Attachment 2_RSP Soldier's Pre-Ship Checklist dtd 1 Aug 18 (fillable).pdf

RSP Soldier’s Pre-Ship Packet Checklist, 1 August 2018 Previous Editions Are Obsolete

RSP Soldier’s Pre-Ship Packet Review Checklist (Page 1 of 2)

Type or Print Legibly (Initiate NLT start of Blue Phase)

1. Name (Last, First, MI)

2. Enterprise Email Account /AKO User Name

3.SSN Last 4 / DODID 4. RRNCO/ RSID 5. Rank 6. DOR 7. Marital Status Single Married Divorced

8. Dependents

9. Current Home Address

10. Contact Number(s)

11. Detachment / Unit (Unit Designation, City, State Zip) 12. MOS (Phase I or

Phase II)

13. Ship Date

ITEM No. YES NO N/A These are Hardcopy Documents required for the shipper packet and will be filed in this order

(Although hard copies are required, documents other than Medical must be scanned into Vulcan)

1 USMEPCOM – Service Liaison Packet Breakdown Checklist - US Army National Guard

Orders and any Amendments - (STO II shippers also need a copy of their STO I Orders) For Soldiers authorized BAH ensure address match between MEPS Orders and BAH documents. If a MEPS Travel Order Amendment Request form is used, ensure it is uploaded into GCR and Vulcan Document Repository on or before ship date.

3 DD Form 2808 Report of Medical Examination (with waiver documents, if applicable, and all medical supporting documents from consults etc.) Do not scan into

Vulcan 4 DD Form 2807-1 Report of Medical History Do not scan into Vulcan

5 USMEPCOM Form 40-1-15-1-E Medical History Provider Interview Do not scan into Vulcan

6 Audiogram Do not scan into Vulcan

7 USMEPCOM Form 40-1-2-R-E Report of Medical Examination / Treatment Do not scan into Vulcan

8 DD Form 2807-2 Medical Prescreen of Medical History Do not scan into Vulcan

9 USMEPCOM Form 40-8-1-E Drug/Alcohol and HIV Testing Acknowledgment Form Do not scan into Vulcan

10 DD Form 2005 Privacy Act Statement-Health Care Records Do not scan into Vulcan

11 Exception to Policy Documentation, i.e. Religious Accommodation waiver - if applicable

12 N400 & N426 Legal Permanent Resident Citizenship/Naturalization application or declination letter – if applicable

The Documents BELOW need to be verified for accuracy, legibility, and inclusion in ERM/GCR (No hardcopy required). – Scan into Vulcan and ERM/GCR Forms ordered by location in ERM

/GCR.

The documents listed below are required to be checked for inclusion, legibility, and accuracy in ERM (GCR).

Core Admin

13 DD 93 Record of Emergency Data (Correct and Current)

14 DD 1966 Series (Parental Consent, if needed, page 5 with signatures) verify page 3 is re-certified upon ship

15 DA Form 7415 Exceptional Family Member Program(EFMP)

16 Tattoo Screening Form (with applicable memorandum(s) and supporting enclosures if required)

17 SF 86 Questionnaire for National Security Positions

18 PSI/PEI Results – ENTNAC Rap Sheet (Tech Check)

BAH: DA Form 5960 (Certified by the Soldier's Commander from the owning command immediately prior to the period of active duty or the representative of the activity bringing the Soldier on active duty. This individual will be equivalent to a company commander or higher.

Proof of financial responsibility documents - Acceptable forms of proof of financial responsibility for a primary residence that a Soldier maintained at the time the

Soldier was ordered to active duty for accession training includes a mortgage or deed to a home, lease, or rental agreement with the Soldier’s name listed as a primary resident/responsible party. References - HQDA ALARACT 158/2009, SMOM 13-025 and SMOM 14-011.

20 DD Form 368 Request for Conditional Release

DA Form 330 Language Proficiency Questionnaire

Core Documents – Scan These into Vulcan and ERM/GCR

22 Soldier’s Birth Certificate (Photo copy only if sending hard copies)

23 SSN Card (Photo copy only)

24 Driver’s License or valid State Identification Card (Valid through training) Enter Driver License data here: State, number & Expiration date

Certified Marriage Certificate (file number and file date), Divorce Decree, Child Birth Certificate, new Custody of a minor, Court Ordered Child Support Documents, Paternity affidavit (if applicable)

