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Click ‘Get Form’ to open the 4100 1b form in the editor.
Begin by filling out SECTION I - PERSONNEL SYSTEM DATA. Enter your Name, Rank, Unit, and CPMOS in the respective fields. Ensure accuracy as this information is crucial for your application.
Continue with your Date of Birth (DOB), Date of Rank (DOR), and Pay Entry Base Date (PEBD). These dates are essential for verifying your service record.
Complete the remaining fields including Active Status Program, PULHES, Basic Entry Date (BESD), and Estimated Time of Service (ETS). Double-check these entries for correctness.
In SECTION II - VERIFICATION AND DECLINATION, indicate whether you have verified your information by selecting 'I do' or 'I do not'.
Provide the Commander’s signature and date to validate your application. Ensure that all required signatures are obtained before submission.
Finally, review all sections for completeness and accuracy before saving or exporting the completed form.
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Current permittees or lessees can use Form 4130-1b to update/supersede previously submitted information. The BLM retains the original in its case record andRead more
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