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The NGB 22 form, officially known as the National Guard Report of Separation and Record of Service, serves as a crucial document for members of the National Guard, including both the Army National Guard (ARNG) and the Air National Guard (ANG). This form is utilized to officially record a service member's tenure and achievements within the National Guard, detailing essential information such as the individual’s name, social security number, rank, and dates of service. It is governed by regulations outlined in NGR 600-200 and is supported by various legal authorities, including Title 10 and Title 32 of the United States Code. The NGB 22 not only provides a comprehensive overview of a service member’s military education and decorations but also includes information on their service obligations and eligibility for reenlistment. Upon separation, the original NGB 22 and one copy are issued to the service member, while an additional copy is retained for state records by the Military Personnel Office (MILPO). The form emphasizes the importance of accurate information, as failure to provide a service number may lead to processing delays. With its focus on documenting service history, the NGB 22 plays a vital role in ensuring that National Guard members have a reliable record of their military service for future endeavors.

Common mistakes

  1. Missing or Incorrect Personal Information: One common mistake is failing to provide accurate personal details such as the last name, first name, middle name, and social security number. Any errors in this information can lead to delays in processing.

  2. Omitting Dates: People often forget to include important dates, such as the date of enlistment or date of birth. These dates are crucial for establishing service timelines and eligibility.

  3. Inaccurate Service Records: Some individuals mistakenly report incorrect service periods. It is vital to accurately list net service, prior reserve component service, and prior active federal service. Inaccuracies can affect future benefits.

  4. Neglecting to Sign: Many forget to sign the form. The signature of the person being separated is essential for validation. Without it, the form may not be accepted.

Preview - Ngb 22 Form

NATIONAL GUARD REPORT OF SEPARATION AND RECORD OF SERVICE

The proponent agency is ARNG-HRH. The prescribing directive is NGR 600-200.

PRIVACY ACT STATEMENT

1.AUTHORITY: Title 10 USC 12101 and 12103, Title 32 USC 301 and 304, and Executive Order 9397.

2.PURPOSE: Official discharge document, which records the National Guard member’s (ARNG & ANG) service in the National Guard. The original and one copy will be provided to the soldier. A copy will be maintained by the MILPO for state records. For organizational use only.

3.ROUTINE USES: None.

4.DISCLOSURE: Voluntary; However, failure to provide Service Number may result in a delayed or erroneous processing of NGB Form 22A.

 

 

Report of separation and record of service in the

 

 

 

 

National Guard of

 

 

 

 

State

 

and as a Reserve of the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. LAST NAME- FIRST NAME- MIDDLE NAME

 

 

2. DEPARTMENT, COMPONENT AND BRANCH

 

3. SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. DATE OF ENLISTMENT

 

 

 

 

 

 

5a. RANK

 

 

 

5b. PAY GRADE

 

6. DATE OF RANK

 

 

 

 

7. DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8a. STATION OR INSTALLATION AT WHICH EFFECTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8b. EFFECTIVE DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. COMMAND TO WHICH TRANSFERRED

 

 

 

 

 

 

 

10. RECORD OF SERVICE

 

 

 

 

 

 

YEARS

MONTHS

 

DAYS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a) NET SERVICE THIS PERIOD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b) PRIOR RESERVE COMPONENT SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(c) PRIOR ACTIVE FEDERAL SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. TERMINAL DATE OF RESERVE/MILITARY SERVICE OBLIGATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(d) TOTAL SERVICE FOR PAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(e) TOTAL SERVICE FOR RETIRED PAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. MILITARY EDUCATION (Course Title, number of weeks, month and year completed)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. PRIMARY SPECIALTY NUMBER , TITLE AND DATE AWARDED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Additional specialty numbers and titles)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. HIGHEST EDUCATION LEVEL SUCCESSFULLY COMPLETED

15. DECORATIONS, MEDALS, BADGES, COMMENDATIONS,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECONDARY/HIGH SCHOOL

 

 

YRS (Gr 1-12)

 

 

 

 

 

 

 

CITATIONS AND CAMPAIGN RIBBONS AWARDED THIS PERIOD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(State Awards may be included)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE

 

 

YRS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. SERVICEMAN'S GROUP LIFE INSURANCE COVERAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

AMT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. PERSONNEL SECURITY INVESTIGATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. TYPE

 

 

 

 

 

 

 

 

