This form should not be used to apply for the air national guard. Ive been waiting for about 5 months to get my medical clearance paperwork in order to retrain. Physical profile serial report, to document exercise program evaluations, fitness prescription instructions, fitness testing exemption. Policies air force installations requires full disclosure from persons applying for military, government. The af form 422 is used for initial qualification, qualification for retirement or separation, military retraining, permanent. For further information, contact us at 866 2497 or by email at usaf.
If the member has a current fitness score, but was exempt during any portion of the award period, an af form 422. Any student arriving at a resident epme school possessing an uncoordinated af form 422469 limiting active participation in the epme school. Signature the above member requests permission to obtain refractive surgery to correct their vision at a dod. Affms ii, or air force surgeon general individual medical readiness status afsg imr is down, please visit the force support squadron, your commander support staff, or medical. A current air force fitness management system print out of members physical fitness history. Ngbhrs all previous versions are obsolete air national. Name grade date afsc ssn unit base profile p u l h e s suffix blood group data previous type and. Steps to help complete physical limitation form keesler air. Must be signed and verified within 6 months from your medical group. Air force form af422, usaf forms, usaf documents, usaf publications, pdf forms fillable savable, pdf forms fillable, pdf forms saveable, pdf forms savable, eforms, eforms, pdf forms, adobe acrobat forms created date. The 422d test and evaluation squadron 422 tes is a united states air force unit. Usaf publications, pdf forms fillable savable, pdf forms fillable, pdf forms saveable, pdf forms savable, eforms, eforms, pdf. Af form 4422 sex offender disclosure and acknowledgement. Complete online, sign, save and send your documents in a few clicks.
Download printable af form 422 in pdf the latest version applicable for 2020. Af form 422 notification of air force members qualification. Af form 422 download printable pdf or fill online notification of. Jul 11, 2012 the exercise physiologist will use air force form 422. They then send you the information they need for your af form 422. Use page 2 to explain the circumstances of all of your yes. Airman leadership school and noncommissioned officer. Air force form fill online, printable, fillable, blank pdffiller. Air force form af422, usaf forms, usaf documents, usaf publications, pdf forms fillable savable, pdf forms fillable, pdf forms saveable, pdf forms savable, e forms, eforms, pdf forms. They can provide you with a copy of your current rip, current fitness score andor a memorandumaf form 422 on imr status.
Use this stepbystep guide to fill out the af form 422 swiftly and with ideal accuracy. Copies of profile forms 469 and 422 are sent to the active duty members unit. The academic plan is designed to ensure each applicant meets graduation and program completion requirements in a realistic manner. The air force will value airmen every which way except.
Dd form 2808 is used by the meps medical staff to document the medical examination. The latest version of the form was released by the air force af in january 2010 with all previous editions obsolete. An af form 55 is a united states air force form is used for documenting the completion of initial and recurring safety training. Copy of af form 422, physical profile serial report current within 12 months, must include pulhes copy of all dd 214ngb form 22 this document is required for former active service member and. Af form 847 fill out and sign printable pdf template signnow. Download fillable af form 988 in pdf the latest version applicable for 2020. Guide for completing air force form 24, application for appointment as reserve of the air force or usaf without component air force form 24 is used by a variety of organizations. Air force instruction 10203 air force personnel center af. Contact the total force service center tfsc, 8005250102, to request direction on. Usaf refractive surgery usaf rs program commanders authorization printed namegrade.
If member is on a profile include a copy of the members af form 422, physical profile serial report. Af form 422 fill online, printable, fillable, blank pdffiller. Af form 422, notification of air force members qualification status is a document used for initial qualification, qualification for retirement or separation, military. Airman leadership school and noncommissioned officer academy. Individuals who are able to perform their primary duties but are unable to complete one or more parts of the fitness evaluation do not require an meb unless the. Information is used to positively identify an individual prior. Physical profile serial report, to document exercise program evaluations, fitness prescription instructions, fitness testing exemption recommendations, and clearance for unrestricted fitness participation or fitness testing afi 10203 paragraph 2. The dd forms 28071, 28072, and the 2808 connect the military recruiters office, meps, and the applicant seeking to join the military to one another by disclosing medical history information of the recruit. The following index of official military forms from the dod, army, navy, air force, marine corps, coast guard, and department of veterans affairs will help you access your earned benefits. Dod medical forms 2807 and 2808 used by recruiters meps. Information is used to positively identify an individual prior to administration of the air force fitness assessment fa.
Registration window closes 3 business days prior to the training date. The for serves as an employee safety and and health record, to be kept in the workplace and update the training as necessary. Af form 422, notification of air force members qualification status is a document used for initial qualification, qualification for retirement or separation, military retraining, permanent change of station pcs, professional military education pme, and similar functions. Policies air force installations requires full disclosure from persons applying for military, governmentmanaged or privatized housing who are sex offenders or who intend to have dependents who are sex offenders reside with them. Af form 55 employee safety and health record legal forms. The way to complete the online af form 422 on the internet. Notification of air force members qualification status keywords. Air national guard members must meet the physical qualifications outlined in afi 48123 prior to entry on agr duty. The exercise physiologist will use air force form 422. Director, afcec operations afcecco, or designee, is the approval authority for generator authorization, design, and classification to include critical operations.
