OPNAVINST 1420.1B OPNAV INSTRUCTION 1420.1B Subj: …

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OPNAVINST 1420.1B N13 14 DEC 09

OPNAV INSTRUCTION 1420.1B

From: Chief of Naval Operations

Subj: ENLISTED TO OFFICER COMMISSIONING PROGRAMS APPLICATION ADMINISTRATIVE MANUAL

Ref:

(a) OPNAVINST 6110.1H (b) OPNAVINST 1120.8 (c) CNO WASHINGTON DC 022236Z Mar 09 (NAVADMIN 067/09) (d) OPNAVINST 1160.9 (e) BUPERSINST 1780.1A (f) Title 10 of United States Code (U.S.C.) (g) United States Naval Academy Catalog (h) OPNAVINST 1120.7 (i) SECNAVINST 1920.6C (j) BUPERSINST 1430.16F (k) OPNAVINST 1160.6B (l) OPNAVINST 1160.8A (m) OPNAVINST 1560.9A (n) NAVMED P-117, Manual of the Medical Department

(MANMED) (o) OPNAVINST 5350.4D (p) MILPERSMAN 1131-010 (q) MILPERSMAN 1220-100

Encl: (1) Enlisted to Officer Commissioning Programs Application Administrative Manual

1. Purpose. To update guidance to the Enlisted to Officer Commissioning Programs Application Administrative Manual. This instruction is a complete revision and should be reviewed in its entirety.

2. Cancellation. OPNAVINST 1420.1A.

3. Authority. This directive governs administrative matters within the Office of the Chief of Naval Operations (OPNAV). All chapters carry full authority of their governing directives in levying responsibilities on addressees.

4. Action. Commanding Officers (COs) are encouraged to forward applications of best qualified enlisted members in the regular Navy and the Navy Reserve including Full-Time Support (FTS)

OPNAVINST 1420.1B 14 DEC 09

personnel and Selected Reserve (SELRES) personnel in their commands following the instructions in enclosure (1) unless specified.

5. Letters. The following documents are available from the Seaman to Admiral-21 (STA-21) Web site (): STA-21 Application Data Letter, Commanding Officer's Recommendation Letter, Nomination Review Board Chairperson Recommendation Letter, Interview Verification Letter, STA-21 Application Checklist. (Samples of these documents can be found in chapter 8 of this instruction.)

6. Records Management. Records created as a result of this instruction, regardless of media and format, shall be managed in accordance with Secretary of the Navy Manual 5210.1.

7. Forms

a. The following forms are available from the Department of Defense Forms Web site :

(1) DD 372 (Mar 2008) Verification of Birth.

(2) DD 1966/1 (Nov 2003) Record of Military ProcessingArmed Forces of United States.

(3) DD 2807-1 (Mar 2007) Report of Medical History.

(4) DD 2808 (Oct 2005) Report of Medical Examination.

b. The following forms are available on Naval Forms OnLine :

(1) OPNAV 1420/1 (Rev Jan 2008) Officer Programs Application (instructions for completing OPNAV 1420/1 are available in chapter 2 of enclosure (1)).

(2) OPNAV 5520/20 (Rev Oct 1979) Certificate of Personnel Security Investigation, Clearance and Access.

(3) NAVPERS 1070/10 Officer Photograph Submission Sheet.

(4) NAVPERS 1070/604 (Rev Mar 2005) Enlisted Qualifications History.

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OPNAVINST 1420.1B 14 DEC 09

(5) NAVPERS 1070/605 (rev Jul 2006) History of Assignments.

(6) NAVPERS 1070/613 (Rev Jul 2006) Administrative Remarks (samples of completed NAVPERS 1070/613 can be found in sections 9 through 25 of chapter 8 of this instruction).

(7) NAVPERS 1070/621 (Rev Jan 2000) Agreement to Extend Enlistment.

(8) NAVPERS 1070/622 (Rev Aug 2007) Agreement to Recall or Extend Active Duty.

(9) NAVPERS 1070/884 (Rev Oct 2006) Officer Photograph Submission Sheet.

(10) NAVPERS 1610/2 (Rev Mar 2002) Fitness Report and Counseling Record (E7-O6).

(11) NAVPERS 1616/25 (Rev Mar 2002) Evaluation Report and Counseling Record (E1-E6).

(12) NAVPERS 6110/2 (Rev Jan 98) Risk factor Screening Test Results.

(13) NAVCRUIT 1131/5 (Rev Aug 2007) Interviewer's Appraisal Sheet.

c. The following forms are available on the COMNAVCRUITCOM :

(1) NAVCRUIT 1131/104 (Rev Jan 2008) United States Navy Tattoo Screening Certificate.

(2) NAVCRUIT 1131/12 (Rev Oct 2006) Anthropometric Measurements.

d. The following forms are available on the GSA Forms Web site :

(1) SF 86 (Rev Sep 1995) Questionnaire for National Security Position.

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OPNAVINST 1420.1B 14 Dec 09 (2) SF 88 (Rev Oct 1994) Medical Record-Report of Medical Examination. (3) SF 93 (Rev Jun 1996) Re90rt of Medical History.

-----zqt. EM. E . t R US ON III Vice mi aI, U.S. Navy Deput Ch'ef of Naval Operations (Manpo , Personnel, Training and !Education)

Distribution: Electronic only via Department of the Navy Issuances Web site http,lldoni . daps.dla.milll

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OPNAVINST 1420.1B 14 DEC 09

ENLISTED TO OFFICER COMMISSIONING PROGRAMS APPLICATION ADMINISTRATIVE

MANUAL

Enclosure (1)

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