiness Summary | 22 May, 2013 |
| NYNM FORM 4027 | Boat Fuel Log | 12 Jul, 2017 |
| NYNM FORM 3123 | Float Plan | 20 Oct, 2011 |
| NYNM FORM 3120 | MEBS Pre-Operational Checklist | 31 Aug, 2016 |
| NYNM FORM 3061 | Mobilization Screening | 04 Jan, 2012 |
| NYNM FORM 3058 | Boat Operations Risk Calculation Worksheet |
23 Aug, 2018 |
| NYNM FORM 1900 | Request for Separation or Retirement | 23 Aug, 2022 |
| NYNM FORM 1782 | Recruitment Incentive and Retention Program (RIRP) Checklist |
30 Oct, 2024 |
| NYNM FORM 1781 | Recruitment Incentive and Retention Program (RIRP) Acknowledgement |
13 Dec, 2022 |
| NYNM FORM 1650 | Awards and Decorations
Ribbons and Device Guide |
24 Dec, 2012 |
| NYNM FORM 1620 | Report of Counseling | 25 Aug, 2009 |
| NYNM FORM 1616 | Enlisted Performance Report | 29 Apr, 2020 |
| NYNM FORM 1611 | Officer Performance Report | 29 Apr, 2020 |
| NYNM FORM 1571 | State Active Duty (Non-Pay) Authorization |
26 Jun, 2017 |
| NYNM FORM 1420 | Promotion Board Checklist | 29 Jan, 2020 |
| NYNM FORM 1160 | State Active Duty (In-pay) Request | 26 Jun, 2017 |
| NYNM FORM 1155 | MEBS Enrollment Application | 27 Dec, 2023 |
| NYNM FORM 1140 | NYNM Information Brochure | 13 Mar, 2023 |
| NYNM FORM 1121 | How to Join the New York Naval Militia | 13 Feb, 2023 |
| NYNM FORM 1070 | Civilian-Military Skills Questionnaire | 20 Oct, 2021 |
| NYNM FORM 1041 | Retention in the New York Naval Militia | 13 Feb, 2023 |
| NYNM FORM 1040 | Notice of Administrative Action | 01 Jan, 2017 |
| NYNM FORM 101PS | Prior Service Officer Application Package |
15 Feb, 2023 |
| NYNM FORM 101DR | Drilling Reserve Officer Application Package |
15 Feb, 2023 |
| NYNM FORM 100PS | Prior Service Enlisted Application Package |
15 Feb, 2023 |
| NYNM FORM 100DR | Drilling Reserve Enlisted Application Package |
15 Feb, 2023 |
| NYNM FORM 093 | Report of Medical History | 22 Aug, 2022 |
| NYNM FORM 088 | Report of Medical Examination | 22 Aug, 2022 |
| JFHQ-NY Standard SIR | Serious Incident Report (SIR) Form | 15 Nov, 2024 |
| DD Form 2536 | Request for Participation in Public Events |
01 Dec, 2016 |
Instructions |
||
| NYNM INST 9510.1A | Hazardous Material and Waste Management Plan |
04 Aug, 2022 |
| NYNM INST 6110.1C | Physical and Medical Requirements | 17 Sep, 2024 |
| NYNM INST 5401.3 | Organization of Expeditionary Logistics Support Teams |
24 Jun, 2013 |
| NYNM INST 5401.2 | New York Naval Militia Regional Commands | 15 Oct, 2010 |
| NYNM INST 5401.1B | MEBS Organizational Guidance | 20 Sep, 2016 |
| NYNM INST 5320.1B | Manpower and Authorized Billet Structure | 22 Feb, 2022 |
| NYNM INST 5210.1 | Regional Command Turnover Files | 26 Jan, 2011 |
| NYNM INST 4650.1 | Travel Policy | 11 Aug, 2016 |
| NYNM INST 3502.2A | In the Service of the State | 03 Feb, 2017 |
| NYNM INST 3502.1A | Training and Exercise Management | 23 Feb, 2022 |
| NYNM INST 3501.4 | Material Handling Equipment (MHE) Operator Qualification |
22 Feb, 2022 |
| NYNM INST 3501.3 | Boat Coxswain Qualification | 09 Mar, 2017 |
| NYNM INST 3501.2 | MEBS Craftmaster Personnel Qualification Standards |
30 Mar, 2016 |
| NYNM INST 3501.1A | Readiness and Metrics | 23 Feb, 2022 |
| NYNM INST 3120.2 | MEBS Seamanship Manual | 26 Jan, 2018 |
| NYNM INST 3120.1C | MEBS Standard Operating Procedures | 28 Jun, 2017 |
| NYNM INST 3061.1A | Mobilization Plan | 19 Jul, 2013 |
| NYNM INST 3051.2A | Mission Essential Task List (METL) | 27 Sep, 2023 |
| NYNM INST 1910.1 | Separation of Enlisted Members for Cause | 23 Feb, 2022 |
| NYNM INST 1650.1 | Josephthal Trophy | 08 Feb, 2010 |
| NYNM INST 1550.1B | Military Emergency Boat Service Training Manual (MEBS TRAMAN) |
09 Mar, 2017 |
| NYNM INST 1410.2A | Promotion to Officer Ranks | 21 Jul, 2015 |
| NYNM INST 1410.1F | Promotion Policies and Procedures | 12 Oct, 2023 |
| NYNM INST 1020.1E | New York Naval Militia Uniform Regulations |
17 Sep, 2024 |
| NYNM INST 1001.1D | Administration Manual | 03 Feb, 2023 |
| DMNA REG 10-1 | New York Naval Militia Regulations | 18 Apr, 2022 |
| DMNA Pamphlet 1-2 | Incident Reporting | 12 Jan, 2022 |
Notices |
||
| USMC-NYNM MOU | Memorandum of Understanding Between the United States Marine Corps and the New York State Naval Militia |
22 Mar, 1996 |
| USCG-NYNM MOU | Memorandum of Understanding Between the United States Coast Guard and the New York State Naval Militia |
14 May, 1997 |
| 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 |
| 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 |
| NYS CEMP VOL 3 | Comprehensive Emergency Management Plan | 09 Jan, 2023 |
| NYS CEMP Vol 2 | Comprehensive Emergency Management Plan | 09 Jan, 2023 |
| NYNM NOTE 5210 | List of Current and Former Instructions, Notices, and Forms |
13 Feb, 2023 |
| NYNM NOTE 1540 | NY Naval Militia Authorized Training | 03 Nov, 2023 |
| NYNM NOTE 1330 | MEBS Applicant Criteria 2024 | 26 Jan, 2024 |
| 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 |
| DMNA FPM VP-009-B | SGLI Reimbursement Policy 2022 | 05 Aug, 2022 |
| Additional DMNA and New York State forms can be found on the DMNA Forms page. | ||
NYNM March 
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