Copy of af form 422, physical profile serial report current within 12 months, must include pulhes copy of all dd 214ngb form 22 this document is required for former active service member and prior service in the national guard. Establishes policies for electrical systems, power plants and generators. Also known as an application for appointment as reserve of the air force or usaf without component, the document is used by an. Af form 422 fill out and sign printable pdf template signnow. Secaf redesignation of air force space command to united states space force.
This member is within air force fitness standards as outlined in afi 362905. Af form 422 fill out and sign printable pdf template. The form describes what an airman is qualified to do based on a medical assessment. Area of consideration this position is open nationwide and to current enlisted members in the. The af form 55 is available on the united states air force documentation website or can be. Fill out the leave requestauthorization online and print it out for free. The for serves as an employee safety and and health record, to be kept in the. Af form 422 current within 1 yearretrainingmust contain specified pulhes and all required codes specified in the mva. The advanced tools of the editor will guide you through the editable pdf template. Purpose of af form 422, notification of air force members qualification status. Air national guard, air force reserve or the united states air force members who have not achieved a passing fitness assessment score are ineligible for entry into the agr program. The exercise physiologist also uses the information to determine u.
The af form 422 is used for initial qualification, qualification for retirement or separation, military retraining, permanent change of station pcs, professional military education pme, and similar functions as directed in this or other guidance. The member is returned at the units expense costs include travel and perdiem. The af form 422 is used for initial qualification, qualification for retirement or separation, military retraining, permanent change of station pcs. Refer recommended changes and questions about this publication to the office of primary responsibility opr using the af form 847, recommendation for. For more information about ucfeui, read the reverse side of this form.
So, at my base we have to visitemail the medical standards office. Af form 422 must be obtained from your medical group. An af form 24 is a document used by the united states air force. Do not use spaces when performing a product numbertitle search e. Guide for completing air force form 2030, usaf drug and alcohol abuse certificate this guide is intended to assist with some of the more common issues encountered with the completion of air force form 2030. Af form 988, leave requestauthorization also known as the af leave form and the af imt 988 is an air force af form used to request and authorize a leave from service. Air force officer classification directory afocd air force enlisted classification directory afecd af 422 is mandatory for all enlisted applicants retraining into a new afsc. Air force form af422, usaf forms, usaf documents, usaf publications, pdf forms fillable savable. Guide for completing air force form 24, application for. Afto53, af673, afspc1648 to minimize results, use the. Copies of profile forms 469 and 422 are sent to the active duty members unit deployment manager, unit fitness program manager, and all commander designees. Also known as an application for appointment as reserve of the air force or usaf without component, the document is used by an airman to request a transfer from active duty to reserve status. Refer recommended changes and questions about this publication to the office of primary responsibility opr using the af form 847, recommendation for change of publication. Afto53, af673, afspc1648 to minimize results, use the navigation buttons below to find the levelorganization you are looking for, then use the filter to search at that level.
Blank af form 422, blank af form 469, af form 422 pulhes, air force form 422 pdf, air force form 469 pdf, af form 422 active duty, how to print af 422, imas are assigned to an active duty wing office near their home and have more flexibility in performing af form 422 showing medical qualification. Ngb form 34 1 application for active guard reserve agr position signed. I certify i havehave not circle one misused any government travel charge card used for other than official government travel, or been. Fill out the notification of air force members qualification status online and print it out for free. Air force, united states federal legal forms and united states legal forms. It also officially adopts the dod equivalent to af form 1042, the dd form 2992, medical recommendation for flying or special operational duty. Guide for completing air force form 2030, usaf drug and alcohol abuse certificate this guide is intended to assist with some of the more common issues encountered with the completion of air. The dd forms 28071, 28072, and the 2808 connect the military recruiters office, meps, and the applicant seeking to join the military to one another by disclosing medical history information of the. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller. Any student arriving at a resident epme school possessing an uncoordinated af form 422469 limiting active participation in the epme school program will be released and returned to their home unit. The af form 422 is used for initial qualification, qualification for retirement or separation, military retraining, permanent change of station pcs, professional military education.
Digging around today on the air force pubs site, i scrubbed afi48123v2. An uptodate fillable af form 988 is available for digital filing and download below or can be found. If its there, its the blue hyperlink at the bottom that says af422. The air force will value airmen every which way except for those that are tangible. This instruction establishes procedures for the documentation and administrative management of airmen with injuries or illnesses that may impact their ability to perform their military duty. If member is on a profile include a copy of the members af form 422, physical profile serial. Ensure an explanation is attached for required answers given in section iv 2. Af form 988 download fillable pdf or fill online leave.
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