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How to use or fill out the Reserve Annual Screening Questionnaire form

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  1. Click ‘Get Form’ to open the Reserve Annual Screening Questionnaire in our editor.
  2. Begin by entering your EMPLID, followed by your full name (Last, First, MI), rank, and unit & division. Ensure that your primary phone and email are accurate for effective communication.
  3. Fill in your permanent mailing address and indicate your marital status along with the number of dependents. This information is crucial for personnel records.
  4. Provide details regarding your last physical examination date and any competencies or qualifications you possess. Include effective dates where applicable.
  5. For civilian employer information, enter the employer's name, phone number, and address. Specify a contact person and their phone number for follow-up.
  6. Indicate your availability for mobilization by selecting 'Yes' or 'No.' If 'No,' check the appropriate reason and provide an explanation if necessary.
  7. Finally, review all entries for accuracy before signing and dating the form at the bottom. Once completed, forward it to your Servicing Personnel Office (SPO).

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2011 form screening questionnaire form

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