BILLET SUBCATEGORY (IF ANY)
Enter the billet subcategory code, if authorized, or NA. Do not leave blank. Most times this will be NA.
Examples: BASIC: Member of the basic Group if subcategories are used.
INTERN: Interns in teaching hospitals or dental centers.
RECSAC1: Inactive reservists temporarily on active duty for one month or more.
Enter last name and initials of the reporting senior. Place a comma after the last name. Omit punctuation or spaces within last name. Be sure the name and signature match.
Example: STJOHN, O F
Enter reporting senior's grade.
Enter reporting senior's four-digit officer designator. If Navy enlisted or civilian, leave blank.
Reporting senior title (abbreviated if necessary). May be up to 14 characters and spaces. Always use CO for Commanding Officer and OIC for Officer in Charge. For other titles, use the complete title or a common abbreviations Examples: COMMANDER, XO, DEPT HEAD, DIV OFFICER, DCNO.
UIC of reporting senior's command.
Reporting senior's social security number (SSN). Use hyphens after the third and fifth digits. Example: 987-65-4321. Do not leave blank.