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The form includes a section where the Articles of the Uniform Code of Military Justice (UCMJ) are explained to the individual, as required by Article 137.
It confirms that the individual has been counseled regarding the Survivor Benefit Plan (SBP) and understands both automatic and future enrollment provisions.
The form references a memorandum from the Office of Secretary of Defense regarding drug testing procedures, including reports from Air Force and Navy labs.
Individuals are informed that they have the right to consult with defense counsel about the implications of drug testing reports on their separation from service.
The form requires signatures from both the Marine and their commanding officer (CO), along with dates for accountability.
The form is marked as 'For Official Use Only' (FOUO), indicating that it contains privacy-sensitive information when filled out.
This document is identified as NAVMC 118(11) with a revision date of May 2014, indicating its currency and version history.
