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FILLABLE FORM DATA ADMIN SCREENING FORM Service member Name: Supporting Directive ONIVINS 5350-4D ADMINISTRATIVE SCREENING CHECKLIST Action Member identified Notify C.O. (if required) Collect service
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How to fill out NAVPERS 5350-3:

01
Start by obtaining a copy of the NAVPERS 5350-3 form. This form, also known as the Dependency Application/Record of Emergency Data, is typically required by members of the U.S. Navy.
02
Begin by filling out the personal information section on the form. This includes your full name, social security number, rank, and date of birth. Make sure to double-check the accuracy of this information before proceeding.
03
Move on to the next section, which focuses on your family members and dependents. Fill in the required details for each family member, such as their full name, relationship to you, date of birth, and social security number.
04
If your spouse is also a member of the military, provide their rank, service affiliation, and any additional required information.
05
In the event that you have children, include their information as well. Make sure to provide their full name, date of birth, and social security number if applicable.
06
The next section pertains to your emergency contact information. Provide the name, address, and contact details of the person who should be notified in case of an emergency. Make sure to choose someone reliable and easily reachable.
07
Finally, review the information you have entered on the form. Ensure that all the details are accurate and up to date. If you find any errors, make the necessary corrections before submitting the form.

Who needs NAVPERS 5350-3:

01
Active duty members of the U.S. Navy are typically required to fill out the NAVPERS 5350-3 form. This includes both officers and enlisted personnel.
02
The purpose of this form is to gather important information about the service member's dependents, emergency contacts, and other necessary details.
03
It is crucial for military personnel to keep their records updated and provide the Navy with the most current and accurate information regarding their family members and emergency contacts.
04
The NAVPERS 5350-3 form ensures that the Navy can reach out to the right individuals in case of an emergency or any other significant event.
05
Therefore, any member of the U.S. Navy who has family members or dependents and desires to keep their record of emergency data up to date should complete the NAVPERS 5350-3 form.
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