NOAA COMMISSIONED CORPS NOAA CORPS SERVICE AWARDS AUTHORIZATION WORKSHEET

EFFECTIVE DATE

c. TITLE OF POSITION d. DATE

From: To

From: To

End Date:

From: To

U.S. DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration

a. LAST NAME, FIRST NAME, MIDDLE INITIAL

b. OPERATIONAL PLATFORM

NCAS: NOAA Corps Atlantic Service Ribbon

From: To

From: To

d. COMMANDING OFFICER'S NAME AND SIGNATURE

b. COMMANDING OFFICER GRADE

COMPLETE AS APPROPRIATE

1. Beginning and ending dates of a 180 day permanent sea assignment aboard a NOAA vessel operating in the waters of the Atlantic Ocean, Gulf of Mexico, Great Lakes or adjacent waters

1. Beginning and ending dates of a 180 day permanent sea assignment aboard a NOAA vessel operating in the waters of the Pacific Ocean, Indian Ocean, Bering Sea, or adjacent waters

NCPS: NOAA Corps Pacific Service Ribbon

1. Beginning and ending dates of a 360 day qualifying sea duty

NSSR: NOAA Corps Sea Service Deployment Ribbon

2. Beginning and ending dates of a 90 day continuous deployment within the above year (underway and away from homeport)

3. Ending date from previous NSSR (if applicable)

1. Beginning and ending dates of operations in international waters

NCIS: NOAA Corps International Service Ribbon

Date: Location:

Date: Location:

2. Dates and locations of international port calls

3. Description of international participation in the cruise

Authorized by