 

b. INVESTIGATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. REMARKS

19. MAILING ADDRESS AFTER SEPARATION(Street, City, County, State, and Zip Code)

20. SIGNATURE OF PERSON BEING SEPARATED

 

 

 

 

I

Click to sign

 

 

 

 

 

 

 

 

 

 

 

 

 

21. NAME, GRADE AND TITLE OF AUTHORIZING OFFICER

22. SIGNATURE OF OFFICER AUTHORIZED TO SIGN

 

 

 

 

I

Click to sign

 

 

 

 

 

 

 

 

 

23. AUTHORITY AND REASON

 

 

 

I

I

24. CHARACTER OF SERVICE

 

25. TYPE OF CERTIFICATE USED

26. REENLISTMENT ELIGIBILITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.

 

REQUEST

 

 

DECLINE COPIES OF MY NGB FORM 22

INITIALS

 

 

 

 

 

 

 

 

 

 

NGB FORM 22, 20140731

(USE PREVIOUS EDITIONS UNTIL EXHAUSTED)

 

 

Documents used along the form

The NGB 22 form serves as a crucial document for National Guard members, detailing their service record and discharge information. Alongside this form, several other documents are often utilized to ensure a comprehensive understanding of a service member's military history and benefits. Below is a list of these related documents.

  • NGB Form 22A: This is an extension of the NGB 22 form, providing additional details about a member's service and discharge. It is often required for more specific records and may include information on service time and character of service.
  • For those interested in securing legal authority for their child, consider the georgiapdf.com/ form which allows a designated individual to make important decisions on behalf of the child in the parent's absence.
  • DD Form 214: This document is issued upon a service member's separation from active duty. It summarizes their military service, including dates of service, awards, and any relevant training, and is often needed for veterans' benefits.
  • Request for Records (SF 180): This form is used to request military records from the National Archives. It is essential for veterans seeking to obtain copies of their service records or discharge documents.
  • VA Form 21-526EZ: This form is used to apply for disability compensation and related benefits through the Department of Veterans Affairs. It requires information about the service member’s military history and any disabilities incurred during service.
  • VA Form 22-1990: This application is for veterans seeking education benefits under the GI Bill. It requires details about military service and is crucial for accessing educational opportunities post-discharge.
  • Personnel Action Form (SF 50): This form records personnel actions affecting federal employees, including separations and reassignments. It may be necessary for verifying employment history and benefits eligibility.

Understanding these documents can significantly ease the transition process for National Guard members. Each form plays a unique role in ensuring that service members receive the benefits and recognition they deserve after their service. Properly managing and submitting these documents can help avoid delays and ensure a smooth transition into civilian life.

Similar forms

The DD Form 214, or Certificate of Release or Discharge from Active Duty, is a document similar to the NGB 22 form. It serves as an official record of a service member's time in the military, detailing their service history, including dates of service, discharge status, and awards received. Like the NGB 22, the DD Form 214 is crucial for veterans when applying for benefits or employment, as it provides essential information regarding their military experience and qualifications.

The NGB Form 22A, Report of Separation and Record of Service, is closely related to the NGB 22. This document is used to provide a more detailed account of a service member’s separation from the National Guard. While the NGB 22 summarizes service, the NGB 22A includes additional information about the member's service record, such as specific reasons for separation and any disciplinary actions. Both forms are used to document a service member's military career but serve slightly different purposes in terms of detail and context.

The VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits, also shares similarities with the NGB 22. This form is used by veterans to apply for disability benefits through the Department of Veterans Affairs. It requires information about the veteran's service, including dates and branches, which aligns with the purpose of the NGB 22 in providing a record of service. Both documents are essential in establishing eligibility for various benefits based on military service.

The SF-180, Request Pertaining to Military Records, is another document that relates to the NGB 22. This form is used to request copies of military records, including the DD Form 214 and other service-related documents. Individuals may need to provide information found on the NGB 22 to facilitate the retrieval of their military records. Both forms emphasize the importance of maintaining accurate records of military service for personal and administrative purposes.

The Form 1095-B, Health Coverage, is similar in that it documents a service member's health insurance coverage during their time in service. While not directly related to discharge or separation, it is an important record for veterans to maintain. This form can be used in conjunction with the NGB 22 to verify health coverage during service, which may be relevant for benefits related to healthcare and insurance after leaving the military.

