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DISTRIBUTION AF IMT 100 20030915 V1 33. SIGNATURE ELEMENT OF ORDERS AUTHENTICATING OFFICIAL PREVIOUS EDITION IS OBSOLETE NAME Last First MI 34. This is a web-optimized version of this form* Download the original full version www. usa-federal-forms. com/download*html Convert any form into fillable savable www. fillable. com Learn how to use fillable savable forms Demos www. fillable. com/demos. html Examples www. fillable. com/examples. html Browse/search 10 s of 1000 s of U*S* federal forms converted into fillable savable REQUEST AND AUTHORIZATION FOR SEPARATION 1. TYPE OF SEPARATION DISCHARGE ENTRY LEVEL SEPARATION RELEASE FROM VOID ENLISTMENT RELEASE FROM ACTIVE DUTY/TRANSFERS TO RESAF 2. AUTHORITY RELEASE FROM EAD/REVERTS TO RESAF BY DIRECTION OF THE PRESIDENT 3a* NAME Last First MI DISMISSAL RESIGNATION ACCEPTED BY THE PRESIDENT 3b. GRADE 5. HOME OF RECORD 3c* SSN 4. PLACE OF ENTRY ON ACTIVE DUTY OR ENLISTMENT 7. UNDER 2 YEARS SERVICE 6. FUTURE MAILING ADDRESS E-4 Only 8. PAFSC 9. RESERVE AF GRADE 10. MIL SVC OBLIGATION DATE 11. AERONAUTICAL RATING 12. FLYING STATUS YES 13. EFFECTIVE DATE 14. CHARACTER OF SERVICE NO 15. CERTIFICATE ISSUED HONORABLE UNDER OTHER THAN HONORABLE CONDITIONS DD FORM 256AF GENERAL Under Honorable Conditions BAD CONDUCT DISCHARGE DD FORM 214 UNCHARACTERIZED DISHONORABLE DISCHARGE 16. RELIEVED FROM ASSIGNMENT Unit Major Command Address and Servicing MPF 17. WILL PROCEED TO HOME OF SELECTION 18. TRAVEL BY PRIVATE CONVEYANCE TPC YES WITH DAYS TRAVEL TIME PERMITTED. 19. MEMBER QUALIFIES FOR FULL TRAVEL/TRANSPORTATION ENTITLEMENT UNDER THE JFTR PARA U5125 20. ASSIGNED TO Check if Applicable a* ARPC DENVER CO b. REVERTS TO CONTROL OF ANG Name of State c* TYPE OF POSITION MOBILIZATION AUGMENTEE YE REINFORCEMENT DESIGNEE UNIT d. UNIT OF ASSIGNMENT AND MPF 21a* ELIGIBLE FOR PER 10 U*S*C. 1174 e. TRAINING/PAY CATEGORY f* RESERVE SECTION CODE g. FUNCTIONAL ACCT CODE h. AUTHORIZED GRADE i. AUTHORIZED AFSC j. POSITION CONTROL NO. b. ENTITLED TO SEVERANCE/SEPARATION PAY c* CHAPTER 61 10 U*S*C. SERVICE FOR PAY IS DISABILITY YEARS MONTHS DAYS NOT ENTITLED TO BENEFITS CREDITABLE ACTIVE FEDERAL SERVICE NOT APPLICABLE 22. REMARKS Continue on reverse 23. DATE 24. ORDERS ISSUING/APPROVING OFFICIAL Name Grade Title DSN Phone 25. SIGNATURE INSERT M D H I T G OR Y 26. EXPENSES CHARGEABLE TO NONTEMPORARY STORAGE CHARGEABLE TO CIC 27. DESIGNATION AND LOCATION OF HEADQUARTERS TAG 29. SPECIAL ORDER NO. DEPARTMENT OF THE AIR FORCE 31. TDN PCS FOR THE COMMANDER 32. This is a web-optimized version of this form* Download the original full version www. usa-federal-forms. com/download*html Convert any form into fillable savable www. fillable. com Learn how to use fillable savable forms Demos www. com/download*html Convert any form into fillable savable www. fillable. com Learn how to use fillable savable forms Demos www. fillable. com/demos. html Examples www. fillable. com/examples. html Browse/search 10 s of 1000 s of U*S* federal forms converted into fillable savable REQUEST AND AUTHORIZATION FOR SEPARATION 1. .

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