PHS-6134 Statement of Service Preview on Page 1

PHS-6134 Statement of Service-2026

The document is a separation form (PHS-1373) for commissioned officers of the U.S. Public Health Service, detailing the process and requirements for retiring or terminating service. It includes sections for the officer to provide personal information, type of separation, last duty day, terminal leave requests, and travel arrangements. The form must be submitted to Commissioned Corps Headquarters at least 120 days before the officer's last day at their duty station. Additional parts require input from the officer's supervisor and administrative officers to finalize the separation process.

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Definition and Meaning of the PHS-6134 Statement of Service

The PHS-6134 Statement of Service is a document used primarily by the U.S. Public Health Service Commissioned Corps. It serves as an official record detailing the service information of a commissioned officer. This includes critical data such as service period, assignments, and duty status. It's integral for purposes like retirement, reassignment, or termination of service. Understanding its meaning helps ensure proper processing and acknowledgment of an officer's service records.

How to Use the PHS-6134 Statement of Service

Using the PHS-6134 form involves several key actions. First, members must ensure all personal and service-related information is accurate. It includes sections to document current and past assignments, service awards, and special recognitions. Once completed, it may be submitted for various administrative purposes, such as verifying eligibility for certain benefits or formalizing a service duration with other government agencies.

Personnel Documentation: Officers utilize the form to confirm their service history.
Verification Purposes: Useful for confirming details during administrative reviews or benefits assessments.
Transfer and Promotion: Part of the documentation reviewed during transfers or promotions within the service.

Steps to Complete the PHS-6134 Statement of Service

Completing the PHS-6134 form accurately is critical to ensure all service details are correctly documented.

Personal Information: Enter personal details, such as name, rank, and official service number.
Service Details: List current duty status, length of service, and assignments.
Awards and Acknowledgements: Include any special awards, certificates, or recognitions received during service.
Review and Verification: Double-check all information for completeness and accuracy.
Submission: Submit the form to the appropriate administrative body or supervisor for processing.

It's essential to pay attention to detail to avoid errors that could delay processing or lead to incorrect service records.

Who Typically Uses the PHS-6134 Statement of Service

The primary users of the PHS-6134 Statement of Service are commissioned officers in the U.S. Public Health Service. Additionally, the form may be accessed by administrative officers who process service records, verify information for benefit entitlement, or conduct personnel reviews.

U.S. Public Health Officers: For personal service documentation.
Administrative Staff: To verify and record officer information.
Human Resources Departments: Utilize it to process retirement or termination paperwork.

Important Terms Related to the PHS-6134 Statement of Service

Understanding the terms related to the PHS-6134 is essential for accurate form completion and processing.

Commissioned Officer: An officer appointed to serve in a command capacity within the U.S. Public Health Service.
Duty Status: Refers to the officer's current service situation, such as active duty, leave, or retirement.
Service Awards: Recognitions given to officers for exemplary performance or achievements.

Key Elements of the PHS-6134 Statement of Service

The PHS-6134 form contains several critical elements that need attention.

Identification Information: Includes name, rank, and identification number.
Service Information: Detailed record of assignments and duty status.
Verification Section: Area reserved for official signatures and date stamps to validate the information.
Section for Awards and Recognitions: Ensures documented acknowledgment of honorary achievements and contributions.

Required Documents for the PHS-6134 Statement of Service

Along with the PHS-6134 form, several additional documents may be required to verify and complete the officer's service record.

Previous Orders and Assignments: Official papers documenting past duty stations.
Award Certificates: Proof of any service awards or honors relevant to career achievements.
Identification Proof: Government-issued ID or service card to confirm identity details.

Penalties for Non-Compliance with the PHS-6134 Statement of Service

Failure to properly complete or submit the PHS-6134 Statement of Service can lead to several penalties or issues.

Delay in Benefits: Incorrect information may delay the processing of benefits or service acknowledgments.
Administrative Actions: Potential administrative consequences due to inaccurate service record maintenance.
Career Implications: Impact on future assignments, promotions, or retirement processing due to incomplete or erroneous records.

Ensuring compliance and accuracy in filling out this form is vital for maintaining an officer's standing and service history.

See more PHS-6134 Statement of Service versions

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Versions	Form popularity	Fillable & printable
2024	4.1 Satisfied (37 Votes)
2005	4.9 Satisfied (45 Votes)
2002	4 Satisfied (21 Votes)

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How to get a statement of service USAF?

REQUEST COPY OF MILITARY RECORDS Register for a free Premium account on the Department of Veterans Affairs eBenefits site. E-mail, mail or fax a signed SF-180 to AFPCs military personnel records section.

Where do I get my statement of service?

Contact your personnel command for your records. You can also request your records from the National Archives and theyll send your request to your personnel command.

How to get a statement of service on NSIPs?

A retirement SoS is viewable via NSIPS. Log into Member Self-Service, select Employee Self-Service - Retirements and Separations - Check Eligibility - Statement of Service - Generate SoS Form (be patient at this point and select Refresh a few times over 30 seconds or so).

How do you prove service for veterans on active duty?

In all cases, the United States Secretary of Defense must docHub the active service and the honorable discharge of the veteran. This is normally done by submission of Department of Defense Form 214 (DD 214) Certificate of Release or Discharge from Active Duty (see Appendix C).