26 Copy of Dependent ID card(s) (i.e. Driver’s License, State ID, Passport etc)/CURRENT NOT EXPIRED

27 Copy of spouse’s / dependents Social Security Card(s)

28 IRS W-4

29 DD Form 220 (Active Duty Report) and ALL BCT Records (STO II ONLY)

30 DD Form 214 Certificate of Release or Discharge from Active Duty

31 REDDPERNET Report

32 Other Core Admin (Court Orders, Paternity Agreement, Other Educational Documents, etc)

33 Citizenship Verification Documentation (Ensure if they have an I-551 card, that they take that card with them when they ship)

34 DD Form 372 Request for Verification of Birth

35 Education Documentation (High School Diploma, Verified High School Transcripts, GED, Verified College Transcripts, Diploma)

RSP Soldier’s Pre-Ship Packet Checklist, 1 August 2018 Previous Editions Are Obsolete

RSP Soldier’s Pre-Ship Packet Checklist (Page 2 of 2)

1. Name (Last, First, MI)

2. Ship Date

ITEM No. YES NO N/A

DEP or REP63 – Scan These into Vulcan and ERM/GCR

36 SGLV 8286 SGLI Election and Certificate

37 SF 1199-A (Matching bank of the Soldier’s Debit Card in their possession)

38 REQUEST Printout (Training Reservation complete) with OPAT Scores

39 DA Form 705 APFT Scorecard (Required for all Soldiers - STO2 requires passing scores of 60/60/60 within 60 days of ship date)

40 DA 4187 for Promotion (Stripes for Buddies, Stripes for Skills, College Credits, ROTC, TIS etc)

41 NGB 600-7 Series (ARNG SRIP Agreement) (DD 4 Series annexes)

42 NGB Form 594 Series (DD 4-Series annexes)

43 Army National Guard Annex

44 DA Form 5435 (GI Bill)

45 DD 4 Series (both sets for RFP Soldiers)

DEP/REP63 Admin – Scan These into Vulcan and ERM/GCR

46 DD Form 2983 Recruit/Trainee Prohibited Activities Acknowledgment

47 USAREC Form 601-210.10 Security Clearance Questionnaire

Waiver – Scan These into Vulcan and ERM/GCR

48 DD Form 369 Police Record Check

49 Enlistment Waiver Approval documents

50 Family Care Plan Documents (if applicable for single Soldier with dependents or Soldiers married to a service member) (DA 5304, DA 5305, DA 5840, DA 5841, DA 7666)

51 TAPAS Report

52 Sex Offender Checks

53 Live Scan Results

Medical – Note: these items should be uploaded in ERM/GCR, but NOT into Vulcan due to HIPAA constraints

54 DA Form 5500 Body Fat Content Worksheet – Male / DA Form 5501 Body Fat Content Worksheet – Female (Within 60 days of Shipping) Do not scan into Vulcan

55 Acknowledgment of Medical Waiver Do not scan into Vulcan

56 680-3ADP Do not scan into Vulcan

57 SF 600 for Direct Shippers (Include verbiage: Last physical, HT/WT, and BF% if necessary; and Pregnancy test results for females) Do not scan into Vulcan

Scan into Soldier’s Document Repository in Vulcan

58 RSP Soldier’s Pre-Ship Packet Checklist Form

59 RSP Soldier’s Monthly Pre-Ship Eligibility Screening Form

60 RSP BAH Addendum Form

61 DA Form 4886 Issue In-Line Personnel Clothing Record (STO II Shippers)

62 STO I Soldier’s - Source Document verifying Mandatory Release Date. (NGB-GSS Form 1 Student School Letter)

Other Items to Check/Verify Prior to Ship

63 Travel itinerary and amendments

64 JPAS Results (Personnel Security Investigation) Confirmed with MEPS GC that Soldier is in a good to ship status in JPAS

65 Common Access Card (CAC) and ID Tags (Physically review items are in Soldier’s possession and are to standard)

Mandatory for all Recruits issued a CAC 66 OPAT Score Card (Ensure Physical Demands Category matches requirement for MOS and form is scanned into Vulcan and ERM (GCR))

NOTE: Please ensure required documents LISTED ABOVE are scanned into the Soldier’s Vulcan Document Repository (minus Medical Documents due to HIPAA constraints) and ERM (GCR).

Have all Post-Enlistment documents been sent to the MEPS GC? Yes No NA

Packet QC Screener Name________________________________________________________ Date:__________________________________

Signature:_____________________________________________________________________ Contact Number_________________________

Comments/Remarks

** PATERNITY AFFIDAVIT MUST BE IAW with applicable state authority.

**COURT ORDERED DOCUMENTS must be an official copy with applicable state seals and be a complete record.