In addition to these military-related forms, those engaging in private sales in Texas should be aware of the importance of the Texas Bill of Sale form, which records the transaction details between a seller and a buyer for personal property. This document serves as essential proof of purchase and could be necessary for various legal purposes. For convenience, you can download the form in pdf to ensure all aspects of your sale are documented properly.

Finally, the National Guard Bureau's (NGB) Form 22B, which records additional service or qualifications after the initial NGB 22, is relevant to this discussion. The NGB 22B allows for updates to a member’s service record, including changes in status or additional training completed. Like the NGB 22, it serves to document a service member's qualifications and service history, ensuring that all relevant information is available for future reference and benefit applications.

Dos and Don'ts

When filling out the NGB 22 form, it's essential to approach the task with care. Here’s a helpful list of things you should and shouldn’t do to ensure your form is completed correctly.

  • Do read the instructions carefully before starting.
  • Do provide accurate and complete information for each section.
  • Do double-check your Social Security Number and other personal details.
  • Do sign the form where required to validate your submission.
  • Don't leave any sections blank; fill in all required fields.
  • Don't use abbreviations or shorthand that may cause confusion.
  • Don't forget to keep a copy for your records.
  • Don't rush through the form; take your time to ensure accuracy.

Following these guidelines can help you avoid common pitfalls and ensure your NGB 22 form is processed smoothly.

Key takeaways

Filling out the NGB 22 form is a crucial step for National Guard members transitioning from service. Understanding its components and implications can greatly ease this process. Below are key takeaways to consider:

  • Purpose of the Form: The NGB 22 serves as an official discharge document, recording a service member's time in the National Guard. It is essential for future employment and benefits.
  • Privacy Considerations: The form is governed by privacy laws, including Title 10 and Title 32 of the United States Code. It is important to handle the information with care to protect personal data.
  • Accurate Information: Providing complete and accurate details, such as your full name, Social Security number, and dates of service, is vital. Inaccuracies may lead to delays or complications in processing.
  • Documentation Copies: After completion, the original NGB 22 and one copy will be provided to the service member. A copy is also retained by the Military Personnel Office for state records.
  • Service History: The form requires a detailed record of service, including net service time and prior military experience. This information is important for calculating benefits and entitlements.
  • Post-Separation Address: Ensure that your mailing address after separation is accurately recorded. This will facilitate the receipt of important documents and benefits.

Completing the NGB 22 form with attention to detail can significantly impact your transition experience. It is a reflection of your service and should be treated with the respect it deserves.

How to Use Ngb 22

Completing the NGB 22 form is an important step in documenting your service in the National Guard. This form serves as your official discharge document and will be used to record your military service. Follow these steps carefully to ensure accurate completion.

  1. Begin by entering your Last Name, First Name, and Middle Name in the designated fields.
  2. Fill in the Department, Component, and Branch of service.
  3. Provide your Social Security Number.
  4. Input the Date of Enlistment.
  5. List your Rank in section 5a and your Pay Grade in section 5b.
  6. Enter the Date of Rank.
  7. Fill in your Date of Birth.
  8. In section 8a, specify the Station or Installation where the separation is effective.
  9. Provide the Effective Date of the separation.
  10. State the Command to which transferred.
  11. Record your Years, Months, and Days of service in section 10, including net service this period, prior reserve component service, and prior active federal service.
  12. Indicate the Terminal Date of Reserve/Military Service Obligation.
  13. Complete the Total Service for Pay and Total Service for Retired Pay sections.
  14. List your Military Education, including course titles, number of weeks, and completion dates.
  15. Document your Primary Specialty Number, Title, and Date Awarded, along with any additional specialties.
  16. State your Highest Education Level Successfully Completed.
  17. List any Decorations, Medals, Badges, Commendations, Citations, and Campaign Ribbons awarded during this period.
  18. Indicate whether you have Serviceman's Group Life Insurance Coverage and the amount, if applicable.
  19. Complete the Personnel Security Investigation section, including type and investigation details.
  20. Provide any additional Remarks in the designated area.
  21. Enter your Mailing Address After Separation, including street, city, county, state, and zip code.
  22. Sign the form in the Signature of Person Being Separated section.
  23. Enter the Name, Grade, and Title of the Authorizing Officer.
  24. Obtain the Signature of Officer Authorized to Sign.
  25. Complete the Authority and Reason section.
  26. Indicate the Character of Service.
  27. Specify the Type of Certificate Used.
  28. State your Reenlistment Eligibility.
  29. Choose whether to Request or Decline copies of your NGB Form 22.