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U.S. DOD Form dod-ngb-2816 CLINICAL PRIVILEGE LIST PHYSICIAN ASSISTANTS AND PRIMARY CARE NURSE PRACTITIONERS (For use of this form, see AFI 44-119, the proponent agency is ANG / SG) PRIVACY ACT STATEMENT

How to fill out us dod form dod-ngb-2816

How to fill out US DoD Form DOD-NG-B2816:

1. Start by carefully reading the instructions provided with the form. This will ensure that you have a clear understanding of the purpose and requirements of the form.
2. Begin by entering the necessary personal information in the appropriate fields. This may include your name, rank, social security number, unit, and contact information. Be sure to double-check the accuracy of the entered details.
3. Move on to the section that requires you to document any overtime hours worked. Provide the start and end dates, as well as the number of hours worked each day. If you did not work any overtime during the specified period, leave this section blank.
4. If applicable, there may be a section to record any compensatory time earned or used. Provide the dates and number of hours for each instance. If you have not earned or used any compensatory time, skip this section.
5. Proceed to the section that asks for any leave taken during the specified period. This may include vacation days, sick leave, or any other approved leave. Indicate the start and end dates for each instance and the total number of hours taken.
6. Next, there might be a section to record any other types of absences, such as jury duty or military leave. Provide the necessary details for each instance, including the start and end dates and the total number of hours.
7. If needed, there may be a space to provide additional explanations or remarks regarding any of the sections above. Utilize this section to provide any necessary clarifications or additional information.
8. Finally, review the completed form to ensure accuracy and completeness. Double-check all the entered information against the provided instructions.

Who needs US DoD Form DOD-NG-B2816?

1. US military personnel: This form is typically required for active-duty service members, including those in the Army, Navy, Air Force, Marine Corps, and Coast Guard.
2. National Guard members: National Guard personnel may also be required to fill out this form when applicable.
3. Authorized appropriating and fund certifying officers: Certain officials responsible for budgeting and financial management within the military may need access to this form for administrative purposes.

Note: It is important to consult the specific instructions or guidance provided by your unit or commanding officer to determine if this form is required in your particular situation.

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