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How do i request phs 1373 2002 form

How do i request phs 1373 2002 form-2026

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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 related to separation and includes a Privacy Act statement regarding the handling of personal information.

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Click ‘Get Form’ to open it in the editor.
Begin with Part A, entering your name, PHS number, and SSN. Ensure accuracy as this information is crucial for processing.
Fill in your current station details including organization, address, and email. This helps maintain communication during the separation process.
Select the type of separation you are requesting: Termination, Retirement, or Inactivation. Be sure to understand the implications of each option.
Provide a reason for separation and indicate your last day at duty station. This is essential for scheduling your transition.
Complete sections regarding terminal leave and travel requests if applicable. Review related instructions carefully to ensure compliance.
Once Part A is complete, send a copy to your supervisor for Parts B and C completion before submitting it to DCP.

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

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What is the PhS assignment request form?

Assignment Request means a request by a Seller, in a form specified by Magellan, to assign all or part of storage capacity from previous storage rights held in the form of a Long Term Storage Agreement to Magellan for delivery to a Buyer in the form of a CAC.

What is a PhS assignment request form?

There are two methods by which officers may separate from active duty in the Commissioned Corps of the United States Public Health Service: Retirement. Resignation. Commissioned Corps Separations - NIH: Office of Human Resources NIH: Office of Human Resources workforce commissioned-corps-sep NIH: Office of Human Resources workforce commissioned-corps-sep