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

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The document outlines the Personnel Action form (DA Form 4187) used by Soldiers to request or record various personnel actions in accordance with Army regulations. It includes sections for personal identification, duty status changes, requests for specific actions, and certification of approval or disapproval. The form is governed by the Privacy Act and requires accurate information to avoid processing delays.

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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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