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New York State Division of Military and Naval Affairs

New York Naval Militia Forms, Instructions and Notices

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

Title Document Date
 

Application and Service Forms

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
 

Instructions

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
 

Notices

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
 
Additional DMNA and New York State forms can be found on the DMNA Forms page

NYNM March NYNM March NYNM March

Composed by:
CPT Douglas Hedwig, NYG

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© NYS DMNA: NY Naval Militia Forms, Instructions and Notices
URL: http://dmna.state.ny.us/nynm/?id=forms
Page Last Modified: 16 Jun 14 (ba)