OPNAV Form 5211 12 - DON CIO - Navy mil-2026

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Click ‘Get Form’ to open the OPNAV Form 5211 12 in the editor.
Begin with Section I - Personal Identification. Fill in the 'TO' and 'FROM' fields, including ZIP codes, followed by your name (Last, First, MI) and DOD ID number.
In Section II - Duty Status Change, indicate the previous duty status and the new status along with the effective date and time.
Proceed to Section III - Request for Personnel Action. Check the appropriate action you are requesting from the list provided.
If required, sign in Section IX and enter the date of your signature.
Use Section IV for any additional remarks related to your request.
Finally, complete Section V by certifying that all information is verified and obtaining necessary approvals or disapprovals.

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