COMNAVCRUITCOMINST 1130.8G VOLUME II

EXHIBIT 070301. DEP ACTION REQUEST (DAR)/POTENTIAL DEP PROBLEM

DEP ACTION REQUEST (DAR)/POTENTIAL DEP PROBLEM

From: RinC, NAVCRUITSTATo: Commanding Officer, Navy Recruiting DistrictVia: (1) Zone Supervisor

(2) Chief Recruiter (3) Enlisted Programs Officer

Subj: CHANGE IN DEP STATUS1. It is requested that the following individual be (Check one):

_____Reclassified _____Rolled-Out __ Rolled-In ___Info ___ Courtesy Ship

__ DEP Discharge (Definite)(R-Tools Record Required)

___ DEP Discharge (Probable)

(R-Tools Record Required)___ Change in DEP Status

Name: SSN: ED Level:Program: AFQT: DEP Date: Ship Date:LEAD Source: Zone: Recruiter:Sex: M / F (circle one) Race/Ethnic Group: Times Rolled:DEP-In Waivers: _________________________________________________________________________________Reason for Action: _______

__________________________ __________________________Recruiter Signature and Date RinC Signature and Date

Recommandations/Comments'

1. Zone SuperviserApprove/Disapprove Date:

2. NF/Advance Programs Coordinator (IfApplicable)Information Only Date:

3. Chief RecruiterApprove/Disapprove Date:

4. EPO Approve/Disapprove Date:

5. Commanding OfficerApprove/Disapprove Date:

Comments:

Comments:

Comments:

Comments:

Comments:

Completed Copy to: ____Senior Classifier ______Statistician ______Zone Supervisor ______RinC

NAVCRUIT 1133/85 (Rev. 09-05)

Chapter 7 Section 3 5