APPLICATION FOR VOLUNTARY RETIREMENT

Application for Voluntary Retirement Form
Full Name of Applicant
First NameLast Name
Officer's Name
First NameLast Name
Rank
Current Grade (Pay Grade)
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Chronological Start Date of Military Service
MonthDayYear
1
Chronological End Date of Military Service
MonthDayYear
2
Active Federal Service
Total Years/Months/Days
Address
Street Address
Street Address Line 2
CityState
Zip Code
Reason For Retirement
Should be Empty:

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