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How do i request phs 1373 2002 form

How do i request phs 1373 2002 form-2025

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The document is a form (PHS-1373) used by commissioned officers of the Public Health Service to request separation from active duty. It outlines the necessary information required for separation, including personal details, type of separation (termination, retirement, inactivation), reasons for separation, and requests for terminal leave and travel. The form must be submitted 30 days prior to the officer's last day at their duty station and includes sections for completion by the separating officer, their supervisor, and fiscal/administrative personnel. Additionally, it provides instructions on rights and responsibilities regarding separation and includes a Privacy Act statement.

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

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